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Pertdoggo Pertdoggo
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Posts: 378
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6 years ago
The nurse admitting a debilitated patient to a long-term care facility initially assesses the patient using the Katz Index. The student asks why the nurse chose that tool. What answer by the nurse is best?
 
  a. It is quick and simple for a baseline.
  b. The Katz Index is mandated by Medicare.
  c. It is comprehensive in nature.
  d. It shows functioning in 12 areas.

Question 2

The student learns that which of the following is the best definition of culture?
 
  a. A group of similarly appearing individuals
  b. Shared beliefs, behaviors, and expecta-tions of groups
  c. Group beliefs about what is right and wrong
  d. Groups that come from the same part of the world

Question 3

Which patient is most likely to be seen at a clinic that services older adults who are at or below the poverty level?
 
  a. A Hispanic male living with extended family
  b. An African American male living with a spouse
  c. A Hispanic female who lives alone
  d. An African American female who lives with her sister

Question 4

To engage the older adults who frequently attend a senior citizens' center in primary disease prevention, the nurse
 
  a. immunizes those attending a weekly lun-cheon against the H1N1 virus.
  b. arranges for a colorectal cancer screening at the center.
  c. schedules a speaker to discuss cooking for diabetic patients.
  d. surveys the members to identify health issues of interest to them.

Question 5

The director of nursing at a certified long-term care facility overhauls the nursing assistant training program to include which features? (Select all that apply.)
 
  a. 12 hours of classroom content
  b. Training in infection control measures
  c. Instruction on resident rights
  d. 6 hours of quarterly in-service education
  e. Education on safety measures

Question 6

A nurse is working with an older patient in the gerontology clinic. The patient reports a vague decline in function and says, I guess I'm just getting older. What action by the nurse is best?
 
  a. Help the patient find ways to cope with the changes.
  b. Assess the patient for an undetected ill-ness.
  c. Ask if the patient needs any home health services.
  d. Find out what the patient thinks of these changes.

Question 7

Financial considerations are a major barrier to the older adult's participation in health promotion because
 
  a. most older adults have accepted poor health as a part of growing older.
  b. Medicare often does not cover the cost of preventive services.
  c. many already have been diagnosed with chronic illnesses.
  d. they generally place more value on saving their disposable income.

Question 8

The nurse is most effectively using the concept of future time orientation when
 
  a. promising to help the patient call his daughter each weekend.
  b. offering to complete the health assessment history after the patient eats dinner.
  c. encouraging an older patient to keep a follow-up clinic appointment.
  d. arranging for a colorectal cancer screen for senior citizens.

Question 9

The nurse recognizes that health and wellness are better among the educated older adult population because they tend to
 
  a. place a high value on health and wellness.
  b. frequently take advantage of health screening options.
  c. have occupations that are less physically demanding.
  d. manage emotional stress in a more pro-ductive manner.

Question 10

When unsure about how to address older patients with advanced stage Alzheimer disease, the nurse recognizes that it is best to address the patient by
 
  a. a pet name, because the patients are not likely to respond to their given names.
  b. the first name, to foster a friendly, relaxed atmosphere.
  c. the full name, to show respect for the pa-tients as individuals.
  d. a childhood nickname, because long-term memory will likely still be intact.
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Replies
wrote...
6 years ago
Answer to #1

A
The Katz Index takes only about 5 minutes to complete and rates patients as to whether they are totally independent or dependent in six basic functions. For the debilitated patient who will tire easily, this is the best choice. It is not mandated by Medicare, it is not as comprehensive as other tools, and it only shows functioning in 6 areas.

Answer to #2

B
A culture is a set of shared and learned beliefs, behaviors, and expectations among a group of people. The individuals in different cultures may or may not look similar. Group beliefs about what is right or wrong are known as values. Cultural members may come from many different parts of the world.

Answer to #3

C
The highest rates of poverty are among Hispanic women over the age of 65 who live alone.

Answer to #4

A
Primary prevention refers to specific action taken to optimize the health of the older individual by helping him or her to become more resistant to disease or to ensure that the environment will be less harmful. Providing immunizations would be included in this level of prevention. Colo-rectal cancer screening is secondary prevention. Cooking for diabetic patients is tertiary preven-tion. Surveying patients does not fall into any level of prevention.

Answer to #5

B, C, D, E
Requirements for a nursing assistant's education includes training in infection control and inter-personal skills, instruction on resident rights and safety procedures, and 6 hours of education through in-services quarterly. Nursing assistants must have classroom training before working with residents, but the amount of time is not specified.

Answer to #6

B
Vague changes and declining function are often attributed to aging but can be the only signs of illness. The nurse should perform a thorough assessment to look for any possible ailments. If the findings are normal and the changes are age related, the nurse can help the patient find ways to cope, ask about home health care services, and determine the patient's thoughts on the matter.

Answer to #7

B
Older adults must incur the cost of many preventive services because Medicare does not cover them all. This can be hard on the fixed, limited income of many older adults. It is not true that older adults accept poor health as inevitable. Health promotion activities can occur in the pres-ence of chronic illnesses. Some older adults do place high value on saving money, but not all older adults are influenced by this desire.

Answer to #8

D
In the concept of future orientation, people accept the idea that what is done now affects future health. This means that health screenings will help detect a problem today for potentially better health at a later time, days, weeks, or years ahead; it means that prevention may be worth pur-suing. The other actions do not show a future orientation.

Answer to #9

B
More-educated people often have greater access to wellness programs and preventive health op-tions because they tend to have more financial resources and health insurance coverage. Educa-tion may lead to an increased value on health and wellness. Occupations may or may not be physically demanding. Educated older adults may not manage stress more productively.

Answer to #10

C
Nurses should address all older patients by their full name, including Mr. Mrs., or Miss, to show respect, unless the patient specifically requests being called something else.
Pertdoggo Author
wrote...
6 years ago
Mind blown, I've bookmarked this site on told my friends
wrote...
6 years ago
Really appreciate that
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