Chapter 23: Impact of the Aging Population on Health-Care Delivery

Chapter 23: Impact of the Aging Population on Health-Care Delivery

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A client asks what the Affordable Care Act is. The nurse’s best response is:

A)	“The law is only for those on Medicare Part D.”
B)	“The law requires that most of the assets be absorbed.”
C)	“The law has been written for those seniors who are under Medicaid.”
D)	“The law has been written for seniors and those of all ages for a positive outcome.”

 

 

ANS:  D                    PTS:   1                    DIF:    Medium

TOP:   Impact of the Aging Population on Health-Care Delivery

KEY:  Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment

 

2. The student nurse asks, “Why is there such an emphasis on spirituality in health care?” Which of the following is the most appropriate response by the nurse preceptor?

A)	The Joint Commission has a standard of patient care with inclusion of spirituality.
B)	The American Association of Colleges of Nursing mandates a policy related to spirituality in health care.
C)	Each hospital establishes its own policy regarding spirituality.
D)	Spirituality remains at the discretion of the chaplain or pastoral care.

 

 

ANS:  A                    PTS:   1                    DIF:    Medium

TOP:   Impact of the Aging Population on Health-Care Delivery

KEY:  Cognitive Domain: Application | Integrated Process: Analysis | Client Need: Safe and Effective Care Environment

 

3. The elderly client is being discharged to a skilled nursing acility. The client asks the nurse if she can choose the facility. The nurse’s best response is:

A)	“I will contact your primary care provider.”
B)	“You need to receive services from a Medicare-certified skilled facility.”
C)	“Medicare clients need to file for Medicaid before admission.”
D)	“Speak to your attorney about becoming your health-care proxy.”

 

 

ANS:  A                    PTS:   1                    DIF:    Medium

TOP:   Impact of the Aging Population on Health-Care Delivery

KEY:  Cognitive Domain: Analysis | Integrated Process: Application | Client Need: Safe and Effective Care Environment

 

4. Identify which of the following statements is most accurate about the vast majority of the elderly.

A)	They all have chronic diseases and are in assisted-care facilities.
B)	They make up the single largest expenditure for the federal government budget.
C)	They are relatively healthy and most manage their chronic conditions at home.
D)	They have high levels of depression and are usually in bad spirits.

 

 

ANS:  C                    PTS:   1                    DIF:    Medium

TOP:   Impact of the Aging Population on Health-Care Delivery

KEY:  Cognitive Domain: Analysis | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment

 

5. What is the most common finding in states that have invested in home support services?

A)	They find it very difficult to balance their budgets due to excessive costs.
B)	They spend much less and reduce the growth rate of long-term institutional care than states that do not make the investment.
C)	The overall quality of care for the elderly is reduced markedly as compared to states that do not spend a lot of resources on home care.
D)	Older adults soon become dependent on these services, which reduces their sense of comfort and belonging.

 

 

ANS:  B                    PTS:   1                    DIF:    Medium

TOP:   Impact of the Aging Population on Health-Care Delivery

KEY:  Cognitive Domain: Application | Integrated Process: Assessment | Client Need: Safe and Effective Care Environment