NUR 3678 - Exam 4 Review Questions With
Correct Answers
Which statement made by an older adult during an educational session at the
| | | | | | | | | | | | |
local senior center regarding advanced directives would require clarification by
| | | | | | | | | |
the nurse? |
A. "If I want to make clear my wishes for medical treatment if I get terminally ill, I
| | | | | | | | | | | | | | | | | |
need to do a living will, correct?"
| | | | | |
B. "I already. have someone to make my health decisions for me if needed
| | | | | | | | | | | | | |
through a durable medical power of attorney."
| | | | | |
C. "I discuss a do-not-resuscitate order with my provider, but it frightens me that
| | | | | | | | | | | | | |
once you create it, you can't revoke it."
| | | | | | |
D. "Even though I have advance directives in place, if something happens while I
| | | | | | | | | | | | | |
am out of state, they may be interpreted differently."
| | | | | | | |
C.
Which information would the nurse provide to a client regarding a do-not-
| | | | | | | | | | |
resuscitate (DNR) order? Select all that apply. | | | | | |
A. "Do-not-resuscitate orders would be reviewed routinely by the primary health
| | | | | | | | | | |
care provider." |
B. "A primary health care provider would make every effort to revive a client if a
| | | | | | | | | | | | | | | |
do-not-resuscitate order exists." | |
C. "Primary health care providers would check for a DNR order before deciding to
| | | | | | | | | | | | | |
perform cardiopulmonary resuscitation." | |
D. "A DNR order may be attached to the client's medical orders without any legal
| | | | | | | | | | | | | | |
proof of consultation regarding the order."
| | | | |
A., C., and D.
| | |
,The nurse is educating the caregivers of an elderly adult with advanced Parkinson
| | | | | | | | | | | |
disease about continuing care. Which information would the nurse provide?
| | | | | | | | | | |
Select all that apply. | | |
A. "Home care is a type of continuing care in which the primary objectives are
| | | | | | | | | | | | | | |
health promotion and education."| | |
B. "Continuing care is necessary for clients who are recovering from an acute or
| | | | | | | | | | | | | |
chronic illness or disability." | | |
C. "Adult day care centers are ideal for clients whose caregivers have to be away
| | | | | | | | | | | | | | |
from home during the day."
| | | |
D. "Hospice care is a continuing care system that allows terminal clients to live at
| | | | | | | | | | | | | | |
home with comfort, independence, and dignity."
| | | | |
E. "Nursing centers provide 24-hour custodial care to help residents achieve and
| | | | | | | | | | | |
maintain their highest level of functioning." | | | | |
C., D., and E.
| | |
The nurse in a hospital skilled nursing unit witnesses a client's spouse vigorously
| | | | | | | | | | | | |
shaking the elderly client who has dementia after the client has had an episode of
| | | | | | | | | | | | | |
incontinence. After discussing concerns with the nurse manager, to whom would
| | | | | | | | | | | |
the nurse report this observation?
| | | |
A. The client
| |
B. The client's spouse
| | |
C. The primary health care provider
| | | | |
D. Adult Protective Services
| | |
D.
A client scheduled for brain surgery has a signed advance directive in the medical
| | | | | | | | | | | | | |
record. In which situation would this document be used?
| | | | | | | |
A. Discharge planning is not covered by insurance.
| | | | | | |
B. If the client cannot consent to the client's own surgery.
| | | | | | | | | |
C. Postoperative complications occur that require additional treatment.
| | | | | | |
, D. In case of the client's death, there will be directions about which of the client's
| | | | | | | | | | | | | | |
belongings are to be given to family members.
| | | | | | | |
B.
A client who is admitted to the hospital and requires a colon resection states, "I
| | | | | | | | | | | | | | |
want to be a do not resuscitate [DNR]." The nurse questions the client's
| | | | | | | | | | | | |
understanding of a DNR order. Which response by the client best indicates to the| | | | | | | | | | | | | |
nurse an understanding of a DNR order?
| | | | | |
A. "My doctor will know what to do."
| | | | | | |
B. "My family can make the decisions for me."
| | | | | | | |
C. "If something happens to me, I do not want cardiopulmonary resuscitation
| | | | | | | | | | | |
[CPR]."
D. "If I have a heart attack, I do not want any medication."
| | | | | | | | | | | |
C.
Which assessment(s) would the nurse perform while assisting an older adult with
| | | | | | | | | | | |
living arrangements? Select all that apply.
| | | | |
A. Financial status
| |
B. Ability to participate in meaningful activities
| | | | | |
C. Environmental hazards and support systems
| | | | |
D. Long-range plans such as wills and advance directives
| | | | | | | |
E. Access to public transportation and community activities
| | | | | | |
A., C., and E.
| | |
Which information would the registered nurse provide when educating a nursing
| | | | | | | | | | |
student about living wills? Select all that apply.
| | | | | | |
A. Health care workers would always follow the directions of a client's living will.
| | | | | | | | | | | | |
B. Clinically specific instructions are provided that help in dealing with unforeseen
| | | | | | | | | | |
circumstances.
