NUR 3650: PrepU Questions

An 80-year-old client has been a widower for several years and expresses concern about finding companionship. How will the nurse respond?

A. "I will be glad to contact a grief counselor for you."

B. "Overall, there are more single females your age than single males."

C. "With time, you will adjust to living independently."

D. "Most older males are satisfied living alone once they adjust to it."

B. "Overall, there are more single females your age than single males."

An older adult has begun writing paragraphs about significant events and the year they occurred. Which activity is this older adult creating?

A. Time Line

B. Life Map

C. Oral History

D. Tree of Life

A. Time Line

A nurse hears a colleague make the statement, "The majority of older adults have nothing to worry about financially." Which response is most appropriate?

A. "This is not really true now, but it is true that the gaps that disadvantaged groups live with are expected to shrink."

B. "Adults aged 85 and older are more likely to live in poverty than the younger older adult aged 65 through 74 years."

C. "This is true for some groups but not for minorities, who are less likely to be living with their relatives."

D. "The number of older adults living below the poverty line is increasing, not decreasing."

B. "Adults aged 85 and older are more likely to live in poverty than the younger older adult aged 65 through 74 years."

An older adult's family member expresses concern about their parent's increasing difficulty swallowing. What is the nurse's best action?

A. Provide the client's favorite foods.

B. Instruct the client to increase fluid intake with meals.

C. Encourage having two larger meals per day rather than three smaller meals.

D. Inform the client to nap after meal times.

B. Instruct the client to increase fluid intake with meals.

An expensive anti-hypertensive medication is prescribed for an older adult. The gerontological nurse should suggest the client apply for which type of insurance coverage to cover the cost of medication?

A. Medicare Part A

B. Medicare Part D

C. Medicare Part B

D. Social Security

B. Medicare Part D

Which dietary recommendations should the nurse suggest for older adults?

a. Supplements such as bee pollen, and ginseng are recommended in increased doses.

b. A good diet will eliminate the ill effects of aging.

c. Emphasis should be placed on the quality as well as quantity of foods.

d. Increase intake of cholesterol containing meats and proteins to promote neurological health.

c. Emphasis should be placed on the quality as well as quantity of foods.

The nurse knows that which statement is accurate about the subsets of the older adult population today?

a. The health care challenges of the youngest-old and oldest-old groups can vary greatly.

b. Standardized care plans are appropriate for the older adult population.

c. Same or similar interests are usually found in all categories of older adults.

d. All persons over age 65 are grouped together under the category of "older adults."

a. The health care challenges of the youngest-old and oldest-old groups can vary greatly.

The nurse has been facilitating an older adult client's attempts to engage in a life review. What statement by the client demonstrates the effectiveness of this activity?

a. "I want to live as long as I possibly can."

b. "I may have not got it all right, but I did the best I could."

c. "I am going to spend time learning to use a smart phone."

d. "I was the most successful among all my siblings."

b. "I may have not got it all right, but I did the best I could."

An older adult who appears thin and emaciated with little subcutaneous fat is admitted to the geriatric unit. What is the priority safety concern for this client?

a. Decreased bone mass

b. Decreased stature

c. Decreased skinfold thickness

d. Increased chance of hypothermia

d. Increased chance of hypothermia

A nurse cares for an older adult client with type 1 diabetes mellitus and scleroderma, whose current hospital admission is prompted by an exacerbation of chronic renal failure. Which action by the nurse emphasizes the goal of client wellness?

a. Discuss with the client that the exacerbation occurs because of lack of adherence to diet.

b. Teach the client that health problems do not have to affect daily routines.

c. Explore the client's abilities and strengths.

d. Discuss the possibility of a kidney transplant with the client.

c. Explore the client's abilities and strengths.

A diabetes educator is providing care for an older adult client who is a regular client of the hospital's outpatient diabetes clinic. Which assessment question most clearly addresses this client's potential for optimal function?

a. "How can we help you to take ownership of your own health?"

b. "Is there anything that you are doing that might be exacerbating your diabetes?"

c. "What are some goals that you have for maximizing your level of wellness?"

d. "How long do you think that you will be able to live independently?"

c. "What are some goals that you have for maximizing your level of wellness?"

The nurse recognizes that which statement is true about older adults?

a. Age identity is the term to denote the years a person has lived since birth.

b. Perceived age is a poor indicator of individual health status.

c. Functional age describes physical, psychological, and social aspects of aging.

d. Chronological age describes how a person estimates one's age based on appearance.

c. Functional age describes physical, psychological, and social aspects of aging.

What is the best nursing action to implement for the client who has presbycusis?

a. Check for cerumen impaction before audiometry.

b. Ensure hot water temperature is set a safe level.

c. Teach signs and symptoms of urinary tract infection.

d. Advise client to avoid excessive food intake.

a. Check for cerumen impaction before audiometry.

