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FINAL EXAM REVIEW FOR CARE OF THE OLDER ADULT QUESTIONS WITH CORRECT ANSWERS
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FINAL EXAM REVIEW FOR CARE OF THE OLDER ADULT QUESTIONS WITH CORRECT ANSWERS
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FINAL EXAM REVIEW FOR CARE OFTHE OLDER ADULT QUESTIONS WITH
CORRECT ANSWERS
is the following statement true or false?
After the establishment of medicare and medicaid in 1965 few new models of care
emerged to address diverse health care needs of older adults - Answer-False
is the following statement true or false?
Subacute care for elders units address the complex needs of hospitalized older adults
through multidisciplinary assessments and interventions - Answer-False
What setting provides a combination of skilled nursing for short term post hospital
residents and intermediate care services for long term reidents
A. Acute care for elders
B. Subacute care unit
C. Hospital at home
D. Nursing home - Answer-nursing homes
is the following statement true or false?
skilled home care services provide long term skilled nursing or rehabilitative services for
homebound people who meet specific criteria. - Answer-False
What model of care is focused on the coordination and continuity of care as individuals
transfers between locations of care within the same care facility
A. Evercare
B. Transitional care
C. Geriatric care management
D. Case management services - Answer-transitional care
which statement is true about age-related changes affecting the action of medications in
the older adult
A. Renal changes may affect the concentrations of medications in the body
B. Liver metabolism of medications is increased in older adults
C. Water-soluble substances have a less intense effect in the older adult
D. Fat-soluble substances may have a decreased duration of action - Answer-Renal
changes may affect the concentrations of medications in the body
Which risk factor may have negative effect on bioactive substances as the older adult
A. Appropriate prescribing practices
B. Increased prevalence of chronic conditions
C. Knowledge of medications
,D. Avoidance of over-the-counter preparations - Answer-increased prevalence of
chronic conditions
which medication is inappropriate for use in the older adult population according to
Beers criteria
A. Nonsteroidal anti-inflammatory drugs
B. Anticonvulsants
C. Opioid analgesics
D. Anticholinergic drugs - Answer-Anticholinergic drugs
Mrs. N is prescribed a complex medication regiment for the chronic condition of
diabetes mellitus. In addition to the prescribed regimen, another factor for non
adherence may include:
A. Living with her daughter
B. Knowledge of the medications
C. Adverse effects of the medication
D. Cognitive wellness - Answer-Adverse effects of the medications
which mechanism may affect medications by altering absorption in the stomach
A. Increased transit time
B. Competitive binding of molecules
C. Increased stomach secretions
D. Decreased time to reach peak serum levels - Answer-competitive binding of
molecules
Tardive dyskinesia has developed in an 88 year old patient being cared for in long term
care setting. The nurse evaluates the medications knowing that which of the following
may cause tar dive dyskinesia?
A. Lorazepam
B. Haloperidol
C. Morphine sulfate
D. Chloroquinine - Answer-Antipsychotics such as Haloperidol and thioridazine
Describe autonomy - Answer-personal freedom to direct ones own life if it does not
infringe on others rights
Decision- making capacity is best determined based on which criteria?
A. Medical diagnosis on admission
B. Chronologic age
C. Ability to understand pertinent issues
D. Feelings of the surrogate - Answer-ability to understand pertinent issues
Which is a limitation of a living will
A. It allows a surrogate to make health care decisions
B. It is not a legal document
C. It applies only to the end of life or terminal illness
, D. It cannot be revoked - Answer-It applies only to the end of life or terminal illness
how can a nurse support family focused decisions related to care for the client with
advanced directives in place? (select all that apply)
A.Providing accurate information on rights and statutes
B.Addressing questions about care options
C.Listening to the needs and concerns of all involved
D.Attending to concerns about treatment options and end-of-life care
E.Deferring to the primary care providers when decision making is required - Answer-
A,B,C,D
Providing accurate information on rights and statutes
Addressing questions about care options
Listening to the needs and concerns of all involved
Attending to concerns about treatment options and end-of-life care
Which of the following factors does NOT contribute to the invisibility of elder abuse?
A. Older adults have less contact with the community
B. Older adults are reticent to admit being abused
C. Myths foster denial of problems of vulnerability
D. Most older adults live in long-term care settings - Answer-Most older adults live in
long-term care settings
Which factors do contribute to the invisibility of elder abuse - Answer-Older adults have
less contact with the community Older adults are reticent to admit being abused
Myths foster denial of problems of vulnerability
What is the definition of exploitation, as a form of abuse?
A. Intentional or unintentional refusal or failure to provide goods or services
B. Illegal taking, misuse, or concealment of funds, property, or assets
C. Infliction of mental pain, distress, or anguish through verbal or nonverbal acts
D. Deprivation of a basic need or inflicting physical injury - Answer-Illegal taking,
misuse, or concealment of funds, property, or assets
In what way does assessment of elder abuse differ from usual nursing?
A. A major focus is to determine whether legal interventions are necessary
B. Realistic goals for the abuse situations are often unlimited
C. Abused elders often seek assistance from health care team
D. The nurse is viewed as a trusted source of assistance - Answer-A major focus is to
determine whether legal interventions are necessary
What is the most immediate nursing consideration in determining whether legal
intervention is necessary in an abusive situation?
A. Need for assistance
B. Cause of the abuse
C. Threats to life
D. Timing of the abuse - Answer-threats to life
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