NURS 306 FINAL EXAM WEST
COAST UNIVERSITY QUESTIONS
AND ANSWERS WITH SOLUTIONS ,
What does the Acute Care for Elders (ACE) strategy provide?
a) Long term care for seniors
b) Home care nursing support
c) Outreach to give seniors food, transportation and caregivers
d) Better coordination of health services in the senior community
The answer is C
The other ones are too specific and not the best answer to the reason for this Acute Care for Elders
strategy. This can be found on slide 12 of the March 14th lecture.
Which aspect is not part of the 3 stages included in the provision of MAID?
a) Seeking medical assistance in dying
b) Assessment of eligibility
c) Assessment of readiness for end of life
d) Administering medical assistance in dying
The answer is C - all the other ones are included in the stages of MAID however the patient's
readiness to for end of life is not part of this assessment. This can be found on slide 4 of the
February 14th lecture.
Which of the following are considered geriatric syndromes?
a) Frailty
b) Alzheimer's
,c) Pressure ulcers
d) Functional decline
e) a, b, d
f) a, c, d
g) a, b, c, d
The answer is F
Alzheimer's is not considered a geriatric syndrome but all the rest are. This can be found on slide 3
of the January 23rd lecture.
Which RN's actions do not reflect the CGNA's (2010) Standard 5: Health System?
a) Max identifies that the Live Well Program monthly meeting targeted for older adults with
chronic kidney disease is not very accessible as it is located in on the second floor of a building
which does not have an elevator.
b) Nora uses a low stimulation environment for older adults with dementia in a nursing home
rather than sedative medications to address 'sun-downing' behaviour.
c) Ada listens to patients' verbalized preferences for care and advocates for these changes at the
next staff meeting.
d) Lee encourages patients to report the use of prescription medications, OTC (over-the-counter)
medications, and herbal remedies.
e) all of the above
f) B and C
g) B and D
h) A, B, and C
Correct Answer: F
Rationale:
A - Standard 5: "Analyzing the effectiveness of community resources in assisting older adults and
their families to retain personal goals, maximize function, maintain independence, and live in the
least restrictive environment." and "Identifying and evaluating the accessibility, availability, and
affordability of health care for older adults to promote their goals; maximizing function, desired
level of autonomy and independence and their living in the least restrictive environment"
B - Standard 6: Safety and security: "Intervening to eliminate or minimize the use of physical,
chemical, and environmental restraints (e.g. alternate strategies to prevent falls, to prevent
treatment interference, and to manage agitated and/or combative behavior)."
C - Standard 5: "Representing the older adult as requested and when the older adult is not able to
advocate for self in discussions of care, preferences for care and decisions related to care within
the healthcare team and the organization"
,D - Standard 1: Physiological Health: "Identifying older adults' use of prescription medications,
over-the-counter medications, herbal remedies and complementary and alternative therapy; and
using established criteria for assessment and management of polypharmacy"
Information located from week 1 CGNA (2010) Gerontological Nursing Competencies and Standards
of Practice 2010 (introduced in the slideshow, 4th last slide)
Which option is not a cause of Delirium?
a) Certain medications or drug toxicity
b) Malnutrition or dehydration
c) Old age
d) Pain
The answer is C
Answer is on slide 16, as all others except pain are on the list of causes of delirium. The date of the
class was January 10th, when talking and physiological health and delirium slide 16.
What is the best way to approach to help an older adult deal with abuse?
a) Empower the older adult to solve their problem and help them be safe
b) Remove the older adult from the abuse
c) Allow the older adult to solve the problem on their own
d) Ignore the issue and pretend you did not witness anything
Answer is A
Safety and security lecture; guest lecture
"We can solve the problem for you- NOT true- work with the older person - running into rescue
them can cause more harm"
Which is NOT a risk factor for elder abuse?
, a) Social isolation
b) Cognitive disabilities
c) Addictions
d) Social alcohol use
Answer is D
Safety and security lecture; guest lecture
If you are using the WHODAS 2.0 assessment tool, what are you assessing?
a) Changes in an older person's mental status to assess for dementia
b) Changes in a person's health status over time and the contribution of chronic disease on older
adults daily functioning
c) The risk for coronary artery disease
d) The risk for elder abuse
Answer is B
Health system lecture; slide 10
Which of the following shows that you as a nurse are incorporating the CGNA standard of
responsive care into your practice?
a) Understanding and considering normal physiological changes that occur as people age that could
affect care
b) Assessing for barriers, such as drug interactions or dementia, that could impact the client's
understanding of information you are providing them with
c) Addressing health-related learning needs and developing, implementing and evaluating learning
plans to accommodate changing cognitive and sensory abilities
d) Assisting family caregivers to reduce their stress levels and maintain their own mental and
physical health
e) a, b, c
f) b, c
g) c, d
COAST UNIVERSITY QUESTIONS
AND ANSWERS WITH SOLUTIONS ,
What does the Acute Care for Elders (ACE) strategy provide?
a) Long term care for seniors
b) Home care nursing support
c) Outreach to give seniors food, transportation and caregivers
d) Better coordination of health services in the senior community
The answer is C
The other ones are too specific and not the best answer to the reason for this Acute Care for Elders
strategy. This can be found on slide 12 of the March 14th lecture.
