NUR 2092 2026 CLINICAL SKILLS AND
PATIENT CARE MASTER REVIEW
◉An older adult has had surgery for a fractured hip and has a
history of dementia. You should keep in mind that older adults with
cognitive impairment:. Answers: a. Experience less pain
b. can provide a self-report of pain *CORRECT ANSWER8
c. Cannot be relied on to self-report pain
d. Will not express pain sensations.
◉An appropriate use of the caregiver strain index would be which
situation?. Answers: a. A daughter who is taking her older father
home to live with her
b. An older patient who lives alone
c. A wife who has cared for her husband for the past 4 years at home
*CORRECT ANSWER*
d. A son whose parents live in an assisted living facility
◉Which is an example of a formal social support network for the
aging adult?. Answers: a. A neighbor who drops by with newspapers
and magazines on a regular basis
b. An area church that offers a weekly activity an luncheon for
seniors in the neighborhood
,c. A home health care agency that provides weekly blood pressure
screenings at the church luncheon *CORRECT ANSWER*
d. A senior citizen chess club whose members hold classes at the
local boys club
◉When completing a spiritual assessment you should?. Answers: a.
Use yes and no questions as the foundation for future dialogue
b. Use open-ended questions to help the patient understand
potential coping mechanisms *CORRECT ANSWER*
c. Try to complete this assessment as soon as possible after meeting
the patient
d. Wait until a member of the clergy can be involved in the
assessment
◉When you perform a functional assessment of an older patient,
which is most appropriate?. Answers: a. Observe the patient's ability
to perform the tasks *CORRECT ANSWER*
b. Ask the patient's wife or husband how he or she does when
performing tasks
c. Review the medical record for information on the patient's
abilities
d. Ask the pastient's physician for information on the patient's
ability
,◉The Lawton IADL instrument is described by which of the
following?. Answers: a. The nurse uses direct observation to
implement this tool
b. It is designed as a self-report measure of performance rather than
ability *CORRECT ANSWER*
c. It is not useful in the acute hospital setting
d. It is best used for those residing in an institutional setting
◉An older adult's advanced activities of daily living would include:.
Answers: a. Recreational activities *CORRECT ANSWER*
b. Meal Preparation
c. Balancing the checkbook
d. Self-grooming activities
◉When using the various instruments to assess an older person's
activities of daily living, remember that a disadvantage of these
instruments includes:. Answers: a. The reliability of the tools
b. Self or proxy report of functional activities *CORRECT ANSWER*
c. Lack of confidentiality during the assessment
d. Insufficient detail about the deficiencies identified
◉Acculturation. Answers: Process of social and psychological
exchanges with encounters between persons of different cultures,
resulting in changes in either group.
, ◉Cultural and Linguistic Competence. Answers: A set of congruent
behaviors, attitudes and policies that come together in a system
among professionals that enables work in cross-cultural situations.
◉Culture. Answers: The nonphysical attributes of a person-the
thoughts, communications, actions, beliefs, values, and institutions
of racial, ethnic, religious, or social groups.
◉Cultural Care. Answers: Professional health care that is culturally
sensitive, appropriate, and competent.
◉Ethnicity. Answers: A social group within the social system that
claims to possess variable traits such as common geographic origin,
migratory status, and religion.
◉Ethnocentrism. Answers: Tendency to view your own life as the
most desirable, acceptable, or best and to act superior to another
culture's way of life.
◉Folk Healer. Answers: Lay healer in the person's culture apart from
the biomedical or scientific health care system
PATIENT CARE MASTER REVIEW
◉An older adult has had surgery for a fractured hip and has a
history of dementia. You should keep in mind that older adults with
cognitive impairment:. Answers: a. Experience less pain
b. can provide a self-report of pain *CORRECT ANSWER8
c. Cannot be relied on to self-report pain
d. Will not express pain sensations.
◉An appropriate use of the caregiver strain index would be which
situation?. Answers: a. A daughter who is taking her older father
home to live with her
b. An older patient who lives alone
c. A wife who has cared for her husband for the past 4 years at home
*CORRECT ANSWER*
d. A son whose parents live in an assisted living facility
◉Which is an example of a formal social support network for the
aging adult?. Answers: a. A neighbor who drops by with newspapers
and magazines on a regular basis
b. An area church that offers a weekly activity an luncheon for
seniors in the neighborhood
,c. A home health care agency that provides weekly blood pressure
screenings at the church luncheon *CORRECT ANSWER*
d. A senior citizen chess club whose members hold classes at the
local boys club
◉When completing a spiritual assessment you should?. Answers: a.
Use yes and no questions as the foundation for future dialogue
b. Use open-ended questions to help the patient understand
potential coping mechanisms *CORRECT ANSWER*
c. Try to complete this assessment as soon as possible after meeting
the patient
d. Wait until a member of the clergy can be involved in the
assessment
◉When you perform a functional assessment of an older patient,
which is most appropriate?. Answers: a. Observe the patient's ability
to perform the tasks *CORRECT ANSWER*
b. Ask the patient's wife or husband how he or she does when
performing tasks
c. Review the medical record for information on the patient's
abilities
d. Ask the pastient's physician for information on the patient's
ability
,◉The Lawton IADL instrument is described by which of the
following?. Answers: a. The nurse uses direct observation to
implement this tool
b. It is designed as a self-report measure of performance rather than
ability *CORRECT ANSWER*
c. It is not useful in the acute hospital setting
d. It is best used for those residing in an institutional setting
◉An older adult's advanced activities of daily living would include:.
Answers: a. Recreational activities *CORRECT ANSWER*
b. Meal Preparation
c. Balancing the checkbook
d. Self-grooming activities
◉When using the various instruments to assess an older person's
activities of daily living, remember that a disadvantage of these
instruments includes:. Answers: a. The reliability of the tools
b. Self or proxy report of functional activities *CORRECT ANSWER*
c. Lack of confidentiality during the assessment
d. Insufficient detail about the deficiencies identified
◉Acculturation. Answers: Process of social and psychological
exchanges with encounters between persons of different cultures,
resulting in changes in either group.
, ◉Cultural and Linguistic Competence. Answers: A set of congruent
behaviors, attitudes and policies that come together in a system
among professionals that enables work in cross-cultural situations.
◉Culture. Answers: The nonphysical attributes of a person-the
thoughts, communications, actions, beliefs, values, and institutions
of racial, ethnic, religious, or social groups.
◉Cultural Care. Answers: Professional health care that is culturally
sensitive, appropriate, and competent.
◉Ethnicity. Answers: A social group within the social system that
claims to possess variable traits such as common geographic origin,
migratory status, and religion.
◉Ethnocentrism. Answers: Tendency to view your own life as the
most desirable, acceptable, or best and to act superior to another
culture's way of life.
◉Folk Healer. Answers: Lay healer in the person's culture apart from
the biomedical or scientific health care system
