Question 1

Which of the following is true of ageism?

Accepted Answer

Ageism is a negative belief pattern that influences persons to discriminate against persons solely on the basis of age and can lead to destructive behaviors toward the older adult.

Question 2

"Baby boomers" is a term used to classify which of the following persons?

Accepted Answer

Baby boomers are those born between 1946 and 1964. The impact of the retirement of this cohort is unprecedented in terms of the impact on society.

Question 3

The 80-year-old woman who is recovering from a stroke is being sent to a skilled care facility. She is concerned about the expense. The nurse can decrease anxiety by explaining that Medicare will cover extended-care facility costs for what period of time?

Accepted Answer

Medicare will cover skilled care costs for 100 days. After 100 days,the resident must revert to private pay or ancillary long-term care insurance.

Question 4

Which senior citizen political action group uses volunteers and lobbyists to advance the interests of older adults?

Accepted Answer

The AARP uses volunteers and lobbyists to advance the interests and welfare of older adults.

Question 5

What reason is often stated by nurses today for not seeking careers in gerontology?

Accepted Answer

Many nurses feel that their technical skills will not be used in the care of the older adult. There are many employment options that offer challenge and fulfillment.

Question 6

Which type of elder abuse is demonstrated by a health care worker eating a resident's candy without permission?

Accepted Answer

Emotional abuse is more subtle and difficult to recognize than physical abuse or neglect. It often includes behaviors such as isolating,ignoring,or depersonalizing older adults. Health care workers eating a resident's candy without permission is an ignorant behavior that can be depersonalizing.

Question 7

What type of abuse is demonstrated by restraining an older adult in a recliner?

Accepted Answer

Physical abuse is any action that causes physical pain or injury. Inappropriate use of drugs,force-feeding,physical restraints,and punishment of any kind are examples of physical abuse.

Question 8

When do the conditions of a living will go into effect?

Accepted Answer

Two physicians must agree in writing that the criteria of the living will have been met before the document can go into effect.

Question 9

Which of the following facilities would be recommended for a patient who has had a hip replacement and needs physical therapy?

Accepted Answer

Skilled care facilities offer not only basic care but also services from trained licensed professionals such as nurses,physical therapists,speech therapists,and occupational therapists.

Question 10

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. What would be the most helpful response by the nurse?

Accepted Answer

Medicare Part A pays inpatient hospital costs,Part B pays 80% of physician's charges,and Part D helps defray prescription drug costs. Medicare Part C allows individuals to receive health insurance through private insurance companies and typically pays entire costs.

Question 11

What fact explains the shift of health care focus toward the older adult in the late 1960s?

Accepted Answer

Increased preventive health care practices,disease control,and focus on wellness helped people live longer.

Question 12

What is the most frequent response to elder abuse by the abused older adult?

Accepted Answer

Fear of retaliation or abandonment keeps most abused older adults silent.

Question 13

To what age group does the term "aged" apply?

Accepted Answer

The term aged refers to persons who are 75-84 years of age.

Question 14

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. Which response would provide the most information to the daughter?

Accepted Answer

A durable power of attorney for health care transfers the authority for decision making to a designated person. An advance directive specifies the type of care an individual desires when he cannot speak for himself. The durable power of attorney is only one type of advance directive. A "Do Not Resuscitate" document states that the patient wishes to die naturally with no intervention. A living will prohibits the use of life-prolonging measures.

Question 15

The daughter of a resident in a long-term care facility is frustrated with her 80-year-old mother's refusal to eat. Which response would be the most appropriate?

Accepted Answer

Loss of independence and control is a significant issue for the older adult. Some residents will exercise whatever control they may retain.

Question 16

In the 1980s, Medicare initiated a program of diagnosis-related groups (DRGs) to reduce hospital costs. How did the DRGs reduce hospital costs?

Accepted Answer

DRGs set up a system of preset hospitalization time and payment on the basis of the admitting diagnosis.

Question 17

Which caregiver could be found guilty of elder abuse?

Accepted Answer

Unintentional abuse or neglect can occur when the caregiver lacks the stamina to meet care needs. Even though physically unable,the frail wife is guilty of elder abuse. The wife should seek assistance to prevent neglect.

Question 18

Which type of elder abuse is demonstrated by the nonprovision of medical care?

Accepted Answer

Neglect is a passive form of abuse in which caregivers fail to provide for the needs of the older person under their care. Failure to provide necessary medical care may constitute neglect because with no means of going to the doctor or pharmacy,the older person may suffer or even die.

Question 19

What is the most beneficial legislation that has influenced health care for the older adult?

Accepted Answer

The broadest sweeping legislation beneficial to the older adult is Medicare and Medicaid. The elimination of the mandatory retirement age does not apply to health care. The Americans with Disabilities Act deals with all Americans with disabilities,not just the older adult. The Drug Benefit Program was added to Medicare,but deals only with medications.

Question 20

What housing option for the older adult offers the privacy of an apartment with restaurant-style meals and some medical and personal care services?

Accepted Answer

Assisted-living arrangements offer the privacy of an apartment or condominium with meals prepared and served,limited medical care,and a variety of personal services.

Quiz 1: Trends and Issues