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GERO Actual Exam | Questions solved 100% Correct/Verified Solutions
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GERO Actual Exam | Questions solved100% Correct/Verified Solutions
Active care management is often necessary in order to maintain wellness among older
adults. Which of these older adults is most likely to require care management?
A)A 90-year-old man who lives alone and has no living family members
B)A 77-year-old woman who enjoyed good health until she suffered a severe stroke 3 days
earlier
C)An 81-year-old resident of a nursing home whose Alzheimer disease is progressing rapidly
D)A 90-year-old man who has recently been transferred from an assisted living facility to
an acute care setting - ANSWER A)A 90-year-old man who lives alone and has no living
family members
Feedback
,Community-dwelling older adults who may lack family involvement in their care often
require independent community-based professional geriatric care management. Individuals
who are experiencing acute medical conditions and who are in institutional or acute care
settings are not frequent recipients of care management.
A gerontological nurse is aware that out-of-pocket expenses for care can be onerous for
many older adults. Which action can the nurse take to potentially minimize these expenses
for clients?
A)Become familiar with the various funding sources and their eligibility requirements.
B)Teach older adults to be astute with their spending and saving patterns.
C)Encourage older adults to make care providers aware of each chronic condition they live with.
D)Provide care that is primarily focused on acute, rather than chronic, health problems. -
ANSWER A)Become familiar with the various funding sources and their eligibility
requirements.
Feedback
Despite the complexity and limitations of programs, nurses need to know enough about the
most common sources of payment for health services so they can understand and address
some of the barriers to and challenges of implementing nursing care plans and discharge plans.
Ultimately, this may have the effect of reducing some older adults' out-of-pocket expenses.
Teaching about financial management is beyond the scope of the nurse and focusing on acute,
rather than chronic, health problems is inappropriate.
Admission to long-term care is typically a culmination in a long series of health problems and
functional limitations. Which of the following problems is most likely to precipitate admission
to long-term care?
A)Kidney disease
B)Traumatic injury
C)Chronic obstructive pulmonary disease
D)Dementia - ANSWER D)Dementia
,Feedback
In contrast to admissions for skilled nursing care that are associated with a hospitalization,
admissions to long-term care commonly occur after a period of gradual decline in functioning
because of a chronic condition, such as dementia. Studies indicate that more severe functional
limitations, cognitive impairment, and problematic behaviors in people with dementia are
predictors of admission to nursing facilities for long-term care.
Which of the following actions exemplifies the nurses' role in home care of an older
adult? (Select all that apply.)
A)Coordinate a multidisciplinary team.
B)Perform ADL care for clients.
C)Provide resources to caregivers to reduce caregiver stress.
D)Refer available community resources.
E)Teach about interventions to provide quality care. - ANSWER A)Coordinate a
multidisciplinary team.
C)Provide resources to caregivers to reduce caregiver stress.
D)Refer available community resources.
E)Teach about interventions to provide quality care.
Feedback
Nurses who provide skilled home care services typically assume a primary coordinating role
with a multidisciplinary team. Nursing responsibilities include referrals for additional services.
Nurses direct their interventions toward the caregivers providing teaching about interventions,
and they address needs of the caregiver related to information about resources and ways to
reduce caregiver stress.
A nurse teaches an older adult client about the use of the telehealth equipment to monitor
congestive heart failure. Which of the following statements by the client shows understanding?
, A)"I will call the primary health care office everyday with my weight, and blood pressure."
B)"I won't touch this fancy equipment unless you are here."
C)"I need to step on this scale and use this automatic cuff each day."
D)"I will watch the prescribed television show every afternoon." - ANSWER C)"I need to step
on this scale and use this automatic cuff each day."
Feedback
Telehealth is used to collect and transmit assessment information. The client does not have
to call anyone, they are to use the equipment to collect weight and blood pressure to
monitor congestive heart failure, this equipment will transmit the data. Television is not
included in telehealth.
A nursing administrator of the long-term care facility implements a performance improvement
program. Which of the following activities should be included in the program?
A)Develop a dementia care unit.
B)Decrease the use of intramuscular medications.
C)Emphasize safety and medical care.
D)Measure outcomes focusing on personal choice. - ANSWER D)Measure outcomes focusing
on personal choice.
Feedback
Quality assurance and performance improvement programs measure attainment of outcomes.
Quality in long-term care focuses on consumer personal choices and quality of life issues,
without the overemphasis on safety, uniformity, and medical care. Developing a dementia unit
is not always included in quality improvement of long-term care, nor is reduction of IM
medications.
A client in the skilled nursing facility refuses rehabilitation services 5 out of 7 days. An
administrator tells the client that they will be transferred to the intermediate care unit. The
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