Which source of income is the older adult most likely to use to finance daily activities?

a. Investments

b. Pension plan

c. Social security

d. Part time employment

c. Social security

Which is a true statement regarding health care and long-term care spending for older adults?

a. Most of the Medicaid budget is spent on long-term care.

b. The average length of hospital stays decreases with increasing age.

c. Budget deficits are currently decreasing today.

d. Revenue is currently increasing in today's health care system

a. Most of the Medicaid budget is spent on long-term care.

A nurse interviews a centenarian while gathering data for a large study. In the interview, the centenarian says, "You are only as old as you feel; some days I feel like I am 50." To which definition of aging does this response correspond?

a. chronologic aging

b. functional aging

c. subjective aging

d. successful aging

c. subjective aging

Which older adult is most likely to have experienced the death of a spouse?

a. 83-year-old woman

b. 67-year-old woman

c. 75-year-old man

d. 68-year-old man

a. 83-year-old woman

Which statement by the older adult indicates a need for further teaching?

a. "My limited range of motion may be due to deterioration in my joints."

b. "I must discontinue exercise for safety."

c. "My calcium intake is still important at my age."

d. "My height is decreasing as my spine length goes down."

b. "I must discontinue exercise for safety."

When reviewing theories of aging, the nurse should recognize which accurate explanation?

a. Most theories focus on achieving eternal youth.

b. Biological theories of aging best explain the aging process.

c. No single known factor causes or prevents the aging process.

d. Studying the aging process can eliminate the negative consequences of aging.

c. No single known factor causes or prevents the aging process.

An older adult client with a history of hyperlipidemia and hypertension is grieving the recent loss of a spouse of 40 years. What is the nurse's best recommendation to this client's family?

a. Cardiac rehabilitation

b. Transition to assisted living

c. Change to the medication regimen

d. Frequent observation and contact with others

d. Frequent observation and contact with others

The nurse is changing the dressing on a large wound. The client is very calm and quiet and does not make eye contact with the nurse. What is the nurse's best action?

A. Suggest the client pray while packing the wound.

B. Ask client to rate the pain level on 0 to 10 scale.

C. Tell the client it's okay to cry or be uncomfortable.

D. Proceed with the dressing change.

B. Ask client to rate the pain level on 0 to 10 scale.

The nurse expects which laboratory tests to be ordered when an older adult client is being assessed for menopausal symptoms? Select all that apply.

A. Follicle-stimulating hormone (FSH)

B. Luteinizing hormone (LH)

C. Liver panel

D. Thyroid function panel

E. Testosterone levels

A. Follicle-stimulating hormone (FSH)

B. Luteinizing hormone (LH)

D. Thyroid function panel

E. Testosterone levels

The nurse is caring for an older adult client with a history of diabetes and hypertension who had a myocardial infarction 2 months ago. The client has recovered to the point that they are able to climb up two flights of stairs, but the client and spouse have not resumed sexual relations. The client states having sexual desires and not knowing why they are having problems achieving an erection. What action will the nurse take first?

A. Determine if the client or spouse has any fears about the client's heart.

B. Review the list of current prescribed and over-the-counter medications.

C. Refer the client for evaluation and treatment for erectile dysfunction.

D. Instruct the client about the Mediterranean diet and glycemic control.

B. Review the list of current prescribed and over-the-counter medications.

The nurse is discussing the benefits of meditation with a client's family and should mention which information? (Select all that apply.)

A. Improved cognition

B. Stress reduction

C. Increased self-esteem

D. Decreased discomfort

E. Decreased blood glucose levels

A. Improved cognition

B. Stress reduction

C. Increased self-esteem

D. Decreased discomfort

Two residents of a long-term care facility are both physically frail but cognitively healthy. Last night, the nurse at the facility discovered the residents in bed together and engaging in foreplay. How should care providers respond to these residents?

A. Teach the residents about sexual health promotion.

B. Have each resident assessed to ensure that the relationship is medically safe and appropriate.

C. Accommodate the residents' relationship and provide them with appropriate privacy.

D. Ensure that each resident's family members are aware of this development.

C. Accommodate the residents' relationship and provide them with appropriate privacy.

Which is an appropriate goal for an older adult client to indicate normal sexual function?

A. Experiences no vaginal dryness

B. Decreased time for partner to achieve erection

C. Expresses sexual satisfaction

D. Achieves two orgasms per week

C. Expresses sexual satisfaction

The nurse is caring for an older adult resident admitted to a skilled nursing facility. The resident is from a different culture than the nurse. Which action(s) will assist the nurse to provide culturally competent care? Select all that apply.

