Download Williams Ch1 & Ch3 question papers and more Exams Nursing in PDF only on Docsity!
Williams Ch1 & Ch3 Question Papers
And Answers 2025/2026.
What fact explains the shift of health care focus toward the older adult in the late 1960s?
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.
D
To what age group does the term "aged" apply?
a. 55-64 years of age
b. 65-74 years of age
c. 75-84 years of age
d. 85 and older
C
Which of the following is true of ageism?
a. It is discrimination against persons solely on the basis of age.
b. It causes a person to fear aging.
c. It involves the use of cultural sensitivity to address concerns of aging.
d. It focuses on resources for the older adult.
A
What is the most beneficial legislation that has influenced health care for the older adult?
a. Medicare and Medicaid
b. Elimination of the mandatory retirement age
c. The Americans with Disabilities Act
d. The Drug Benefit Program
A
What housing option for the older adult offers the privacy of an apartment with restaurant-style meals and some medical and personal care services?
a. Government-subsidized housing
b. Long-term care facility
c. Assisted-living center
d. Group housing plan
C
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?
a. Medicare Part C pays 50% of all medical costs for persons older than 65.
b. Medicare Part B pays hospital costs and physician fees.
c. Medicare Part A pays for inpatient hospital costs.
d. Medicare Part D pays 80% of the charges made by physicians.
d. When the physician and a family member agree that the criteria in the living will have been met
C
In the 1980s, Medicare initiated a program of diagnosis-related groups (DRGs) to reduce hospital costs. How did the DRGs reduce hospital costs?
a. By classifying various diagnoses as ineligible for hospitalization
b. By allotting a set amount of hospital days and prospective payment on the basis of the admitting diagnosis
c. By specifying particular physicians to treat specified diagnoses
d. By using frequency of a particular diagnosis to set a payment schedule
B
Which of the following facilities would be recommended for a patient who has had a hip replacement and needs physical therapy?
a. Basic care facility
b. Skilled care facility
c. Subacute care facility
d. Assisted-living residence
B
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?
a. A period of 30 days
b. A period of 45 days for physical therapy
c. A period of 100 days for needed skilled care
d. Until she is able to be discharged home
C
Which senior citizen political action group uses volunteers and lobbyists to advance the interests of older adults?
a. American Association of Retired Persons (AARP)
b. National Council of Senior Citizens (NCSC)
c. National Alliance of Senior Citizens (NASC)
d. Gray Panthers
A
Which caregiver could be found guilty of elder abuse?
a. A daughter who uses her mother's Social Security money to purchase her mother's medication
b. A son who puts an alarm on the front door to prevent his mother from wandering out of the house
c. A wife who allows her mentally competent husband to refuse to take a bath for a week
d. A frail spouse who is unable to bathe or change the clothes of her physically dependent husband
D
What is the most frequent response to elder abuse by the abused older adult?
b. Neglect
c. Emotional abuse
d. Self-neglect
A
Which type of elder abuse is demonstrated by the nonprovision of medical care?
a. Physical abuse
b. Neglect
c. Emotional abuse
d. Self-neglect
B
Which type of elder abuse is demonstrated by a health care worker eating a resident's candy without permission?
a. Physical abuse
b. Neglect
c. Emotional abuse
d. Self-neglect
C
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
A, D
Gerontology encompasses application to __________. (Select all that apply.)
a. appropriate housing
b. health care
c. public education
d. business ventures
e. government-sponsored pensions
A, B, C, D
Medicare Part C allows eligible persons to receive Medicare benefits via the services of private insurance companies through which of the following? (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)
A, B, C, D
A, B, C, E
The nurse reminds a group of prospective caregivers that elder abuse may take the form of __________. (Select all that apply.)
a. caring for physical needs
b. misappropriation of finances
c. psychological intimidation
d. emotional depersonalization
e. abandonment
B, C, D, E
Research by the National Institute on Aging found which of the following to be correct? (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.
A, B, D, E
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
A, B, E
The nurse clarifies that the term that refers to the promotion of high-level functioning and supportive care to older adults is __________.
gerontics
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 __________.
