Which unique characteristic of older Hispanic adults affects…

QuestionWhich unique characteristic of older Hispanic adults affects…Which unique characteristic of older Hispanic adults affects provision of healthcare? Exercising independence in decision- making Including acupuncture in treatment Believing that illness is God’s plan .Relying on family interdependence 2 When is individualized physical therapy for an older adult best scheduled ? When the therapist has the most time OKAfter breakfast in the morningAfter the individual’s afternoon nap When the individual says it is most beneficial3 The advance directive of an older adult receiving palliative care says no feeding tube .” The nurse does not personally agree with the advance directive . How should the nurse handle this situation?Respect and adhere to the patient’s decision Schedule a surgical consult Present alternatives to the patientShare this opinion with the patient4 Which aging theory proposes that repeated insults and the accumulation of metabolic wastes in the Autoimmune reactionWear and Tear TheoryGenetic TheoryCellular malfunction5.An oncology nurse made an appointment for an older adult with palliative care (PC) . The individual’s diagnosis is metastatic melanoma , and the individual is currently symptom free . The individual made one visit to PC and said she didn’t have time for it. How should the palliative care nurse handle this situation ?Discharge the patientEncourage the patient to return as needed Instruct the patient that PC is for her own good Tell the patient that she will be in pain at some point6.What is a likely method in which a physical therapist (PT) on an interprofessional care team (ICT) helps a client ?Designing enteral and parenteral plans for clients who can no longer eat by mouthManaging ventilators under the direction of the primary healthcare provider Teaching the client ways to cough and bring up secretionsTeaching the client how to use adaptive utensils7 A nurse is teaching care guidelines to the wife of a client who is diagnosed with a congenital illness. The wife tells the nurse , ” am unable to care for my husband properly due to my work , and I am afraid that he may need to be institutionalized .” Which nursing intervention will help provide effective care to the client ? Values clarification Dying care Mutual goal settingrespite care8.Which exercise program would prevent an older person’s loss of muscle tone while strengthening and maintaining the ability to go upstairs ? Resistance training Daily swimming Regular walking Bird watching9 A small 82-year-old woman with dementia climbed over the bed rails but did not hurt herself Which environmental change will improve her safety and comfort? High bed , vest restraint Low bed , waist restraintLow bed, no side railsSitter near the bed10. A vigorous recent widower visited his primary care team and stated that he was lonely. Which recommendation should the team make for this patient? Moving in with his children Taking a sleeping pill Finding a new relationshipTaking an antidepressant11. The assessment of which home environmental factor is necessary for a client with mobility concerns? Availability of heating and cooling services An urban setting Physical limitation of the caregiversPresence of stairs or other obstacles13. Which of the following is considered to be an irreversible , progressive decline in mental abilities ? Presbyopia DementiaAlzheimer disease Stroke14. While assessing an older client, a nurse finds the client to be extremely depressed and suffering from low self- esteem. What psychosocial problem can the nurse infer from these symptoms ?The client is experiencing complicated grieving .  but remember you have more than regular energy it’sThe client is at risk for suicide . The client has powerlessness . The client has disturbed thought processes .15. Which question included in the assessment questionnaire will help the nurse to teach appropriate coping skills to the client with breast cancer” Do you have a living will or advance directive ? ” Are there any questions about your illness that you’d like me to answer ? ” ” What do you do to reduce stress ?””Do you know how to reach your provider if you have questions about your care ?16 Which statement of the client helps the nurse to reach the conclusion that a client is experiencing a midlife crisis ?” I have savings that I can use during emergency situations .”I struggled hard to help my children reach their goals .” “I want to be alone in a cottage away from my family members for one week . “I feel I have not achieved anything great in my life .  