A. Ascertain how the resident self-manages chronic illnesses.

B. Read about the client's culture and use it as the main guide for nursing care.

C. Assess the resident's cultural needs as it relates to food choices, religious beliefs, and traditions.

D. Provide health information guides with large pictures.

E. Ask the resident how they identify and would like to be addressed.

A. Ascertain how the resident self-manages chronic illnesses.

C. Assess the resident's cultural needs as it relates to food choices, religious beliefs, and traditions.

E. Ask the resident how they identify and would like to be addressed.

A nurse plans culturally competent care for a variety of clients being seen at the clinic. Which client has the greatest health inequity?

A. Client who identifies as a member of the LGBTQ community and is beginning a transition process with hormone therapy, with no known risk factors for the treatment

B. Client who immigrated from another country and lives in an apartment and, while working as a full-time carpenter, injured their hand and needed several stitches

C. Older adult client with heart disease and hypertension living below poverty level who reports not taking their medications because they need to buy food

D. Older adult client who lives in the city and walks to get groceries and supplies three blocks from their home but recently fell on an uneven sidewalk and has a bruised knee

C. Older adult client with heart disease and hypertension living below poverty level who reports not taking their medications because they need to buy food

An older adult couple tells the nurse they are concerned their sexual desire for one another will be threatened as they continue to age. What is the nurse's best response?

A. "Masturbation is a safe alternative we can discuss as desire will likely diminish."

B. "Most older adults do develop disinterest in and inability to engage in sex, and this is a normal age-related change."

C. "Sexual foreplay should be eliminated to increase your stamina for the physical act of sex."

D. "The general pattern of sexual behavior is basically consistent throughout life."

D. "The general pattern of sexual behavior is basically consistent throughout life."

The nurse is caring for a 54-year-old client. What recent change in health status most clearly indicates menopause?

A. Absence of menstrual periods for at least 12 consecutive months

B. Low testosterone levels occurring due to stress and weight gain as the client ages

C. Sudden onset of missed periods following decreased progesterone levels

D. Low estrogen levels that result in emotional changes

A. Absence of menstrual periods for at least 12 consecutive months

An older client is instructed to remove a large religious necklace before surgery. The client states that the divine may forsake them if they are not wearing the necklace. What is the nurse's best action?

A. Remind the client that the necklace is a symbol, and not the true basis of spirituality.

B. Suggest sending the necklace home with family for safekeeping.

C. Allow the client to wear the necklace until leaving the holding area.

D. Perform a focused spiritual assessment.

C. Allow the client to wear the necklace until leaving the holding area.

An older client tells the nurse they are concerned that they won't be able to remain intimate with their spouse due to erectile dysfunction. What is the nurse's best response?

A. "People have very different definitions of intimacy."

B. "Sexuality includes warmth, caring, and sharing between people."

C. "Both of you will experience less desire over time and will adjust."

D. "All clients experience loss of sexual response."

B. "Sexuality includes warmth, caring, and sharing between people."

The nurse knows that which developmental task described by Erikson applies to older adulthood?

A. Generativity versus Stagnation

B. Integrity versus Despair

C. Intimacy versus Isolation

D. Identity versus Role Confusion

B. Integrity versus Despair

A gerontological nurse is providing care for an older adult female client who reports varied changes to their sexual functioning. When planning an assessment, the nurse should anticipate what most likely factor?

A. Environmental factors

B. Spiritual factors

C. Hormonal factors

D. Psychosocial factors

C. Hormonal factors

An older couple who are residents in different halls at a nursing home and require the same levels of care have formed a new relationship and ask to live together. What is the charge nurse's best action?

A. Arrange for the two clients to share a room.

B. Designate a time when one client's door could be locked during the day.

C. Suggest alternative, non-physical forms of intimacy.

D. Offer supervised visitation for one hour every day.

A. Arrange for the two clients to share a room.

An older adult client states that after a date of dinner and drinks, they were unable to achieve orgasm. The client states, "I guess I'm just too old to date and have a relationship." What is the nurse's best assessment question?

A. "Did you eat a lot of red meat?"

B. "Did you consume a very large meal?"

C. "Were you drinking plenty of water at dinner?"

D. "How much alcohol did you consume?"

D. "How much alcohol did you consume?"

An older adult expresses remorse for a past indiscretion. What is the nurse's best response?

A. "There is nothing you can do to change the past."

B. "Forgiving yourself has many benefits, including your health."

C. "Thinking about the past can cause unnecessary stress."

D. "There is a bridge group meeting this evening you could attend."

B. "Forgiving yourself has many benefits, including your health."

An older adult client has suffered traumatic injuries and is going into kidney failure. The client is still lucid and states, "I hope God forgives me before it's too late for me." The client's spouse tells the nurse, "My spouse must be talking out of mind, because we are both atheists." What is the nurse's best action?

