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

Test Bank For Advanced Practice Nursing in the Care of Older Adults 2nd Edition Kennedy-Malone is an essential resource for nurses and healthcare professionals wishing to gain expertise in providing care to the elderly. This comprehensive, up-to-date Test Bank covers topics such as gerontologic assessment, pharmacology, diet and nutrition, and mental health considerations. Test Bank also provides evidence-based strategies to help promote the client’s physical and mental well-being.

Test Bank’s focus on the practical application of knowledge and skills, it allows healthcare providers to equip themselves with resources needed for success in practice settings. Test Bank For Advanced Practice Nursing in the Care of Older Adults 2nd Edition Kennedy-Malone is an invaluable asset for those who want to become experts in elderly care.

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ISBN-10:0803666616 ISBN-13:9780803666610

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

Test Bank For Advanced Practice Nursing in the Care of Older Adults 2nd Edition, authored by Laurie Kennedy-Malone, Kathleen Ryan Fletcher, and Lori Martin-Plank, is a comprehensive resource designed for advanced practice nursing students and practicing professionals who care for older adults. The test bank is a valuable resource that provides a variety of questions and activities that test students’ knowledge and help them prepare for exams.

The test bank consists of various types of questions such as multiple-choice, true/false, fill in the blanks, and short answer questions. The questions are based on the content presented in the textbook and cover topics such as aging theories, assessment and physical examination, chronic illnesses, mental health, and social issues.

The test bank is divided into various chapters, each covering a different aspect of advanced practice nursing in the care of older adults. The chapters include an introduction to gerontological nursing, ethical and legal considerations, health promotion, and common medical conditions in older adults.

The test bank provides instructors with an array of resources to assess students’ understanding of the material, including questions that are aligned with course objectives, a variety of difficulty levels, and scenarios that require critical thinking and clinical reasoning. Additionally, the test bank also provides instructors with a comprehensive answer key that includes detailed explanations for each question.

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 isthe:
    • 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: 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

    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:

  • effort to maintain a portion of independence and self direction.
  • indication of approaching Alzheimer disease.
  • effort to gain attention.
  • indication of the dislike of the institutional food.ANS: A

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

    DIF: Cognitive Level: Application REF: 21 OBJ: 11

    TOP: Loss of Independence KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation

• The nurse clarifies that the conditions of a living will go into effect when:

  • the patient declares that desire in writing.
  • a family member indicates the desire for curative therapy to cease.
  • two physicians agree in writing that the criteria in the living will have been met.
  • the physician and a family member agree that the criteria in the living will have been met.ANS: C

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

    DIF: Cognitive Level: Application REF: 19 OBJ: 11

    TOP: Living Wills KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care

  • In the 1980s, Medicare initiated a program of diagnosis-related groups (DRGs) to reduce hospital costs by:
  • classifying various diagnoses as ineligible for hospitalization.
  • allotting a set amount of hospital days and prospective payment on the basis of the admitting diagnosis.
  • specifying particular physicians to treat specified diagnoses.
  • using frequency of a particular diagnosis to set a payment schedule.ANS: B

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

DIF: Cognitive Level: Comprehension REF: 16 OBJ: 6
TOP: DRGs KEY: Nursing Process Step: N/A MSC: NCLEX: N/A

  • When discussing extended care with a patient who has had a hip replacement andneeds physical therapy, the nurse would recommend a(n):
  • basic care facility.
  • skilled care facility.
  • subacute care facility.
  • assisted-living residence.ANS: B

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