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Quiz by Brittany

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61 questions
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  • Q1
    A nurse manager justifies the budget for education regarding cultural competency for the staff. Which of the following justifications will best support the need for this education?
    The proportion of health care consumers who are minorities continues to increase.
    Nurses have a moral obligation to achieve cultural competency with all cultural groups.
    Life expectancies among minorities are expected to increase while those among non-Hispanic whites are expected to decrease.
    Government and health care organizations support the need for culturally competent care.
  • Q2
    A nurse is using the Functional Consequences Theory as a lens for planning client care in a health care facility. Which of the following is a key element of this nursing theory?
    Wellness is a concept that is broader than just physiologic functioning.
    Most problems affecting older adults may be attributed to age-related changes.
    The Functional Consequences Theory is an alternative to holistic nursing care.
    Most functional consequences cannot be addressed through nursing interventions.
  • Q3
    A nurse is working with a 79-year-old client newly diagnosed with osteoporosis. Which of the following interactions promotes achievement of wellness outcomes?
    The nurse plans interventions in light of the body–mind–spirit interconnectedness of the client.
    The nurse teaches the client about bone density in older women and the role of vitamin D and calcium intake.
    The nurse teaches the client about how her risk factors are a consequence of age.
    The nurse performs strength and mobility training appropriate to the client's age and diagnosis.
  • Q4
    A 77-year-old client was put on broad-spectrum antibiotics when hospitalized for sepsis. The client has a history of rheumatoid arthritis and a recurring problem with pneumonia. Which of the following theories best explains why the client has had these issues?
    Genetic theory
    Free radical theory
    Wear-and-tear theory
    Immunity theory
  • Q5
    The child of an 81-year-old client asks the nurse about vitamins, antioxidants, and age-related macular degeneration. Which of the following theories of aging is most appropriate to this topic?
    Program theory
    Free radicals theory
    Program theory
    Free radicals theory
  • Q6
    A 74-year-old client has recently begun integrating more fresh fruit and vitamin supplements in an effort to increase the levels of antioxidants. This client's actions indicate an understanding of what theory of aging?
    Cross-linkage theory
    Program theory of aging
    Free radical theory
  • Q7
    A nurse who works with older adults is teaching a colleague about the similarities and differences between gerontology and geriatrics. Which of the following questions best conveys the focus of gerontology?
    "How can we help older adults maintain wellness as they age?"
    "How can we reduce the incidence of falls among older adults who live in care facilities?"
    "How can we secure more funding for research and development of drugs specifically for older adults?"
    "How can we teach older adults about the relationship between their lifestyle and their health?"
  • Q8
    Despite the fact that older adults are proportionately the highest users of health care services, many nurses harbor misconceptions and deficits in practice related to gerontological nursing. What is the most likely solution to this problem?
    A shift from the treatment of older adults in institutional settings to home care
    A focus on early discharge planning for older adults in hospital settings
    Increased use of aggressive pharmacologic interventions in the treatment of acute illnesses in older adults
    Increased nursing education and clinical experience specific to working with older adults
  • Q9
    A nurse assists an older adult who is homebound in a rural area. Which community resources might this client best benefit from?
    Senior center
    Grocery delivery
    Personal emergency response system
    Skilled home nursing
  • Q10
    An 84-year-old client has been living in an assisted living facility for several years but is now faced with the prospect of relocating to a nursing home. Which of the following characteristics of the client's current situation is most likely to prompt this move?
    A decrease in the client's level of function and activities of daily living (ADLs)
    A change in the level of the client's social support
    Exacerbation of a chronic health problem that may require medical treatment
    The development of a severe, acute health problem
  • Q11
    A nurse at a long-term care facility completes a minimum data set on each client. Which of the following categories are included in this assessment/plan of care? (Select all that apply.)
    Family support
    Cognitive patterns,Communication and hearing patterns,Mood and behavior patterns, Psychosocial well-being
    Finacial assistance
  • Q12
    A nurse initiates an acute care for elders unit in a medical facility. Which of the following factors should the nurse include when teaching the nursing staff about delivering medications to the older adults on the unit?
    "Overall, I much prefer to prevent getting sick than having to rely on different drugs to stay healthy."
    "I use a lot of herbs and supplements, but I'm careful to make sure that they're all natural."
    "I've made a reminder system for myself so that I don't miss any of my pills during the day."
    Older adults face an increased risk of adverse medication effects.
  • Q13
    A nurse is conducting a medication assessment of an older adult. Which of the statements by the older adult indicates a need for further education?
    "I've made a reminder system for myself so that I don't miss any of my pills during the day."
    "Overall, I much prefer to prevent getting sick than having to rely on different drugs to stay healthy."
    "My family doctor has me on so many different pills now, so I want to talk about whether they're all necessary."
    "I use a lot of herbs and supplements, but I'm careful to make sure that they're all natural."
  • Q14
    A nurse reviews the medication list of an older adult. Which of the following age-related changes leads to a slower drug clearance?
    Elimination half-time is likely to be faster.
    Decrease in hepatic blood flow
    Increase in glomerular filtration rate
    Increase in sensitivity to bioactive substances
  • Q15
    Having completed a medication assessment and physical assessment of a new client, a home care nurse is now creating nursing diagnoses and choosing interventions appropriate to these diagnoses. What factor should the nurse prioritize in this process?
    The importance of fostering patient compliance
    The importance of the patient's safety
    The need to maintain the client's autonomy
    The nurse's responsibility to teach the patient and minimize liability

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