The nurse explains that in the late 1960s, health care focus was aimed at the older adult because:
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.
The nurse clarifies that in the terminology defining specific age groups, the term aged refers to persons who are:
55 to 64 years of age.
65 to 74 years of age.
75 to 84 years of age.
85 and older.
The nurse cautions that “ageism” is a mindset that influences persons to:
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.
The nurse points out that the most beneficial legislation that has influenced health care for the older adult is:
Medicare and Medicaid.
elimination of the mandatory retirement age.
the Americans with Disabilities Act.
the Drug Benefit Program.
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:
government-subsidized housing.
long-term care facility.
assisted-living center.
group housing plan.
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:
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.”
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:
“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.”
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:
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.
The nurse clarifies that the conditions of a living will go into effect when:
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.
In the 1980s, Medicare initiated a program of diagnosis-related groups (DRGs) to reduce hospital costs by:
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.
When discussing extended care with a patient who has had a hip replacement and needs physical therapy, the nurse would recommend a(n):
basic care facility.
skilled care facility.
subacute care facility.
assisted-living residence.
The senior citizen political action group that uses volunteers and lobbyists to advance the interests of older adults is the:
American Association of Retired Persons (AARP).
National Council of Senior Citizens (NCSC).
National Alliance of Senior Citizens (NASC).
Gray Panthers.
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:
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.
The nurse gives an example of the caregiver who is guilty of elder abuse as the:
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.
The nurse cautions that the most frequent response to elder abuse by the abused older adult is
anger.
physical retaliation.
notification of authorities.
nothing at all.
Many nurses today do not seek careers in gerontology because:
the physical work is too difficult.
their technological skills are not used.
there is not enough challenge.
there are limited options for employment.
The nurse clarifies that the term “baby boomers” refers to persons who:
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.
Restraining an older adult in a recliner to prevent wandering is an example of:
physical abuse.
neglect.
emotional abuse.
self-neglect.
Nonprovision of medical care because of lack of finances is an example of:
Health care workers eating a resident’s candy without permission is an example of:
The nurse is aware that a person’s attitude about aging is influenced mainly by his or her __________. (Select all that apply.)
Life experiences
income level
level of education
current age
occupation
Gerontology encompasses application to __________. (Select all that apply.)
appropriate housing
health care
public education
business ventures
government-sponsored pensions
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.)
health maintenance organization (HMO)
preferred provider organization (PPO)
provider-sponsored organization (PSO)
private fee for service organization (PFFS)
medical service organization (MSO)
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.)
grief
anger
frustration
loss
resentment
The nurse outlines the characteristics of the typical caregiver for an aging family member as __________. (Select all that apply.)
32 years of age
female
having full-time employment
having a care recipient older than 70
giving care for an average of 18 years
The nurse reminds a family that indicators of self-neglect in the aging person include __________. (Select all that apply.)
misbalanced check book
reduced personal hygiene
increased alcohol consumption
irritability
loss of weight
The nurse reminds a group of prospective caregivers that elder abuse may take the form of __________. (Select all that apply.)
causing physical harm
misappropriation of finances
psychological intimidation
emotional depersonalization
abandonment
The nurse explains that research done by the National Institute on Aging found that __________. (Select all that apply.)
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
The Nursing Competence in Aging initiative advocates enhancing nurses’ __________. (Select all that apply.)
knowledge in gerontics
skills in geriatrics
opportunities for employment
political sensitivity for the older adult
attitudes related to the older adult
The nurse clarifies that the term that refers to the promotion of high-level functioning and supportive care to older adults is __________.
geriatric
gerontrics
maternity
elder care
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 __________.
67
60
65
69
The nurse clarifies that the point at which a person on Medicaid Part D must assume full cost of medication is called the __________ __________.
No Insurance
Donut- hole
Not qualified
Out of pocket