A. Obtain the spouse's permission to call clergy

B. Tell the spouse that most people feel the same when seriously injured

C. Offer a clergy visitation to the client

D. Remind the client about being an atheist

C. Offer a clergy visitation to the client

The nurse is explaining a medical procedure to an older adult client. How should the nurse interpret and act on the client's quiet demeanor and nodding of the head?

A. Expect the client to respond to the information.

B. The client demonstrates full understanding of the procedure.

C. Ask the client to sign the informed consent.

D. Ask the client if there are any questions.

D. Ask the client if there are any questions.

An older adult reports not being able to perform sexually. When the nurse reviews the client's medication list, which drug(s) will the nurse identify as a potential cause? Select all that apply.

A. Metoprolol

B. Ezetimibe

C. Clopidogrel

D. Acetylsalicylic acid

E. Lisinopril

A. Metoprolol

E. Lisinopril

The nurse suggests that an older client skip attending a planned teaching session. What did the nurse assess to make this clinical decision?

A. Hearing about the death of a close friend

B. Takes pain medication every 4 hours

C. Attended physical therapy a few hours ago

D. Finished lunch in time to watch a television show

A. Hearing about the death of a close friend

An older adult client is admitted to a long-term care facility because of the progression to the moderate stage of Alzheimer disease. How should the nurse proceed with functional assessment?

A. Perform assessment passively by observing and recording the client's behavior and actions over the next several days.

B. Use an assessment tool that is designed for use with clients experiencing cognitive impairment.

C. Document the fact that it is not possible to gauge the client's activities of daily living (ADLs).

D. Obtain assessment data from the client's family members and friends.

B. Use an assessment tool that is designed for use with clients experiencing cognitive impairment.

An older adult demonstrates the ability to use the stove and microwave to prepare their own meals at home though the process takes them a long time. What is the nurse's next best action?

A. Contact the local Meals on Wheels community program.

B. Refer client to an adult day care service.

C. Arrange for a caregiver to be present during meal preparation.

D. Reinforce the client's capability for self-care.

D. Reinforce the client's capability for self-care.

What is the best approach for the gerontological nurse to advance the body of knowledge in this field of nursing?

A. Networking with nurse researchers

B. Affirming past beliefs

C. Trial and error of nursing actions

D. Focusing on literature reviews

A. Networking with nurse researchers

An older adult client is admitted to the nursing home. What aspect of this client's health status is most likely to pose a risk to nutrition?

A. Dementia

B. Hypertension

C. Osteoporosis

D. Occasional constipation

A. Dementia

A nurse conducts a functional assessment on a client who has moved to the assisted living facility. Which statement best describes this functional assessment?

A. Information on the client's medical diagnoses and health problems.

B. Evaluation of the client's ability to perform self-care tasks with a focus on rehabilitation.

C. Assessment of the client's activities of daily living (ADLs).

D. Prioritization of the client's ability to perform roles in relationships and in society.

B. Evaluation of the client's ability to perform self-care tasks with a focus on rehabilitation.

As part of a functional assessment, a nurse is assessing an older adult client's activities of daily living (ADLs) and instrumental activities of daily living (IADLs). Which assessment finding is an IADL?

A. The client can feed oneself independently.

B. The client is able to clean and maintain an apartment.

C. The client can dress in the morning without assistance.

D. The client is able to ambulate to and from the bathroom at home.

B. The client is able to clean and maintain an apartment.

A nursing home resident is experiencing prolonged grief and depression after the death of a spouse one year ago. Which gerontological nursing specialist would be of greatest assistance for this resident?

A. Geropsychiatric nurse

B. Director of the health care center

C. Owner of a respite agency

D. Retirement counselor

A. Geropsychiatric nurse

An organization is planning to implement a gerontological care wing in a facility. Which standards should be used to guide the expectations for staff hired to care for the gerontological client?

A. Nurse practice act

B. ANA Scope and Standards of Practice for Gerontological Nursing

C. The Joint Commission

D. State board of nursing rules and regulations

B. ANA Scope and Standards of Practice for Gerontological Nursing

A nurse assesses multiple older adult clients. Which situation demonstrates the effect of physical environment on the older adult client?

A. A resident at an assisted living community requires care for emphysema that resulted from a 70-year history of cigarette smoking.

B. A hospital client develops Clostridioides difficile-related diarrhea because a care provider did not perform adequate handwashing.

C. An older adult client cannot afford a wheeled walker and suffers a fall while trying to ambulate using a cane.

D. A resident of a care facility experiences a fall because there are no grab bars outside the bathtub.

D. A resident of a care facility experiences a fall because there are no grab bars outside the bathtub.

The nurse plans an educational session for family caregivers. What should the nurse consider when planning this program?

