Nwaugo
1.What are major factors associated with an increasingly culturally…
1.What are major factors associated with an increasingly culturally diverse older population that affect successful communication? Select all that apply
A socioeconomic status and community surroundings.
B language skills that can help or hinder communication.
C literacy level, which is , however, only an issue in written communication.
D cultural background, which often influences meaning derived from communication.
2. which condition exhibits a psychological effect immobility
Inability to digest food
Inability to sit down
Inability to use assistive device
Inability to sleep at night
3.A client who is diagnosed with leukemia is undergoing counseling. The caregiver of the client tells the nurse, “My brother is not talking, eating, or sleeping properly these days; he says it is the end of his life, and he will not get well anymore.” Which intervention is most therapeutic for this client?
o ?Calming techniques
o ?Hope instillation
o Mutual goal setting
o Respite care
4.What is the major role of a nurse as a multidisciplinary member of palliative care?
o To act as an advocate for the family members
o To assist during housing and employer notifications
o To order medications and interventions for the treatment of the client
o To provide age-appropriate toys and environment for the client
5. A 68-year-old woman has multiple chronic illnesses, including type 2 diabetes, hypertension, hyperlipidemia, and severe osteoarthritis. She sees multiple healthcare providers and has a difficult time remembering what medications she takes
What should the primary nurse do first to provide the best care for this patient?
o Tell her to go home, write a list of all her medications, and then fax or text the list to the office
o Ask her to bring all the medications she is taking to her next appointment
o Review her profile on her state’s-controlled drug website to see if she is doctor shopping
o Call her pharmacy to get a list of recently filled medications, and update her chart
6.What is the reason for an increase in chronic conditions, despite improvements in technology?
o Technology application is a skill that is difficult to comprehend.
o Technology has no application in prenatal or neonatal care.
o Technology has helped to save lives with the help of better diagnoses and treatment options.
Technology has no role to play in treating chronic conditions
7.A nurse is caring for a terminally ill client and finds that the client has decreased blood pressure, a low respiration rate, yellowish pallor to the skin, and extreme paleness in the extremities.
Which nursing intervention should be included in the client’s care plan?
o Administering 250 mL of fluids to the client daily
o Giving the client fiber-rich food
o Giving the client phenobarbital (Luminal)
o Monitoring the client’s skin integrity
8.Which reaction should a nurse anticipate observing in a terminally ill client a few days before death?
o ?The client shouts and screams at family members.
o ?The client expresses a desire to eat.
o ?The client does not want to interact with family.
o The client cries frequently.
9.A terminally ill client is experiencing severe pain. The client tells the nurse, “I am unable to tolerate the pain. I want to pray and ask God to improve my health.”
What is the best nursing action in this situation?
o Allow the patient to pray to God.
o Explain the effectiveness of analgesics to the client.
o Offer to call the client’s family members.
o Teach guided imagery to the client.
10.Which intervention should a nurse follow while preparing to present the body of a deceased client to family members?
o Place a pillow under the head and shoulders
o Avoid tying a Kling under the chin and around the head
o Avoid removing the dressing carefully
o Place the client in prone position
10.Medicare is a federal public health insurance program for Americans 65 and over. Which group of health services does medicare cover. Select all that apply.
Short term home health and hospice care
Inpatient and outpatient services, primary, acute, and rehabilitative
Dental and vision
Long term care
11.After reviewing the medical records of a client, the nurse prepares a diet that includes small, low fat meals with medium chain triglyceride products and isotonic liquids in between meals. Whic condition did the nurse most likely find in the clients medical record
Crohns disease
Short term bowel syndrome
Inflammatory bowel syndrome
ileostomy
12.Which statement demonstrates that a nurse has a good understanding of morbidity and mortality to physical and chemical restraint
Pressure ulcers are caused by restraints used for more than 4 hours
The use of chemical restraint ensures the resident is a calm and safe
The use of physical restraint can have an adverse impact on functioning
Alternatives to physical restraint do not exist
13.While caring for a terminally ill client, a nurse finds that the client is taking a short series of long-spaced breaths and is unresponsive to touch and sound.
What is the initial nursing intervention in this situation?
o ?Providing mechanical ventilation
o ?Providing chest compressions
o ?Determining apical pulse
o ?Administering intravenous cardiotonic medication
14.Which statement made by the student nurse indicates a need for further teaching?
o ?Both transitional care nurses and guided care nurses focus on evidence-based care.
o ?Both transitional care nurses and guided care nurses work with clients with multiple co-morbidities.
o ?Both transitional care nurses and guided care nurses work toward increasing the caregivers’ abilities to care for the client.
o Both transitional care nurses and guided care nurses work with clients on a long-term basis.
15.In transitional care, what is the duration of patient engagement
From diagnosis through recovery
Within the last 6 months of life
Within 4 weeks of discharge
From hospital admission and follows the patient after discharge
16.A nurse is caring for a client with chronic illness who has recently been discharged from the healthcare unit. The nurse follows up with the client with one one home visit and phone calls for four weeks. The nurse teaches the client how to manage medications and personal health records, but avoids providing direct skilled care. Which transitional care model is the nurse following.
Guided care
Transitional care model
Transforming care at the bedside model
Care transition program
