c475 WGU Care of the Older Adult
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What should drive decision Patient goals of care
making in palliative care?
Mr. R tells you that he is Spiritual
frightened by not knowing what
happens after death. Which
domain of quality of life is being
affected by his serious illness?
See an expert-written answer
The nurse is positioning a bed- On the wall
monitoring device for a client
who is at risk of wandering
where should the nurse place
the infrared beam detector?
While caring for a client with Prevent external hip rotation
immobility the RN applies a
trochanter roll after placing the
client in supine position. What is
the rationale behind this nursing
intervention?
A geriatric client who has a risk Disconnect alarm before assisting patient out of bed.
of falls is on a bed monitor.
What should the nurse do while
caring for the patient?
The RN is teaching a student I should check for symptoms of cyanosis and pallor at the site
nurse about guidelines for where the restraint is applied.
caring for patient with
restraining devise. Which
statement of the student nurse
indicated effective learning?
, The RN is providing palliative I should keep the bed in high position.
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.
What is a mini cog? 3 item recall and clock drawing test
A tool that assesses sensory perception, moisture, activity,
What is the Braden Scale?
mobility, nutrition, and friction
-A list that includes commonly prescribed meds which may cause
What is the BEER's List?
increased risk to elderly patient
SLEEP,
Problems W/eating,
What is the SPICES tool? This
Incontinence, Confusion,
tool assesses:
Evidence of fall,
Skin Breakdown.
What are instrumental activities cleaning, cooking, shopping, and paying bills.
of daily living? I-ADLS
-People age 65
-People with ESRD
Who Qualifies for Medicare?
-Diabetes
-People retired from Railroad
This health-oriented initiative has a major goal of eliminating
What is Healthy People 2010?
healthcare disparity between cultural groups.
What is Medicare Part D? The part of Medicare that covers prescription Drugs.
It eliminates lifetime insurance gaps, provides free preventive
What is the patient protection
care, provides insurance plans for patients with preexisting
and affordable care act?
conditions, Allow children to stay on parents plan till age 26
1. Improve pt. quality /satisfaction
What are the IHI Triple Aim
2. Improve population health.
goals?
3. Reduce healthcare cost.
It brings together diverse expertise to provide better-
What is interdisciplinary Team?
coordinated better-quality care.
What is care Transitions? The major goal is to reduce avoidable readmissions.
What is discharge preparations This tool ensures that a pt. understands meds, who to contact if
checklist? problems arise and when to follow up.
This is comprehensive management of physical psychological
What is palliative care?
social and spiritual needs of pt. with incurable illness.
This is appropriate referral when a pt. has a life expectancy of 6
What is hospice?
months or less.
What is visceral nonciorecptive This type of pain usually responds well to opioid treatment.
pain?
Which physiologic changes in Reduced hepatic and renal blood flow, lower total body water,
the elderly patient affects higher percentage of body fat
medication dosing?