INSTANT DOWNLOAD COMPLETE TEST BANK WITH ANSWERS
Gerontologic Nursing 5th Edition by Sue E. Meiner – Test Bank
Sample Questions
Chapter 05: Cultural Influences
Meiner: Gerontologic Nursing, 5th Edition
MULTIPLE CHOICE
- A postmenopausal black woman who has been experiencing uterine bleeding tells the nurse, “I expect I’ll need a total hysterectomy because when my sister had this problem that’s what she had done.” The nurse recognizes that this woman belongs to a cultural subgroup whose health care beliefs are most influenced by the:
| a. | biomedical model. |
| b. | magico-religious model. |
| c. | balance/harmony model. |
| d. | personal experience. |
ANS: A
The patient shows a tendency to identify with the biomedical model, which views the body as a functioning machine. When a part gives out or is functioning abnormally, traditional Western medical treatment is sought and expected. The magico-religious models believe that health is a reward from a higher power. The balance/harmony models state that illness is the result of a state of imbalance in body energies. Personal experience influences all of these models.
DIF: Understanding (Comprehension) REF: Page 91 OBJ: 5-5
TOP: Nursing Process: Assessment MSC: Psychosocial Integrity
- A Hispanic patient explains that the Hispanic culture believes that dietary management would be just as effective in managing her problems as medication, so the patient’s prescription has not been filled. Which action by the nurse illustrates cultural accommodation?
| a. | Asking the patient to give more details regarding this belief |
| b. | Discussing how to add dietary preferences into the treatment plan |
| c. | Offering to have a registered nutritionist discuss the situation with the patient |
| d. | Researching the patient’s proposed dietary beliefs |
ANS: B
Cultural care accommodation or negotiation refers to those assistive, supportive, facilitative, or enabling creative professional actions and decisions that help people of a designated culture adapt to or negotiate with others for a beneficial or satisfying health outcome. The nurse can ask the patient to share more about beliefs, offer a consultation with a nutritionist, or research the beliefs, but these actions do not show accommodation.
DIF: Applying (Application) REF: N/A OBJ: 5-9
TOP: Caring MSC: Psychosocial Integrity
- A geriatric nurse practitioner working with a tribe of Native Americans makes the decision to acculturate in an attempt to provide culturally appropriate care. The nurse does this best by:
| a. | living the values of the tribe. |
| b. | researching the tribe’s belief systems. |
| c. | learning the language of the tribe. |
| d. | residing among the tribe members. |
ANS: A
Acculturation is a process that occurs when a member of one cultural group adopts the values, beliefs, expectations, and behaviors of another group, usually in an attempt to become recognized as a member of the group. The other actions might be helpful in acculturating.
DIF: Applying (Application) REF: N/A OBJ: 5-3
TOP: Nursing process: Implementation MSC: Psychosocial Integrity
- The nurse in an assisted living facility is practicing a form of cultural bias called ethnocentrism when:
| a. | requesting the bridge group only use the game room for 2 hours at a time. |
| b. | encouraging Christian residents to attend mass or church services. |
| c. | repeatedly confiscating herbs and food products used in healing. |
| d. | telling potential patients who are Jewish that the facility does not have a kosher kitchen, |
ANS: C
Ethnocentrism is a belief that one’s own cultural group is superior to that of another’s. In nursing we have a unique culture and expect our patients to adapt to us rather than attempting to adapt to the culture of the patient. Confiscating items used in healing rituals shows ethnocentrism and disrespect to the resident. Limiting activities in a group room, encouraging people to attend church services of their religion, and letting prospective Jewish residents know that the facility does not have a kosher kitchen are not examples of ethnocentrism.
DIF: Applying (Application) REF: N/A OBJ: 5-6
TOP: Nursing Process: Implementation MSC: Psychosocial Integrity
- While caring for an older Korean patient, the nurse notes that the patient answers questions regarding health history when asked but is otherwise silent and does not maintain eye contact. Being culturally sensitive, the nurse recognizes that the patient’s actions are most likely a(n):
| a. | sign of respect for the wisdom and expertise of the nurse. |
| b. | indication that he has no questions regarding the care he is receiving. |
| c. | expression of discomfort discussing personal matters. |
| d. | means of communicating his dissatisfaction with his care. |
ANS: A
Asian cultures generally view eye contact as rude and are often passive in their care. The patient may or may not have further questions. It is not a sign of discomfort or dissatisfaction.
DIF: Remembering (Knowledge) REF: Page 93 OBJ: 5-7
TOP: Caring MSC: Psychosocial Integrity
- The culturally sensitive nurse will recognize that an older adult patient with a high-context ethnic background will appreciate:
| a. | not having a treatment scheduled during a favorite television program. |
| b. | both a written and verbal explanation describing how to monitor her blood sugar levels. |
| c. | a concise explanation as to why her physical therapy appointment has been canceled. |
| d. | having a conversation about her grandchildren while her dressing is changed. |
ANS: D
The interactional patterns of high-context (universalism) patients refer to the characteristics of relationships and behaviors toward others. When a person from a high-context culture interacts with the nurse, a more personal relationship is expected. This is not related to television shows, teaching materials, or appointment cancellations.
DIF: Understanding (Comprehension) REF: Page 92 OBJ: 5-7
TOP: Caring MSC: Psychosocial Integrity
- In an attempt to be sensitive to varying cultural responses to touch, before shaking a patient’s hand, the nurse will:
| a. | offer the patient his or her upturned palm. |
| b. | wait until the patient extends his or her hand. |
| c. | establish eye contact with the patient first. |
| d. | address the patient by his or her full name. |
ANS: B
The best way to show respect and implement the appropriate response is to follow the lead of the patient by waiting for the patient to extend a hand.
DIF: Applying (Application) REF: N/A OBJ: 5-7
TOP: Caring MSC: Psychosocial Integrity
- A older Asian patient receiving physical therapy after hip surgery has developed a low-grade fever. The patient explains that the fever will lessen if the treatment includes the principles of yin/yang. The nurse expects to support the patient by:
| a. | providing privacy when his shaman visits. |
| b. | arranging for his diet to include cold foods and liquids. |
| c. | planning his physical therapy so it does not conflict with meditation. |
| d. | keeping a magical amulet under his pillow. |
ANS: B
The yin/yang theory proposes that health is a result of balance within the body. A principle of this theory is that an illness is either hot or cold and must be treated by elements of the opposite state in order to put the system back into balance. It is not related to shaman visits, meditation, or amulets.
