An older adult client with urosepsis has become nonresponsive. The nurse is to identify the appropriate person to sign the consent forms for an invasive medical procedure. Which of the following actions by the nurse is appropriate?
A) Find the older adult's family member to sign the consent.
B) Inform the health care provider that no consent can be obtained.
C) Move forward with guardianship as the client is incompetent.
D) Review the chart for a health care power of attorney.
Question 2An 80-year-old is seen in the emergency department for a fall. The client has bruises on the upper arms and appears depressed. The client is accompanied by a grandchild, who is unkempt, glassy-eyed, and whose breath smells of alcohol.
Which of the following should be a priority with the nurse?
A) Assess whether the older adult is safe in the home environment.
B) Determine whether legal interventions are appropriate.
C) Assess the client's degree of frailty and chronic health problems.
D) Determine the mental capacity of the older adult.
Question 3A nurse plans discharge for an older woman from China who is living with her son. Which of the following should be included in this plan to indicate that the nurse understands cultural influences?
A) Include all family members in discharge planning.
B) Ensure that the discharge plan does not include any technologic aspects.
C) Review the discharge plans with the client and her son.
D) Speak only with the client.
Question 4A nurse discusses the future with an older adult who has had surgery for a fractured hip and is also diagnosed as having depression. The client wavers between wanting to give up and going to rehabilitation.
Which of the following questions should the nurse ask to assist the client toward values clarification?
A) Which pain medication works best for you?
B) How can we best assist you with your activities of daily living?
C) Do you prefer to bath in the morning or in the evening?
D) What goals do you have for the next year?
Question 5A nurse in the long-term care facility plans a meeting to assist an older adult and family discuss end-of-life care options. Which of the following interventions is appropriate for the nurse to include in preparation for this event? (Select all that apply
A) Assist the older adult to his or her wear hearing aid.
B) Assure that the older adult is well rested.
C) Obtain a private meeting room.
D) Premedicate the older adult with Ativan (lorazepam).
E) Schedule the meeting after a meal.
Question 6An 81-year-old adult suffered an ischemic stroke 6 days ago. The client has failed to regain consciousness since the event. The care team has approached the client's family to obtain their views on inserting a feeding tube.
Which of the following documents will allow the family to make a decision on the parent's behalf?
A) A do not resuscitate (DNR) order
B) A living will
C) A durable power of attorney for health care
D) A will
Quick Reply
