Question 1

Which of the following situations would be a priority for the nurse to intervene?

Accepted Answer

A)   A client's spouse asks the nurse for the results of an HIV test.
B)   Copies of the patient's diagnostic test results are found in the regular trash behind the nurse's station.
C)   The charge nurse overhears a physician asking another physician not involved in the client's care to look at a test result.
D)   A client's medical record is left unattended on a stretcher outside the radiology department while the client receives an x-ray.E) B) and C)
F) C) and D) A

Question 2

An older homeless patient is admitted to the hospital. The patient has no known family, is unresponsive, and his condition is considered guarded. What should be done to ensure appropriate healthcare decisions are made for this patient?

Accepted Answer

A)   The homeless shelter will provide direction.
B)   The patient will be represented by the hospital social worker.
C)   The hospital will make decisions for the patient's healthcare.
D)   The hospital will ask a judge to appoint a guardian for the patient.E) A) and B)
F) None of the above

Question 3

Which of the following would violate client's rights according to the Patient's Bill of Rights? Select all that apply.

Accepted Answer

A)   The client signed out and left the facility for the day to go to a casino.
B)   The nurse showed the adult daughter of a client the notice posted about the ombudsman.
C)   The nurse gave a prescribed prn sedative to a client who continuously yelled out, "Hello!".
D)   The nurse refused to allow clients, who are husband and wife, to have private time with the door closed.
E)   The nurse told the client, who is a practicing Jew, that the client had to participate in the facilities Christmas party.F) A) and B)
G) A) and C)

Question 4

An older client with confusion has a prescription to receive a blood transfusion. Which of the following actions should the nurse take to obtain consent?

Accepted Answer

A)   Request the client's family member or next of kin sign the consent.
B)   Withhold the blood transfusion until the client's mental status improves.
C)   Administer the blood transfusion since a signed consent form is not necessary.
D)   Explain the transfusion, help the client sign the consent, and administer the transfusion.E) A) and B)
F) A) and C)

Question 5

The nurse is reviewing secondary prevention actions with an older patient. Which interventions should the nurse encourage the patient to complete? Select all that apply.

Accepted Answer

A)   Yearly depression screening
B)   Colonoscopy every 10 years
C)   Yearly fecal occult blood test
D)   Yearly height and weight check
E)   Yearly blood pressure screeningF) B) and E)
G) B) and C)

Question 6

The family of an older client in a nursing home feels that the client has not been treated fairly and that the client's rights have been violated. Which of the following would be the best action for the family to take?

Accepted Answer

A)   Remove the client from the facility.
B)   Call the local ombudsman and report the information.
C)   Hire a lawyer to obtain information about the client's care.
D)   Request a copy of the client's medical record and determine if appropriate care has been given.E) C) and D)
F) B) and D)

Question 7

Which action should the nurse take to avoid becoming involved in a legal suit with client care?

Accepted Answer

A)   Consistently follow the physician's orders.
B)   Document carefully all nursing care provided.
C)   Avoid using emails and fax machines to send client information.
D)   Always provide friendly and respectful care to the client and families.E) B) and C)
F) A) and D)

Question 8

Which of the following actions by the nurse would meet the standard of care?

Accepted Answer

A)   The nurse questioned a physician about a prescription where the dose was higher than the recommended dose.
B)   The nurse medicated a client who reported severe chest pain with aspirin and then called the physician to get a prescription.
C)   The nurse brings a breakfast tray into the client's room and puts in on the counter away from the client who is vomiting and nauseous.
D)   A nurse leaving the facility at the end of the shift witnesses a client fall. The nurse calls for help and tells the other nurse that during the next shift he or she will fill out the incident report.E) None of the above
F) B) and C)

Question 9

The nurse is completing the minimal data set (MDS)  for an older patient. What are characteristics of this assessment? Select all that apply.

Accepted Answer

A)   Eliminates listing the patient's prescribed medications
B)   Identifies health insurance coverage that is not Medicare or Medicaid
C)   Provides a multidimensional view of the patient's functional capacities
D)   Used primarily to determine the amount of funding the patient has for long-term care
E)   Includes a core set of screening, clinical, and functional measures used in patient assessmentF) A) and D)
G) B) and E)

Question 10

Which of the following actions, if observed by the charge nurse, would require the charge nurse to intervene?