What can I do to make my life meaningful ?17 An older patient is functionally very impaired and needs some help with all activities of daily living. The older patient’s daughter -in- law has expressed concern about the shower. Which step should the nurse address first?Demonstrate how to shower a functionally impaired personSuggest the daughter-in-law always have someone to help herHave the daughter-in-law always demonstrate giving a shower to the elderAssess the shower for safety features18. What is an example of isometric exercise ? Lifting free weights Sit-upsPush- ups Pressing the hand against a wall19. Which injury associated with ligaments or tendons may affect mobility?Fracture Strain Sprain Swelling20.What is likely to develop in an individual who is on prolonged bed rest ? Irreversible physiological changes Adverse lifestyle Fatigue Stress21. An older adult has urinary frequency at night and cannot get to the toilet in time. Which environmental change is most appropriate for initially addressing the situation? Having an external catheter handy Keeping adult diapers nearby Placing a commode near the bed Removing the glass of water from the bedside stand21. which exercise involves the cardiovascular system and skeletal musclesFlexibility Isotonic Resistance Aerobic22. What causes increased wrinkling and decreased elasticity of the skin in a client during old age ? Decreased cerumen productionDecreased elastic recoil of the skinDecreased collagen and subcutaneous fat Decreased number of melanocytes23. What change can be seen in an older client when there is atrophy of the sweat glands? Thinning of the skin Decreasing sensory perception Increasing number of skin lesionsBruising of the skin24.Which age-related change causes senile kyphosis in an older client? Rib and thoracic wall rigidity Thickening and decrease in number of alveoli Decreased pulmonary bed Atrophy of cilia25.. Which factor indicates endocrine changes in an older client?Decreased basal metabolic rate ( BMR) Decreased dopamineDecreased thymopoietin Decreased serotonin26. Which element of a care plan should be questioned as a potential risk by a nurse caring for a patient with dysphagia post  stroke ? Providing frequent oral hygiene Requesting occupational therapy as well as evaluating and recommending adaptive utensils Teaching the patient to use a straw while drinking Consulting a speech therapist for dysphagia diet recommendations27. A nurse assisting a client who has undergone a surgery with ambulation finds that the client is struggling to breathe and is at risk of suffocation In which position should the nurse place the client ? Prone position Lateral position Sim’s positionOrthopneic position28.Mrs. Diego, a 75-yrs-old woman in assisted living center, fell while getting out of the shower but sustained no injuries. Some of the nursing assistants have expressed concern about Mrs. Diego having difficulty walking.Instituting a policy that assisted living residents must always have someone with them when taking a shower.Consistently offering staff assistance when residents appear fatigued or physical therapy has determined that fall risk is highMaking sure all residents understand they have the option of calling for assistance and assuring the call system is working propertyAssuring staff availability to help residents get in or out of the shower upon request29. What is considered as nonmaleficence ? Obligation to do good Obligation to keep promisesObligation to do no harmObligation to tell the truth30. What is a system under which an authority makes decisions for other PaternalismCollaborative working relationships Advocacy Ethical sensitivity31. Which element of informed consent requires the client to have the ability to understand the information provided by the healthcare provider and make a choice about the particular situation ? CompletenessCompetence Clarity Voluntariness32. Which rationalization justifies the use of restraints ? Restraints prevent a client from thinking in a logical manner.Restraints prevent a client from performing self-care activities. Restraints prevent a client from falling. Restraints prevent a client from moving.33 Which act falls under psychological abuse of an older adult ? Restraining Shoving Withholding food and waterWithholding affection34. What is a Durable Power of Attorney (DPOA) for healthcare It protects the coverage to a person with pre – existing medical condition . It provides protection against discrimination against individuals with disabilities . It is prepared by a competent individual to give directions to others about the person’s wishes regarding life – prolonging treatments the person becomes unable to make those decisions . It identifies the surrogate decision maker who will make healthcare decisions in the event the client is unable to do so35. What is the recommendation for a falls risk assessment based on? History of peripheral vascular disease (PVD ) Two or more falls in a six- month period Three falls each year Use of assistive devices36. What is not a common risk factor that contributes to functional decline in older adults? Lacking a variety of hobbies Poor nutrition Social isolation Polypharmacy37. Smoking