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NURS 306 Final exam sample Q's from discussion board.
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NURS 306 Final exam sample Q's fromdiscussion board
Robert, an 86-year-old man comes into the emergency department with his adult son.
His adult son explains that he was visiting his father and found him lying on the kitchen
floor. Which one of these nursing actions avoids the adoption of ageist institutional
policies? (select all that apply)
a) Ask the patient how many times he has fallen in the past
b) Suggest the patient uses a walker at home and hires homecare
c) Ask the son if he would be able to move in with his father, if not an immediate LTC
referral is needed
d) Do an emergency falls risks assessment
e) Do a head-to-toe assessment, as well as a thorough neurological assessment
f) Ask the patient to explain what happened, then talk to the patient about the success
he has in performing ADLs - ANS-Answer: e & f
E is correct because this is what you would do for any patient. The older population
deserves to have the standard of care. F is correct because what if this was the first
time he had a fall? We cannot assume he has had falls before, or that he is at risk for
falling. Young people fall occasionally as well, but they are not stigmatized by it. Doing a
more thorough assessment of the event and inquiring about the patient's daily life will
give the nurse a bigger picture of what is really going on. This comes from the March
28th guest lecture about the SCOA.
The World Health Organization's Age-friendly City Model addresses: (select all that
apply)
a) Community-based clinics so that older adults can receive treatment for chronic
illnesses such as diabetes, kidney disease, and hypertension.
b) Issues such as housing, transportation, and social inclusion.
c) The necessity of community-based clinics that specialize in physical health and
require their staff to take courses specific to the unique profile of older adults.
d) The need for a walking club to promote better cardiac health.
e) The design of outdoor spaces and buildings that are age-friendly. - ANS-Answer: b &
e
The model provided by the WHO does not emphasize physical health. It emphasizes
the infrastructure within the city, and how it can be adapted to the aging population. This
comes from the March 28th guest lecture about the SCOA.
,The older adult population is not homogeneous. Within the population exists multiple
generations, which of these statements is correct?
a) The first generation is adults from age 60-75 and it is the fastest growing group
b) The third generation is adults who are age 85+ and it is the fastest growing group.
c) The first generation is adults from age 60-80 and it is the fastest growing group
d) The second generation is adults who are age 80+ and it is the fastest growing group -
ANS-Answer: b
This is from the March 28th guest lecture about the SCOA, this was from the
information provided by the guest lecture.
The elderly patient you are caring for is living with cognitive and sensory changes. How
would you meet their individual learning needs? (Choose the incorrect statement)
a) Keep sessions short, brief, and simple
b) Plan teaching sessions around their schedule, not your own schedule.
c) Use videos that are simple and easy to understand.
d) Provide information and record yourself. Once you are done recording yourself, leave
the audio file with the older adult so they can listen to it when they need.
e) Follow up with the patient, schedule another visit to ensure that the information was
passed on correctly and accurately. - ANS-Answer: d
D is incorrect. It is incorrect because this does not allow the patient to ask any
questions. You have not assessed if the patient has an audio player. All of the other
answers are correct and are from Week 6 class discussion about health literacy.
A 67-year-old woman is asking for palliative care. She is currently living with chronic
kidney disease and is at the end-stage. She is on dialysis and is experiencing negative
side effects. What should the nurse do?
a) Discuss the meaning of death with the patient
b) Explain to the patient that palliative care is only offered during the last 2-3 weeks of
life because of the high demand
c) Assess what kind of symptoms the patient wants to manage and collaborate with her
to create the best management plan.
d) Ask the patient if she wants her EOL care in the hospital or at home. - ANS-Answer:
c
Is the correct answer; all the other answers are talking about EOL care and they are not
an appropriate nursing action currently. EOL care and palliative care are two different
, things and should be treated as such. C includes collaboration, and this is vital for care
of any patient. This is from Week 6 class discussion about EOL care.
6. What is Standard V (five) of Integrating Gerontological Competencies?
a) Health Systems
b) Relationship Care
c) Physiological Health
d) Safety and Security - ANS-Answer A
Integrating gerontological competencies
Found in January 3 Lecture - exploring chronicity and aging slide 24
"Gerontological nurses are aware of economic and political influences by providing or
facilitating care that supports access to and benefit from the health care delivery
system"
What concerns exist for Benzodiazepines administered to Geriatric Patients?
a) Sedation, confusion, anticholinergic effects
b) Reduced renal clearance can cause serious toxicity
c) Confusion, depression, anticholinergic effects
d) Confusion, ataxia, slurred speech, diplopia - ANS-Answer C
Potentially inappropriate medications in geriatrics
Found January 17 Lecture - Pharmacology: Older Adults and Pain Management slide
28
What drug(s) are potentially inappropriate medications in geriatrics?
a) Antihistamines
b) Digoxin (cardiac glycoside)
c) NSAIDs
d) Phenytoin
e) A and C
f) All of the above - ANS-Answer F
Potentially inappropriate medications in geriatrics
Found January 17 Lecture - Pharmacology: Older Adults and Pain Management slide
28
What are the 4 roles of an RN in medication and symptom management?
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