67
The nurse clarifies that the point at which a person on Medicaid Part D must assume full cost of medication is called the __________ __________.
donut hole
Why does the nurse modify the environment to keep it warmer for the older adult?
a. A change in the metabolic rate
b. Decreased subcutaneous tissue
c. Changes in the musculoskeletal system
d. A weakened peripheral vascular system
c. Pruritus
d. Senile purpura
D
Which symptom would be a characteristic of a stage I pressure ulcer on an older adult's coccyx?
a. Clear blister
b. Nonblanchable area of erythema
c. Scaly abraded area
d. Painful reddened area
B
The Certified Nursing Assistant (CNA) caring for an older adult asks if the yellow, waxy, crusty lesions on the patient's axilla and groin are contagious. Which response shows the nurse's understanding for the cause of the lesions?
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."
B
Why would a nurse lead a group of postmenopausal women on a daily 15-minute "walking tour" through the long-term care facility?
a. To improve bone strength
b. To orient them to their surroundings
c. To improve their socialization
d. To increase their appetite
A
A 70-year-old woman asks, "How in the world can my bones be brittle when I eat all the right foods?" Which response by the nurse would be the most informative?
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."
B
A 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." Which statement by the nurse would most correctly explain the size change to the woman?
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."
C
What would be the most helpful response to a 70-year-old postmenopausal woman who asks whether her hormone replacement therapy (HRT) will prevent bone loss?
a. Constriction of the bronchial tree, excessive mucus, and nonproductive cough
b. Calcification of the alveoli and a dry cough
c. Overinflation of the alveoli, making them ineffective for gas exchange
d. Inflammation of the trachea and bronchioles, excessive mucus, and productive cough
C
What is the pathophysiology of a myocardial infarct?
a. A portion of the myocardium necroses and scars over.
b. The coronary vessels are narrowed during the attack.
c. The ischemic myocardium causes pain during the attack but is able to regenerate.
d. There is damage to the myocardium but no serious alteration of cardiac output.
A
Which of the following assessments are the cardinal signs and symptoms of congestive heart failure?
a. Dyspnea and edema
b. Myocardial pain and hypotension
c. Ventricular arrhythmias and cyanosis
d. Atrial arrhythmias and polycythemia
A
What is a cause of pernicious anemia?
a. An iron deficiency
b. A deficiency of vitamin B
c. Low serum potassium level
d. Blood loss
B
What would be an acceptable alteration in the plan of care for a patient with a hiatal hernia who is experiencing gastrointestinal reflux?
a. Encouraging the patient to lie down after meals
b. Drinking two full glasses of liquid after the evening meal
c. Eating smaller, more frequent meals
d. Using caffeine drinks to assist with digestion
C
The nurse assesses a diabetic patient and finds the patient to be pale, edematous, and listless with a blood urea nitrogen (BUN) level of 35 mg/dL and a creatinine level of 4 mg/dL. What would the results of the nursing assessment indicate?
a. Diverticulitis
b. Congestive heart failure
c. Chronic renal failure
d. Benign prostatic hypertrophy
C
A person with Parkinsons disease has a nursing diagnosis of "nutrition, less than body requirements related to difficulty swallowing." What change would the nurse make in the nursing care plan?
a. Diminished urine output
b. Ketones in the urine
c. Shallow and slow respirations
d. Extreme diaphoresis
B
An 80-year-old extended-care resident comes to the nurse asking for a bandage for a bleeding, dark pigmented mole with irregular shape and border. What does the nurse suspect?
a. Melanoma
b. Basal cell carcinoma
c. Cutaneous papilloma
d. Senile lentigo
A
What factors influence the timing and extent of age-related changes? (Select all that apply.)
a. Health maintenance
b. Ethnicity
c. Heredity
d. Attitude
e. Environment
A, C, E
What should be avoided by an 82-year-old man with rosacea? (Select all that apply.)
a. Stress
b. Dairy products
c. Sun exposure
d. Spicy foods
e. Alcohol consumption
A, C, D, E
What vitamins are necessary to support ossification? (Select all that apply.)
a. A
b. B
c. C
d. D
e. E
A, C, D
What are risk factors for osteoporosis? (Select all that apply.)
a. Menopause
b. Smoking
c. White female
d. Excessive high-impact exercise
e. Long-term use of phenytoin (Dilantin)
A, B, C, E
