Exam (elaborations)
Geriatric Exam 1 NCLEX Practice Questions
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Geriatric Exam 1 NCLEX Practice Questions
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1 of 145Term
an adult daughter says that the parent has been asked repeatedly to
complete an advance directive; however, he has neglected to do so.
what should the nurse do first to facilitate this person completing an
advance directive?
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ascertain the person's religious obtain a copy of the person's last
belief surrounding death and dying will and testament
, assess the older adult's
determine if an attorney has been
attitudes about advance
identified
directives
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2 of 145
Term
9) The director of nursing at a skilled facility is implementing the
Quality and Safety Education for Nurses (QSEN) project to improve
the quality of care of the older residents. Which topics will the
director include in staff teaching? Select all that apply.
1. Directions on accessing evidence-based practice resources
2. Methods for ensuring effective team collaboration
3. A plan for staff incentives for meeting care goals
4. Examples of respectful team communication5. Information on the
most prevalent cultures in the region
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Answer: 3
Explanation:
1. This would be an appropriate question to ask but not the priority.
2. This question should be asked when the nurse obtains consent for the
procedure, but this question would not be the priority after the client's statement
in the stem.
3. The priority question is to ascertain if the client understands why the
procedure is being done. If the client does not clearly comprehend why the
procedure is being done, then the Patient's Self Determination Act is in jeopardy
of being violated.
4. The nurse should teach the client about what will be experienced after the
,procedure and how any pain will be managed as part of the care plan, but this
question would not be the priority after the client's statement in the stem.
Answer: 1, 2, 4
Explanation:
1. Care must always be based on current evidence. Nurses must be
knowledgeable about using informatics to access the best evidence for
care provision.
2. Teamwork is a knowledge, skill, or attitude that will improve the quality of
care of the facility's residents by fostering open communication, mutual
respect, and shared decision making to achieve better quality.
3. Staff incentives are not a knowledge, skill, or attitude that will improve
the quality of care of the facility's residents.
4. For a team to function well, respectful communication is an essential
skill.
5. QSEN does emphasize valuing everyone's beliefs, values, and needs. The
nursing director would include information on how to be respectful of all
cultures and individuals, but presenting information specific to the local
area does not fully meet this criteria.
Answer: 4
Explanation:
1. If an older person lacks decisional capacity and has no predetermined wishes,
family, or healthcare proxy, the care facility may seek a court-appointed guardian
who is appointed by a judge to act on behalf of the ward or the patient. The
homeless shelter will not be consulted in this situation.
2. If an older person lacks decisional capacity and has no predetermined wishes,
family, or healthcare proxy, the care facility may seek a court-appointed guardian
who is appointed by a judge to act on behalf of the ward or the patient. The
hospital social worker will not make decisions for the patient.
3. If an older person lacks decisional capacity and has no predetermined wishes,
family, or healthcare proxy, the care facility may seek a court-appointed guardian
who is appointed by a judge to act on behalf of the ward or the patient. The
hospital will not make decisions for the patient.
4. If an older person lacks decisional capacity and has no predetermined wishes,
family, or healthcare proxy, the care facility may seek a court-appointed guardian
who is appointed by a judge to act on behalf of the ward or the patient.
, Answer: 1, 2, 3, 5
Explanation:
1. The provision of care for the seriously ill long-term care resident should be
consistent with accepted public policy.
2. The provision of care for the seriously ill long-term care resident should honor
the resident's preferences.
3. The provision of care for the seriously ill long-term care resident should not
inflict undue burden or harm to the resident without a reasonable chance of
success.
4. The provision of care for the seriously ill long-term care resident should honor
the resident's preferences, reflect the needs and wishes of families, be consistent
with accepted public policy, and not inflict undue burden or harm to the resident
without a reasonable chance of success. The focus is not on cost-effective
methods when providing care.
5. The provision of care for the seriously ill long-term care resident should reflect
the needs and wishes of families.
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3 of 145
Term
24) The nurse is working on a care area that focuses on tertiary
prevention. Which goal is most consistent with this focus?
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Patients with pressure ulcers
Patients at risk for skin breakdown
will have whirlpool therapy as
will be turned every 2 hours.
indicated.
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