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 2The 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 3Which 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 4To 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 5The 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 6A 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 7Financial 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 8The 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 9The 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 10When 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.