BSN C475 CARE OF THE
OLDER ADULT STUDY
GUIDE LISA CAMPBELL-
LOWN
Which of the following statements is true about serious chronic
illnesses? The majority of annual US health care spending goes
towards chronic illness
What should drive decision making in palliative
care? Patient goals of care
Mr. R tells you that he is frightened by not knowing what happens after
death. Which domain of quality of life is being affected by his serious
illness?
Spiritual
Which statement reflects the importance of learning about palliative
care as a student nurse?
Future employers expect you to have education and training in
palliative care services
The nurse is positioning a bed-monitoring device for a client who is
at risk of wandering where should the nurse place the infrared
beam detector?
On the wall
What is the purpose of making the client wear nonskid
slippers? To prevent falls
While caring for a client with immobility the RN applies a trochanter roll
after placing the client in supine position. What is the rationale behind this
nursing intervention? Prevent external hip rotation
A geriatric client who has a risk of falls is on a bed monitor. What should
the nurse do while caring for the patient:
Disconnect alarm before assisting patient out of bed
The nurse caring for elderly patient who has functional impairment
which action of the nurse helps to provide safe and effective care?
Attaching bed rails to the patient bed
The RN is teaching a student nurse about guidelines for caring for
patient with restraining devise. Which statement of the student nurse
indicated effective learning?
,I should check for symptoms of cyanosis and pallor at the site where the
restraint is applied
,The RN is providing palliative care for a geriatric patient with functional
impairment who is placed on an enclosed bed. The nurse teaches care
guidelines to patient’s family member indicates the need for future
teaching?
I should keep the bed in high position
What is a mini cog?
3 item recall and clock drawing test
What is the confusion assessment method?
-This tool helps RN quickly identify Delirium
What is the Braden Scale?
A tool that assess sensory perception, moisture, activity, mobility,
nutrition, and friction
What is the BEER’s List?
-A list that includes commonly prescribed meds which may cause
increased risk to elderly patient
What is the SPICES tool?
This tool assesses: SLEEP, Problems W/eating,
Incontinence, Confusion, Evidence of fall, Skin Breakdown
What is an example of primary
prevention? Getting a flu shot
What are extrinsic risk factors?
Factors including rungs, poor lighting, stairs, and side rails
What is Fragility?
This is a general decline in physical function with unintentional weight
loss, weak grip/strength, and slow walking speed
What are instrumental activities of daily living?
Examples are: cleaning, cooking, shopping, and paying bills
What is Healthy People 2010?
This health-oriented iniative has a major goal of eliminating healthcare
disparity between cultural groups
Who Qualifies for Medicare?
-People age 65 -People with ESRD
-Diabetes -People retired from Rail Road
, What is Medicare Part D?
-The part of Medicare that covers prescription Drugs
What is the patient protection and affordable care act?
It eliminates lifetime insurance gaps, provides free preventive care,
provides insurance plans for patients with preexisting conditions,
Allow children to stay on parents plan till age 26
What are social security benefits?
These benefits are reduced if a person retires early.
What are the IHI Triple Aim goals?
1. Improve pt quality /satifsication
2. Improve population health
3. Reduce healthcare cost
What is interdisciplinary Team?
It brings together diverse expertise to provide better-coordinated better
quality care
What is care Transitions?
The major goal is to reduce avoidable readmissions
What is discharge preparations checklist?
This tool ensures that a pt. understands meds, who to contact if problems
arise and when to follow up
What is delegation?
This is authority to s specific person for a specific task
What is absent medication reconciliation?
This is common, preventable error that occurs during transition of care
What is health care power of attorney?
This person makes healthcare decisions for a pt. who is unable to do so for
himself
What is hospice?
This is appropriate referral when a pt. has a life expectancy of 6 months or
less
What is palliative care?
This is comprehensive management of physical psychological social and
spiritual needs of pt. with incurable illness
OLDER ADULT STUDY
GUIDE LISA CAMPBELL-
LOWN
Which of the following statements is true about serious chronic
illnesses? The majority of annual US health care spending goes
towards chronic illness
What should drive decision making in palliative
care? Patient goals of care
Mr. R tells you that he is frightened by not knowing what happens after
death. Which domain of quality of life is being affected by his serious
illness?
Spiritual
Which statement reflects the importance of learning about palliative
care as a student nurse?
Future employers expect you to have education and training in
palliative care services
The nurse is positioning a bed-monitoring device for a client who is
at risk of wandering where should the nurse place the infrared
beam detector?
On the wall
What is the purpose of making the client wear nonskid
slippers? To prevent falls
While caring for a client with immobility the RN applies a trochanter roll
after placing the client in supine position. What is the rationale behind this
nursing intervention? Prevent external hip rotation
A geriatric client who has a risk of falls is on a bed monitor. What should
the nurse do while caring for the patient:
Disconnect alarm before assisting patient out of bed
The nurse caring for elderly patient who has functional impairment
which action of the nurse helps to provide safe and effective care?
Attaching bed rails to the patient bed
The RN is teaching a student nurse about guidelines for caring for
patient with restraining devise. Which statement of the student nurse
indicated effective learning?
,I should check for symptoms of cyanosis and pallor at the site where the
restraint is applied
,The RN is providing palliative care for a geriatric patient with functional
impairment who is placed on an enclosed bed. The nurse teaches care
guidelines to patient’s family member indicates the need for future
teaching?
I should keep the bed in high position
What is a mini cog?
3 item recall and clock drawing test
What is the confusion assessment method?
-This tool helps RN quickly identify Delirium
What is the Braden Scale?
A tool that assess sensory perception, moisture, activity, mobility,
nutrition, and friction
What is the BEER’s List?
-A list that includes commonly prescribed meds which may cause
increased risk to elderly patient
What is the SPICES tool?
This tool assesses: SLEEP, Problems W/eating,
Incontinence, Confusion, Evidence of fall, Skin Breakdown
What is an example of primary
prevention? Getting a flu shot
What are extrinsic risk factors?
Factors including rungs, poor lighting, stairs, and side rails
What is Fragility?
This is a general decline in physical function with unintentional weight
loss, weak grip/strength, and slow walking speed
What are instrumental activities of daily living?
Examples are: cleaning, cooking, shopping, and paying bills
What is Healthy People 2010?
This health-oriented iniative has a major goal of eliminating healthcare
disparity between cultural groups
Who Qualifies for Medicare?
-People age 65 -People with ESRD
-Diabetes -People retired from Rail Road
, What is Medicare Part D?
-The part of Medicare that covers prescription Drugs
What is the patient protection and affordable care act?
It eliminates lifetime insurance gaps, provides free preventive care,
provides insurance plans for patients with preexisting conditions,
Allow children to stay on parents plan till age 26
What are social security benefits?
These benefits are reduced if a person retires early.
What are the IHI Triple Aim goals?
1. Improve pt quality /satifsication
2. Improve population health
3. Reduce healthcare cost
What is interdisciplinary Team?
It brings together diverse expertise to provide better-coordinated better
quality care
What is care Transitions?
The major goal is to reduce avoidable readmissions
What is discharge preparations checklist?
This tool ensures that a pt. understands meds, who to contact if problems
arise and when to follow up
What is delegation?
This is authority to s specific person for a specific task
What is absent medication reconciliation?
This is common, preventable error that occurs during transition of care
What is health care power of attorney?
This person makes healthcare decisions for a pt. who is unable to do so for
himself
What is hospice?
This is appropriate referral when a pt. has a life expectancy of 6 months or
less
What is palliative care?
This is comprehensive management of physical psychological social and
spiritual needs of pt. with incurable illness
