core examination Flashcards
Normal psychological aging in the elderly includes all of the following except:
- slowed memory retrieval
- difficulty handling change
- loss of memory
- depression
loss of memory
Normal physiological aging of the elderly does not include:
- loss of skin elasticity
- glaucoma and cataracts
- depressed immune system
- dementia
dementia
Which of the following disorders is more likely to go unnoticed by the staff?
- incontinence
- Irritable bowel syndrome
- Depression
- Very slight strokes
Very slight strokes
What procedures have been found to be most effective for a resident with depression?
- Spending two or three weeks in a psychiatric program in a hospital
- Medications, family involvement, and staff attention
- Counseling, activities, and medications
- Treatment in a local mental health center
Counseling, activities, and medications
Which of the following is not a symptom of depression?
- Hallucinations
- Sleep disturbance
- Social isolation
- Impaired verbal communications
Hallucinations
A most effective way to plan for setting up a program for residents who tend to wander is to:
- complete an immediate assessment to determine the potential to wander
- determine at or before admission if the resident tends to wander
- plan a program to which all residents tending to wander must adhere
- place all wanderers in some type of physical or chemical restraint
determine at or before admission if the resident tends to wander
HIPAA requires records meet all of the following standards except be:
- maintained by a professionally qualified Registered Health Information Technician (RHIT)
- complete
- readily assessable to staff and family
- systematically organized according to subject matter
maintained by a professionally qualified Registered Health Information Technician (RHIT)
Which two classes of food are mostly likely to cause allergic reactions in residents?
- Bread and cereal
- Diary products and seafood
- Fats and oils
- Eggs and beef
Dairy products and seafood
A facility had an average daily census of 110 residents during the month of June. Total food costs for the average month was $30,000. What was the food cost per resident day?
- $8.25
- $ 8.75
- $9.09
- $9.52
$9.09
What type of activity seems to be most effective for persons afflicted with Alzheimer’s Disease?
- Morning walks
- A game of bingo
- An activity that utilizes music
- An activity that involves physical exercise
An activity that utilize music
In planning a resident activities program, a primary goal should be to:
- develop individual skills
- provide satisfaction of making a finished product
- provide participation and enjoyment
- lessen the work load on the CNA’s by keeping the residents busy
provide participation and enjoyment
Mrs. Jones complains that her physician will not listen or answer her questions. What should the facility staff do?
- Coach Mrs. Jones on how to relate to her physician
- Report the problem to the medical director so she can talk to Mrs. Jones’s
- Inform the administrator so he can take appropriate action
- Discuss the problem with the family seeking their help with the doctor
Coach Mrs. Jones on how to relate to her physician
What is the first thing a nurse should do when a resident refuses to take his medicine?
- Call the physician for instructions
- Explain the consequences to the resident
- Contract the family for their help
- Simply document the problem as the resident has the right to refuse
Explain the consequences to the resident
A resident’s activity program should be designed to stimulate the resident’s cognition, motor skills, and affective needs. Which of the following activities will accomplish all three of these goals?
- Showing a humorous movie
- Bringing in a music group to entertain
- Organizing a hand-bell choir
- Conducting a sing-along activity
Organizing a hand-bell choir
The essential difference between verbal abuse and mental abuse of a resident is:
- verbal is any use of spoken or written disparaging remarks; mental abuse is mistreatment
- verbal abuse is any use of disparaging remarks; mental abuse is the use of actions that humiliate, harass, or threaten
- there is no actual difference as both actions embarrass, humiliate, and demean the resident
- verbal abuse is demeaning derogatory remarks, while mental abuse includes sexual abuse
verbal abuse is any use of disparaging remarks; mental abuse is the use of actions that humiliate, harass, or threaten
Robert Hornbeck is only 65 years old and suffers from dementia. His family struggles with his condition, but is determined to do whatever they can to ensure that he has the highest quality of life possible. They have consulted with the local Alzheimer's Association and learned that there are care areas that can " make a significant difference in his quality of life." Which of the following is not one of these recommended areas? 1/ Food and fluid consumption 2. Pain management 3. Social engagement 4. Physical exercises
Physical exercises
Warren Cruz suffers from Alzheimer’s Disease. Due to his disease, his behavior has become such that his wife and adult children can no longer care for him at home. Thus, they make the decision to place him in a post-acute, long-term care facility. The staff notices at once that Mr. Cruz is very agitated and will not stay situated in one place for any length of time. He is in and out of other resident’s rooms. He picks up objects from tables and walks around almost constantly. Which of the following should the facility do?
