Quiz 1 Flashcards
A man is terminally ill with end-stage prostate cancer. Which is the best statement about this man’s wellness?
a. Wellness is the same thing as faith healing, and if the client would be more receptive, then he could be back at work in a few weeks.
b. Nursing interventions can help empower a client to achieve a higher level of wellness.
c. Wellness is unfortunately not a real option for this client.
d. Wellness is possible in the management of his medical care.
b. Nursing interventions can help empower a client to achieve a higher level of wellness.
Which approach requires the nurse to integrate and balance all aspects of an individual’s life into the plan of care?
a. Healthy People 2020
b. Holistic nursing
c. Orem’s Self-Care Requirements
d. Maslow’s Hierarchy of Human Needs
b. Holistic nursing
A nurse is providing care for a variety of older adults on a transitional care unit. Using Maslow’s Hierarchy of Human Needs as a basis for prioritizing care, rank the following actions, starting with the most important. (Select all that apply.)
A. Encourage a family member to take part in a teaching session.
B. Administer 2 liters of oxygen via nasal cannula.
C. Place a call bell in reach after transferring the older adult to bed.
D. Ask clients their preferences before beginning care.
B. Administer 2 liters of oxygen via nasal cannula.
C. Place a call bell in reach after transferring the older adult to bed.
A. Encourage a family member to take part in a teaching session.
D. Ask clients their preferences before beginning care.
According to researchers, which characteristic will most centenarians share in the future?
a. Demented
b. Female
c. Malnourished
d. Wheelchair bound
b. Female
Which had a major influence in shifting the care of older adults away from almshouses and public institutions and stimulated the growth of commercial nursing homes?
a. Social Security Act
b. Hartford Institute for Geriatric Nursing
c. Health maintenance organizations (HMOs)
d. Medicare
a. Social Security Act
In differentiating between health and wellness in health care, which of the following statements is true?
a. Wellness and self-actualization develop through learning and growth.
b. Health is a broad term encompassing attitudes and behaviors.
c. Wellness is impossible when one’s health is compromised.
d. The concept of illness prevention was never considered by previous generations.
b. Health is a broad term encompassing attitudes and behaviors.
The gerontological nurse collaborates with the wound care team about an older patient who has an ulcer. How is this nurse demonstrating leadership in the care of older people?
a. Coordinating members of the health care team
b. Empowering older adults to manage chronic illness
c. Assessing older adults effectively
d. Facilitating access to elder care programs
a. Coordinating members of the health care team
The nurse demonstrates leadership in the care of older adults by initiating and coordinating collaboration with the wound care team to improve the health of an older adult. Screening and assessing are only indirectly related to collaboration. In this case, the nurse’s collaborative efforts are unrelated to facilitating access to a program. Thus far, the nurse has not educated or trained this patient in wound care.
A family is touring selected nursing homes in preparation for their mother’s future. Which qualities of a nursing home should the family include if they decide on a person-centered nursing home? (Select all that apply.)
a. Residents choose stimulating activities.
b. Staff members cover all nursing units.
c. Residents and families have a council.
d. Staff members respond to residents’ needs.
e. Staff members help residents stay well-groomed.
f. Group activities are scheduled on the hour.
a. Residents choose stimulating activities.
c. Residents and families have a council.
d. Staff members respond to residents’ needs.
e. Staff members help residents stay well-groomed.
A characteristic of a person-centered culture is family and resident councils to discuss resident issues, needs, and solutions. A second characteristic of a person-centered culture is residents choosing their own activities to suit their interests. A third characteristic of a person-centered culture is a responsive staff that promptly meets resident needs. A fourth characteristic of a person-centered culture is assisting residents to maintain their appearance and to stay well-groomed. Consistent nursing assignments are a characteristic of a person-centered culture. Predetermined schedules are characteristic of an institution-centered culture.
Which statement is true about residential living for older adults?
a. An assisted living facility (ALF) must have an registered nurse (RN) on staff.
b. A residential care facility is the new term for a nursing home.
c. A “granny flat” is an apartment in a high-rise building reserved for seniors.
d. Administrators are realizing that their duty is to care for the residents as people.
d. Administrators are realizing that their duty is to care for the residents as people.
An older man living in an adult community becomes a widower 1 month after retirement. Two months later, he has not resumed a weekly outing with his fishing club. Which should the nurse implement?
a. Ask the older adult why he is not fishing.
b. Have club members visit him at home.
c. Enroll him in a weekly card game.
d. Meet with him to assess his interests.
d. Meet with him to assess his interests.
The nurse meets with the older adult to determine how and when to establish new relationships and social activities in light of his wife’s death. Although the older man was engaged in fishing before, the nurse respects his wishes and needs as he transitions to a different life.
The nurse avoids confronting him, even if done so in a gentle manner. “Why” questions can be interpreted as confrontational, and the older adult may be unable or unwilling to articulate a reason. The nurse avoids asking club members to visit him because doing so would remove the older adult from the decision making process. Although this effort can be well-meaning, it can also be interpreted as an invasion of privacy. The older adult is more likely to participate in an activity in which he has input. In addition,
the nurse’s action can be interpreted as disrespectful because an adult has the right to control his own life.