DIF: Applying (Application) REF: N/A OBJ: 5-9
TOP: Caring MSC: Psychosocial Integrity
- The nurse in an assisted living facility is preparing to admit an older adult patient who speaks very little English. The nurse decides that it is most important that an interpreter be present when the patient:
| a. | indicates a desire to talk with the physician. |
| b. | is being oriented to the facility. |
| c. | is required to sign official documents. |
| d. | begins crying and is inconsolable. |
ANS: C
The more complex the decision making, the more important it is to have an interpreter present. Although all situations would benefit from an interpreter, the most important time is when the patient is signing official documents that have legal implications.
DIF: Applying (Application) REF: N/A OBJ: 5-8
TOP: Communication and Documentation MSC: Psychosocial Integrity
- When attempting to provide culturally sensitive care according to the explanatory model, the nurse asks the patient:
| a. | “Who will be able to help you when you go home?” |
| b. | “Do you think the treatment is helping?” |
| c. | “When did you first notice the problem?” |
| d. | “Has this illness changed your life?” |
ANS: D
The gerontologic nurse uses this model to explore the meaning of the health problem from the patient’s perspective.
DIF: Applying (Application) REF: N/A OBJ: 5-7
TOP: Caring MSC: Psychosocial Integrity
- The nurse is caring for an older adult patient in need of hospitalization. The nurse is aware this patient is a member of an ethnic group that holds a collectivist perspective on community. The nurse best addresses the patient’s medical needs by:
| a. | calling an interpreter to assure the patient is making an informed decision. |
| b. | assuring the patient that his spiritual advisor will meet him at the hospital. |
| c. | arranging for admission to a hospital that is familiar with this patient’s culture. |
| d. | offering to phone the patient’s family and ask them to come in and discuss the hospitalization. |
ANS: D
People with a collectivist perspective derive their identity from affiliation with and participation in a social group such as a family or clan. The needs of the group are more important than those of the individual, and decisions are made with consideration of the effect on the whole. Health care decisions may be made by a group (such as the tribal elders) or a group leader (such as the oldest son). The other options may or may not be needed depending on the specifics of the patient’s case.
DIF: Applying (Application) REF: N/A OBJ: 5-9
TOP: Caring MSC: Psychosocial Integrity
- The nurse is most effectively using the concept of future time orientation when:
| a. | promising to help the patient call his daughter each weekend. |
| b. | offering to complete the health assessment history after the patient eats dinner. |
| c. | encouraging an older patient to keep a follow-up clinic appointment. |
| d. | arranging for a colorectal cancer screen for senior citizens. |
ANS: D
In the concept of future orientation, people accept the idea that what is done now affects future health. This means that health screenings will help detect a problem today for potentially better health at a later time, days, weeks, or years ahead; it means that prevention may be worth pursuing. The other actions do not show a future orientation.
DIF: Applying (Application) REF: N/A OBJ: 5-9
TOP: Caring MSC: Psychosocial Integrity
- The student learns that which of the following is the best definition of culture?
| a. | A group of similarly appearing individuals |
| b. | Shared beliefs, behaviors, and expectations of groups |
| c. | Group beliefs about what is right and wrong |
| d. | Groups that come from the same part of the world |
ANS: B
A culture is a set of shared and learned beliefs, behaviors, and expectations among a group of people. The individuals in different cultures may or may not look similar. Group beliefs about what is right or wrong are known as values. Cultural members may come from many different parts of the world.
DIF: Remembering (Knowledge) REF: Page 87 OBJ: 5-3
TOP: Teaching-Learning MSC: Psychosocial Integrity
- A student nurse expresses frustration to the faculty member regarding an ethnic older adult who appears to be noncompliant. The student states, “Why can’t the patient just do what we teach her to do?” What response by the nurse is best?
| a. | “Yes, I realize how frustrating this must be for you.” |
| b. | “People from her culture are never compliant.” |
| c. | “Maybe you can find a different way to get through.” |
| d. | “Culture dictates how people respond to others.” |
ANS: D
Culture is a blueprint for responding to individuals, family, and the community. Persons from strong cultural backgrounds cannot just change their behavior when instructed to do so. The nurse explains this to the student. Stating that the nurse understands the frustration is helpful but does not give the student any information that could help him or her work with this patient. Stating that people from a certain culture are never compliant is biased and prejudicial. “Getting through” to the patient implies ethnocentrism and bias.
DIF: Applying (Application) REF: N/A OBJ: 5-7
TOP: Caring MSC: Psychosocial Integrity
- A patient from a culture that differs from that of the nurse is hospitalized and near death. What action by the nurse best demonstrates cultural care preservation?
| a. | Allowing the family to remain at the bedside |
| b. | Pinning a healing amulet to the patient’s gown |
| c. | Offering the family food and drink in the room |
| d. | Giving the family time to be alone with the patient |
ANS: B
Cultural care preservation refers to those assistive, supportive, facilitative, or enabling professional actions and decisions that help people of a particular culture to retain and maintain their well-being, to recover from illness, or to face handicaps or death. Allowing the patient to have healing artifacts important in his or her culture nearby best demonstrates this concept. The other actions are caring but do not demonstrate this principle.
DIF: Applying (Application) REF: N/A OBJ: 5-9
TOP: Caring MSC: Psychosocial Integrity
- The nurse uses the LEARN model when providing care. What event best demonstrates that this model has been successful?
| a. | The nurse learns about the patient’s culture and how it impacts care. |
| b. | The patient and nurse agree on a mutually acceptable plan of action. |
| c. | The nurse listens carefully to the patient’s concerns and beliefs. |
| d. | The patient understands how medical care will be beneficial. |
ANS: B
The LEARN model includes listening to the patient, explaining your own perspectives, acknowledging the similarities and differences in both viewpoints, recommending a plan of action, and negotiating a final plan. If the patient and nurse have come to an agreement on a plan of action, this model has been successful.
DIF: Evaluating (Evaluation) REF: N/A OBJ: 5-7
TOP: Caring MSC: Psychosocial Integrity
- A new nurse is caring for a patient from Appalachia. The patient seems guarded and secretive, which frustrates the new nurse. What advice from the mentor is most appropriate?
| a. | “Maybe you should ask to change your assignment.” |
| b. | “This is a normal behavior for this patient’s cultural group.” |
| c. | “You could try to apologize for anything you may have done.” |
| d. | “Ask the patient why she is acting so strangely around you.” |
ANS: B
Patients from the Appalachian culture are typically wary and guarded around strangers and view the hospital as a place to go and die. The nurse explains this to the new nurse. Changing assignments will not help the new nurse become culturally competent. The new nurse could ask the patient if there has been some offense, but this is probably not the case. “Why” questions put people on the defensive and are not considered examples of therapeutic communication.