- The problems Mr. Cruz presents are so great that the facility must notify the family that they cannot meet his needs and they are transferring him to a geriatric psychiatric hospital
- The staff notices that Mr. Cruz’s bad behavior seems to escalate at 4 o’clock each evening, so they determine that they will put him to bed, turn the lights off in his room, and turn on easy listening music
- The charge nurse is very concerned that Mr. Cruz will fall due to his continuous walking and requests an order from the attending physician for a geriatric chair so Mr. Cruz can be placed in a reclining position which will make it difficult for him to arise
- The social worker learns that Mr. Cruz had been a carpenter during his professional life, Along with activities, the social worker sets up a work station with Lincoln Logs and Legos for MR. Cruz
The social worker learns that Mr. Cruz had been a carpenter during his professional life, Along with activities, the social worker sets up a work station with Lincoln Logs and Legos for MR. Cruz
Sharon Willis’s mother is a resident in a long0term care facility. Ms. Willis receives complaints from her mother that each morning her breakfast arrives late, is always cold, and is never what she ordered. On a Sunday morning she arrives at the facility in time to observe her mother’s breakfast, The following morning the administrator receives a call from the daughter who is complaining loudly about the lack of service her mother is receiving and the fact that her mother received a cold biscuit, scrambled eggs, and sausage for breakfast when she ordered raisin toast, a poached egg, and bacon. How should the administrator handle this issue?
- Assume the daughter is accurate in her account of the events and complete a disciplinary action on the Dietary Manager, as she is responsible for the preparation and delivery of all meals
- Listen carefully to the daughter’s accusations and take detailed notes. Visit with the staff who were working on Sunday morning, and implement procedures that will help ensure the dietary staff is following the resident’s meal request and delivery of the meals is timely
- Listen intently to Ms. Willis’ concerns, investigate the complaints by interviewing staff members who were involved as well as the dietary manager, and implement corrective actions immediately
- Listen intently to Ms. Willis’ concerns, take notes, investigate the concerns, and report findings to Ms. willis. Next implement corrections, if necessary, and evaluate the processes to help ensure an efficient and effective program
Listen intently to Ms. Willis’ concerns, take notes, investigate the concerns, and report findings to Ms. willis. Next implement corrections, if necessary, and evaluate the processes to help ensure an efficient and effective program
Which of the following is the leading cause of vision loss in people over the age of 65? 1. Age-related Macular Degeneration 2. Cataracts 3/ Glaucoma 4. Diabetic retinopathy
Age-Related Macular Degeneration
The potentially blindly effect of which of the following can be drastically reduced in the United States through an effective and safe surgery?
- Age-Related Macular Degeneration
- Cataracts
- Glaucoma
- Diabetic retinoptahy
Cataracts
Which of the following is not defined as a fall in a long-term care facility?
- When a resident loses his balance and would have fallen, if not for staff intervention
- When a resident slips and lands on a sofa and is not injured
- When the staff finds a resident on the floor but cannot determine how he landed there
- When the staff witnesses one resident push another to the ground
When the staff witnesses one resident push another to the ground
A resident in a long-term care facility is very confused. She is in her 80’s but insists on finding her elderly grandfather as it is her responsibility to care for him. Which of the following treatment programs would a facility most likely use with this resident?
- Staff will use re-motivation techniques to encourage her to become more interested in her immediate surroundings
- Staff members will reassure and reaffirm her feelings and thoughts through validation therapy
- Staff will remind the resident of the current year and date and that her grandfather is no longer alive through reality orientation
- Staff will refer the resident to a Speech Language Pathologist to work on her cognition
Staff members will reassure and reaffirm her feelings and thoughts through validation therapy
The administrator is responsible for ensuring a safe environment for the persons residing in long-term care facility. Dietary staff must have a system in place to ensure the proper cooking temperatures of the food in order to prevent foodborne illnesses. Which of the following cooking temperature is not correct?
- Poultry and stuffed foods must be cooked to 18=65 degrees F
- ground meat such as beef must be cooked to 155 degrees F
- Fin fish must be cooked to 135 degrees F
- Pork and Ham must be cooked to 145 degrees F
Fin fish must be cooked to 135 degrees F
Bladder incontinence is common lace among elders. In many cases a resident can regain control of his/her bladder function through various treatment programs. Which of the following is not an effective means of treatment?
- Catherization
- Kegal exercise
- Physical exercises
- Prompted voiding
Catherization