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Chapter 1

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college Geriatrics Quiz on Chapter 1 , created by nursing fairy on 03/09/2014.
nursing fairy
Quiz by nursing fairy , updated more than 1 year ago
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Question 1

Question
The nurse explains that in the late 1960s, health care focus was aimed at the older adult because:
Answer
  • disability was viewed as unavoidable.
  • complications from disease increased mortality.
  • older adults’ needs are similar to those of all adults.
  • preventive health care practices increased longevity.

Question 2

Question
The nurse clarifies that in the terminology defining specific age groups, the term aged refers to persons who are:
Answer
  • 55 to 64 years of age.
  • 65 to 74 years of age.
  • 75 to 84 years of age.
  • 85 and older.

Question 3

Question
The nurse cautions that “ageism” is a mindset that influences persons to:
Answer
  • discriminate against persons solely on the basis of age
  • fear aging.
  • be culturally sensitive to concerns of aging.
  • focus on resources for the older adult.

Question 4

Question
The nurse points out that the most beneficial legislation that has influenced health care for the older adult is:
Answer
  • Medicare and Medicaid.
  • elimination of the mandatory retirement age.
  • the Americans with Disabilities Act.
  • the Drug Benefit Program.

Question 5

Question
The nurse clarifies that a housing option for the older adult that offers the privacy of an apartment with restaurant-style meals and some medical and personal care services is the:
Answer
  • government-subsidized housing.
  • long-term care facility.
  • assisted-living center.
  • group housing plan.

Question 6

Question
The 75-year-old man who has been hospitalized following a severe case of pneumonia is concerned about his mounting hospital bill and asks if his Medicare coverage will pay for his care. The nurse’s most helpful response is “Yes. Medicare:
Answer
  • pays 100% of all medical costs for persons older than 65.”
  • Part B pays hospital costs and physician fees.”
  • Part A pays for inpatient hospital costs.”
  • Part D pays 80% of the charges made by physicians.”

Question 7

Question
The daughter of a patient who has been diagnosed with terminal cancer asks which documents are required to allow her to make health care decisions for her parent. The nurse’s most informative response is:
Answer
  • “Advance directives indicate the degree of intervention desired by the patient.”
  • “A ‘Do Not Resuscitate’ document signed by the patient transfers authority to the next of kin.”
  • “A durable power of attorney for health care transfers decision-making authority for health care to a designated person.”
  • “A living will transfers authority to the physician.”

Question 8

Question
The daughter of a resident in a long-term care facility is frustrated with her 80-year-old mother’s refusal to eat. The nurse explains that the refusal to eat is a behavior that is an:
Answer
  • effort to maintain a portion of independence and self direction.
  • indication of approaching Alzheimer disease.
  • effort to gain attention.
  • indication of the dislike of the institutional food.

Question 9

Question
The nurse clarifies that the conditions of a living will go into effect when:
Answer
  • the patient declares that desire in writing.
  • a family member indicates the desire for curative therapy to cease.
  • two physicians agree in writing that the criteria in the living will have been met.
  • the physician and a family member agree that the criteria in the living will have been met.

Question 10

Question
In the 1980s, Medicare initiated a program of diagnosis-related groups (DRGs) to reduce hospital costs by:
Answer
  • classifying various diagnoses as ineligible for hospitalization.
  • allotting a set amount of hospital days and prospective payment on the basis of the admitting diagnosis
  • specifying particular physicians to treat specified diagnoses.
  • using frequency of a particular diagnosis to set a payment schedule.

Question 11

Question
When discussing extended care with a patient who has had a hip replacement and needs physical therapy, the nurse would recommend a(n):
Answer
  • basic care facility.
  • skilled care facility.
  • subacute care facility.
  • assisted-living residence.

Question 12

Question
The senior citizen political action group that uses volunteers and lobbyists to advance the interests of older adults is the:
Answer
  • American Association of Retired Persons (AARP).
  • National Council of Senior Citizens (NCSC).
  • National Alliance of Senior Citizens (NASC).
  • Gray Panthers.

Question 13

Question
The 80-year-old woman who is recovering from a stroke is being sent to an extended-care facility. She is concerned about the expense. The nurse can allay anxiety by explaining that Medicare will cover extended-care facility costs:
Answer
  • for a period of 30 days.
  • for a period of 45 days for physical therapy.
  • for a period of 100 days for needed skilled care.
  • until she is able to be discharged home.

Question 14

Question
The nurse gives an example of the caregiver who is guilty of elder abuse as the:
Answer
  • daughter who uses her mother’s Social Security money to purchase her mother’s medication.
  • son who puts an alarm on the front door to prevent his mother from wandering out of the house.
  • wife who allows her mentally competent husband to refuse to take a bath for a week.
  • frail spouse who is unable to bathe or change the clothes of her physically dependent husband.

Question 15

Question
The nurse cautions that the most frequent response to elder abuse by the abused older adult is
Answer
  • anger.
  • physical retaliation.
  • notification of authorities.
  • nothing at all.

