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college Geriatrics Quiz on Chapter 1 , created by nursing fairy on 03/09/2014.

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Chapter 1

Chapter 1

Question 1 of 35

1

The nurse explains that in the late 1960s, health care focus was aimed at the older adult because:

Select one of the following:

  • 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.

Explanation

Question 2 of 35

1

The nurse clarifies that in the terminology defining specific age groups, the term aged refers to persons who are:

Select one of the following:

  • 55 to 64 years of age.

  • 65 to 74 years of age.

  • 75 to 84 years of age.

  • 85 and older.

Explanation

Question 3 of 35

1

The nurse cautions that “ageism” is a mindset that influences persons to:

Select one of the following:

  • 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.

Explanation

Question 4 of 35

1

The nurse points out that the most beneficial legislation that has influenced health care for the older adult is:

Select one of the following:

  • Medicare and Medicaid.

  • elimination of the mandatory retirement age.

  • the Americans with Disabilities Act.

  • the Drug Benefit Program.

Explanation

Question 5 of 35

1

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:

Select one of the following:

  • government-subsidized housing.

  • long-term care facility.

  • assisted-living center.

  • group housing plan.

Explanation

Question 6 of 35

1

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:

Select one of the following:

  • 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.”

Explanation

Question 7 of 35

1

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:

Select one of the following:

  • “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.”

Explanation

Question 8 of 35

1

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:

Select one of the following:

  • 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.

Explanation

Question 9 of 35

1

The nurse clarifies that the conditions of a living will go into effect when:

Select one of the following:

  • 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.

Explanation

Question 10 of 35

1

In the 1980s, Medicare initiated a program of diagnosis-related groups (DRGs) to reduce hospital costs by:

Select one of the following:

  • 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.

Explanation

Question 11 of 35

1

When discussing extended care with a patient who has had a hip replacement and needs physical therapy, the nurse would recommend a(n):

Select one of the following:

  • basic care facility.

  • skilled care facility.

  • subacute care facility.

  • assisted-living residence.

Explanation

Question 12 of 35

1

The senior citizen political action group that uses volunteers and lobbyists to advance the interests of older adults is the:

Select one of the following:

  • American Association of Retired Persons (AARP).

  • National Council of Senior Citizens (NCSC).

  • National Alliance of Senior Citizens (NASC).

  • Gray Panthers.

Explanation

Question 13 of 35

1

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:

Select one of the following:

  • 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.

Explanation

Question 14 of 35

1

The nurse gives an example of the caregiver who is guilty of elder abuse as the:

Select one of the following:

  • 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.

Explanation

Question 15 of 35

1

The nurse cautions that the most frequent response to elder abuse by the abused older adult is

Select one of the following:

  • anger.

  • physical retaliation.

  • notification of authorities.

  • nothing at all.

Explanation

Question 16 of 35

1

Many nurses today do not seek careers in gerontology because:

Select one of the following:

  • the physical work is too difficult.

  • their technological skills are not used.

  • there is not enough challenge.

  • there are limited options for employment.

Explanation

Question 17 of 35

1

The nurse clarifies that the term “baby boomers” refers to persons who:

Select one of the following:

  • 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.

Explanation

Question 18 of 35

1

Restraining an older adult in a recliner to prevent wandering is an example of:

Select one of the following:

  • physical abuse.

  • neglect.

  • emotional abuse.

  • self-neglect.

Explanation

Question 19 of 35

1

Nonprovision of medical care because of lack of finances is an example of:

Select one of the following:

  • physical abuse.

  • neglect.

  • emotional abuse.

  • self-neglect.

Explanation

Question 20 of 35

1

Health care workers eating a resident’s candy without permission is an example of:

Select one of the following:

  • physical abuse.

  • neglect.

  • emotional abuse.

  • self-neglect.

Explanation

Question 21 of 35

1

The nurse is aware that a person’s attitude about aging is influenced mainly by his or her __________. (Select all that apply.)

Select one or more of the following:

  • Life experiences

  • income level

  • level of education

  • current age

  • occupation

Explanation

Question 22 of 35

1

Gerontology encompasses application to __________. (Select all that apply.)

Select one or more of the following:

  • appropriate housing

  • health care

  • public education

  • business ventures

  • government-sponsored pensions

Explanation

Question 23 of 35

1

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.)

Select one or more of the following:

  • health maintenance organization (HMO)

  • preferred provider organization (PPO)

  • provider-sponsored organization (PSO)

  • private fee for service organization (PFFS)

  • medical service organization (MSO)

Explanation

Question 24 of 35

1

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.)

Select one or more of the following:

  • health maintenance organization (HMO)

  • preferred provider organization (PPO)

  • provider-sponsored organization (PSO)

  • private fee for service organization (PFFS)

  • medical service organization (MSO)

Explanation

Question 25 of 35

1

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.)

Select one or more of the following:

  • grief

  • anger

  • frustration

  • loss

  • resentment

Explanation

Question 26 of 35

1

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.)

Select one or more of the following:

  • grief

  • anger

  • frustration

  • loss

  • resentment

Explanation

Question 27 of 35

1

The nurse outlines the characteristics of the typical caregiver for an aging family member as __________. (Select all that apply.)

Select one or more of the following:

  • 32 years of age

  • female

  • having full-time employment

  • having a care recipient older than 70

  • giving care for an average of 18 years

Explanation

Question 28 of 35

1

The nurse reminds a family that indicators of self-neglect in the aging person include __________. (Select all that apply.)

Select one or more of the following:

  • misbalanced check book

  • reduced personal hygiene

  • increased alcohol consumption

  • irritability

  • loss of weight

Explanation

Question 29 of 35

1

The nurse reminds a group of prospective caregivers that elder abuse may take the form of __________. (Select all that apply.)

Select one or more of the following:

  • causing physical harm

  • misappropriation of finances

  • psychological intimidation

  • emotional depersonalization

  • abandonment

Explanation

Question 30 of 35

1

The nurse reminds a group of prospective caregivers that elder abuse may take the form of __________. (Select all that apply.)

Select one or more of the following:

  • causing physical harm

  • misappropriation of finances

  • psychological intimidation

  • emotional depersonalization

  • abandonment

Explanation

Question 31 of 35

1

The nurse explains that research done by the National Institute on Aging found that __________. (Select all that apply.)

Select one or more of the following:

  • 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

Explanation

Question 32 of 35

1

The Nursing Competence in Aging initiative advocates enhancing nurses’ __________. (Select all that apply.)

Select one or more of the following:

  • knowledge in gerontics

  • skills in geriatrics

  • opportunities for employment

  • political sensitivity for the older adult

  • attitudes related to the older adult

Explanation

Question 33 of 35

1

The nurse clarifies that the term that refers to the promotion of high-level functioning and supportive care to older adults is __________.

Select one or more of the following:

  • geriatric

  • gerontrics

  • maternity

  • elder care

Explanation

Question 34 of 35

1

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 __________.

Select one or more of the following:

  • 67

  • 60

  • 65

  • 69

Explanation

Question 35 of 35

1

The nurse clarifies that the point at which a person on Medicaid Part D must assume full cost of medication is called the __________ __________.

Select one or more of the following:

  • No Insurance

  • Donut- hole

  • Not qualified

  • Out of pocket

Explanation

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