1. While reviewing information about older adults throughout history, the

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• While reviewing information about older adults throughout history, the

gerontology nurse identifies which publicly supported program as the first significant step in improving the lives of older Americans?

• Federal Old Age Insurance Law
• Medicare (Title 18)
• Supplemental Security Income
• Omnibus Budget Reconciliation Act

Answer: A

Rationale: The first significant step in improving the lives of older Americans was the passage of the Federal Old Age Insurance Law under the Social Security Act in 1935, which provided some financial security for older persons. In 1961, the United States formed the Administration on Aging, and in 1965 introduced Medicaid and Medicare. Since that time, the United States enacted Supplemental Security Income in 1972 and the Omnibus Budget Reconciliation Act (nursing home reform law) in 1991.

Question format: Multiple Choice

Chapter 1: The Aging Population

Cognitive Level: Remember

Client Needs: Health Promotion and Maintenance

Integrated Process: Nursing Process

Reference: p. 4

• A nurse who works on a subacute medical unit of a hospital has noticed that

the population of older adults being admitted to the unit has been increasing over the past few years. The nurse engages a colleague in a discussion about this finding. Which statement by the colleague would be most reflective of current thinking about older adults?

• "Fortunately, most people over 65 have a sufficient level of income."
• "It helps that older people do not have to incur any costs for their medical

care."

• "Most of the older clients on the unit will have come to us from nursing

homes."

• "It is reassuring older adults are receiving more concern than in decades

past."

Answer: D

Rationale: In recent years society has demonstrated a growing concern for its

older members. Myths about older people include the belief that living to old age ensures them an adequate income, that they do not have to pay for medical care, and that most older adults live in nursing homes.

Question format: Multiple Choice

Chapter 1: The Aging Population

Cognitive Level: Understand

Client Needs: Safe, Effective Care Environment: Management of Care

Integrated Process: Caring

Reference: p. 4

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• A public health nurse who directs a homecare program that serves an area

with a large population of older adults is creating a long-term strategic plan.Which information would the nurse integrate into the plan for optimal outcomes?

• While life expectancy will continue to rise, the percentage of older adults

relative to the overall population will decrease.

• By 2030, it is expected that the number of adults over age 85 will triple.
• Both life expectancy and the percentage of people over 65 in the population

will increase in coming decades.

• Chronic conditions are expected to gradually cause a decrease in the number

of older adults in 10 years.

Answer: C

Rationale: Currently, persons older than 65 years represent more than 13% of

the population. This growth of the older adult population is due in part to increasing life expectancy. Advancements in disease control and health technology, lower infant and child mortality rates, improved sanitation, and better living conditions have increased life expectancy. More people are surviving to their senior years than ever before. Not only are more people reaching old age, but they are living longer once they do; the number of people in their seventies and eighties has been steadily increasing and is expected to continue to increase. The population over age 85 years is projected to double by the year 2036 and triple by 2049.

Question format: Multiple Choice

Chapter 1: The Aging Population

Cognitive Level: Remember

Client Needs: Safe, Effective Care Environment: Management of Care

Integrated Process: Nursing Process

Reference: p. 5

• A nurse is conducting a class for a group of nurses who are employed at the

local community health center that serves a large older adult population. As part of the class, the nurse discusses the impact of the older adult's financial status on their life. The nurse determines that the teaching was successful based on which statement by the group?

• The percentage of older people living below the poverty level has been

increasing.

• The financial needs of most older adults are well met by savings alone.
• The prevalence of home ownership by older adults has made many older

adults "asset rich and cash poor."

• Women 65 years of age and older are the fastest growing group of employed

persons.

Answer: C

Rationale: The percentage of older people living below the poverty level has

been declining, with about 10% now falling into this category. Most older people depend on finances, other than savings, for more than half of their income.Women and minority groups have considerably less income than white men. A high prevalence of home ownership by older adults has made many older adults are "asset rich and cash poor." Despite a significant rise in the percentage of

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