DIF: Understanding (Comprehension) REF: Page 87 OBJ: 5-6
TOP: Caring MSC: Psychosocial Integrity
- A nurse is caring for an Arab American patient in the hospital. The patient has many visitors who seem to be tiring the patient. What action by the nurse is best?
| a. | Limit the number of visitors the patient can have. |
| b. | Only allow family members to visit the patient. |
| c. | Suggest shorter visits to the patient’s visitors. |
| d. | Require visitors to check in at the front desk. |
ANS: C
In Arab American Muslim culture, visiting the sick is a cultural value and expectation. Although the visits may be tiring, they may also be important to the patient. The nurse can suggest shorter visits so the patient can have both the visitors and more rest. Limiting the number of visitors would violate this cultural norm as would limiting visits to family only. Checking in at the front desk serves no useful purpose.
DIF: Applying (Application) REF: N/A OBJ: 5-6
TOP: Caring MSC: Psychosocial Integrity
- A director of nursing works in a hospital that serves many Jehovah’s Witness patients. What action by the nurse would best facilitate culturally appropriate health care?
| a. | Establish a bloodless surgery program. |
| b. | Create an immunization clinic for children. |
| c. | Employ spiritual leaders from this faith. |
| d. | Allow faith healing ceremonies. |
ANS: A
Jehovah’s Witnesses generally are opposed to receiving all blood products. A bloodless surgery program would be a culturally competent way to improve the health care of this population.
DIF: Applying (Application) REF: N/A OBJ: 5-5
TOP: Caring MSC: Psychosocial Integrity
- An incapacitated older adult with dementia is brought to the emergency department by a rescue squad after falling and breaking an arm. When the patient’s children arrive, they are adamantly against the patient having any medical care and insist that prayer will heal the broken arm. What action by the nurse is most appropriate?
| a. | Allow the family to pray with the patient then escort them to the waiting room. |
| b. | Call security to keep the family from interfering with medical care. |
| c. | Check facility policies and contact the hospital social worker. |
| d. | Call the police who can force the family to accept medical care. |
ANS: C
This family may be Christian Scientists, who do not believe in medical care. Health crises are thought to be errors of the mind that can be altered by prayer. The nurse should check the facility policies for treating vulnerable adults and possibly notify social work, who can assist with ensuring adequate treatment occurs as allowed by policy. Allowing the family to pray with the patient is a caring action, but this complex situation requires more intervention. Calling security or the police will antagonize the family even more and demonstrates an adversarial relationship.
DIF: Applying (Application) REF: N/A OBJ: 5-6
TOP: Communication and Documentation
MSC: Safe Effective Care Environment
MULTIPLE RESPONSE
- When attempting to reflect about personal cultural awareness, the nurse asks himself or herself which of the following quetions? (Select all that apply.)
| a. | What image do I want to project to members of other cultures? |
| b. | What makes a culture worthy of biased treatment? |
| c. | Have my life experiences contributed to any biases regarding other cultures? |
| d. | Am I uncomfortable when interacting with members of other cultures? |
| e. | Does the patient’s culture rely on solid science to direct health care? |
ANS: A, C, D
Self-reflection implies thinking that regards how “I,” the individual, perceives/believes/behaves. Awareness of one’s thoughts and feelings about others who are culturally different from oneself is necessary to become culturally aware. No culture is “worthy” of biased treatment. “Solid” science is an ethnocentric principle.
DIF: Applying (Application) REF: N/A OBJ: 5-4
TOP: Caring MSC: Psychosocial Integrity
- What does the nurse working with older adults from many different cultures know about the demographics of culture in the United States? (Select all that apply.)
| a. | Hispanics will become the largest minority group by 2030. |
| b. | Many persons of color are not counted in the census. |
| c. | The percentage of Native Americans/Native Alaskans will decrease. |
| d. | The number of refugees and immigrants is expected to decrease. |
| e. | Some Native Americans want to identify as specific tribal members. |
ANS: A, B, C
Hispanics are expected to be the largest minority group in the United States by 2030. Many persons of color are not represented in the census, and this underestimates their presence. The percentage of Native Alaskans and Native Americans will rise, as will the number of immigrants/refugees. Some Native Americans may not view themselves as part of this larger group, preferring to identify as a member of a specific tribe.
DIF: Remembering (Knowledge) REF: Page 83 OBJ: 5-1
TOP: Communication and Documentation MSC: Psychosocial Integrity
- A nurse working in the emergency department is seeing an older patient who does not speak English well. The nurse calls for an interpreter. The student wants to know why the patient’s minor child, who speaks English, cannot interpret. What response by the nurse is best? (Select all that apply.)
| a. | The child may not accurately translate. |
| b. | The child and older adult may be embarrassed. |
| c. | The patient has the right to interpretation. |
| d. | Having a child interpret takes too much time. |
| e. | Privacy laws prohibit this practice. |
ANS: A, B, C
Although in a true emergency the nurse may have to use a child interpreter, this practice is not recommended. The child may not have the vocabulary to translate, the child may “edit” the comments, the child or older adult may be embarrassed by the medical condition, and patients have a legal right to professional interpretation. Using an interpreter always takes more time and privacy laws do not prohibit this practice.
DIF: Understanding (Comprehension) REF: Page 93 OBJ: 5-8
TOP: Communication and Documentation MSC: Psychosocial Integrity
Chapter 07: Socioeconomic and Environmental Influences
Meiner: Gerontologic Nursing, 5th Edition
MULTIPLE CHOICE
- Before becoming an effective advocate for the older adult patient, the nurse must:
| a. | be familiar with the physical and mental effects of aging. |
| b. | gain insight into the patient’s world by talking with and listening to him or her. |
| c. | learn the details of the patient’s medical and social histories. |
| d. | be a member of the patient’s formal support system. |
ANS: B
By listening to and consulting with older adults, the nurse develops an understanding of the values and perceptions that guide older adults’ thoughts and feelings about life. The nurse forms partnerships with older adults to defend and promote their rights. The other options are nice to know but not required to be an advocate.