cessation is critical to cardiovascular disease risk reduction . Which screening question is the most important one the nurse should ask smokers ? ” Has anyone in your family died from cancer ? ” “Are you ready to quit smoking ?” you have a productive cough ? “” Did you ever have asbestos exposure ?”38. What are common risk factors that contribute to functional decline in the older adult population ? Select all that apply Sodium intake Moderate weight gain Depression Adverse drug events39. What is the most common incident reported in hospitals and long- term care facilities?Sexual harassment Elder abuse AlcoholismFall40. Which position puts an unconscious client at greatest risk for aspirating secretions ? ProneSimsLateral Supine41. A patient recently purchased a plastic pill box from the local pharmacy . The patient still has a difficult time remembering to take his medications four times daily . Which technology – based action should help improve this patient’s medication compliance ? Advising the family to make a phone call each time the medication should be administeredProviding information to the family about locked , electronic medication dispensersRecommending a device that would enable family members to set virtual medication reminders Initiating a referral to the local Visiting Nurses Association to arrange for daily phone call reminders42. The nurse is providing palliative care for an older client with functional impairment who is placed on an enclosed bed. The nurse teaches care guidelines to the client’s family members to ensure safety Which statement of the family member indicates the need for further teaching?”I should periodically check the bed rails and mattress .””I should zip all the sides of the bed .” ” should always keep the bed at a high position ” ” I should position zipper tabs in the upper side of the net panels .”43. Which statements are correct regarding nursing informatics? Select all that apply Nursing informatics is a 21st century science designed to improve quality, safety, and efficiency. Nursing informatics is an umbrella term for all assistive technology used in healthcare , especially among older adults. Nursing informatics encompasses the management and processing of data to support nursing practice . Nursing informatics is all information about nursing , which is then applied to patient care44.In an assisted care facility , a patient with severe speech impairment had been using American Sign Language to communicate with the staff and his family .He has recently lost function in his hands and arms and is continually frustrated that he cannot communicate with those around him. Which type of assistive technology could this patient use to increase his communication ? Morse codeInduction loop systemEye tracker Tactile symbols45. A nurse is assisting a 60-year -old client with limited mobility in ambulating Which device should the nurse use while ambulating the client ? Standing assist device Transfer roller sheet Transfer belt Transfer board46. Which of the following were the three phases of the triple aim initiative ? Select all that apply Improve population health Advanced nursing educationImprove the patient experience Reduce costs Reduce hospital stayImprove patient ratios47.A disproportionate amount in health expenditures is spent on older adults compared to the general population, putting a strain on Medicare as the older population grows How can these costs be lowered most directly? Select all that apply By teaching people about the effects of chronic disease By aiming to prevent chronic diseaseBy decreasing the debilitating effects of chronic disease By educating more nurses in the field of gerentology.48.Which statements about Social Security benefits are true? Select all that applyOne can continue to work at a high-paying job while receiving full Social Security benefits up to age 70.The delayed retirement credit is available for those who choose to delay retirement up to age 70.The retirement age has stayed constant at 65 since the creation of the Social Security Act. One can begin receiving retirement benefits at the age of 62, but rates will be lower.49.The Independence at Home Demonstration was created by the Affordable Care Act.What are the major goals that this health policy initiative is trying to achieve for chronically ill patients living at Select all that applyReduced travel for patients Better health outcomes Less office space overhead for primary care practices Medicare savings50. What is one implication of the older population on health policy? As healthcare costs continue to increase, the older population will become more reliant on government assistance for healthcare . As the aging population grows , younger voters will want to support health policies that help older adults less and less As the percentage of people over 65 grows , it will become easier for more conservative ideals to