Which aspect is not part of the 3 stages included in the provision of MAID?
a) Seeking medical assistance in dying
b) Assessment of eligibility
c) Assessment of readiness for end of life
d) Administering medical assistance in dying
The answer is C - all the other ones are included in the stages of MAID however the patient's
readiness to for end of life is not part of this assessment. This can be found on slide 4 of the
February 14th lecture.
Which of the following are considered geriatric syndromes?
a) Frailty
b) Alzheimer's
,c) Pressure ulcers
d) Functional decline
e) a, b, d
f) a, c, d
g) a, b, c, d
The answer is F
Alzheimer's is not considered a geriatric syndrome but all the rest are. This can be found on slide 3
of the January 23rd lecture.
Which RN's actions do not reflect the CGNA's (2010) Standard 5: Health System?
a) Max identifies that the Live Well Program monthly meeting targeted for older adults with
chronic kidney disease is not very accessible as it is located in on the second floor of a building
which does not have an elevator.
b) Nora uses a low stimulation environment for older adults with dementia in a nursing home
rather than sedative medications to address 'sun-downing' behaviour.
c) Ada listens to patients' verbalized preferences for care and advocates for these changes at the
next staff meeting.
d) Lee encourages patients to report the use of prescription medications, OTC (over-the-counter)
medications, and herbal remedies.
e) all of the above
f) B and C
g) B and D
h) A, B, and C
Correct Answer: F
Rationale:
A - Standard 5: "Analyzing the effectiveness of community resources in assisting older adults and
their families to retain personal goals, maximize function, maintain independence, and live in the
least restrictive environment." and "Identifying and evaluating the accessibility, availability, and
affordability of health care for older adults to promote their goals; maximizing function, desired
level of autonomy and independence and their living in the least restrictive environment"
B - Standard 6: Safety and security: "Intervening to eliminate or minimize the use of physical,
chemical, and environmental restraints (e.g. alternate strategies to prevent falls, to prevent
treatment interference, and to manage agitated and/or combative behavior)."
C - Standard 5: "Representing the older adult as requested and when the older adult is not able to
advocate for self in discussions of care, preferences for care and decisions related to care within
the healthcare team and the organization"
,D - Standard 1: Physiological Health: "Identifying older adults' use of prescription medications,
over-the-counter medications, herbal remedies and complementary and alternative therapy; and
using established criteria for assessment and management of polypharmacy"
Information located from week 1 CGNA (2010) Gerontological Nursing Competencies and Standards
of Practice 2010 (introduced in the slideshow, 4th last slide)
Which option is not a cause of Delirium?
a) Certain medications or drug toxicity
b) Malnutrition or dehydration
c) Old age
d) Pain
The answer is C
Answer is on slide 16, as all others except pain are on the list of causes of delirium. The date of the
class was January 10th, when talking and physiological health and delirium slide 16.
What is the best way to approach to help an older adult deal with abuse?
a) Empower the older adult to solve their problem and help them be safe
b) Remove the older adult from the abuse
c) Allow the older adult to solve the problem on their own
d) Ignore the issue and pretend you did not witness anything
Answer is A
Safety and security lecture; guest lecture
"We can solve the problem for you- NOT true- work with the older person - running into rescue
them can cause more harm"
Which is NOT a risk factor for elder abuse?
, a) Social isolation
b) Cognitive disabilities
c) Addictions
d) Social alcohol use
Answer is D
Safety and security lecture; guest lecture
If you are using the WHODAS 2.0 assessment tool, what are you assessing?
a) Changes in an older person's mental status to assess for dementia
b) Changes in a person's health status over time and the contribution of chronic disease on older
adults daily functioning
c) The risk for coronary artery disease
d) The risk for elder abuse
Answer is B
Health system lecture; slide 10
Which of the following shows that you as a nurse are incorporating the CGNA standard of
responsive care into your practice?
a) Understanding and considering normal physiological changes that occur as people age that could
affect care
b) Assessing for barriers, such as drug interactions or dementia, that could impact the client's
understanding of information you are providing them with
c) Addressing health-related learning needs and developing, implementing and evaluating learning
plans to accommodate changing cognitive and sensory abilities
d) Assisting family caregivers to reduce their stress levels and maintain their own mental and
physical health
e) a, b, c
f) b, c
g) c, d