DIF: Understanding (Comprehension) REF: Page 121 OBJ: 7-5
TOP: Nursing Process: Nursing Assessment
MSC: Safe Effective Care Environment
- To best respect an older patient’s autonomy when assisting him in finding appropriate, affordable housing, the nurse:
| a. | provides examples of various options that include assistive services. |
| b. | locates housing near a senior citizen community center to minimize social isolation. |
| c. | identifies housing close to the services he will need. |
| d. | asks the patient to provide examples of where he would like to live. |
ANS: D
Whatever the housing status of the older person, it must be remembered that each person has a right to determine where to live unless he or she is proven incompetent. The other options do not help the patient maintain autonomy.
DIF: Applying (Application) REF: N/A OBJ: 7-5
TOP: Nursing Process: Assessment MSC: Safe Effective Care Environment
- A nurse working with older adults recognizes that the patient at greatest risk for homelessness is the:
| a. | female with a psychiatric diagnosis. |
| b. | male with a chronic illness. |
| c. | female with a history of social isolation. |
| d. | male with an alcohol abuse issue. |
ANS: A
Women are increasing in numbers among the homeless older adult communities. Approximately 30% of homeless older adults have mental illness or dementia.
DIF: Remembering (Knowledge) REF: Page 131 OBJ: 7-1
TOP: Nursing Process: Assessment MSC: Safe Effective Care Environment
- A nurse volunteers at a facility that provides free lunches for older adults. To minimize the tendency of these patients to withdraw socially, the nurse:
| a. | frequently reinforces that everyone is welcome to have lunch with the group. |
| b. | makes every effort to engage them in conversation during the meal. |
| c. | encourages them to make friends with the other patients. |
| d. | asks if they would assist those who need help with getting their food. |
ANS: D
Older adults tend to feel an obligation to return favors. If someone does something for them, such as helping them to get their food, they want to be able to reciprocate. If they are financially unable to do this, they might withdraw so as not to be put in an embarrassing position.
DIF: Applying (Application) REF: N/A OBJ: 7-3
TOP: Nursing Process: Implementation MSC: Psychosocial Integrity
- When the traditional roles are blurred as an older married couple begins to experience personal disease and disability, there will most likely be:
| a. | a rapid decline in their mental health as well. |
| b. | a loss of self-esteem and satisfaction with life. |
| c. | increased martial stress and discord. |
| d. | increased social isolation. |
ANS: B
When the older adult loses his or her traditional role, self-esteem and satisfaction with life may be affected. The other events may happen, but a frequent outcome is loss of self-esteem and life satisfaction.
DIF: Remembering (Knowledge) REF: Page 127 OBJ: 7-1
TOP: Nursing Process: Assessment MSC: Psychosocial Integrity
- A 69-year-old patient who has both Medicare and long-term supplemental health care insurance shares with the nurse that he is in need of a visual examination as a follow-up after his cataract surgery. The nurse suggests that such treatment is most likely covered by:
| a. | Medicare Part A. |
| b. | Medicare Part B. |
| c. | Medicare Part D. |
| d. | Supplemental policy. |
ANS: B
A vision examination is a service covered by Medicare Part B.
DIF: Remembering (Knowledge) REF: Page 126 OBJ: 7-4
TOP: Nursing Process: Assessment MSC: Safe Effective Care Environment
- The nurse recognizes that health and wellness are better among the educated older adult population because they tend to:
| a. | place a high value on health and wellness. |
| b. | frequently take advantage of health screening options. |
| c. | have occupations that are less physically demanding. |
| d. | manage emotional stress in a more productive manner. |
ANS: B
More-educated people often have greater access to wellness programs and preventive health options because they tend to have more financial resources and health insurance coverage. Education may lead to an increased value on health and wellness. Occupations may or may not be physically demanding. Educated older adults may not manage stress more productively.
DIF: Remembering (Knowledge) REF: Page 124 OBJ: 7-1
TOP: Teaching-Learning MSC: Health Promotion
- Which patient is most likely to be seen at a clinic that services older adults who are at or below the poverty level?
| a. | A Hispanic male living with extended family |
| b. | An African American male living with a spouse |
| c. | A Hispanic female who lives alone |
| d. | An African American female who lives with her sister |
ANS: C
The highest rates of poverty are among Hispanic women over the age of 65 who live alone.
DIF: Remembering (Knowledge) REF: Page 123 OBJ: 7-3
TOP: Nursing Process: Assessment MSC: Health Promotion
- The nurse is addressing a senior citizens group that is composed of members who are 75 years of age and older. The nurse expects that the group will be primarily:
| a. | widows who have never worked outside of their homes. |
| b. | widowers with at least one chronic illness. |
| c. | females who have part-time jobs. |
| d. | males with pensions plus Social Security income. |
ANS: A
After age 75, women outnumber men in American society. Most women in this age group did not work outside the home, so their incomes depend on their spouses’ pensions or Social Security benefits.
DIF: Remembering (Knowledge) REF: Page 123 OBJ: 7-1
TOP: Nursing Process: Assessment MSC: Health Promotion
- A patient who grew up during the 1930s in an urban community has been prescribed several medications for a variety of chronic health issues. To help ensure medication compliance based on knowledge of this age cohort, the nurse:
| a. | provides a detailed explanation about the importance of taking the medications appropriately. |
| b. | educates the patient about the cost-effectiveness of generic brands of the prescribed medications. |
| c. | includes family members with the patient in the medication education plan. |
| d. | offers suggestions on ways to minimize the risk of “forgetting” to take medication correctly. |
ANS: B
Persons of this cohort (raised during the American depression of the 1930s) are generally frugal and often do not spend money, even if they have it. Suggesting a cost-effective way to purchase the medications will particularly appeal to this patient.
DIF: Understanding (Comprehension) REF: Page 121 OBJ: 7-2
TOP: Teaching-Learning MSC: Health Promotion
- The nurse who works with veterans from the 1940s and 1950s knows that individuals in this cohort are more likely than older adults to:
| a. | obtain preventative health services |
| b. | hoard money for times of need |
| c. | work hard to keep families intact |
| d. | be noncompliant with medications |
ANS: A
Women and men who served in the armed forces during this time became accustomed to preventive medical and dental care. Those influenced by the Great Depression are more likely to hoard money. Families started becoming more mobile. This cohort is not as likely to be noncompliant because of cohort influences.