be passed into law. As chronic disease becomes more prevalent, health policies will be less likely to support pharmaceutical assistance for seniors51. The Independence at Home Demonstration was created by the Affordable Care Act . What will patients in the Independence at Home program most likely experience ? More independence but less autonomy Lower levels of autonomy and independence from staying at home more Higher levels of independence through better management of their chronic illnesses A greater probability of being sent to a nursing home since their chronic conditions are more closely monitored.52. What is the typical caseload for most transitional care nurse 5 to 8 cases10 to 12 cases 25 to 30 cases15 to 20 cases53. On a recent visit clinic, a patient’s physician changed her 40mg daily furosemide(Lasix) dose to 40mg doses on alternating days. The patient is an older adult with high blood pressure, venous ulcers, and diabetes. She emigrated from Japan and years ago.What would be some parameters most relevant to remember in order to adequately explain the change in medication and new dosage?Select all that applyThe patient’s understand English The patient’s mental and functional ability or the presence of caregiver The patient’s height and weightThe patient age54. How is communication among various healthcare providers accomplished in transitional care models? Select all that apply By a transitional care nurse accompanying patients to the first follow-up physician visit. Through physician -nurse collaboration across episodes of acute care.By assigning a buddy system among pairs of healthcare providers .Through a separate professional care team that includes only healthcare professionals.55. What are appropriate evaluation measures related to successful transitions of care ? Select all that applyEmotional and social domains of quality of lifeFunctional status Increased hospital visitsContinued insurance coverage All clinical indicators related to chronic conditions Exclusion of nursing – sensitive measures56 When transitioning care to another caregiver the nurse must assess through conversation and observation the receiving caregiver’s knowledge of basic principles of caring for chronically – ill older adults . What are the most important principles associated with transitioning care ?Select all that applyKnowing the brand names of medications Transitioning the patient’s belongings to the new setting Understanding transfer techniques that are safe for the patient as well as for the caregiver Preventing hazards of immobility , such as pressure ulcers57.With which health professionals is the nurse’s communication most critical in safe care transitions? Select all that apply Physician Pharmacist NutritionistPhysical therapist58. On a recent visit clinic, a patient’s physician changed her 40mg daily furosemide(Ladin) dose to 40mg doses on alternating days. The patient is an older adult with high blood pressure, venous ulcers, and diabetes.What is the greatest value of developing an evidence-based plan of care that is discussed with the patient, her family, and home health nurse prior to hospital discharge?Select all that applyIt Allows the home health staff to take control of the patient’s careIt positions the patient at the center of transition teamIt helps prevent a medication or treatment error after the transition back homeIt increases insurance payments to the hospital.59 Which model of transitional care uses a tool to identify clients who are at risk for adverse events after discharge ?Transforming Care at the Bedside Model ( TCAB ) Project Better Outcomes for Older Adults Through Safe Transitions ( BOOST ) Project Re -engineered Discharge (RED ) Guided Care Program60 Which model assures continuity across care settings? The guided care program The Care Transitions ProgramChronic care model Project BOOST ( Better Outcomes for Older Adults Through Safe Transition )61. 61 What are major principles of the End-of- Life Nursing Education Consortium ( ELNEC)? Select all that apply Trying to ascertain what the patient knows is too sensitive a process and can hasten death due to the stress involved Nurses should share information the patient wants to know , pausing frequently to check for understanding It is good to be direct about the process of dying so as not to frighten patients and their families It is important to get started by determining who the patient wants to be present in a conversation regarding wishes and preferences . 