The law specifically designed to protect and regulate patient privacy is the
a. Patient's Bill of Rights
b. Omnibus Budget Reconciliation Act (OBRA)
c. Health Insurance Portability and Accountability Act (HIPAA)
d. Patient Self-Determination Act
Question 2Psychotropic medications are used for older adults to
a. Manage problematic behaviors
b. Decrease the symptoms of dementia
c. Treat psychotic features of dementia
d. Avoid the use of restraints
Question 3A physician orders short-term restraints for an elderly patient. The nurse has the responsibility to do all of the following except
a. Remove the restraints periodically
b. Assist with range-of-motion exercises
c. Delay following the physician's instructions and contact the interdisciplinary team (IDT)
d. Observe and care for the skin periodically
Question 4Validation groups and reality orientation groups are designed for residents experiencing confusion or malorientation. Which of the following statements is true regarding validation and reality orientation?
a. Validation deals with feelings, and reality orientation presents problem solving
b. Resolving loss is a goal of validation therapy, and keeping older adults oriented to their environment is the goal of reality orientation
c. Validation confronts the older adult to express feelings of anger and resentment, and reality orientation places those feelings in the reality of today
d. Validation is a feel good approach for the caregiver, whereas reality orientation helps the resident feel better
Question 5Mrs. Clare was very agitated this evening. Without the knowledge of the LPN in charge, the certified nursing assistant (CNA) used soft ties to protect Mrs. Clare from falling out of bed. There was no order for their usage.
On rounds several hours later, Mrs. Clare is found not breathing, tangled, with her restraints around her neck. The LPN is
a. Not at faultshe did not know Mrs. Clare was put in restraints
b. Guilty of negligence
c. Guilty of omission
d. Not concerned; after all, Mrs. Clare is a 90-year-old woman with a DNR (do not resuscitate) order
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