Question 16

Question
Many nurses today do not seek careers in gerontology because:
Answer
  • the physical work is too difficult.
  • their technological skills are not used.
  • there is not enough challenge.
  • there are limited options for employment.

Question 17

Question
The nurse clarifies that the term “baby boomers” refers to persons who:
Answer
  • entered school in 1945.
  • served in the military in World War II.
  • were born between 1946 and 1964.
  • were eligible for Social Security benefits in 2000.

Question 18

Question
Restraining an older adult in a recliner to prevent wandering is an example of:
Answer
  • physical abuse.
  • neglect.
  • emotional abuse.
  • self-neglect.

Question 19

Question
Nonprovision of medical care because of lack of finances is an example of:
Answer
  • physical abuse.
  • neglect.
  • emotional abuse.
  • self-neglect.

Question 20

Question
Health care workers eating a resident’s candy without permission is an example of:
Answer
  • physical abuse.
  • neglect.
  • emotional abuse.
  • self-neglect.

Question 21

Question
The nurse is aware that a person’s attitude about aging is influenced mainly by his or her __________. (Select all that apply.)
Answer
  • Life experiences
  • income level
  • level of education
  • current age
  • occupation

Question 22

Question
Gerontology encompasses application to __________. (Select all that apply.)
Answer
  • appropriate housing
  • health care
  • public education
  • business ventures
  • government-sponsored pensions

Question 23

Question
Medicare Part C allows eligible persons to receive Medicare benefits via the services of private insurance companies through the services of a __________. (Select all that apply.)
Answer
  • health maintenance organization (HMO)
  • preferred provider organization (PPO)
  • provider-sponsored organization (PSO)
  • private fee for service organization (PFFS)
  • medical service organization (MSO)

Question 24

Question
Medicare Part C allows eligible persons to receive Medicare benefits via the services of private insurance companies through the services of a __________. (Select all that apply.)
Answer
  • health maintenance organization (HMO)
  • preferred provider organization (PPO)
  • provider-sponsored organization (PSO)
  • private fee for service organization (PFFS)
  • medical service organization (MSO)

Question 25

Question
The nurse is aware that a family’s emotional response to an aging loved one’s attempts to cope with diminishing abilities and increased care needs would include __________. (Select all that apply.)
Answer
  • grief
  • anger
  • frustration
  • loss
  • resentment

Question 26

Question
The nurse is aware that a family’s emotional response to an aging loved one’s attempts to cope with diminishing abilities and increased care needs would include __________. (Select all that apply.)
Answer
  • grief
  • anger
  • frustration
  • loss
  • resentment

Question 27

Question
The nurse outlines the characteristics of the typical caregiver for an aging family member as __________. (Select all that apply.)
Answer
  • 32 years of age
  • female
  • having full-time employment
  • having a care recipient older than 70
  • giving care for an average of 18 years

Question 28

Question
The nurse reminds a family that indicators of self-neglect in the aging person include __________. (Select all that apply.)
Answer
  • misbalanced check book
  • reduced personal hygiene
  • increased alcohol consumption
  • irritability
  • loss of weight

Question 29

Question
The nurse reminds a group of prospective caregivers that elder abuse may take the form of __________. (Select all that apply.)
Answer
  • causing physical harm
  • misappropriation of finances
  • psychological intimidation
  • emotional depersonalization
  • abandonment

Question 30

Question
The nurse reminds a group of prospective caregivers that elder abuse may take the form of __________. (Select all that apply.)
Answer
  • causing physical harm
  • misappropriation of finances
  • psychological intimidation
  • emotional depersonalization
  • abandonment

Question 31

Question
The nurse explains that research done by the National Institute on Aging found that __________. (Select all that apply.)
Answer
  • older patients receive less information regarding health management than younger patients
  • information on lifestyle changes were directed at younger people
  • older patients were denied timely appointments for evaluation of acute illnesses
  • rehabilitation programs offered limited services to the older adult
  • older patients receive less evaluation and fewer treatment options for acute illnesses

Question 32

Question
The Nursing Competence in Aging initiative advocates enhancing nurses’ __________. (Select all that apply.)
Answer
  • knowledge in gerontics
  • skills in geriatrics
  • opportunities for employment
  • political sensitivity for the older adult
  • attitudes related to the older adult

Question 33

Question
The nurse clarifies that the term that refers to the promotion of high-level functioning and supportive care to older adults is __________.
Answer
  • geriatric
  • gerontrics
  • maternity
  • elder care

Question 34

Question
The nurse reminds a patient who was born in 1965 that eligibility for full Social Security benefits for persons of this age is now the age of __________.
Answer
  • 67
  • 60
  • 65
  • 69

Question 35

Question
The nurse clarifies that the point at which a person on Medicaid Part D must assume full cost of medication is called the __________ __________.
Answer
  • No Insurance
  • Donut- hole
  • Not qualified
  • Out of pocket
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