A. Clearly articulate all medical words

B. Prepare adequate material to provide a quality lecture

C. Strategize ways to engage the learners in the program

D. Use blue or green paper to print directions

C. Strategize ways to engage the learners in the program

During lunch a group of nurses relate events that occurred while attending school. What behavior is being demonstrated by these nurses?

A. Connecting with self

B. Engaging in self-actualization

C. Sharing life stories

D. Validating nursing actions

C. Sharing life stories

A nurse recognizes the need for improved self-care. The nurse can best demonstrate a connection with self by:

A. Conducting a detailed and honest self-appraisal.

B. Pursuing meaningful relationships with peers.

C. Asking colleagues for input and guidance.

D. Reaffirming their commitment to clients' well-being.

A. Conducting a detailed and honest self-appraisal.

The nurse prepares to teach a group of older community members about ways to promote home safety. What should the nurse keep in mind when teaching these older adults? Select all that apply.

A. Avoid medical jargon

B. Provide handouts printed on blue paper

C. Use different teaching methods

D. Speak on a level that is easily understood

E. Assess readiness to learn the material

A. Avoid medical jargon

C. Use different teaching methods

D. Speak on a level that is easily understood

E. Assess readiness to learn the material

What type of holistic nursing intervention is the nurse demonstrating when teaching simple exercises to prevent complications for the client who is not tolerating movement and activity?

A. Doing for

B. Acting for

C. Strengthening self-care capacity

D. Minimizing self-care limitation

C. Strengthening self-care capacity

While completing a home health assessment, the nurse discovers that this older adult enjoys sitting alone on the porch while enjoying nature. What is the nurse's best initial action?

A. Suggest a more stimulating activity such as a craft.

B. Ask the older adult about the adjustment to being alone.

C. Encourage the older adult to attend church.

D. Recommend the client consider moving to assisted living.

B. Ask the older adult about the adjustment to being alone.

The nurse writes in a journal every evening before going to sleep. What is the advantage of using this self-care technique?

A. Documents the nurse's life story

B. Reminds what needs to be done the next day

C. Helps work through issues

D. Highlights events that occurred during the day

C. Helps work through issues

When assisting an older adult to compensate for poor vision, which nursing interventions are appropriate? (Select all that apply.)

A. Read to the client.

B. Place a throw rug next to client's bed.

C. Initiate an ophthalmology referral.

D. Place eyeglass cleaning solution in cup at bedside within reach.

E. Use large print labels and color coding.

A. Read to the client.

C. Initiate an ophthalmology referral.

E. Use large print labels and color coding.

A nurse completes a physical assessment, orders a bone density scan, and prescribes a calcium supplement for an older client. The interventions are within which nurse's scope of practice?

A. Quality improvement nurse

B. Certified gerontological nurse

C. Gerontological advanced practice nurse

D. Geriatric clinical team leader

C. Gerontological advanced practice nurse

The gerontological nurse practitioner prepares teaching material about home safety for an older client. Which standard of practice is the nurse implementing with this activity?

A. Health teaching and promotion

B. Outcome identification

C. Planning

D. Prescriptive authority and treatment

A. Health teaching and promotion

An older client agrees to an experimental medication to treat a disease because of a family member working for the pharmaceutical company. Which action is the best for the nurse to take at this time?

A. Explain that there is no guarantee that the medication will be effective

B. Perform a complete neurologic assessment since the client's decision is not appropriate

C. Suggest another route instead of taking the risk with an experimental medication

D. Ask if the client feels obligated to take the medication

D. Ask if the client feels obligated to take the medication

Restraint use has been deemed necessary to keep an older adult client from removing a central line and bleeding out. The family of the client refuses to allow the use of wrist restraints. What is the nurse's first action?

A. Contact the health care provider to speak to the family.

B. Ask the family to sign a release of liability statement.

C. Request that the family wait in the visitor's area in the hallway.

D. Provide counseling to educate the family on restraint use.

D. Provide counseling to educate the family on restraint use.

While the nurse is providing education during end-of-life care to an older adult client, a family member states, "Can't you see my loved one is sick? This information is too much." What is the nurse's best response?

A. "I am required to provide this information so that you can make informed health care decisions."

B. "Only your loved one can decide whether the information is too much at this time."

C. "Tell me what is making you upset about this information."

D. "Tell me how I can best share this information with you and your loved one."

D. "Tell me how I can best share this information with you and your loved one."

A travel nurse takes a position in a hospice center in the District of Columbia. This nurse recognizes which as true of living wills in that setting?

