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NURS 221a questions and answers certified 2024
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NURS 221 - GerontologyWhich healthcare profession was the first to develop standards of
gerontological care and the first to provide a certification mechanism to ensure
specific professional expertise through credentialing?
A. Physical therapy
B. nursing
C. occupational therapy
D. medicine - correct answer ✔B. Nursing
Which statement articulates the Unites States' need for healthcare reform?
Select one:
a.Healthcare is viewed as a "right" in this country and too many people take
advantage of it.
b. We have an aging population with many chronic comorbidities, and our
system is not equipped to provide them with comprehensive care.
c. Medicaid is a failing system and needs to be replaced by a private
organization that can operate it more efficiently.
d. Healthcare is a business, and more opportunities should be created to
generate profits for healthcare systems. - correct answer ✔b. We have an
aging population with many chronic comorbidities, and our system is not
equipped to provide them with comprehensive care.
Mr. Jackson is an 83 year-old, community-dwelling older adult with
hypertension and hyperlipidemia. He is at the clinic for his yearly wellness
exam. You ask him what brings him in today and he mentions that he has
been experiencing some mild memory impairment. What is your next
response?
Select one:
,a. Some mild memory impairment can occur with older age, but I will be sure
to mention this to your provider and we will follow up accordingly.
b. You probably have the early stages of dementia, and it's only going to get
worse.
c. Cognitive impairment is a normal part of the aging process, and I'm
surprised that it's not more profound at your age.
d. This is nothing to worry about, older adults often experience periods of
memory impairment. - correct answer ✔A. Some mild memory impairment
can occur with older age but I will be sure to mention this to your provider and
we will follow up accordingly
The nurse who takes time to acknowledge their own biases and presumptions
and provides the patient the space needed to express their concerns,
anxieties and fears in order to establish a plan of care that aligns with the
client's wishes is engaging in what?
Select one:
a. B.A.S.E. care
b. Managed care
c. Nurse-centered care
d. Relationship-based care - correct answer ✔D. Relationship-based care
You are assessing a service provided by your local healthcare organization.
What are the key criteria the service must meet in order to align with IHI's
Triple Aim?
Select all that apply
Select one or more:
a. The service intends to reduce cost
,b. The service must be covered by Medicaid
c. The service intends to reach a large amount of individuals
d. The service must account for patient preference - correct answer ✔A. the
service intends to reduce cost
C. the service intends to reach a large amount of individuals
D. The service must account for patient's preferance
Age-related changes to the older adult's integumentary system place them at
risk for pressure-related wounds. Which of the following areas must the nurse
pay close attention to regarding skin surveillance and the potential for
pressure-related wounds?
Select all that apply
Select one or more:
a. heels
b. abdomen
c. occiput (back of the head)
d. coccyx - correct answer ✔A. heels
C. occiput
D. coccyx
The nurse who views their past experiences and failures as learning
opportunities is demonstrating what?
Select one:
a. B.A.S.E. model
b. Relationship-based care
c. Growth mindset
d. Fixed mindset - correct answer ✔C. growth mindset
, When performing a gastrointestinal (GI) assessment of the older adult, you
know that which finding is NOT a normal aspect of aging?
Select one:
a. Frequent episodes of constipation resulting in significant discomfort
b. Decreased saliva production resulting in a dryer oral mucosa
c. Slower GI motility, which is best suited for smaller, frequent meals
d. Loss of taste buds, which results in decreased enjoyment with eating -
correct answer ✔A. frequent episodes of constipation resulting in significant
discomfort
What is the best term for a healthcare system that is operated solely by a
government (e.g. the doctors and nurses are government employees)?
a. Federal healthcare system
b. Socialized healthcare system
c. Single-payer healthcare system
d. Liberal healthcare system - correct answer ✔B. socialized healthcare
system
Why are we experiencing the closure of multiple long-term care facilities
throughout the country?
a. Because many of the residents pay out of pocket, and they are unable to
pay for the services provided
b. Because in the U.S. many social services are subsidized, thus reducing the
need for long-term care
c. Because there isn't a need for their services
d. Because many of the residents are covered by Medicaid, and it does not
pay enough to care for an older and sicker population - correct answer ✔D.
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