|
C. Clients use living wills to declare any medical procedures they want or do not
| | | | | | | | | | | | | | |
Correct Answers
Which statement made by an older adult during an educational session at the
| | | | | | | | | | | | |
local senior center regarding advanced directives would require clarification by
| | | | | | | | | |
the nurse? |
A. "If I want to make clear my wishes for medical treatment if I get terminally ill, I
| | | | | | | | | | | | | | | | | |
need to do a living will, correct?"
| | | | | |
B. "I already. have someone to make my health decisions for me if needed
| | | | | | | | | | | | | |
through a durable medical power of attorney."
| | | | | |
C. "I discuss a do-not-resuscitate order with my provider, but it frightens me that
| | | | | | | | | | | | | |
once you create it, you can't revoke it."
| | | | | | |
D. "Even though I have advance directives in place, if something happens while I
| | | | | | | | | | | | | |
am out of state, they may be interpreted differently."
| | | | | | | |
C.
Which information would the nurse provide to a client regarding a do-not-
| | | | | | | | | | |
resuscitate (DNR) order? Select all that apply. | | | | | |
A. "Do-not-resuscitate orders would be reviewed routinely by the primary health
| | | | | | | | | | |
care provider." |
B. "A primary health care provider would make every effort to revive a client if a
| | | | | | | | | | | | | | | |
do-not-resuscitate order exists." | |
C. "Primary health care providers would check for a DNR order before deciding to
| | | | | | | | | | | | | |
perform cardiopulmonary resuscitation." | |
D. "A DNR order may be attached to the client's medical orders without any legal
| | | | | | | | | | | | | | |
proof of consultation regarding the order."
| | | | |
A., C., and D.
| | |
,The nurse is educating the caregivers of an elderly adult with advanced Parkinson
| | | | | | | | | | | |
disease about continuing care. Which information would the nurse provide?
| | | | | | | | | | |
Select all that apply. | | |
A. "Home care is a type of continuing care in which the primary objectives are
| | | | | | | | | | | | | | |
health promotion and education."| | |
B. "Continuing care is necessary for clients who are recovering from an acute or
| | | | | | | | | | | | | |
chronic illness or disability." | | |
C. "Adult day care centers are ideal for clients whose caregivers have to be away
| | | | | | | | | | | | | | |
from home during the day."
| | | |
D. "Hospice care is a continuing care system that allows terminal clients to live at
| | | | | | | | | | | | | | |
home with comfort, independence, and dignity."
| | | | |
E. "Nursing centers provide 24-hour custodial care to help residents achieve and
| | | | | | | | | | | |
maintain their highest level of functioning." | | | | |
C., D., and E.
| | |
The nurse in a hospital skilled nursing unit witnesses a client's spouse vigorously
| | | | | | | | | | | | |
shaking the elderly client who has dementia after the client has had an episode of
| | | | | | | | | | | | | |
incontinence. After discussing concerns with the nurse manager, to whom would
| | | | | | | | | | | |
the nurse report this observation?
| | | |
A. The client
| |
B. The client's spouse
| | |
C. The primary health care provider
| | | | |
D. Adult Protective Services
| | |
D.
A client scheduled for brain surgery has a signed advance directive in the medical
| | | | | | | | | | | | | |
record. In which situation would this document be used?
| | | | | | | |
A. Discharge planning is not covered by insurance.
| | | | | | |
B. If the client cannot consent to the client's own surgery.
| | | | | | | | | |
C. Postoperative complications occur that require additional treatment.
| | | | | | |
, D. In case of the client's death, there will be directions about which of the client's
| | | | | | | | | | | | | | |
belongings are to be given to family members.
| | | | | | | |
B.
A client who is admitted to the hospital and requires a colon resection states, "I
| | | | | | | | | | | | | | |
want to be a do not resuscitate [DNR]." The nurse questions the client's
| | | | | | | | | | | | |
understanding of a DNR order. Which response by the client best indicates to the| | | | | | | | | | | | | |
nurse an understanding of a DNR order?
| | | | | |
A. "My doctor will know what to do."
| | | | | | |
B. "My family can make the decisions for me."
| | | | | | | |
C. "If something happens to me, I do not want cardiopulmonary resuscitation
| | | | | | | | | | | |
[CPR]."
D. "If I have a heart attack, I do not want any medication."
| | | | | | | | | | | |
C.
Which assessment(s) would the nurse perform while assisting an older adult with
| | | | | | | | | | | |
living arrangements? Select all that apply.
| | | | |
A. Financial status
| |
B. Ability to participate in meaningful activities
| | | | | |
C. Environmental hazards and support systems
| | | | |
D. Long-range plans such as wills and advance directives
| | | | | | | |
E. Access to public transportation and community activities
| | | | | | |
A., C., and E.
| | |
Which information would the registered nurse provide when educating a nursing
| | | | | | | | | | |
student about living wills? Select all that apply.
| | | | | | |
A. Health care workers would always follow the directions of a client's living will.
| | | | | | | | | | | | |
B. Clinically specific instructions are provided that help in dealing with unforeseen
| | | | | | | | | | |
circumstances.
|
C. Clients use living wills to declare any medical procedures they want or do not
| | | | | | | | | | | | | | |