A. The District of Columbia monitors active living wills.

B. Living wills are not valid because the District of Columbia is not a state.

C. The living will legally assures that the client's preferences are considered.

D. The scope and details of a living will do not vary across states.

C. The living will legally assures that the client's preferences are considered.

An older adult client needs a medication that is not available on the unit. The pharmacist is currently not available. The health care provider insists that the nurse obtain the medication from the pharmacy. What is the nurse's best action?

A. Tell the health care provider it's necessary to wait until the pharmacist returns.

B. Be sure to label the medication with the nurse's name.

C. Obtain the medication due to the need.

D. Delegate retrieval of the medication to the unlicensed assistive personnel (UAP).

A. Tell the health care provider it's necessary to wait until the pharmacist returns.

An older adult client is unsure which type of power of attorney they have, but reports that it was done to identify an adult child as the health care surrogate. The nurse recognizes this is likely which document?

A. Full power of attorney

B. Fiduciary power of attorney

C. Durable power of attorney

D. Limited power of attorney

C. Durable power of attorney

A gerontological nurse allows an unlicensed assistive personnel (UAP) to practice starting intravenous lines, even though this task is outside the assistant's scope of practice. The nurse can be held liable if a client develops complications according to which doctrine?

A. Breach of guardianship

B. Respondeat superior

C. Breach of confidentiality

D. Informed consent

B. Respondeat superior

An adult child tells the nurse that the client should receive a specific treatment for a health problem even though the client has refused the treatment in the past. What should the nurse do in this situation?

A. Discuss the treatment decision with the client.

B. Agree with the adult child's opinion.

C. Recommend the adult child talk with the health care provider.

D. Ask the health care provider to prescribe the treatment.

A. Discuss the treatment decision with the client.

The nurse is preparing to meet with a client to discuss advance directives. How will the nurse facilitate this discussion? Select all that apply.

A. Listening to the concerns of all involved

B. Providing information on rights and statutes

C. Determining the eligibility for hospice care as needed

D. Acting as liaison with other health care providers

E. Addressing questions about care options

A. Listening to the concerns of all involved

B. Providing information on rights and statutes

D. Acting as liaison with other health care providers

E. Addressing questions about care options

The nurse mistakenly connects a client's tube feeding to the intravenous line. The client consequently dies as a result of the nurse's action. Which conditions are present in this scenario to prove that a negligent act occurred? Select all that apply.

A. Assault

B. Duty

C. Negligence

D. Battery

E. Injury

B. Duty

C. Negligence

E. Injury

The team leader reviews client needs with team members after morning report. For which situation might the leader be held liable through respondeat superior?

A. UAP logroll a client recovering from spinal surgery

B. Licensed practical nurse (LPN) ambulates a client with a chest tube

C. Unlicensed assistive personnel (UAP) turns off an intravenous infusion to change a client's gown

D. LPN performs tracheostomy care on a client recovering from radical neck surgery

C. Unlicensed assistive personnel (UAP) turns off an intravenous infusion to change a client's gown

The attorney for a health care organization is researching a situation in which a client died after receiving a medication. Which criteria must exist before the action can be viewed as being malpractice? Select all that apply.

A. Justice

B. Negligence

C. Injury

D. Duty

E. Autonomy

B. Negligence

C. Injury

D. Duty

An older client says, "My youngest child has durable power of attorney." For which reason should the nurse consult with the child?

A. Client becomes unconscious

B. Obtain consent for the client to receive blood products

C. Discuss the client's bill that needs to be paid before discharge

D. Sign the consent for the client's surgery

A. Client becomes unconscious

A home health aide takes the Hoyer lift from a client's home to give to another client because the owner of the device is bedridden. Which act of liability did the home health aide commit?

A. Larceny

B. Assault

C. Negligence

D. Fraud

A. Larceny

A client says that "one health care provider" described a surgical procedure differently than the "second health care provider" who came into the room to talk about anesthesia. The client is now confused and does not want to sign the consent form. Which approach is the best for the nurse to take?

A. Prepare the client for the surgery without consent

B. Ask the anesthesiologist to talk with the client

C. Explain the procedure to the client

D. Ask the surgeon to talk with the client

D. Ask the surgeon to talk with the client

What advice should a gerontological unit manager give to a new staff nurse regarding the legal aspects of practice?

A. "Nurses are only obligated to practice according to voluntary standards."

B. "Private laws govern relationships between private parties and the government."

C. "Familiarize yourself with individual state laws, because they may vary."

D. "The laws associated with this specialty of practice are public laws."

C. "Familiarize yourself with individual state laws, because they may vary."

A staff nurse is against an employment policy change because it provides no personal benefit. Which ethical philosophy is this nurse demonstrating?

