1. The nurse explains that in the late 1960s, health care focus was aimed at theiolder adult
because:
a. disability was viewed as unavoidable.
b.
... [Show More] complications fromdisease increased mortality.
c. older adults needs are similar to those ofall adults.
d. preventive healthcare practices increased longevity.
ANS: D
Increased preventive health care practices, idiseaseicontrol, and focus on wellness helped people
live longer.
DIF: Cognitive Level: ComprehensioniREF: 2 OBJ: 2
TOP: Aging Trends KEY: iNursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
2. The nurseiclarifies that in the terminology defining specific age groups, the term aged refers to
persons who are:
a. 55 to 64 years of age.
b. 65 to 74 years of age.
c. 75 to 84 years of age.
d. 85 and older.
ANS: C
The term aged refers to persons who are 75 to 84 years of age. DIF:
Cognitive Level: Comprehension REF: 2, Table 1-1 OBJ: 1 TOP:
Age Categories KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
3. The nurse cautions that ageism is a mindset that influences persons to:
a. discriminate against persons solely on the basis of age.
b. fear aging.
c. be culturally sensitive to concerns of aging.
d. focus on resources for the older adult.
ANS: A
Ageism is a negative belief pattern that influences personsito discriminate against persons solely
onthe basis of age and can lead to destructive behaviors toward the older adult.
DIF: Cognitive Level: ComprehensioniREF: i5 iOBJ: 3
TOP: Ageism KEY: Nursing ProcessiStep: Implementation
MSC: NCLEX: PsychosocialiIntegrity: Psychosocial Adaptation
4. The nurse points out ithat the most beneficial legislation that has influenced health care for the
older adult is:
a. MedicareiandiMedicaid.
b. elimination of the mandatoryretirement age.
c. the Americans with Disabilities Act.
d. the Drug Benefit Program.
ANS: A
The broadest sweeping legislation beneficial to the older adult is Medicare and Medicaid.
DIF: Cognitive Level: Application REF: 16 OBJ: 6
TOP: Legislation KEY: Nursing Process Step: Implementation
MSC: NCLEX: N/A
5. The nurse clarifies that a housing option for the older adult that offers the privacyof an
apartment withrestaurant-style meals and some medical and personal care services is the:
a. government-subsidized housing.
b. long-termcare facility.
c. assisted-living center.
d. group housing plan.
ANS: C
Assisted-living arrangements offer the privacy of an apartment or condominium with mealsiprepared
and served, limited medical care, and a varietyofipersonal services.
DIF: Cognitive Level: Application REF: 14 OBJ: i9
TOP: Housing Options KEY: Nursing Process Step: ImplementationMSC:
NCLEX: Physiological Integrity: iPhysiological Adaptation
6. The 75-year-old maniwho ihas been hospitalized following a severe case of pneumonia is
concerned about hisi mounting hospital bill and asks if his Medicare coverage willpay for his
care. The nursesi most helpful response is Yes. Medicare:
a. pays 100% iof all medical costs for persons older than 65.
b. Part B pays hospitalcosts and physician fees.
c. Part A pays for inpatient hospitalcosts.
d. Part D pays 80% of the charges made byphysicians.
ANS: C
Medicare Part A pays inpatient hospital costs, Part B pays 80% ofphysicians charges, and Part D
helps defrayprescription drug costs.
DIF: Cognitive Level: Application REF: 16 OBJ: 6
TOP: Medicare Provisions KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
7. 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 nurses most
informative response is:
a. Advance directives indicate the degree of intervention desired by the patient.
b. A Do Not Resuscitate document signed bythe patient transfers authorityto the next
of kin.
c. A durable power of attorney for health care transfers decision-making authority for
health care to a designated person.
d. A living will transfers authorityto the physician.
ANS: C
A durable power of attorney for health care transfers the authority for decision making to a
designated person.
DIF: Cognitive Level: ApplicationiREF: 19 OBJ: 11
TOP: Advance Directives KEY:iNursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
8. The daughteriof a iresident in a long-termcare facility is frustrated with her 80-year-old
mothers refusal to eat. The nurse explains that the refusal to eat is a behavior that is an:
a. effort to maintain a portion of independence and self direction.
b. indication ofapproaching Alzheimer disease.
c. effort to gain attention.
d. indication of the dislike of the institutional food.
ANS: A
Loss of independence and control is a significant issue for the older adult. Some residents will
exercise whatever control they mayretain [Show Less]