Test Bank For Nursing for Wellness in Older Adults, Sixth edition: Carol A.

Miller

Test Bank For Nursing for Wellness in Older Adults,

Sixth edition: Carol A. Miller

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1. The nurse is discussing with the older adult's family the possibility of admitting the
older adult to a nursing home. Which of the following statements is true of nursing
homes?
A) Medicare will cover the costs associated with long-term nursing care.
B) Appropriate older adults require continuous nursing care but do not warrant
hospital admission.
C) Minority women with higher incomes are the group most likely to reside in a
nursing home.
D) Posthospital rehabilitation is not normally performed in nursing homes.

2. The nurse is providing care for several older adults on an acute care unit. The nurse
recognizes that a patient with which of the following problems would be the most
appropriate candidate for transfer to a subacute unit?
A) A patient requiring twice-daily dressing changes for a coccyx wound
B) A patient who has been admitted from the emergency department with a recent
stroke
C) A patient with urinary retention of unknown etiology
D) A patient who will soon undergo hip replacement surgery

3. The nurse is teaching a colleague about the role of adult day centers. Which of the
colleague's statements indicates a need for further teaching?
A) “Day centers can give relief to overworked family members who provide care for
an older adult.”
B) “Day centers can improve the quality of life of both older adults and their
families.”
C) “Day centers can be a useful alternative to acute medical care.”
D) “Day centers can contribute to an actual improvement in dementia symptoms.”

4. The nurse is teaching an older adult about possible involvement in Programs of

All-inclusive Care for the Elderly (PACE). Which of the following teaching points is
most accurate?
A) PACE programs provide several social and medical services on a managed care
basis.
B) PACE programs provide a cost-effective alternative to hospital-based acute care.
C) PACE programs are more expensive than fee-for-service models but offer better
health outcomes.
D) There is pressure for Medicare and Medicaid to begin funding PACE programs.

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5. The client has recently begun receiving Social Security benefits and is asking the nurse
about what services might be included or excluded under Medicare. Which of the
following services is most likely to be excluded from Medicare funding?
A) Hospital stays
B) Visits to a physician
C) Prescription drugs
D) Exercise classes

6. The administrators of a managed care system are considering whether to fund aspects of
a hospital-at-home model. Which of the following statements is true of this model of
care?
A) It is designed to address the functional needs of clients who do not have serious
chronic or acute medical problems.
B) It is an alternative to hospital admission that can facilitate active medical treatment
at a lower cost.
C) It is a form of assisted living that includes assessment by a multidisciplinary team.
D) It is a Medicare-funded program that is available to most Americans older than 65.

7. An 84-year-old woman has been living in an assisted living facility for several years but
is now faced with the prospect of relocating to a nursing home. Which of the following
characteristics of the woman's current situation is most likely to prompt this move?
A) The development of a severe, acute health problem
B) A decrease in the woman's level of function and activities of daily living (ADLs)
C) Exacerbation of a chronic health problem that may require medical treatment
D) A change in the level of the woman's social support

8. Active care management is often necessary in order to maintain wellness among older
adults. Which of these older adults is most likely to require care management?
A) A 90-year-old man who lives alone and has no living family members
B) A 77-year-old woman who enjoyed good health until she suffered a severe stroke 3
days earlier
C) An 81-year-old resident of a nursing home whose Alzheimer's disease is
progressing rapidly
D) A 90-year-old man who has recently been transferred from an assisted living
facility to an acute care setting

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 9. A gerontological nurse is aware that out-of-pocket expenses for care can be onerous for
many older adults. What action can the nurse take to potentially minimize these
expenses for patients and clients?
A) Become familiar with the various funding sources and their eligibility
requirements.
B) Teach older adults to be astute with their spending and saving patterns.
C) Encourage older adults to make care providers aware of each chronic condition
they live with.
D) Provide care that is primarily focused on acute, rather than chronic, health
problems.

10. Admission to long-term care is typically a culmination in a long series of health

problems and functional limitations. Which of the following problems is most likely to
precipitate admission to long-term care?
A) Kidney disease
B) Traumatic injury
C) Chronic obstructive pulmonary disease
D) Dementia

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Test Bank For Nursing for Wellness in Older Adults, Sixth edition: Carol A. Miller

Answer Key
1. B
2. A
3. C
4. A
5. D
6. B
7. B
8. A
9. A
10. D

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