A. Relativism

B. Utilitarianism

C. Absolutism

D. Egoism

D. Egoism

The nurse is caring for a client at a skilled nursing facility who has just sustained a serious fall. The nurse reviews the physician order for life-sustaining treatment in place for this client and considers which action?

A. Do not inform the client that such an order is in place.

B. Include copy of this order with client at transfer.

C. Call the health care provider to obtain an order to transfer the client.

D. Provide only facility-level emergency treatment.

B. Include copy of this order with client at transfer.

According to the ANA (American Nurses Association) Code of Ethics for Nurses, the nurse's primary commitment is to:

A. the good of the general public.

B. the profession.

C. the client.

D. continued professional growth.

C. the client.

A newly admitted client requests a bedside commode. However, Central Supply currently has none available. The nurse is aware of a bedside commode that was placed in the dirty utility room from a recently discharged client. What should the nurse do?

A. Explain to the client that there are no bedside commodes available at this time

B. Tell nursing assistive personnel to clean the used bedside commode

C. Take the used bedside commode to the client's room

D. Ask Central Supply to disinfect the used bedside commode for the client

D. Ask Central Supply to disinfect the used bedside commode for the client

A nurse is determining which client may benefit from home health services. Which client should the nurse recommend?

A. Needs reminders to complete breathing exercises independently.

B. Expresses anxiety about leaving the hospital environment.

C. Requires teaching and monitoring for new medications.

D. Reports occasional dizziness when using the bathroom.

C. Requires teaching and monitoring for new medications.

An older client presents to the clinic for a check on their blood pressure since starting new antihypertensive medications. During the visit, they voice concern over an increase in their homeowner's insurance rates. What is the nurse's best response?

A. Your blood pressure reading won't be accurate if you're upset.

B. You need to focus on your blood pressure right now.

C. You sound concerned about this rate increase.

D. Perhaps you could move in with your children.

C. You sound concerned about this rate increase.

Which nursing actions exemplify effective transitional care when caring for older adult clients? Select all that apply.

A. Identifying resources that can be used by the client for follow-up after the hospital stay

B. Contacting the receiving office regarding the client's plan of care and providing report

C. Telephone follow-up after discharge with a client to provide advice on symptom management

D. Assessing the cultural needs of the client and family prior to the introductory hospice care visit

E. Administering prescribed medications to control the client's symptoms during admission

A. Identifying resources that can be used by the client for follow-up after the hospital stay

B. Contacting the receiving office regarding the client's plan of care and providing report

C. Telephone follow-up after discharge with a client to provide advice on symptom management

D. Assessing the cultural needs of the client and family prior to the introductory hospice care visit

Which of the following are client factors that may influence an older adult's potential for admission to a long-term care facility? Select all that apply.

A. Incontinence

B. Legal obligations

C. Ability to perform activities of daily living

D. Cognitive impairment

E. Functional dependence

A. Incontinence

C. Ability to perform activities of daily living

D. Cognitive impairment

E. Functional dependence

The nurse documents "independent in all instrumental activities of daily living" in the medical record of an older client. What did the nurse observe the client perform in order to write this statement? Select all that apply.

A. Clean the kitchen

B. Take medication

C. Consume a meal

D. Use the telephone

E. Prepare a meal

A. Clean the kitchen

B. Take medication

D. Use the telephone

E. Prepare a meal

The family of a 90-year-old hospitalized client is worried about the client's recovery from a total hip replacement after a fall. Which action(s) will the nurse recommend the family take after discharge? Select all that apply.

A. Assist the client in taking the pain medication as prescribed

B. Assign a caregiver until the client is independent

C. Perform exercises for the client daily

D. Provide assistance when the client uses the toilet

E. Encourage regular mobility

A. Assist the client in taking the pain medication as prescribed

B. Assign a caregiver until the client is independent

E. Encourage regular mobility

When conducting a geriatric acute care seminar for the public, which information is most important to include about older adult care? Select all that apply.

A. Acute care hospitals play a minimal role in geriatric care.

B. Older adults have a longer length of hospital stay compared with other age groups.

C. Older adults have higher rates of hospitalization compared with other age groups.

D. Acute care hospitals play a significant role in geriatric care.

E. Older adults have lower rates of hospitalization compared with other age groups.

B. Older adults have a longer length of hospital stay compared with other age groups.

C. Older adults have higher rates of hospitalization compared with other age groups.

D. Acute care hospitals play a significant role in geriatric care.

The nurse is leading a meeting with the interprofessional health team to discuss actions to take to minimize common risks in the acutely ill older adult. Which information is most important to include on the meeting agenda? Select all that apply.