DIF: Remembering (Knowledge) REF: Page 122 OBJ: 7-2
TOP: Nursing Process: Assessment MSC: Health Promotion
- An older patient appears to have few friends and little family. What action by the nurse is best?
| a. | Encourage the patient to stay in contact with remaining family members. |
| b. | Help the patient find new social outlets and support systems. |
| c. | Assess the patient for depression or substance abuse. |
| d. | Ask the patient why there are so few friends and family. |
ANS: B
Social networks are invaluable to help mitigate the effects of major life events on health. The nurse can encourage the patient to join groups or organizations in order to make new friends. Staying in touch with family may or may not be desired. The patient may need assessment for substance abuse, but this is not the best action. Asking “why” questions often puts people on the defensive, and this technique is not considered a therapeutic communication tool.
DIF: Applying (Application) REF: N/A OBJ: 7-5
TOP: Communication and Documentation MSC: Psychosocial Integrity
- An adult child of an older adult confides in the nurse that the patient has lost most of her friends because of her negative behavior. What action by the nurse is best?
| a. | Ask when the patient had her last physical exam. |
| b. | Encourage the patient to be more positive. |
| c. | Ask if the patient is aware of the problem. |
| d. | Suggest the patient take antidepressants. |
ANS: A
Depressed or negative older adults have trouble maintaining relationships. If this is a change in status, the nurse should determine if the patient needs a checkup to look for underlying illness. The other answers do not provide action that could possibly alleviate the situation. Giving the patient medications without a full workup is dangerous.
DIF: Applying (Application) REF: N/A OBJ: 7-5
TOP: Nursing Process: Assessment MSC: Physiologic Integrity
- A patient is not competent to manage financial affairs. What legal recourse does the older person have?
| a. | Guardian |
| b. | Conservator |
| c. | Health care proxy |
| d. | Social worker |
ANS: B
A conservator is appointed by the courts to handle a patient’s monetary affairs. A guardian helps with nonmonetary issues. Health care proxy and social workers do not manage financial affairs.
DIF: Remembering (Knowledge) REF: Page 128 OBJ: 7-6
TOP: Teaching-Learning MSC: Safe Effective Care Environment
- An older couple is considering moving into a retirement community. What reaction by the nurse is best?
| a. | “That’s a good idea to consider at your age.” |
| b. | “Check on what levels of care they provide.” |
| c. | “Do you have enough money to afford this?” |
| d. | “What does your family think of this idea?” |
ANS: B
Retirement communities have differing levels of care; some are only for independent seniors, whereas others offer an array of arrangements. This is the most important factor for the couple to consider, because they may face having to move to a chosen community as their needs change.
DIF: Applying (Application) REF: N/A OBJ: 7-8
TOP: Teaching-Learning MSC: Psychosocial Integrity
- An older adult is planning to move to an assisted living facility. What advice does the nurse provide to the adult children?
| a. | “Let your father choose what items to take with him.” |
| b. | “Warn your dad there will be little room for personal things.” |
| c. | “It is best to pick your dad up one day and move him in.” |
| d. | “Be aware your dad may suffer from depression or confusion.” |
ANS: A
Individuals who move can suffer from relocation stress, which is a negative consequence of moving. If the patient has input into the facility chosen, can take tours, and can bring cherished personal items with him or her, the chances of relocation stress lessen. Although there might be limited room, it is more important for the family to let the patient take wanted items. Moving precipitously can increase the chance of relocation stress. The family should be warned about the negative reactions to moving that are possible, but this does not give them the ability to lessen the impact.
DIF: Application (Applying) REF: N/A OBJ: 7-5
TOP: Teaching-Learning MSC: Psychosocial Integrity
- An adult daughter brings a patient to the gerontology clinic and reports that the patient has become increasingly withdrawn and no longer goes out during the day. What response by the nurse is best?
| a. | Administer a mini mental state exam. |
| b. | Ask the patient why this is happening. |
| c. | Assess if the patient feels safe at home. |
| d. | Determine if abuse is occurring. |
ANS: C
Patients often withdraw and become isolated when they do not feel safe in their surroundings. The nurse should first assess the patient’s perception of safety. The other options may or may not be necessary, but “why” questions should be avoided, as they generally place people on the defensive.
DIF: Applying (Application) REF: N/A OBJ: 7-7
TOP: Nursing Process: Assessment MSC: Psychosocial Integrity
- An older woman lives alone. What action by the nurse is best to keep the patient from becoming a victim of crime?
| a. | Encourage the patient to take self-defense classes. |
| b. | Tell the patient that it is okay to hang up or not answer the door. |
| c. | Have the patient install a monitored security system. |
| d. | Ask if there is a neighbor who can check up on her. |
ANS: B
Older people who are lonely may welcome “visits” from unscrupulous visitors. They are also less likely to hang up the phone or close the door to avoid appearing impolite. The nurse can best help this patient by telling her such behavior is not only all right, it is important for her safety. The other actions are also possible but can be costly, and the patient may not have a reliable neighbor.
DIF: Applying (Application) REF: N/A OBJ: 7-7
TOP: Teaching-Learning MSC: Safe Effective Care Environment
- The nurse is presenting an educational workshop at a senior center where most of the patients will be 75 years or older. What does the nurse consider about this population when designing the presentation?
| a. | Most of these patients only have a high school diploma. |
| b. | Many patients will be illiterate so handouts should be simple. |
| c. | A great number of patients never attained a high school. |
| d. | A lot of these patients went to college on the GI bill. |
ANS: A
Educational attainment differs with age cohorts. In this age group, the highest number of persons attained a high school diploma.
DIF: Remembering (Knowledge) REF: Page 121 OBJ: 7-2
TOP: Teaching-Learning MSC: Health Promotion
MULTIPLE RESPONSE
- When preparing an educational program focused on chronic illnesses that at least a third of the older adult population is likely to experience, the nurse includes information on which of the following? (Select all that apply.)
| a. | The benefit of aquatic exercise |
| b. | Signs and symptoms of cataracts |
| c. | Ways to control sodium intake |
| d. | Latest technologic interventions for hearing loss |
| e. | The effects of exercise on cardiovascular health |
ANS: A, C, E
The most common chronic problems in 2002 were heart disease, cancer, stroke, chronic obstructive pulmonary disease (COPD), Alzheimer disease, and diabetes. These exercise programs can have a positive influence on these common conditions. Cataracts and hearing loss are not included.
