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NURS 306 Final exam sample Q's from discussion board Question and answers 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...

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  • November 19, 2024
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NURS 306 Final exam sample Q's from
discussion board Question and answers
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 - correct answer ✔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. - correct
answer ✔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 - correct answer ✔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. - correct answer
✔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. -
correct answer ✔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 - correct answer ✔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 - correct answer ✔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

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