Accepted Answer

A)   The nurse looks over the physician's shoulder to see the results of an assigned client's labs.
B)   The nurse requires a client to fill out a release of information form when the client requests a copy of his or her medical record.
C)   The nurse asks another nurse to quickly look up the results of an x-ray of a client since the other nurse is already signed on the computer.
D)   The nurse faxed reports of client tests to a machine that is in the office of the client's primary care physician, and a nurse is expecting the report.E) A) and B)
F) B) and C)

Question 11

An older client recently admitted from a homeless shelter experiences cardiac arrest. The client has no resuscitation orders. Which action should the nurse take?

Accepted Answer

A)   Begin chest compressions.
B)   Notify the nursing supervisor.
C)   Obtain a prescription for DNR.
D)   Attempt to contact the client's next of kin.E) A) and D)
F) All of the above

Question 12

An older client is diagnosed with an intestinal obstruction and needs immediate surgery. The client's next of kin is a granddaughter who lives in a neighboring community. Which of the following actions should the nurse take?

Accepted Answer

A)   Obtain consent from the client for the surgery.
B)   Perform the surgery since it is emergent, consent is not necessary.
C)   Delay the surgery until the client's granddaughter can be contacted.
D)   Obtain a consult from mental health to ensure the client's competence.E) A) and C)
F) A) and B) A

Question 13

The gerontological nurse is planning health promotion actions for an older client. Which of the following information should the nurse focus on when planning these actions? Select all that apply.

Accepted Answer

A)   Client has type 2 diabetes mellitus.
B)   Client walks for 30 minutes 3 times a week.
C)   Client uses BIPAP machine for sleep apnea.
D)   Client attends religious services every Sunday morning.
E)   Client lives alone and volunteers at the local library most afternoons.F) A) and B)
G) A) and C)

Question 14

What actions will the nurse follow when using restraints for an older client in a long-term care facility? Select all that apply.

Accepted Answer

A)   Use restraints for 2 hours or less.
B)   Use restraints for emergency situations only.
C)   Utilize waist restraints to prevent client falls.
D)   Obtain a physician's order before using restraints.
E)   Remove the client's eyeglasses when applying restraints.F) None of the above
G) B) and C)

Question 15

The nurse is talking with an older client who has a history of multiple hospitalizations and a recent decline in mental status. Which of the following interventions should the nurse implement to improve the client's overall health?

Accepted Answer

A)   Have the client evaluated for long-term care.
B)   Obtain a referral for a comprehensive evaluation.
C)   Collect an accurate and thorough health history.
D)   Provide the appropriate amount of help for normal activities.E) B) and D)
F) B) and C) B

Question 16

The nurse is assessing an older client's health status. Which comments, made by the client, would indicate that the client's health beliefs are based on the perceived importance of taking action to promote health? Select all that apply.

Accepted Answer

A)   "I should get a physical every year so I can stay healthy."
B)   "I know that choosing to eat healthy or not will affect my health now and later on."
C)   "I know if I go for walks on a regular basis, I am less likely to have a health problem."
D)   "I understand if I continue to go to church and spend time with friends, I will feel less lonely."
E)   "I understand if I stop drinking alcohol, I will decrease my chance of liver disease and other health issues."F) A) and B)
G) B) and C)

Question 17

The nurse is preparing to conduct a health history with an older client. Which action should the nurse take to ensure the accuracy and efficiency of the client's health history?

Accepted Answer

A)   Scheduling one-half hour for the medical history interview.
B)   Requesting the client use the bathroom before starting the interview.
C)   Ensuring the client has their identification and insurance card with them upon arrival.
D)   Conducting the history in an environment with comfortable seating and proper lighting.E) A) and D)
F) B) and D)

Question 18

A nurse has just completed training on the Health Insurance Portability and Accountability Act (HIPAA) . Which statement made by the nurse indicates that training has been successful?