A. Recognizing the presence of atypical signs and symptoms

B. Avoidance of urinary catheterization

C. Referral to resources to promote self-care

D. Assurance of urinary catheterization

E. Client and family education

A. Recognizing the presence of atypical signs and symptoms

B. Avoidance of urinary catheterization

C. Referral to resources to promote self-care

D. Assurance of urinary catheterization

E. Client and family education

An older client is extremely anxious about an upcoming surgical procedure. What can the nurse do to help reduce this client's level of anxiety?

A. Explain everything that will happen and what to expect.

B. Explain that the procedure is minor and nothing ever goes wrong.

C. Ask the health care provider to prescribe a sedative.

D. Suggest talking with a counselor or member of clergy.

A. Explain everything that will happen and what to expect.

Which acute care nursing diagnosis related to surgery is associated with the aging client and fear of death or disability, lack of knowledge?

A. Activity intolerance

B. Excess fluid volume

C. Altered oxygen transport, pain

D. Anxiety

D. Anxiety

An older adult client admitted to a long-term care facility is crying and states, "All my life I worked so hard to buy a home and save money in hopes of leaving something for my two children. This nursing home costs so much, and in a short time, everything I own will be gone." Which statement by the nurse best addresses the financial reality and provides appropriate information?

A. "I am sure your children want you to be well-cared for and are not concerned with the money you saved."

B. "At least you have the assurance that once your money is gone, you will be eligible for Medicare Part D coverage."

C. "You may be eligible for financial assistance from the government, like Medicaid, once you have exhausted your assets to pay for care."

D. "Selling your home could be considered, but it may not cover all your needs, and other resources might be available."

C. "You may be eligible for financial assistance from the government, like Medicaid, once you have exhausted your assets to pay for care."

A nursing case manager monitors admissions into an acute care unit. Which client would be an appropriate candidate for in-home skilled nursing care?

A. A client who was admitted to the emergency department with a recent stroke

B. A client requiring twice-daily dressing changes for a coccyx wound

C. A client scheduled for hip replacement surgery tomorrow

D. A client with reoccurring urinary retention of unknown etiology

B. A client requiring twice-daily dressing changes for a coccyx wound

When explaining nursing home selection to the older client, which of the following is on the list as an important staff issue?

A. Temperature of food

B. Meal schedule

C. Availability of the nutritionist

D. Ratio of RN to LPN staff

D. Ratio of RN to LPN staff

Admission to long-term care is typically a result in a long series of health problems and functional limitations for a client. Which problem is most likely to precipitate admission to long-term care?

A. Kidney disease

B. Dementia

C. Chronic obstructive pulmonary disease

D. Traumatic injury

B. Dementia

Preoperative education of the older client includes which surgical expectation? Select all that apply.

A. Likely post-surgical medications

B. Post-surgical routines for dressing changes

C. Expectations around anesthesia

D. Recovery room procedures

E. High likelihood of iatrogenic complications

A. Likely post-surgical medications

B. Post-surgical routines for dressing changes

C. Expectations around anesthesia

D. Recovery room procedures

When conducting a presentation about interventions to improve functioning for older adult clients receiving rehabilitative care, the nurse includes which information? Select all that apply.

A. Proper positioning

B. Assistive technology

C. Mobility aids

D. Attitude and coping

E. Range-of-motion exercises

A. Proper positioning

B. Assistive technology

C. Mobility aids

E. Range-of-motion exercises

The nurse is assessing an older adult client and family for the functional consequences of caregiver burden. Which finding is consistent with this concept?

A. Client's spouse does not believe the client is ready for discharge

B. Client will be discharged to the home of the client's children

C. Client does not wish to be a burden on the family

D. Client's family states that they are unable to afford the client's medication

D. Client's family states that they are unable to afford the client's medication

When assessing an older adult client for potential risks related to hospitalization, the nurse should address what risks? Select all that apply.

A. Surgical errors

B. Pressure injuries

C. Delirium

D. Assault

E. Falls

B. Pressure injuries

C. Delirium

E. Falls

The nurse notes that an older adult client has difficulty swallowing a bolus of food when eating. Which suggestion will the nurse make to the health care provider based upon this observation?

A. Referral to a speech-language pathologist

B. Liquid diet

C. Nasogastric tube for enteral feedings

D. Parenteral nutrition

A. Referral to a speech-language pathologist

A client diagnosed with dysphagia has difficulty moving food from the mouth to the esophagus. Which instruction(s) would the nurse provide when teaching the client how to manage this disorder? Select all that apply.

A. Follow a bland diet.

B. Drink milkshakes or other thickened liquids.

C. Sit upright to avoid choking.

D. Include foods high in fiber.

E. Cut food into small bites.

B. Drink milkshakes or other thickened liquids.

C. Sit upright to avoid choking.

E. Cut food into small bites.