Impact of the Aging Population on Chapter 22 Exam Questions

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Chapter 22: Impact of the Aging Population on Health-Care Delivery

Questions

1. Which type of health care requires that chronic diseases be linked with preventive measures such as the involvement of families, screening, counseling, education, and the social determinants of healthy behaviors?

1. Primary care

2. Managed care

3. Palliative care

4. Integrated care

2. Since the older population is living longer, which of the following has become a major problem and a leading cause of death?

1. Acute illness

2. Chronic disease

3. Medication errors

4. Infectious disease

3. In line with the approach advocated by which legislative act, the newer management programs emphasize prevention and wellness throughout the health-care system, particularly in community care?

1. Affordable Care Act

2. Health Insurance Portability and Accountability Act

3. Omnibus Budget Reconciliation Act

4. Emergency Treatment and Active Labor Act

4. Even if a client is not over the age of 65, clients with which chronic condition may be eligible for Medicare benefits?

1. Cancer

2. Cardiovascular disease

3. End-stage renal disease

4. Human immunodeficiency syndrome

5. Moving a client from one setting of care to another, such as from home health to a hospital or assisted-living facility or from the hospital to home health or a rehabilitation setting, presents a number of challenges to clients and their families and is referred to as which of the following?

1. Continuity of care

2. Transition of care

3. Coordination of care

4. Management of care

6. Which aspect of the discharge planning process can result in lower rates of client readmission and 30-day mortality, which are key evaluation benchmarks for hospitals?

1. Medication reconciliation

2. Follow-up appointments

3. Home care

4. Client education

7. Which type of illness may cause providers to hold certain medications, change long-acting medications to short-acting ones, discontinue others, or change doses?

1. Acute illness

2. Chronic disease

3. Comorbid conditions

4. Mental illness

8. Today, the health-care system is evolving to provide high-quality care for chronic illnesses and adapt to behaviors and personal issues of a growing elderly population. This rapid growth in the older population has been coined which of the following?

1. The silver cyclone

2. The silver tornado

3. The silver hurricane

4. The silver tsunami

9. Each year, 7 out of 10 Americans die from chronic diseases, with which condition accounting for more than 50 percent of all the deaths?

1. Cancer

2. Stroke

3. Heart disease

4. Human immunodeficiency virus

10. All the major health organizations have identified which two chronic conditions as major health concerns?

1. Obesity and diabetes

2. Hypertension and diabetes

3. Obesity and hypertension

4. Obesity and heart disease

11. In addition to health care for children, a large percentage of Medicaid expenditures go for which type of care?

1. Primary care

2. Neonatal care

3. Palliative care

4. Nursing home care

12. Which type of disorders are the leading cause of compromised self-care and self-management of older adults at home?

1. Arthritic disorders

2. Cardiac disorders

3. Mental disorders

4. Neurologic disorders

13. Which client teaching technique has been proven to be effective with the older population and can be easily employed in professional practice?

1. Show and tell

2. Self-learning

3. Negative reinforcement

4. Positive reinforcement

14. By using which spiritual strategy, the nurse can help to improve both the individual’s self-esteem and his or her relationships with other people and with whatever higher power the person may acknowledge?

1. Asking open-ended questions

2. Allowing the patient to vent religious or spiritual concerns

3. Supporting the client’s use of prayer and scripture

4. Helping the client understand the source of spiritual distress

15. About half of elderly adults experience a medical error after hospital discharge, and between 19 and 23 percent undergo an adverse event, with which of the following being the most common?

1. Falls

2. Hospital readmission

3. Medication error

4. Wound infection

Questions, Answers, and Rationales

1. Which type of health care requires that chronic diseases are linked with preventive measures such as the involvement of families, screening, counseling, education, and the social determinants of healthy behaviors?

1. Primary care

2. Managed care

3. Palliative care

4. Integrated care

Page: 15

2. Since the older population is living longer, which of the following has become a major problem and a leading cause of death?

1. Acute illness

2. Chronic disease

3. Medication errors

4. Infectious disease

Page: 2

3. In line with the approach advocated by which legislative act, the newer management programs emphasize prevention and wellness throughout the health-care system, particularly in community care?

1. Affordable Care Act

2. Health Insurance Portability and Accountability Act

3. Omnibus Budget Reconciliation Act

4. Emergency Treatment and Active Labor Act

Page: 3

4. Even if a client is not over the age of 65, clients with which chronic condition may be eligible for Medicare benefits?

1. Cancer

2. Cardiovascular disease

3. End-stage renal disease

4. Human immunodeficiency syndrome

Page: 5

5. Moving a client from one setting of care to another, such as from home health to a hospital or assisted-living facility or from the hospital to home health or a rehabilitation setting, presents a number of challenges to clients and their families and is referred to as which of the following?

1. Continuity of care

2. Transition of care

3. Coordination of care

4. Management of care

Page: 21

6. Which aspect of the discharge planning process can result in lower rates of client readmission and 30-day mortality, which are key evaluation benchmarks for hospitals?

1. Medication reconciliation

2. Follow-up appointments

3. Home care

4. Client education

Page: 22

7. Which type of illness may cause providers to hold certain medications, change long-acting medications to short-acting ones, discontinue others, or change doses?

1. Acute illness

2. Chronic disease

3. Comorbid conditions

4. Mental illness

Page: 26

8. Today, the health-care system is evolving to provide high-quality care for chronic illnesses and adapt to behaviors and personal issues of a growing elderly population. This rapid growth in the older population has been coined which of the following?

1. The silver cyclone

2. The silver tornado

3. The silver hurricane

4. The silver tsunami

Page: 1

9. Each year, 7 out of 10 Americans die from chronic diseases, with which condition accounting for more than 50 percent of all the deaths?

1. Cancer

2. Stroke

3. Heart disease

4. Human immunodeficiency virus

Page: 2

10. All the major health organizations have identified which two chronic conditions as major health concerns?

1. Obesity and diabetes

2. Hypertension and diabetes

3. Obesity and hypertension

4. Obesity and heart disease

Page: 3

11. In addition to health care for children, a large percentage of Medicaid expenditures go for which type of care?

1. Primary care

2. Neonatal care

3. Palliative care

4. Nursing home care

Page: 5

12. Which type of disorders are the leading cause of compromised self-care and self-management of older adults at home?

1. Arthritic disorders

2. Cardiac disorders

3. Mental disorders

4. Neurologic disorders

Page: 15

13. Which client teaching technique has been proven to be effective with the older population and can be easily employed in professional practice?

1. Show and tell

2. Self-learning

3. Negative reinforcement

4. Positive reinforcement

Page: 16

14. By using which spiritual strategy, the nurse can help to improve both the individual’s self-esteem and his or her relationships with other people and with whatever higher power the person may acknowledge?

1. Asking open-ended questions

2. Allowing the patient to vent religious or spiritual concerns

3. Supporting the client’s use of prayer and scripture

4. Helping the client understand the source of spiritual distress

Page: 20

15. About half of elderly adults experience a medical error after hospital discharge, and between 19 and 23 percent undergo an adverse event, with which of the following being the most common?

1. Falls

2. Hospital readmission

3. Medication error

4. Wound infection

Page: 22