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Basic Geriatric Nursing 5th Edition by Gloria Hoffman Wold – Test bank





Chapter 01: Trends and Issues


Test Bank




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



  1. The nurse clarifies 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.




  1. 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.




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


  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:
a. government-subsidized housing.
b. long-term care facility.
c. assisted-living center.
d. group housing plan.




  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:
a. pays 100% of all medical costs for persons older than 65.”
b. Part B pays hospital costs and physician fees.”
c. Part A pays for inpatient hospital costs.”
d. Part D pays 80% of the charges made by physicians.”


  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:
a. “Advance directives indicate the degree of intervention desired by the patient.”
b. “A ‘Do Not Resuscitate’ document signed by the patient transfers authority to 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 authority to the physician.”



  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:
a. effort to maintain a portion of independence and self direction.
b. indication of approaching Alzheimer disease.
c. effort to gain attention.
d. indication of the dislike of the institutional food.



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




  1. In the 1980s, Medicare initiated a program of diagnosis-related groups (DRGs) to reduce hospital costs by:
a. classifying various diagnoses as ineligible for hospitalization.
b. allotting a set amount of hospital days and prospective payment on the basis of the admitting diagnosis.
c. specifying particular physicians to treat specified diagnoses.
d. using frequency of a particular diagnosis to set a payment schedule.
  1. When discussing extended care with a patient who has had a hip replacement and needs physical therapy, the nurse would recommend a(n):
a. basic care facility.
b. skilled care facility.
c. subacute care facility.
d. assisted-living residence.




  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:
a. for a period of 30 days.
b. for a period of 45 days for physical therapy.
c. for a period of 100 days for needed skilled care.
d. until she is able to be discharged home.





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





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




  1. The nurse cautions that the most frequent response to elder abuse by the abused older adult is:
a. anger.
b. physical retaliation.
c. notification of authorities.
d. nothing at all.



  1. Many nurses today do not seek careers in gerontology because:
a. the physical work is too difficult.
b. their technological skills are not used.
c. there is not enough challenge.
d. there are limited options for employment.



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




  1. Restraining an older adult in a recliner to prevent wandering is an example of:
a. physical abuse.
b. neglect.
c. emotional abuse.
d. self-neglect.


  1. Nonprovision of medical care because of lack of finances is an example of:
a. physical abuse.
b. neglect.
c. emotional abuse.
d. self-neglect.



  1. Health care workers eating a resident’s candy without permission is an example of:
a. physical abuse.
b. neglect.
c. emotional abuse.
d. self-neglect.






  1. The nurse is aware that a person’s attitude about aging is influenced mainly by his or her __________. (Select all that apply.)
a. life experiences
b. income level
c. level of education
d. current age
e. occupation




  1. Gerontology encompasses application to __________. (Select all that apply.)
a. appropriate housing
b. health care
c. public education
d. business ventures
e. government-sponsored pensions




  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.)
a. health maintenance organization (HMO)
b. preferred provider organization (PPO)
c. provider-sponsored organization (PSO)
d. private fee for service organization (PFFS)
e. medical service organization (MSO)




  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.)
a. grief
b. anger
c. frustration
d. loss
e. resentment


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


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



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



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



  1. The Nursing Competence in Aging initiative advocates enhancing nurses’ __________. (Select all that apply.)
a. knowledge in gerontics
b. skills in geriatrics
c. opportunities for employment
d. political sensitivity for the older adult
e. attitudes related to the older adult





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




  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 __________.


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



Wold: Basic Geriatric Nursing, 5th Edition


Chapter 02: Theories of Aging


Test Bank




  1. A theory differs from a fact in that a theory:
a. proves how different influences affect a particular phenomenon.
b. attempts to explain and give some logical order to observations.
c. is a collection of facts about a particular phenomenon.
d. shows a relationship among facts about a particular phenomenon.




  1. The biological theory of aging uses a genetic perspective and suggests that aging is a programmed process in which:
a. each person will age exactly like those in the previous generation.
b. a “biological clock” ticks off a predetermined number of cell divisions.
c. genetic traits can overcome environmental influences.
d. age-related physical changes are controlled only by genetic factors.




  1. The Gene Theory of aging proposes that:
a. the presence of a “master gene” prolongs youth.
b. genes interact with each other to resist aging.
c. specific genes target specific body systems to initiate system deterioration.
d. the activation of harmful genes initiates the aging process.




  1. The theory that identifies an unstable molecule as the causative factor in aging is the _____ theory.
a. free radical
b. molecular
c. neuroendocrine
d. crosslink




  1. The nurse assesses that the patient who uses good health maintenance practices believes in the aging theory known as the _____ theory.
a. wear-and-tear
b. free radical
c. neuroendocrine
d. molecular



  1. The nurse describes the neuroendocrine theory of aging as a complex process of:
a. relating thyroid function to age-related changes.
b. the effects of adrenal corticosteroids, which inhibit the aging process.
c. stimulation and/or inhibition of the hypothalamus, causing age-related changes.
d. adrenal medulla inhibition of epinephrine, causing age-related changes.



  1. The nurse explains that psychosocial theories differ from biologic theories in that psychosocial theories:
a. focus on methods to delay the aging process.
b. are directed at decreasing depression in the older adult.
c. are organized to enhance the perception of aging.
d. attempt to explain responses to the aging process.