62. In order to assess resources needed to provide comprehensive end -of-life care , what do nurses need to understand that the focus of end -of -life care centers on ? Select all that apply Care that is consistent for all patients and families The most advanced chemotherapy , equipment , and other technology Interventions geared toward comfort rather than prolonged suffering Empowering patients living with a terminal illness and their families 63, Which federal law insists that the nurse should facilitate informed decision-making for clients making choices about end-of  life careBill of Rights Health Insurance Portability and Accountability Act ( HIPAA) American with Disabilities Act (ADA) Patient Self Determination Act (PSDA ) 64. What makes palliative care different from other modes of caregiving? Palliative care aims to extend life through complementary therapies . Palliative care aims to isolate the client from the family . Palliative care aims to provide hope to the client’s family . Palliative care promotes a graceful and natural death . 65. What is the priority nursing intervention for a client who has chronic myeloid leukemia and is very near death?Administer anticancer medications to the clientLimit the number of visitorsIncrease oxygen concentration delivered Reduce the pain in the client66. What would be considered passive euthanasia?Give a high does of morphine Avoiding administration of high dose of antibiotics to a client.Avoid atropine (atropen) to interventions fluid Avoiding nutrition and fluid client.67 Quality of life is influenced by the degree of symptom burden What accurately captures a realistic state of relief of symptom burden in a chronically ill older adult? Select all that apply Social well- being in terms of enjoyment of relationships A lifestyle free of painBeing able to once again do the activities that could be done prior to illness Physical strength that allows for meeting goals68 A nurse is providing hospice care to a 70-year-old client. The client’s caregivers tell the nurse that they want to submit a claim for hospice care insurance for the client. What should the nurse tell the client’s caregivers to do?” Obtain certification from the client’s healthcare provider that the client is likely to die within 6 months. ” ” Obtain a brief narrative of the clinical findings written by the nurse.”” Make sure to clear the client’s medical bills before you submit a claim for hospice care insurance..” Obtain age proof from the client’s primary healthcare provider because hospice care insurance is not offered for 70- year-old individuals .69. Which action may cause active euthanasia in a client? Giving the client high doses of phenobarbital ( Luminal)Removing oxygen therapy from the client Withholding of fluids and electrolytes from the client 70.Infusing 500 ml of lactate Ringer’s solution daily to the clientWhich intervention should a nurse follow to provide effective palliative care to a client with lung cancer? Referring the client to support groups Teaching the side effects of anticancer medications to the client Preparing the client for radiation therapy Administering anticancer medications to the client.71. A client who is experiencing severe pain during end – of- life care tells a nurse , “I do not want medication for pain ; I want to be awake when my family visits me . ” What is the best intervention that the nurse provides in this situation ? Instruct the client firmly that medicines are necessary for treatment Distract the client and administer the medication Administer the medication when the client wishes Administer medications as ordered72. A nurse at a long-term care facility is reviewing patient records. Which patient should this nurse determine is the most at risk for osteoporosis A 70-year-old female who is prescribed hormone replacement therapy A 67-year -old normal -weight female who is bed-bound A79-year-old underweight female with a 30-pack-a -year history of smoking A 65- year-old overweight female who drinks one alcoholic drink each day73. A 90-years-old, Hispanic male who speaks only Spanish is admitted to a nursing home earlier in the day at 4:am, he begins to cry loudly and continues to do so, even though his physical exam is normal The nurse and multiple members of night staff are unable to console the patient.They do not speak the patient’s language.How should this nurse help this patient while treating him with dignity and respect.Continue to sit with the patient until the day -shift charge nurse , who is fluent in Spanish , arrives at 6:00 am .When the charge nurse arrives , ask her to speak with the patient immediately .Call the patient’s son and so he may speak with his father to discover why is crying Draw pictures of basic needs , like toileting and drinking , for Mr. Garcia so he will be able to identify his need by pointing Call a medical translator service and facilitate a three -way discussion between the nurse , the patient , and a translator74 Which statement avoids the use of ” elder speak and ensures patients are treated with dignity and respect ? ” Sweetie , be a good girl and eat your breakfast . ” ” You’re going to take a walk now , right ? “”All right , honey ,now let’s get back to bed .” “Would you like to eat dinner now , Mr. Smith ? ” Health ScienceScienceNursingBSN C475Share Question