Accepted Answer

A)   "Faxing of information is prohibited by HIPAA."
B)   "I need to verbally provide the patient with the privacy notice."
C)   "I cannot discuss a patient's health history with family members without the patient's permission."
D)   "Financial information relating to payment for services is not subject to the HIPAA regulations."E) A) and B)
F) A) and C)

Question 19

The nurse is assessing the function of an older adult. Which of the following actions should the nurse take? Select all that apply.

Accepted Answer

A)   Utilize the SPICES tool.
B)   Utilize the PULSES tool.
C)   Identify the client's strengths.
D)   Interview the client's closest family member.
E)   Use an interdisciplinary assessment approach.F) A) and D)
G) D) and E)

Question 20

The nurse is caring for an older client that states, "I am not taking this medication anymore, and I am tired of being here." Which is the best action for the nurse to take?

Accepted Answer

A)   Contact the client's family.
B)   Discuss the therapeutic action of the medication.
C)   Remind the client about their agreement for treatment.
D)   Inform the client of their right to leave the facility AMA.E) None of the above
F) All of the above

Exam 3: Principles of Geriatrics

Which of the following situations would be a priority for the nurse to intervene?

Correct AnswerverifiedA

An older homeless patient is admitted to the hospital. The patient has no known family, is unresponsive, and his condition is considered guarded. What should be done to ensure appropriate healthcare decisions are made for this patient?

Correct AnswerverifiedShow Answer

Which of the following would violate client's rights according to the Patient's Bill of Rights? Select all that apply.

Correct AnswerverifiedShow Answer

An older client with confusion has a prescription to receive a blood transfusion. Which of the following actions should the nurse take to obtain consent?

Correct AnswerverifiedShow Answer

The nurse is reviewing secondary prevention actions with an older patient. Which interventions should the nurse encourage the patient to complete? Select all that apply.

Correct AnswerverifiedShow Answer

The family of an older client in a nursing home feels that the client has not been treated fairly and that the client's rights have been violated. Which of the following would be the best action for the family to take?

Correct AnswerverifiedShow Answer

Which action should the nurse take to avoid becoming involved in a legal suit with client care?

Correct AnswerverifiedShow Answer

Which of the following actions by the nurse would meet the standard of care?

Correct AnswerverifiedShow Answer

The nurse is completing the minimal data set (MDS) for an older patient. What are characteristics of this assessment? Select all that apply.

Correct AnswerverifiedShow Answer

Which of the following actions, if observed by the charge nurse, would require the charge nurse to intervene?

Correct AnswerverifiedShow Answer

An older client recently admitted from a homeless shelter experiences cardiac arrest. The client has no resuscitation orders. Which action should the nurse take?

Correct AnswerverifiedShow Answer

An older client is diagnosed with an intestinal obstruction and needs immediate surgery. The client's next of kin is a granddaughter who lives in a neighboring community. Which of the following actions should the nurse take?

Correct AnswerverifiedA

The gerontological nurse is planning health promotion actions for an older client. Which of the following information should the nurse focus on when planning these actions? Select all that apply.

Correct AnswerverifiedShow Answer

What actions will the nurse follow when using restraints for an older client in a long-term care facility? Select all that apply.

Correct AnswerverifiedShow Answer

The nurse is talking with an older client who has a history of multiple hospitalizations and a recent decline in mental status. Which of the following interventions should the nurse implement to improve the client's overall health?

Correct AnswerverifiedB

The nurse is assessing an older client's health status. Which comments, made by the client, would indicate that the client's health beliefs are based on the perceived importance of taking action to promote health? Select all that apply.

Correct AnswerverifiedShow Answer

The nurse is preparing to conduct a health history with an older client. Which action should the nurse take to ensure the accuracy and efficiency of the client's health history?

Correct AnswerverifiedShow Answer

A nurse has just completed training on the Health Insurance Portability and Accountability Act (HIPAA) . Which statement made by the nurse indicates that training has been successful?

Correct AnswerverifiedShow Answer

The nurse is assessing the function of an older adult. Which of the following actions should the nurse take? Select all that apply.

Correct AnswerverifiedShow Answer

The nurse is caring for an older client that states, "I am not taking this medication anymore, and I am tired of being here." Which is the best action for the nurse to take?

Correct AnswerverifiedShow Answer

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