Gerontological Nursing Exam 2 Questions And Answers
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Course
Gerontological Nursing
Institution
Gerontological Nursing
Gerontological Nursing Exam 2 Questions And Answers
In the US, most older adults die:
A. At home
B. In the hospital
C. In the nursing home
D. Other - Answer-*B. In the hospital*
/.What percent of Medicare spending is spent on 5% of older adults during the last year of life? - Answer-25% o...
Gerontological Nursing Exam 2
Questions And Answers
In the US, most older adults die:
A. At home
B. In the hospital
C. In the nursing home
D. Other - Answer-*B. In the hospital*
/.What percent of Medicare spending is spent on 5% of older adults during the last year
of life? - Answer-25% of Medicare spending
/.Informed consent - Answer-The process by which competent individuals are provided
with information that enables them to make a reasonable decision about any treatment
or intervention that is to be performed on them
-Applies to the decision-making capability of those that are competent to make a
decision
/.What does the right to self determination include? - Answer-*Covers all decisions
about one's care and treatment, including:*
-Removal of life support or life-sustaining treatments
-Life-prolonging or lifesaving measures
/.Right to self determination: Competence - Answer-Refers to the ability to understand
proposed treatments/ procedures enough to be able to make an informed decision
/.Advance Medical Directives (AMDs) - Answer-Documents that permit people to set
forth in writing their wishes and preferences regarding health care
-States wishes and preferences for future care that healthcare professionals can follow
-Can appoint a surrogate decision maker
/.When are advance medical directives active? - Answer-Not operational until the
person is *no longer able to speak for themselves*
/.T/F: If you are under the age of 25, your surrogate decision maker (DPOA-HC) is
automatically your parents if you are unable to speak for yourself - Answer-FALSE
/.Durable Power of Attorney for Health Care (AKA Medical Power of Attorney) - Answer-
Legal document that designates an individual (health care agent or proxy) to make
medical decisions for you in the event that you are unable to do so
*Different from a power of attorney authorizing someone to make financial transactions
for you*
/.Living will - Answer-Legal document
,*Has vague terminology* ("terminal illness", "pervasive vegetative state")
-References future events
Do not require involvement of appointed surrogate decision maker-POA-HC
*Not available at time of healthcare crisis*
/.T/F if a patient has a DNR order on file, that means they do no want any further
treatment - Answer-FALSE
/.DNR orders - Answer-Do not resuscitate *does NOT mean do not treat*
-Facility specific
-Does not advise on how to treat a patient that has a pulse and is breathing
*Out of hospital DNR*- not honored by EMS
*Limited for pediatric patients*
/.Dignified death - Answer--A good death
-Dying well
-Natural part of life
-Opportunity for growth
-A profoundly personal experience
-Different for every individual
/.Aspects of Quality of Life - Answer-Physical
Social
Psychological
Spiritual
/.Physical aspects of Quality of Life - Answer-Functional Ability
Strength/Fatigue
Sleep & rest
Nausea
Appetite
Constipation
Pain
/.Psychological aspects of Quality of Life - Answer-Anxiety
Depression
Enjoyment/Leisure
Pain distress
Happiness
Fear
Cognition/ attention
/.Social aspects of Quality of Life - Answer-Financial burden
Caregiver burden
Roles and relationships
Affection/ Sexual function
, Appearance
/.Spiritual aspects of Quality of Life - Answer-Hope
Suffering
Meaning of pain
Religiosity
Transcendance
/.POLST - Answer-*Physician Orders for Life-Sustaining Treatment*
-Started in Oregon in 1991
-Turns health care preferences into medical orders
-Is more *comprehensive* than a DNR/CPR order*
/.Advance Care Planning - Answer-*Focus on conversation, not document*
-Verifies that discussion done well in advance of a healthcare crisis
-Ongoing conversations with changes in health- *ACP is a process, not a one-time
decision*
-Include patient, POA, family, and friends
-Based on patients' values, beliefs, and culture
-Active listening helps identify themes of living well
/.IPOST- mission - Answer-*Iowa Physician Orders for Scope of Treatment*
-To create a system to honor the healthcare treatment choices of individuals through
improved communication across the healthcare continuum and to promote community
engagement in advanced care planning
/.Terms of IPOST - Answer--Mandate standardized training and form
-Respecting Choices evidenced-based curriculum for facilitator and instructor training
(training the trainer)
-Forms must be ordered from IDPH
-Can be signed by physician (MD/DO), NP, PA
-*Honored across all care settings* (and POLST forms from other states)- IPOST
belongs to patient
-Compliments advanced directive (converts wishes into medical orders)
/.Who can have an IPOST - Answer--Frail and elderly, chronic conditions in frequent
contact with a healthcare provider, life-limiting terminal illnesses
-*No age-limits*- includes pediatric population
Think: "Would I be surprised if this patient were to die in the next year?"
/.T/F: An IPOST is a medical order - Answer-TRUE
/.Advance Directives - Answer-*For all adults with decision-making capacity*
-Future care
-Person completes form (*healthcare proxy cannot complete*)
-Person is responsible for updating and giving document to health care providers
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