An 81-year-old female client was diagnosed 1 year ago with Alzheimer's disease following a noticeable increase in confusion. She now possesses a durable power of attorney.
Which of the following statements most accurately conveys an aspect of this legal arrangement? A) The parameters of the arrangement must be revisited if the client's condition declines.
B) The arrangement was most likely initiated by court order for a government conservator.
C) The client appointed someone to take care of her affairs in the event that she becomes incompetent.
D) The family has control of logistical arrangements for the client but must gain court permission around financial affairs.
Question 2Which of the following older adults is most likely to benefit from the administration of anti-inflammatory drugs?
A) A 72-year-old person with osteoarthritis
B) A 78-year-old client with gout
C) A 71-year-old client with rheumatoid arthritis
D) An 80-year-old person with osteoporosis
Question 3The nurse teaches exercises to a client who has had surgical repair of a fractured hip. Because the client's ability to exercise is limited, which of the following activities is most appropriate?
A) Scissorlike crossing of the legs
B) Circle arms and flex and extend feet
C) As little exercise as possible for now
D) Rolling from side to side in bed
Question 4A nurse is providing care for an older adult client who has been admitted to the hospital with liver cirrhosis.
The client has expressed to the nurse his concerns that the details of his condition and treatment remain confidential, and that written documentation not get out there.. How can the nurse best respond to the client's concerns? A) Anything that is discussed between us is confidential and will not be shared with anyone else..
B) The Health Insurance Portability and Accountability Act ensures that your medical records will not leave this hospital..
C) Provided you signed a directive on admission, your records will not be made public..
D) The law protects your right to confidentiality and health information from being released into unintended hands..
Question 5At 65 years of age, a client is starting to exercise again after 10 years of inactivity. Which of the following is most appropriate for this client to include in starting the program?
A) Strength training rather than aerobic activity, and periodic monitoring of vital signs and symptoms.
B) A physical exam and a focus on walking at least three times a week.
C) A physical exam, physical activities that match the client's mental abilities, and monitoring of vital signs after each workout.
D) A physical exam, physical activities that match the client's interest and ability, and monitoring of vital signs and symptoms at various activity levels.
Question 6Which serum test would a physician order if jaundice was suspected?
a. Cardiac enzymes
b. Liver enzymes
c. Total bilirubin
d. Complete blood count
Question 7An investigation into reports of substandard care on the subacute geriatric unit of a hospital has been undertaken. Which of the following events are representative of malpractice on the part of the nursing staff? Select all that apply.
A) A client with a documented history of seizures was left with his bed raised and with bedrails not in place, resulting in a fall and head injury.
B) A client was sent for a colonoscopy, after which it was learned that the client had never given written consent for the procedure.
C) A client with a diagnosis of vascular dementia was found wandering in the hall outside the unit.
D) An immobile client was not turned over the course of a night shift and developed a pressure ulcer on her coccyx.
E) A client admitted with a diagnosis of pneumonia contracted an antibiotic-resistant organism during her stay.
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