Exam (elaborations) NURS 3325 Holistic Care of Older Adults UT Arlington Module 4 Quiz (NURS3325) Module 4 Quiz Score 100

N3325 Holistic Care of Older Adults UT Arlington Module 4 Quiz Score 100 QUESTION 1 According to the article “Ethics and Healthcare Reform”, an ethically sound healthcare model should: Choose all the correct answers: o Ensure that the individuals should be protected from harmful care and/or treatment practices o Provide protections regarding financial jeopardy as a direct result of receiving needed care and treatment o Preserve the individual’s right to choose and to be adequately informed about care and treatment benefits, risks, and alternatives o Ensure that the individual should receive care and treatment of proven benefit QUESTION 2 Elder law is a specific area of the law which affects older adults. An elder law attorney most likely would be consulted for: (Select all that apply.) o Corporate law issues o Drawing up a will o Getting a title to property o Adoption proceedings QUESTION 3 If the patient cannot scratch his/her own nose because of devices attached to him or adjacent to him, the he is considered to be physically restrained. o True o False QUESTION 4 Nurse Sensitive Indicators of quality of care in hospitals are those in which the nurse could have prevented the complication. Nurse Sensitive indicators would include which of the following preventable situations: (Select all that apply.) o Foreign bodies left in the patient after a procedure This study source was downloaded by from CourseH on :05:23 GMT -06:00 o Ventilator Associated Pneumonia o Patient Falls o Hanging the wrong blood product on the patient QUESTION 5 One of the primary reasons why older adults fall and sustain injuries is because: o They are trying to get out of restraints o They need more pain medication o They are wearing shoes that fit well o They never have orthostatic hypotension when they get out of bed QUESTION 6 Symptoms of caregiver burnout may include: o Normal eating patterns o Making extra mortgage payments o Increased smoking or alcohol abuse o Tolerant behavior toward the person they are caring for QUESTION 7 The RN’s role in assisted suicide is: o To not participate in assisted suicide o To assist the physician in assisted suicide o To encourage the patient and family to choose other options such as euthanasia o To prepare the medication which the patient will use to kill himself QUESTION 8 What is the most important reason to maintain a restraint-free environment? o Restraints may contribute to the risk of falls which may result in patient injury o Restraints can contribute to lowering a patient’s self esteem o Restraints are not legal in the U.S. This study source was downloaded by from CourseH on :05:23 GMT -06:00 o Restraints empower nursing home residents, making them difficult to deal with QUESTION 9 Which one of the following would not be a possible cause of elder mistreatment? o Social isolation of the caregiver o Caregiver stress o Intergenerational history of caring behavior o Degree of dependency on the caregiver or degree of impairment of the elder QUESTION 10 Which phrase describes the average U.S. caregiver? o Is paid for care-giving o Has continuous responsibility for an elder with no respite o Is a 46-year-old male o Stays home all day to care for the elder and is unable to work outside the home QUESTION 11 With Medicare’s Pay for Performance Initiative, hospitals will not be paid for preventable events taking place in the hospital, such as: (Select all that apply.) o Pressure ulcers that develop or worsen after admission to the hospital o Newly diagnosed diabetes o UTI secondary to foley catheter o Air embolism secondary to PICC line care QUESTION 12 A visitor to a nursing home witnesses an attendant scolding a client with dementia about being incontinent. The visitor reports the incident to the charge nurse. This is an example of: o Caregiver burnout This study source was downloaded by from CourseH on :05:23 GMT -06:00 o Exploitation o Psychological abuse o Neglect QUESTION 13 According to the article “Ethical Challenges in the Care of Elderly Person”, there are four issues affecting the health of older persons. Of the following, which one has the greatest potential to cause ethical issues related to care: o Financial barriers o Lack of resources o Cultural barriers and biases o Scarcity of providers QUESTION 14 Most seniors say they want to “age in place.” What services could NOT be brought to the individual’s home in order to help seniors stay at home as long as possible? (Select all that apply.) o Medical care (physician or nurse practitioner o Nutrition (food delivery) o Imaging studies such as Doppler flow study or sonography o Equine therapy QUESTION 15 Studies have demonstrated that, compared with non-caregivers, caregivers tend to: o Smoke less o Cope better with loss o Take more medications o Be more resilient overall QUESTION 16 Your patients has Medicare and will be needing services outside the hospital. Which one of these will Medicare NOT pay for: o Medically necessary skilled nursing home care This study source was downloaded by from CourseH on :05:23 GMT -06:00 o Renal dialysis o Home health o Custodial nursing home care QUESTION 17 Medicare Part A covers Inpatient hospitalization o True o False QUESTION 18 Which of the following assessment findings could indicate elder mistreatment and would necessitate further investigation? (Select all that apply.) o Infantile behavior on the part of the patient o Unexplained new onset STD o Severe dehydration or malnutrition not related to a disease process o Contradictory or inconsistent explanations of injuries given by the patient and the caregiver