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Advanced Practice Nursing in the Care of Older Adults Test Bank

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  • Chapters: ALL
  • Format: PDF 
  • ISBN-10: ‎0803666616
  • ISBN-13: ‎ 9780803666610
  • Publisher‎ F.A. Davis Company, 2018
  • Authors: Laurie Kennedy-MaloneLori Martin-PlankEvelyn G. Duffy

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SKU:tb1001664

Advanced Practice Nursing in the Care of Older Adults Test Bank

Advanced Practice Nursing in the Care of Older Adults 2nd Edition Kennedy-Malone Test

Bank

Chapter 1. Changes With Aging
• 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.
ANS: D
Increased preventive health care practices, disease control, and focus on wellness helped people
live longer.
DIF: Cognitive Level: Comprehension REF: 2 OBJ: 2
TOP: Aging Trends KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
• 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.
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
• 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.

ANS: A
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.
DIF: Cognitive Level: Comprehension REF: 5
OBJ: 3 TOP: Ageism KEY: Nursing Process Step:
Implementation
MSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation
• 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.
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
• 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.
ANS: C
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.
DIF: Cognitive Level: Application REF: 14 OBJ: 9
TOP: Housing Options KEY: Nursing Process Step:

Implementation MSC: NCLEX: Physiological Integrity:
Physiological Adaptation
• 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 nurses 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.
ANS: C
Medicare Part A pays inpatient hospital costs, Part B pays 80% of physicians charges, and Part D
helps defray prescription 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
• 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:
• 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.
ANS: C
A durable power of attorney for health care transfers the authority for decision
making to a designated person.
DIF: Cognitive Level: Application REF: 19 OBJ: 11
TOP: Advance Directives KEY: Nursing Process Step:
Implementation MSC: NCLEX: Psychosocial Integrity: Coping
and Adaptation
• The daughter of a resident in a long-term care 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:

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