Assignment: Acute Care Facility
Assignment: Acute Care Facility
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Question 37 options:
An acute care facility providing continuing education credits for geriatric nursing in-services.
A baccalaureate degree nursing program including a geriatric care course into the curriculum.
A professional nursing organization provides advanced practice status as a geriatric specialist.
A long-term care facility’s nursing director is a certified geriatric nurse practitioner.
Question 38 (5 points) Question 38 Unsaved
In order to focus on the older population with the greatest risk for suicide the nurse would conduct a depression screening that targets:
Question 38 options:
Question 39 (5 points) Question 39 Unsaved
Which outcome regarding the effects of touch on the skin is not supported by current research?
Question 39 options:
Brings about sensory stimulation.
Help relieves physical and psychosocial pain.
Known to reduce anxiety and tension.
Improves skin integrity.
Question 40 (5 points) Question 40 Unsaved
The nurse is caring for a client with a newly diagnosed chronic illness. In answering the client’s questions, the nurse most accurately responds when basing the response on the fact that:
Question 40 options:
The most prevalent form of disease in older adults at this time is acute illness.
Although chronic illness lasts a long time, the condition primarily affects the client.
Chronic illness is lifelong, and coping can be influenced by perceived uncertainty.
The client’s acquisition of knowledge of the disease will guarantee successful coping.
Question 41 (5 points) Question 41 Unsaved
What research finding is the basis for care planning of the client receiving palliative care?
Question 41 options:
Palliative care is most useful when implement in the last 6 months of life.
Pain management is inadequately addressed among the terminally ill population.
Palliative care is only offered to patients whose deaths are imminent.
Resuscitation in the case of a cardiac or respiratory arrest is not implemented.
Question 42 (5 points) Question 42 Unsaved
When working with a bereaved individual, the goal of nursing interventions is to:
Question 42 options:
Assist the individual to go through the stages of grief work in the optimal order.
Assist the individual to attain a healthy adjustment to the loss experience.
Encourage the individual to talk about his or her feelings about the deceased individual.
Offer support and advice about how to successfully achieve grief work.
Question 43 (5 points) Question 43 Unsaved
Which information will the nurse manager include when discussing the major differentiation between delirium and dementia with novice nurses: Select all that apply.
Question 43 options:
The delirious client learns to make up answers to hide their confusion.
Delirium requires increased monitoring at night.
The client diagnosed with dementia generally looks frightened.
Dementia results in a steady decline in cognitive abilities.
Delirium is characterized by fluctuations in alertness.
Question 44 (5 points) Question 44 Unsaved
The nurse is facilitating a support group for older adults who have recently experienced losses in their lives. What is the basis for the nurse’s understanding of how the individual participants will display stress?
Question 44 options:
An individual’s age has the most influence on the amount of stress they will experience.
Stress tolerance is fairly consistent in both males and females.
Stress is a natural occurrence to loss and is always manifested in physical signs.
There are individual differences in how in how individuals define, perceive, and react to stress.
Question 45 (5 points) Question 45 Unsaved
The Beers list is an effective tool for healthcare professionals prescribing and/or managing the medication therapy of older adults since it identifies medications that for this population:
Question 45 options:
Are not typically covered by drug benefit plans.
Have a higher than usual risk for injury.
Are likely to be abused
Generally cause allergic reactions.
Question 46 (5 points) Question 46 Unsaved
An older client admitted to the hospital after having sustained a fall at home is diagnosed with a right hip fracture and experienced a surgical reduction of the fracture. At 2:30 AM, she awakens from sleep insisting that her daughter is in the other room and wants to see her. Attempts to reorient her to the surroundings are unsuccessful. In reviewing the client’s record, what data would be considered a primary risk factor for the delirium?
Question 46 options:
History of dementia.
Death of the client’s husband last month.
The client’s age.
History of cardiac disease.
Page 46 of 52
Question 47 (5 points) Question 47 Unsaved
Your client is cared for at home by his son and daughter-in-law, who are also responsible for the care of their four preschool-aged children. What is true of this “sandwich” generation?
Question 47 options:
The conflicts that arise from caring for both older adults and children can be very stressful.
The majority of middle-aged adults are faced with balancing the care of parents and children.
The average age of adults caring for parents is in the late 30s and early 40s.
The majority of caregivers affected by this “sandwich” generation are males.
Question 48 (5 points) Question 48 Unsaved
An African-American woman has taken on the responsibility of raising her grandchild. Which intervention will best address a need commonly identified in this specific population?
Question 48 options:
Providing her with a list of local afterschool children’s programs.
Suggesting she enroll in a local community center’s senior support group.
Scheduling her for a complete physical examination.
Encouraging her to walk 1 mile 3 days a week.
Question 49 (5 points) Question 49 Unsaved
The nurse interviewing an older adult for a nursing history recognizes that the client is experiencing symptomology inconsistent with normal aging of the urinary tract when the client reports: Select all that apply.
Question 49 options:
Finding it more difficult in the last few months to start voiding.
Having two bladder infections in the last 4 years.
Getting up once or twice each night to urinate.
Occasionally experiencing pain when urinating.
Needing to urinate every at least every two hours during the day.
Question 50 (5 points) Question 50 Unsaved
The nurse sits at the bedside of a comatose, terminally ill older client reading the wishes expressed in the numerous cards the client has received. Which concept of grief work is the nurse addressing with this intervention?
Question 50 options:
Everyone needs social interaction.
The nurse needs to ‘attend to the patient.’
hearing is believed to be the last sense to be lost.
The individual is living until they are dead.
A 97-year-old patient is admitted to the medical unit with a productive cough and bilateral congestion and is reporting weakness. His vital signs are 106/78, 82, 24, and a temperature of 97 degrees F. (oral). When told that it is suspected that he has pneumonia, his granddaughter replies, “Grandpa is running a fever so it can’t be an infection.” The nurse’s response is based on the knowledge that:
Question 51 options:
The temperature needs to be taken tympanically.
In a 97-year-old, a temperature of 97 degrees F. is considered febrile.
A lack of fever cannot be used to rule out an infection in older adults.
Oral temperatures are always inaccurate in older adults.
When assessing the intellectual abilities of an older adult, the nurse demonstrates an understanding of a major barrier to reliable testing of this population when:
Question 52 options:
Sharing with the client that the test can be scheduled at “whatever time is good for you.”
Providing the client with frequent rest periods.
Stating, “Just take your time and try to relax; there are no wrong answers to this test.”
Assignment: Acute Care Facility
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