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Week 2 BSN 425 Foundations of Nursing Care for the Older Adult Questions With Complete Solutions
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Week 2 BSN 425 Foundations of Nursing Care for the Older Adult Questions With Complete Solutions
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Week 2 BSN 425 Foundations of Nursing Care for the OlderAdult Questions With Complete Solutions
Elements of Health Care Delivery for the Older Adult:
Question 1 of 3
Which level of nursing performs much like a geriatrician?
Registered Nurse (RN)
Geriatric Clinical Nurse Specialist
Gerontological Nurse Practitioner
Licensed Practical Nurse/Vocational Nurse (LPN/LVN) Correct
Answer Gerontological Nurse Practitioner
The Gerontological Nurse Practitioner performs much like a
geriatrician in the diagnosis of illness, conduction of exams, and
prescription of medication.
Models of Evidence-Based Care Delivery for the Older Adult
Nurses Improving Care for Healthsystem Elders (NICHE) is a
national program that focuses on system-wide improvement in
the health care of older adults.
Goals of NICHE:
Goals are directed toward system improvement of care of older
adults. Additional goals of NICHE are to improve the quality of
care provided to older patients and improve nurse competence in
the care of older adults.
Modification of The Practice Environment:
NICHE teaches facilities how to modify the nurse practice
environment with the incorporation of the following:
-Specific geriatric core values into the mission statement of the
facility
-A toolkit to assist organizations in implementation
-Special equipment, supplies, and other resources
,-Protocols and techniques that promote interprofessional
collaboration Correct Answer The System-Level Approach:
The system level approach of NICHE provides a structure for
nurses to collaborate with other disciplines and to actively
participate in geriatric acute care models (NICHE, n.d.). The
NICHE coordinator undertakes the leadership role by
facilitating, teaching, and mentoring others and changing
processes of care. Application of evidence-based practice at the
bedside is facilitated by organizational strategies such as system-
wide geriatric clinical protocols and guidelines.
Question 1 of 12
Which model of care reports an increase in patient, family, and
nurse satisfaction?
ACE Model
GRN Model
NICHE Model
GRN and ACE Combination Model Correct Answer GRN and
ACE Combination Model
The GRN and ACE Combination Model reports greater
independence in activities of daily living, shorter length of stay,
and higher satisfaction among patients, family, clinicians, and
nurses.
Question 1 of 15
Which nursing actions align with the role of the Licensed
Practical Nurse/Vocational Nurse (LPN/LVN)?
Select all that apply.
Prescribe medications
Provide basic nursing care
Work in a variety of settings
,Educate patients and families
Accept delegated tasks from the registered nurse Correct
Answer Provide basic nursing care
Work in a variety of settings
Accept delegated tasks from the registered nurse
Question 1 of 3
What is the driving focus of the Hospital Elder Life Program
(HELP) Model?
To prevent the development of delirium
To prevent the development of pressure injury
To decrease the likelihood of medication errors
To decrease the prevalence of hospital-acquired infections
Correct Answer To prevent the development of delirium
The HELP model focuses on managing six risk factors for
delirium: cognitive impairment, sleep deprivation, immobility,
visual impairments, hearing impairments, and dehydration.
Question 1 of 3
What would the nurse include in the assessment of an older
adult, according to sociologic theory?
Select all that apply.
Belief of a higher power or a deity
Loss of a significant other or spouse
Use of an assistive ambulation device
Ability to afford in-home personal care
Moving in with the individual's adult children Correct Answer
Loss of a significant other or spouse
According to sociologic theory, the nurse would focus on the
patient's changing roles. This would include the loss of a
significant other or spouse.
, Moving in with the individual's adult children
Moving in with adult children signifies a loss of independence
and, in turn, a role change. This would fall under sociologic
theory.
Question 1 of 3
Which action depicts the nurse following Maslow's hierarchy of
needs when planning care for a patient?
Discussing the meaning of life with the patient
Referring the patient to social services for housing needs
Asking the patient about significant others and relationships
Placing a security guard outside the room of a patient with an
abusive spouse Correct Answer Referring the patient to social
services for housing needs
Maslow's hierarchy of needs states that the patient's basic needs
must be met first before meeting higher needs of self-esteem or
self-actualization.
Question 1 of 3
Which statement describes transitional care?
Safety aspects used to transfer an elderly patient from the bed to
the chair
A set of criteria used by licensed independent practitioners while
determining where to place the seriously ill older adult
Physician orders used to transition the critically ill geriatric
patient from the emergency department to the critical care unit
Actions designed to ensure coordination and continuity of care
as patients transfer between different locations or levels of care
Correct Answer Actions designed to ensure coordination and
continuity of care as patients transfer between different locations
or levels of care
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