A hospital is planning to implement a unit that focuses on acute care of the elderly (ACE). How ...

A hospital is planning to implement a unit that focuses on acute care of the elderly (ACE). How should the hospital administrator explain this unit to the nursing staff?
 
  1. An ACE unit will be run just like a nursing home, except it's located in the hospital.
  2. An ACE unit isn't any different than any other unit in the hospital except for the age of the patients.
  3. The key concept of an ACE unit is to return the patients to their nursing homes as quickly as possible.
  4. Patient-centered interdisciplinary care guided by nurse-driven protocols to address key nursing issues such as mobility, skin care, nutrition, and continence.

Question 2

The nurse is assisting in planning care for a client with a diagnosis of immunodeficiency. The nurse would incorporate which of the following as a priority in the plan of care?
 
  A) Protecting the client from infection
  B) Providing emotional support to decrease fear
  C) Encouraging discussion about lifestyle changes
  D) Identifying factors that decrease the immune function

Question 3

Factors that decrease the risk of nosocomial infections in older clients in hospitals and long-term care facilities include
 
  A) using indwelling urinary catheters in clients who are incontinent of urine.
  B) using aspiration precautions for clients with dysphagia.
  C) prescribing antibiotics to treat viral infections.
  D) sharing equipment without sanitization measures among several clients.

Question 4

During a home visit the nurse notes that an older patient is demonstrating signs of frailty. What assistance will the nurse identify as helpful to the patient in the home? Standard Text: Select all that apply.
 
  1. Socialization
  2. Meal preparation
  3. Resources for daily care
  4. Home maintenance and safety
  5. Transportation to healthcare appointments

Question 5

Shingles in the older adult
 
  A) results from reactivation of a herpes simplex virus.
  B) is seldom painful.
  C) should be treated with antibiotics.
  D) is manifested by vesicular lesions along spinal nerves.

Question 6

The daughter of an older frail patient recovering from receiving the wrong medication asks what the hospital can do to prevent this from happening again. How should the nurse respond to the daughter?
 
  1. There isn't much that can be done.
  2. Medication errors can't be avoided because we are short-staffed.
  3. It really depends on the physician's handwriting to understand what is ordered.
  4. We are planning to install a bar-code system to identify patients and medications.

Question 7

The nurse is planning an education program for other nurses on palliative care. Which information should the nurse include in the program? Standard Text: Select all that apply.
 
  1. Palliative care focuses on patients who are close to death.
  2. Palliative care can provide respite care for family members.
  3. Palliative care focuses on managing pain and troublesome symptoms.
  4. Palliative care focuses on providing surgeries and treatments to cure the illness.
  5. Palliative care can be delivered long-term and throughout all phases of treatment.

Question 8

Reactivation of a herpes zoster infection in older adults results in
 
  A) HIV/AIDS.
  B) erysipelas.
  C) shingles.
  D) bacteremia.