Chapter 01 Trends and Issues

Chapter 01  Trends and Issues

MULTIPLE CHOICE

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

1. disability was viewed as unavoidable.
2. complications from disease increased mortality.
3. older adults’ needs are similar to those of all adults.
4. 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

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

1. 55 to 64 years of age.
2. 65 to 74 years of age.
3. 75 to 84 years of age.
4. 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
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:

1. discriminate against persons solely on the basis of age.
2. fear aging.
3. be culturally sensitive to concerns of aging.
4. 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

Copyright © 2012 by Mosby, Inc., an affiliate of Elsevier Inc.

OBJ: 1

Test Bank 1-2

MSC: NCLEX:PsychosocialIntegrity:PsychosocialAdaptation

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

1. Medicare and Medicaid.
2. elimination of the mandatory retirement age.
3. the Americans with Disabilities Act.
4. 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 privacy of an apartment with restaurant-style meals and some medical and personal care services is the:

1. government-subsidized housing.
2. long-term care facility.
3. assisted-living center.
4. 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:PhysiologicalIntegrity:PhysiologicalAdaptation