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

Advanced Practice Nursing in the Care of Older Adults 2nd Edition Kennedy-Malone Test BankChapter 1. Changes With Aging• The nurse explains that in the late 1960s, health care focus was aimed at theolder 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: DIncreased preventive health care practices, disease control, and focus on wellness helped people live longer.DIF: Cognitive Level: Comprehension REF: 2 OBJ: 2TOP: Aging Trends KEY: Nursing Process Step: ImplementationMSC: 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: CThe 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: ImplementationMSC: 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.

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: CMedicare 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: 6TOP: 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: CA 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