Exam 9: Health Care Delivery Settings and Older Adults

An 80-year-old patient with visual and hearing deficits is admitted for hip replacement surgery.The patient has begun to show mild confusion and has become resistant to care and treatment.To minimize this problem,the nurse initially edits the patient's care plan to include:

The nurse at an assisted living facility is caring for a 73-year-old cognitively impaired patient who has recently been admitted.The nurse creates a care plan that strives to help maintain the patient's independence by including:

The nurse is caring for a confused patient.Which action by the nurse shows the best understanding of managing the cascading effects of iatrogenic illnesses in this population cohort?

The nurse is planning the discharge of a 70-year-old patient who lives alone and is recovering from a fractured ankle.What action by the nurse shows an understanding of factors affecting the patient's ultimate return to preinjury function?

The nurse on a medical acute care unit is preparing for the admission of an 84-year-old patient with several diagnosed chronic illnesses.The nurse begins the plan of care for this patient based on the understanding that the older adult is likely to:

An older patient has fallen twice in the hospital in the last 2 days.What action by the nurse is best?

What actions by the nursing staff in a long-term care facility display an awareness of resident rights? (Select all that apply. )

The nurse caring for an older patient is concerned when the patient begins experiencing mild confusion.The nurse notes that the vital signs are all within normal limits for this patient.To best assess related symptoms,the nurse initially:

Which individual would the nurse refer to the local Area Agency on Aging?

A 70-year-old patient covered by Medicare is being admitted for stabilization of type 2 diabetes.When asked by the family why their parent's care is being co-managed by a geriatric nurse practitioner and a physician,the best explanation is that:

Which statement by a resident best indicates that the resident's psychosocial needs are being met?

A nurse is caring for a confused and frail patient.Which interventions will best minimize the patient's risk of injury related to the geriatric triad? (Select all that apply. )

What action by the nurse is most important for preventing hospital-acquired infections in the older population?

A nurse is caring for an older patient in the intensive care unit.The patient has a sudden onset of confusion.What action by the nurse is best?

The nurse is going to educate an older patient newly diagnosed with type 2 diabetes on how to test serum glucose levels appropriately.The nurse shows an understanding of the adaptation of teaching techniques for this age group by:

The nursing faculty explains to students the definition of "homebound." Which is the best explanation of this situation?

The nurse is caring for an older adult patient who was admitted with a stage 3 pressure ulcer on the left heel and who also has a history of Parkinson disease and chronic renal failure.To minimize the patient's risk of developing an iatrogenic illness,the nurse:

The nurse explains to the student the benefits of home health care.Which are benefits typically associated with this care? (Select all that apply. )

What action by the nurse best shows an understanding of the effects of acute hospitalization on the functional abilities of the older patient?

Which action does the nurse delegate to the unlicensed assistive personnel (UAP)pertaining to pressure ulcer prevention?