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 nurse's most helpful response is:
a. Yes. Medicare pays 100 of all medical costs for persons over 65.
b. Yes. Medicare Part B pays hospital costs and physicians fees.
c. Yes. Medicare Part A pays for inpatient hospital costs.
d. Yes. Medicare Part D pays 80 of the charges made by physicians.
Question 2The nurse points out that the most beneficial legislation that has influenced health care for the older adult is:
a. Medicare and Medicaid.
b. elimination of the mandatory retirement age.
c. Americans with Disabilities Act.
d. the Drug Benefit Program.
Question 3The nurse cautions that ageism is a mindset that influences persons to:
a. discriminate against persons based solely on age.
b. fear aging.
c. be culturally sensitive to concerns of aging.
d. focus on resources for the older adult.
Question 4The nurse clarifies that in the terminology defining specific age groups, the term aged refers to persons who are:
a. 55 to 64 years of age.
b. 65 to 74 years of age.
c. 75 to 84 years of age.
d. 85 and older.
Question 5The nurse explains that in the late 1960s, health care focus was aimed at the older adult because:
a. disability was viewed as unavoidable.
b. complications from disease increased mortality.
c. older adult's needs are similar to those of all adults.
d. preventive health care practices increased longevity.
Question 6A quality care nurse assesses the care given by a hospice. Which of the following statements by the client best reflects dignified end-of-life care?
A) I'm glad that my family is making all the decisions; it's too much for me.
B) I'm not ready to die yet; I've got a few more in me.
C) It is fine sharing a room; I like the company.
D) They listened to me and stopped the therapy.
Question 7A quality control nurse for a large group of long-term care facilities assesses the quality of care at the end of life for the residents. Which of the following measures indicate quality care? (Select all that apply.)
A) Increase in the number of deaths in the hospital
B) Increase in the number of residents who refuse treatments at the end of life
C) Increase in the percent of residents with advanced dementia
D) Increase in the use of hospice services
E) Increasing number of staff trained in palliative care
Question 8An emergency room nurse cares for the family of a 70-year-old African American woman who died unexpectedly. In the waiting room, upon hearing of the death, two family members kneel to the floor moaning and do not respond.
Which intervention by the nurse is most appropriate at this time?
A) Allow the family to grieve in this manner directing others away.
B) Assess these family members' vital signs and neurologic status.
C) Bring these family members to the body of their loved one.
D) Call an emergency response team to care for these family members.
Question 9A nurse manager of an intensive care unit develops plans to improve end-of-life care for clients in the unit. Which of the following actions is the priority?
A) Create a script for nurses to use when discussing hospice and palliative care.
B) Guide staff to improve communication with families about end-of-life decision making.
C) Increase communication between professionals about end-of-life decision making.
D) Survey clients and families about their end-of-life needs.
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