care of older adults

Question 1

Which medications should the nurse cautiously review from the Beer’s List of medications when documenting the patient’s drug profile?

Answer 1

Benzodiazepines

Question 2

How should a nurse greet Estelle Bartlett, a petite, widowed elder, on the first home visit?

Answer 2

Mrs. Bartlett, I’m your nurse Clara Jones.”

Question 3

A talented, accomplished, and very active elder wanted to take up painting after retirement. A recent stroke compromised the elder’s short-term memory severely.

Which community-based program should the nurse suggest to the elder and family first?

Answer 3

Taking painting classes at the senior center

Question 4

When calculating BMI, the nurse notes an older adult’s score is 30.

What does this score indicate?

Answer 4

Fall risk

Question 5

Which factor best describes the cornerstone of an individualized plan of care for an older adult?

Answer 5

Comprehensive assessment

Question 6

Which assessment tool can be used to determine activities of daily living (ADL) independence in older adults?

Answer 6

The Katz index

Question 7

When considering a nurse practicing in a transitional care role, which areas need to be a focal point?

Select all that apply

Answer 7

There is a demand for transitional care.

Elderly recipients of Medicare with several prolonged ailments are recognized for over 75% of Medicare expenditures.

Question 8

Which communication techniques promote safe transition of care in patients with aphasia?

Select all that apply

Answer 8

Give the patient time to speak

Use nonverbal gestures to communicate

Question 9

Which roles of the nurse protect the patient from harm in a care transition?

Answer 9

Symptom manager, educator, collaborator, care coordinator

Question 10

Which nursing function, in care transition, shields the patient?

Answer 10

Symptom manager

Question 11

The End-of-Life Nursing Education Consortium (ELNEC) is a resource targeted to nurses providing end-of-life care that supports evidence-based care of dying patients and their families, as well as self-care that lessens stress and anxiety and sustains nurses in providing excellent end-of-life care.

Which of the following are self-care principles?

Select all that apply

Answer 11

Developing expertise in symptom management, which not only helps patients and their families, but also increases satisfaction and lessens anxiety among professional caregivers

Making good use of the expertise and support of the interprofessional care team

Question 12

Which statements are true regarding health-related quality of life?

Select all that apply?

Answer 12

Can be measured by an instrument developed by the Centers for Disease Control (CDC)

Is measured by individuals’ perceived healthy days per month

Question 13

A nurse caring for people at the end of their lives knows that dyspnea is relatively common and interferes with patients’ comfort and rest.

What is the evidence-based intervention for shortness of breath?

Answer 13

5 mg of liquid morphine every 4 hours, along with lorazepam 0.5–2.0 mg every 4–6 hours PRN for anxiety and restlessness

Question 14

Which option best depicts prolonged disease care?

Answer 14

Blending of effective treatments and comfort procedures

Question 15

When do dying individuals normally encounter mourning?

Answer 15

Lack of bodily function and freedom that occurs as sickness grows more widespread

Question 16

Which of the following is often the largest obstacle to overcome in important conversations related to death and perishing?

Answer 16

Public mindsets about passing away

Question 17

Why do genetic counseling programs include extensive courses on laboratory methods in genetics?

Answer 17

To help patients understand testing procedures and results

Question 18

Caucasian take more warfarin than asia

Answer 18

Many Asian do not breath down warfarin as fast as caucasians, so the drug is more effective at lower dosages

Question 19

An adult daughter whose mother gas bipolar disease because she engages in all of the following behaviors. Which behavior should be explored further as a manifestation of bipolar disease

Answer 19

Making frequent purchases of expensive clothing that she never wears

Question 20

A woman whose sister tested + for a specific mutation in the BRCA1 gene, which increases the risk of breath and ovarian cancer, is found not th have mutation but does have a mutation of unknown significance near the known mutation site. How should this woman be counseled?

Answer 20

She should be informed that she does not have the specific mutation but that because another mutation is present she should be vigilant about screening.

Question 21

A pt with a very high concentration of insulin receptors on cells that require insulin for glucose to enter. How should insulin dosages be adjusted for this patient to have blood glucose levels with the normal range

Answer 21

Insulin dosages should be decreased because the drug will exert its action at lower concentrations

Question 22

Why is pharmacokinetics of particular interest in treating pt with psychiatric health problems

Answer 22

Psychiatric meds may be effective in only a small group of Pts.