DIF: Understanding (Comprehension) REF: Page 125 OBJ: 7-1
TOP: Teaching-Learning MSC: Health Promotion
- The nurse is educating an 80-year-old patient regarding a newly prescribed medication. The nurse’s teaching strategies include which of the following? (Select all that apply.)
| a. | Using pictures to show how the medication should be stored |
| b. | Asking the patient to use his own words to describe the medication’s possible side effects |
| c. | Avoiding written instruction in favor of verbal, face-to-face communication |
| d. | Delivering the information using a slow, deliberate manner of speech |
| e. | Repeating the information at least three times during the conversation |
ANS: A, B, E
Strategies such as repetition, patient restating, and varied delivery methods such as pictures, written, audio, and oral discussion are all appropriate and recommended for the older adult learner.
DIF: Understanding (Comprehension) REF: Page 124 OBJ: 7-1
TOP: Teaching-Learning MSC: Health Promotion
- The nurse who volunteers at a community center for older people refers which people to the Supplemental Security Income office? (Select all that apply.)
| a. | Disabled persons |
| b. | Those who are visually impaired |
| c. | Deaf persons |
| d. | Those with minimal income |
| e. | Those who are cognitively impaired |
ANS: A, B, D
Individuals who are eligible for SSI include those who are very old, disabled, visually impaired, and have minimal income or assets. Being deaf or cognitively impaired are not criteria.
DIF: Remembering (Knowledge) REF: Page 122 OBJ: 7-3
TOP: Communication and Documentation
MSC: Safe Effective Care Environment
- The nurse hears a news report about an older woman having her purse stolen. The assailant said, “Give me your purse, old lady, or I’ll kill you.” What crimes have been committed? (Select all that apply.)
| a. | Assault |
| b. | Battery |
| c. | Larceny |
| d. | Robbery |
| e. | Burglary |
ANS: A, D
Assault is the threat of harm. Robbery is taking property by force or threat of force. Battery is actually physically harming the victim. Larceny is a noncontact crime resulting in loss of property. Burglary is the taking of property while being in the victim’s residence, place of business, or automobile without authorization.
DIF: Remembering (Knowledge) REF: Page 132 OBJ: 7-7
TOP: Teaching-Learning MSC: Safe Effective Care Environment
Chapter 09: Health Care Delivery Settings and Older Adults
Meiner: Gerontologic Nursing, 5th Edition
MULTIPLE CHOICE
- What action by the nurse is most important for preventing hospital-acquired infections in the older population?
| a. | Appropriate hand hygiene |
| b. | Rapid isolation for infection |
| c. | Strict sterile procedures |
| d. | Ensuring patient nutrition |
ANS: A
Hand hygiene is the most effective infection control action the nursing staff can take.
DIF: Applying (Application) REF: N/A OBJ: 9-3
TOP: Nursing Process: Implementation MSC: Safe Effective Care Environment
- The nurse on a medical acute care unit is preparing for the admission of an 84-year-old patient with several diagnosed chronic illnesses. The nurse begins the plan of care for this patient based on the understanding that the older adult is likely to:
| a. | develop hospital-induced delirium. |
| b. | require special attention related to sensory deficits. |
| c. | need a social services consult before discharge. |
| d. | present with a need for a high level of nursing care. |
ANS: D
The older adult is not likely to be admitted to the hospital until a high level of acuity or complications exists. The other options may be possible, but the majority of older patients are admitted at a high level of acuity.
DIF: Remembering (Understanding) REF: Page 154 OBJ: 9-1
TOP: Teaching-Learning MSC: Physiologic Integrity
- The nurse is planning the discharge of a 70-year-old patient who lives alone and is recovering from a fractured ankle. What action by the nurse shows an understanding of factors affecting the patient’s ultimate return to preinjury function?
| a. | Encourages the patient to comply with recommendations made by the physical therapist |
| b. | Arranges for the patient’s meals to be delivered daily for several weeks after discharge |
| c. | Assesses the barriers to self-ambulation that exist in the patient’s home |
| d. | Educates the patient on the importance of a diet that promotes both bone and muscle healing |
ANS: C
In the hospital setting, health care professionals can become so involved in addressing the acute condition that they fail to appreciate the underlying problems and how these too influence the patient’s health and recovery. Assessing for ambulation barriers in the patient’s home has a long-term effect on the patient’s ability to regain independence.
DIF: Understanding (Comprehension) REF: Page 154 OBJ: 9-1
TOP: Nursing Process: Assessment MSC: Safe Effective Care Environment
- The nurse in an acute care facility is caring for a patient recovering from a cerebral vascular accident that has resulted in a mild loss of muscle function in his right arm and leg. The nurse is best addressing the patient’s need via the functional model of care when:
| a. | assessing the patient’s right-sided muscle strength daily. |
| b. | reaffirming to the patient that physical therapy will improve his muscle strength. |
| c. | instructing the patient’s family on how to properly assist the patient in walking. |
| d. | placing the telephone where the patient can reach it with his left hand. |
ANS: D
The functional model’s main goal may not be curing the disease but managing the disease, with a focus on self-care and symptom management strategies. Placing the telephone where the patient can reach it for himself is an example of a symptom management strategy. The other actions do not increase the patient’s functional abilities.
DIF: Applying (Application) REF: N/A OBJ: 9-2
TOP: Nursing Process: Implementation MSC: Physiologic Integrity
- The nurse is caring for an older adult patient who was admitted with a stage 3 pressure ulcer on the left heel and who also has a history of Parkinson disease and chronic renal failure. To minimize the patient’s risk of developing an iatrogenic illness, the nurse:
| a. | uses sterile technique when changing the heel’s dressings. |
| b. | reviews all the patient’s medications for possible adverse reactions. |
| c. | instructs the patient to call for assistance when needing to go to the bathroom. |
| d. | assists the patient in choosing the appropriate foods from the daily menu. |
ANS: B
Adverse drug reactions frequently precipitate hospitalizations and, although often unreported, are among the most common iatrogenic events in the acute care setting. The hospital staff needs to get an accurate drug history of a patient, be aware of pharmacokinetic and pharmacodynamic changes related to aging, and have a working understanding of drug-disease, drug-drug, and drug-food interactions in older adults. Nurses should be particularly aware of drugs that may be high risk when used in older adults. The other actions are important for patient safety, but the more frequent cause of iatrogenic problems is related to medication use.
DIF: Understanding (Comprehension) REF: Page 154 OBJ: 9-3
TOP: Nursing Process: Assessment MSC: Safe Effective Care Environment
- The nurse best addresses the possible intrinsic factors that contribute to falls experienced by older adult patients in an acute care setting by:
| a. | encouraging patients to wear their glasses. |
| b. | keeping a low-level light on in the room at night. |
| c. | keeping the patient’s bed low to the floor. |
| d. | assessing the room for clutter on the floor. |
ANS: A
Risk factors for hospital falls include both intrinsic and extrinsic factors. Intrinsic factors include age-related physiologic changes and diseases, as well as medications that affect cognition and balance. The other actions are important safety measures that are helpful to some patients as well, but good vision is critical for safety.
