Ebersole and Hess’ Gerontological
Nursing & Healthy Aging, 6th Edition
Exam Questions and Answers (Latest
Update 2025)
Which of the following is a true statement about
documentation?
a. Nurses should keep records of clients' wishes.
b. Clients do not have access to their own medical records.
c. The Outcomes and Assessment Information Set (OASIS) is a
complete record of the health status of a client.
d. The nurse is responsible for completing all of the Minimum
Data Set (MDS). - Correct Answer ✅ ANS: A
Entering clients' expressed wishes in the medical or clinical
record helps ensure that the interdisciplinary team respects
these wishes. According to regulations after the enactment of
the Health Insurance Portability and Accountability Act
(HIPAA), the client has access to his or her own medical
records and may designate others to have access. The OASIS
is used to measure outcomes for quality improvement
purposes; it does not contain all of the necessary information
for care, such as vital signs. The MDS should be completed
jointly by all members of the interdisciplinary team.
,Ebersole and Hess’ Gerontological
Nursing & Healthy Aging, 6th Edition
Exam Questions and Answers (Latest
Update 2025)
Which one of the following is connected with the nursing
home reform mandated by a 1987 law?
a. Resident Assessment Instrument (RAI)
b. HIPAA
c. OASIS
d. Fulmer SPICES - Correct Answer ✅ ANS: A
The RAI must be completed for all residents receiving
Medicare or Medicaid. The HIPAA was passed in 1996 and
mandates privacy practices. The OASIS is an assessment
designed for use in the home health care setting. Fulmer
SPICES is an overall assessment tool developed in 2007.
An older adult client has diabetes mellitus and requires
hemodialysis for renal failure. The client is discharged to
home to recover from a sternal wound infection and coronary
artery bypass graft surgery (CABG). A home care nurse will
provide wound care. Which of the following is the major
justification for the complete and accurate documentation of
this client's care?
, Ebersole and Hess’ Gerontological
Nursing & Healthy Aging, 6th Edition
Exam Questions and Answers (Latest
Update 2025)
a. Requires complex health care
b. Has needs in multiple settings
c. Is at risk for iatrogenic problems
d. Has significant health care expenses - Correct Answer ✅
ANS: A
The major reason that documentation of this client's health
care must be accurate and complete is that she has complex
health care needs in multiple settings and experiences a high
risk for iatrogenic problems and high reimbursement
expenses. The duration of her care is likely to be lengthy; the
sternal wound infection after CABG is serious because of the
potential for sternal osteomyelitis. In addition, individuals
with diabetes are at high risk for infection and are slow to
heal. The complexity of the care includes receiving care in
multiple settings—at home, at dialysis, and in primary care
for post discharge follow-up care. For an older adult with
diabetes, coronary artery disease, renal failure, and a serious
infection, each facet of health care depends on complete and
accurate data on the other aspects of her care to help her
achieve optimal health and wellness. This older adult is at
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