UPDATED Gerontological Nursing Exam 2 QUESTIONS AND CORRECT DETAILED ANSWERS|A+ GUARANTEED

In the US, most older adults die: A. At home B. In the hospital C. In the nursing home D. Other - ANSWER- *B. In the hospital* What percent of Medicare spending is spent on 5% of older adults during the last year of life? - ANSWER- 25% of Medicare spending Informed consent - ANSWER- The process by which competent individuals are provided with information that enables them to make a reasonable decision about any treatment or intervention that is to be performed on them -Applies to the decision-making capability of those that are competent to make a decision What does the right to self determination include? - ANSWER- *Covers all decisions about one's care and treatment, including:* -Removal of life support or life-sustaining treatments -Life-prolonging or lifesaving measures Right to self determination: Competence - ANSWER- Refers to the ability to understand proposed treatments/ procedures enough to be able to make an informed decision Advance Medical Directives (AMDs) - ANSWER- Documents that permit people to set forth in writing their wishes and preferences regarding health care -States wishes and preferences for future care that healthcare professionals can follow -Can appoint a surrogate decision maker When are advance medical directives active? - ANSWER- Not operational until the person is *no longer able to speak for themselves* T/F: If you are under the age of 25, your surrogate decision maker (DPOA-HC) is automatically your parents if you are unable to speak for yourself - ANSWER- FALSE Durable Power of Attorney for Health Care (AKA Medical Power of Attorney) - ANSWER- Legal document that designates an individual (health care agent or proxy) to make medical decisions for you in the event that you are unable to do so *Different from a power of attorney authorizing someone to make financial transactions for you* Living will - ANSWER- Legal document *Has vague terminology* ("terminal illness", "pervasive vegetative state") -References future events Do not require involvement of appointed surrogate decision maker-POA-HC *Not available at time of healthcare crisis* T/F if a patient has a DNR order on file, that means they do no want any further treatment - ANSWER- FALSE DNR orders - ANSWER- Do not resuscitate *does NOT mean do not treat* -Facility specific -Does not advise on how to treat a patient that has a pulse and is breathing *Out of hospital DNR*- not honored by EMS *Limited for pediatric patients* Dignified death - ANSWER- -A good death -Dying well -Natural part of life -Opportunity for growth -A profoundly personal experience -Different for every individual Aspects of Quality of Life - ANSWER- Physical Social Psychological Spiritual Physical aspects of Quality of Life - ANSWER- Functional Ability Strength/Fatigue Sleep & rest Nausea Appetite Constipation Pain Psychological aspects of Quality of Life - ANSWER- Anxiety Depression Enjoyment/Leisure Pain distress Happiness Fear Cognition/ attention