DIF: Understanding (Comprehension) REF: Page 154 OBJ: 9-6
TOP: Nursing Process: Implementation MSC: Safe Effective Care Environment
- The nurse caring for an older patient is concerned when the patient begins experiencing mild confusion. The nurse notes that the vital signs are all within normal limits for this patient. To best assess related symptoms, the nurse initially:
| a. | asks the patient to “Squeeze my hand as hard as you can.” |
| b. | reviews documentation about how the patient has been eating. |
| c. | reviews the patient’s medication for possible adverse reactions. |
| d. | asks the patient’s daughter if her mother has been confused before. |
ANS: B
Anorexia is a symptom of urinary tract infection, which occurs frequently in older adults. Subclinical infection and inflammation can occur with presenting symptoms such as acute confusion, functional capacity deterioration, anorexia, or nausea rather than the classic symptoms of fever and dysuria. Although all actions are appropriate, the nurse suspecting a urinary tract infection (UTI) will assess eating patterns.
DIF: Applying (Application) REF: N/A OBJ: 9-3
TOP: Nursing Process: Assessment MSC: Physiologic Integrity
- The nurse is caring for a confused patient. Which action by the nurse shows the best understanding of managing the cascading effects of iatrogenic illnesses in this population cohort?
| a. | Reorienting the patient to person, place, and time frequently |
| b. | Offering the patient liquids each time there is patient-nurse contact |
| c. | Repositioning the patient every 2 hours |
| d. | Using restraints to ensure patient safety only as a last resort |
ANS: D
Once older adults are hospitalized, immobilization through enforced bed rest or restraint often results in functional disability, and the subsequent occurrence of iatrogenic illnesses often represents a vicious circle, referred to as the cascade effect, in which one problem increases the person’s vulnerability to another one. Gerontologic nurses must be leaders in advocating more appropriate care and treatment of hospitalized older adults to prevent or at least reduce the occurrence of iatrogenic illness. The other actions are good nursing care but do not relate to the cascade effect.
DIF: Applying (Application) REF: N/A OBJ: 9-3
TOP: Nursing Process: Implementation MSC: Physiologic Integrity
- An 80-year-old patient with visual and hearing deficits is admitted for hip replacement surgery. The patient has begun to show mild confusion and has become resistant to care and treatment. To minimize this problem, the nurse initially edits the patient’s care plan to include:
| a. | frequent reorientation to people in the patient’s environment. |
| b. | putting on the patient’s glasses and hearing aid as a part of activities of daily living (ADLs). |
| c. | assigning the same staff to provide patient care whenever possible. |
| d. | minimizing the number of off-unit trips for the patient. |
ANS: B
Older adults have a decreased ability to negotiate within and adapt to an unfamiliar environment, which can be initially minimized by the use of hearing aids and eyeglasses, for example. The other actions may be appropriate, but until the sensory deficit is corrected, the patient will most likely remain confused.
DIF: Applying (Application) REF: N/A OBJ: 9-3
TOP: Nursing Process: Implementation MSC: Physiologic Integrity
- What action by the nurse best shows an understanding of the effects of acute hospitalization on the functional abilities of the older patient?
| a. | Setting goals that support a short hospitalization. |
| b. | Attempting to adapt nursing care to individual needs |
| c. | Administering a systematic functional assessment |
| d. | Assessing for a decline from original baseline function |
ANS: D
The nurse should assess for new onset signs or symptoms of a decline from baseline function and then implement appropriate interventions before they trigger a downward spiral of dependency and permanent impairment.
DIF: Understanding (Comprehension) REF: Page 156 OBJ: 9-3
TOP: Nursing Process: Assessment MSC: Physiologic Integrity
- Which statement by a resident best indicates that the resident’s psychosocial needs are being met?
| a. | “I’m really enjoying the opportunity to select my own mealtimes.” |
| b. | “I miss being at home, but I understand why I must live here.” |
| c. | “I appreciate being placed on the waiting list for a private room because I prefer living alone.” |
| d. | “I’m an independent person who has always made my own decisions, and I will for as long as I can.” |
ANS: A
Psychosocial needs are best met when a patient is encouraged to be independent both physically and mentally. Making choices is a good example psychosocial needs being prioritized.
DIF: Understanding (Comprehension) REF: Page 169 OBJ: 9-4
TOP: Nursing Process: Evaluation MSC: Psychosocial Integrity
- A 70-year-old patient covered by Medicare is being admitted for stabilization of type 2 diabetes. When asked by the family why their parent’s care is being co-managed by a geriatric nurse practitioner and a physician, the best explanation is that:
| a. | the geriatric nurse practitioner is specially trained to work with older patients. |
| b. | research has shown that this care model often results in shorter hospital stays. |
| c. | the physician and nurse practitioner will focus on different needs. |
| d. | Medicare encourages this team concept of patient care. |
ANS: B
Some studies demonstrate a significant decrease in the length of stay when patients are co-managed by a nurse practitioner and an attending physician.
DIF: Understanding (Comprehension) REF: Page 177 OBJ: 9-4
TOP: Teaching-Learning MSC: Safe Effective Care Environment
- The nurse is going to educate an older patient newly diagnosed with type 2 diabetes on how to test serum glucose levels appropriately. The nurse shows an understanding of the adaptation of teaching techniques for this age group by:
| a. | providing both written and verbal instructions on the skill. |
| b. | asking the patient if he has any hearing or vision deficits. |
| c. | restating the important points several times. |
| d. | asking the patient to describe the proper technique in his own words. |
ANS: B
This population often experiences sensory deficits that can affect their learning capacity. The other actions are also appropriate, but if the patient has sensory deficits, they must be addressed before teaching begins.
DIF: Understanding (Comprehension) REF: Page 169 OBJ: 9-7
TOP: Teaching-Learning MSC: Physiologic Integrity
- The nurse at an assisted living facility is caring for a 73-year-old cognitively impaired patient who has recently been admitted. The nurse creates a care plan that strives to help maintain the patient’s independence by including:
| a. | sufficient time for the patient to complete self-care. |
| b. | encouraging the patient to make decisions regarding self-care. |
| c. | regular assessment of the patient’s ability to provide self-care. |
| d. | regular cueing by staff to direct patient self-care. |
ANS: D
Cognitively impaired individuals often need supervision and cueing rather than physical assistance to perform ADLs and instrumental activities of daily living (IADLs).