  1. The major objection to the disengagement theory is that the theory:
a. justifies ageism.
b. addresses the diversity of older adults.
c. does not clarify the aging process.
d. diminishes the self-esteem of the older adult.



  1. The 80-year-old who teaches Sunday school every week and delivers food for Meals on Wheels is following _____ theory.
a. Newman’s developmental
b. the life course
c. the activity
d. the disengagement



  1. The nurse would recognize successful aging according to Jung’s theory when the nurse notes that a resident at a long-term care facility:
a. takes special care to dress for dinner in a manner that pleases his tablemates.
b. asks permission to sit on the patio with other residents.
c. asks persons in his hall if his television is bothering them.
d. wears a large cowboy hat at all times because he likes it.




  1. The older adult female patient is positive that the free radical lipofuscin can be counteracted by:
a. avoiding animal fat.
b. use of antioxidants.
c. building up muscle mass.
d. outdoor exercise.


  1. A recently widowed woman moved to an assisted living community because of her hypertension and joined a group to learn how to do water color painting with other women her age. The nurse assesses that the patient is following the aging theory of:
a. Jung.
b. Havighurst.
c. Erikson.
d. Newmon.





  1. The nurse’s list of age-related illnesses thought to cause the accumulation of free radicals includes __________. (Select all that apply.)
a. arthritis
b. colon cancer
c. osteoporosis
d. diabetes
e. atherosclerosis



  1. The nurse emphasizes that the relatively new theory that correlates restricted caloric intake to slowing of the aging process would probably extend the life span of the person, provided that the person __________. (Select all that apply.)
a. consistently eats high-nutrient, low-calorie foods
b. maintains a regular exercise program
c. consumes 2000 to 3000 mL of fluid a day
d. supports the diet with adequate fat-soluble vitamins
e. eats only organically grown foods



  1. The nurse points out that the positive outcomes from a “life review,” according to Erikson, would include __________. (Select all that apply.)
a. wisdom and integrated self-image
b. comparing self with others
c. understanding self and relationships
d. seeking another’s opinion of his or her achievement
e. acceptance of self



  1. When a patient asks what can be done to neutralize the free radicals in his system, the nurse responds that antioxidant therapy is thought to inhibit free radicals. Antioxidants include __________. (Select all that apply.)
a. fruits
b. vegetables
c. organ meat
d. folic acid
e. vitamin D





  1. The theory that proposes that defects in ribonucleic acid (RNA) protein production cause a progressive decline in the function of all cells is the __________ theory.



  1. The nurse clarifies that the biologic theory that proposes that aging is based on the using up of a finite number of breaths or heartbeats is the __________ of __________ theory.



Wold: Basic Geriatric Nursing, 5th Edition


Chapter 03: Physiologic Changes


Test Bank




  1. The nurse keeps the environment warmer for older adults because they are more sensitive to cold because of the age-related changes in their:
a. metabolism rate.
b. subcutaneous tissue.
c. musculoskeletal system.
d. peripheral vascular system.




  1. The nurse reassures the distressed 75-year-old male that the wartlike dark macules with distinct borders are not melanomas, but the skin lesions of:
a. senile lentigo.
b. cutaneous papillomas.
c. seborrheic keratoses.
d. xerosis.




  1. The nurse is accompanying a group of older adults on a July 4th outing to monitor heat prostration. Older adults are intolerant of heat because of an age-related reduction of:
a. melanin.
b. perspiration.
c. body temperature.
d. capillary fragility.



  1. The nurse cautions the CNAs to use care when transferring or handling older adults because their vascular fragility will cause:
a. altered blood pressure.
b. pressure ulcers.
c. pruritus.
d. senile purpura.



  1. The nurse assesses a stage I pressure ulcer on an older adult’s coccyx by the appearance of a:
a. clear blister.
b. nonblanchable area of erythema.
c. scaly abraded area.
d. painful reddened area.




  1. The CNA caring for an older adult asks if the yellow, waxy, crusty lesions on the patient’s axilla and groin are contagious. The nurse’s most helpful response is:
a. “Yes. It is cellulitis caused by bacteria.”
b. “No. It is seborrheic dermatitis caused by excessive sebum.”
c. “Yes. It is an indication of scabies.”
d. “No. It is the lesion seen with basal cell carcinoma.”




  1. The nurse leads a group of postmenopausal older women on a daily 15-minute “walking tour” through the long-term care facility to:
a. improve bone strength.
b. orient them to their surroundings.
c. improve their socialization.
d. increase their appetite.



  1. When the perplexed 70-year-old woman asks, “How in the world can my bones be brittle when I eat all the right foods?” the nurse’s most informative reply is:
a. “Calcium loss is expected in the older adult.”
b. “Calcium is continuously withdrawn from bone for nerve and muscle function.”
c. “Smoking and alcohol consumption speed calcium loss from the bones.”
d. “Walking and standing increase calcium loss from the bone.”



  1. When the 70-year-old woman complains, “I weigh exactly the same as I did when I wore a size 10 and now I can barely squeeze into a size 16,” the nurse explains:
a. “Metabolism in the older adult creates increased adipose tissue.”
b. “Postmenopausal women gain adipose tissue related to loss of calcium.”
c. “Decrease in muscle mass is replaced with adipose tissue.”
d. “Kyphosis causes a redistribution of weight.”