DIF: Understanding (Comprehension) REF: Page 158 OBJ: 9-4
TOP: Communication and Documentation MSC: Health Promotion
- An older patient has fallen twice in the hospital in the last 2 days. What action by the nurse is best?
| a. | Request restraint orders from the provider. |
| b. | Assess the patient for undiagnosed illness. |
| c. | Remind the patient to call for help getting up. |
| d. | Have a family member stay with the patient. |
ANS: B
Falls are commonly associated with a new onset of illness in the older patient. The nurse assesses for this possibility. Restraints are a last resort. The patient may be too confused or forgetful to remember to call for help, plus this places the responsibility for safety on the patient. Family members may not be present or able to stay with the patient continuously.
DIF: Applying (Application) REF: N/A OBJ: 9-6
TOP: Nursing Process: Assessment MSC: Physiologic Integrity
- A nurse is caring for an older patient in the intensive care unit. The patient has a sudden onset of confusion. What action by the nurse is best?
| a. | Request a sedative from the provider. |
| b. | Attempt to reorient the patient. |
| c. | Perform a sepsis screening. |
| d. | Review lab work for today. |
ANS: C
The most common presenting sign of sepsis in the older adult is confusion. The nurse assesses the patient for this condition. Sedatives and restraints are a last resort. The nurse should attempt to reorient the patient, but this is not the most important action. The nurse should also review lab work, but current assessments are more important.
DIF: Applying (Application) REF: N/A OBJ: 9-5
TOP: Nursing Process: Assessment MSC: Physiologic Integrity
- Which individual would the nurse refer to the local Area Agency on Aging?
| a. | One who needs housekeeping services |
| b. | One who needs help with preparing taxes |
| c. | One who needs nutritious meals |
| d. | One who needs long-term care placement |
ANS: C
The AAA provides resources for community members on information and referral for medical and legal advice; psychologic counseling; preretirement and postretirement planning; programs to prevent abuse, neglect, and exploitation; programs to enrich life through educational and social activities; health screening and wellness promotion services; and nutrition services. The patient needing nutritious meals would most benefit from this agency.
DIF: Understanding (Comprehension) REF: Page 160 OBJ: 9-4
TOP: Communication and Documentation
MSC: Safe Effective Care Environment
- The nursing faculty explains to students the definition of “homebound.” Which is the best explanation of this situation?
| a. | A person uses a wheelchair for all mobility. |
| b. | A person desires services provided at home. |
| c. | Leaving home requires great effort. |
| d. | No local agency is available to provide service. |
ANS: C
Homebound implies that a person could leave the home for a legitimate medical reason, but he or she must exert a great deal of effort to do so. Being in a wheelchair does not in itself cause a person to be homebound, nor does requesting home services or not having another agency to provide services elsewhere.
DIF: Understanding (Comprehension) REF: Page 162 OBJ: 9-9
TOP: Teaching-Learning MSC: Health Promotion
- A patient is on hospice care. Which situation would result in an acute hospitalization?
| a. | Progression of disease |
| b. | Intractable pain |
| c. | New pressure ulcer |
| d. | Bladder infection |
ANS: B
Inpatient care is available when the patient experiences acute or severe pain or symptom management problems. The other conditions are managed without acute hospitalization.
DIF: Remembering (Knowledge) REF: Page 167 OBJ: 9-12
TOP: Nursing Process: Implementation MSC: Physiologic Integrity
- Which action does the nurse delegate to the unlicensed assistive personnel (UAP) pertaining to pressure ulcer prevention?
| a. | Assessing the patient’s skin daily |
| b. | Keeping the patient’s skin clean and dry |
| c. | Obtaining a special overlay mattress |
| d. | Monitoring the patient’s nutritional status |
ANS: B
The nurse can delegate keeping a patient’s skin clean and dry to the UAP. The other actions are within the nurse’s scope of practice.
DIF: Applying (Application) REF: N/A OBJ: 9-17
TOP: Communication and Documentation
MSC: Safe Effective Care Environment
MULTIPLE RESPONSE
- A nurse is caring for a confused and frail patient. Which interventions will best minimize the patient’s risk of injury related to the geriatric triad? (Select all that apply.)
| a. | Respond to the patient’s call bell promptly. |
| b. | Ensure the bed alarm is on at all times. |
| c. | Remain with the patient when eating. |
| d. | Assess elimination needs every 2 hours while the patient is awake. |
| e. | Offer the patient fluids during each visit. |
ANS: A, B, D
The geriatric triad includes falls, changes in cognitive status, and incontinence. Responding promptly to call lights, assessing for elimination needs, and having bed alarms limits falling.
DIF: Applying (Application) REF: N/A OBJ: 9-6
TOP: Nursing Process: Implementation MSC: Safe Effective Care Environment
- The nurse explains to the student the benefits of home health care. Which are benefits typically associated with this care? (Select all that apply.)
| a. | Less exposure to iatrogenic risks |
| b. | Less chance of becoming confused |
| c. | Better management of chronic conditions |
| d. | Better reimbursement from Medicare |
| e. | Patient remains in control of environment |
ANS: A, B, C, E
Many benefits exist for home health care including less risk of iatrogenic illness/injury, less chance the patient will be acutely confused by the change of environment, better long-term management of chronic conditions, and control of the environment by the patient.
DIF: Understanding (Comprehension) REF: Page 162 OBJ: 9-9
TOP: Teaching-Learning MSC: Physiologic Integrity
- What actions by the nursing staff in a long-term care facility display an awareness of resident rights? (Select all that apply.)
| a. | Getting informed consent for the use of an antipsychotic medication |
| b. | Reminding the unhappy resident and family about grievance processes |
| c. | Ensuring that all residents are asked if they wish to vote in an election |
| d. | Giving residents information on the ombudsman’s name and address |
| e. | Assessing residents for their ability to safely administer their medications |
ANS: A, B, C, E
Long-term care facilities are responsible for honoring the many rights of their residents, including setting up informed consent processes for side rails and chemical restraints, having a posted grievance policy and process, pursuing the residents’ right to vote, assessing residents for the ability to safely administer their own medications, and posting information about the ombudsman program.
DIF: Remembering (Knowledge) REF: Page 169 OBJ: 9-15
TOP: Nursing Process: Implementation MSC: Safe Effective Care Environment
