1. On a recent visit to a

1. On a recent visit to a clinic a patient’s physician changed her 40mg daily Furosemide (Lasix) dose to 40mg and 60 mg doses on alternating days. The patient is an older adult with high blood pressure venous ulcers, and diabetes. She emigrates from Japan 10 years ago. What would be some parameters most relevant to remember in order to adequately explain the change in medication and new dosage? Select all that apply The patient’s height and weight The patient’s mental and functional ability or the presence of a caregiver The patient’s understanding of English The patient’s age 2. How is communication among various healthcare providers accomplished in transitional care modes? Select all that apply Through physician nurse collaboration across episodes of acute care By a transitional care nurse accompanying patients to the first follow-up physician visit Through a separate professional care team that includes only healthcare professionals By assigning a buddy system among pairs of healthcare providers. 3. What are appropriate evaluation measures related to successful transitions of care? Select all that apply? Continued insurance coverage All clinical indicators related to chronic conditions Emotional and social domains of quality of life Increased hospital visits Functional status Exclusion of nursing sensitive measures. 4. When transitioning care to another care giver, the nurse must assess through conversation and observation the receiving caregivers knowledge of basic principles of caring for chronically ill older adults. What are the most important principles associated with transitioning care? Select all that apply Preventing hazards of immobility, such as pressure ulcers Transitioning the patient’s belongings to the new … Understanding transfer techniques that are safe for the patient as well as for the caregiver Knowing the brand names of medications 5. With which health professionals is the nurse’s communication most critical in safe care transitions? Select all that apply Physician Pharmacist Physical therapist Nutritionist 6. On a recent visit to a clinic, a patient’s physician changed her 40mg daily Furosemide (Lasix) dose to 40mg and 60mg doses on alternating days. The patient is an older adult with high blood pressure, venous ulcers, and diabetes. What is the greatest value of developing an evidence based plan of care that is discussed with the patient, her family, and the home health nurse prior to hospital discharge? Select all that apply It helps prevent a medication or treatment error after the transition back home. It positions the patient at the center of the transition team It allows the home health staff to take control of the patient’s care It increases insurance payment to the hospital. 7.Which model of transitional care uses a tool to identify clients who are at risk for adverse events after discharge? Project Re- engineered Discharge (RED) Guided Care Program Transforming Care at the Bedside Model (TCAB) Project Better Outcomes for Older Adults Through Safe Transitions (BOOST). 8. Which model assures continuity across care settings? The guided care program Chronic care model Project BOOST (Better Outcome for Older Adults Through Safe Transition) The Care Transitions programs. 9. What are the major principles of the End-of -Life Nursing Education Consortium (ELNEC) Select all that apply It is good to be direct about the process of dying so as not to frighten patients and their families Nurses should share information the patient wants to know pausing frequently to check for understanding. Trying to ascertain what the patient knows is too sensitive a process and can hasten death due to the stress involved. It is important to get started by determining who the patient wants to be present in a conversation regarding wishes and preferences. 10. In order to assess resources needed to provide comprehensive end -of- life care, what do nurses need to understand that the focus of end -of- life care centers on? Select all that apply Interventions geared toward comfort rather than prolonged suffering Care that is consistent for all patients and families The most advanced chemotherapy, equipment, and other technology Empowering patients living with a terminal illness and their families 11. Which federal law insists that the nurse should facilitate informed decision making for clients making choices about end- of- life care? Patient Self Determination Act (PSDA) American with Disabilities Act (ADA) Bill of Right Health Insurance Portability and Accountability Act (HIPPA) 12. What makes palliative care different from other modes of caregiving? Palliative care aims to isolate the client from the family Palliative care aims to provide hope to the client’s family Palliative care aims to extend life through complementary therapies Palliative care promotes a graceful and natural death 13. What would be considered passive euthanasia? Adding atropine (AtroPen) to intravenous fluids Avoiding administration of high doses of antibiotics to a client Avoiding giving nutrition and fluids to a client Giving a high dose of morphine (Avinza) to a client 14. What is the priority nursing intervention for a client who has chronic myeloid leukemia and is very near death? Increase oxygen concentrations delivered Limit the number of visitors Reduce the Pain in the client Administer anticancer medications to the client 15. Quality of life is influenced by the degree of symptom burden What accurately captures a realistic state of relief of symptom burden in a chronically ill older adult? Select all that apply Physical strength that allows for meeting goals Being able to once again do the activities that could be done prior to illness Social well being in terms of enjoyment of relationship A lifestyle free of pain 16. A nurse is providing hospices care to a 70-year-old client. The client’s caregivers tell the nurse that they want to subunit a claim for hospice care insurance for the client. What should the nurse tell the client’s caregivers to do? “Make sure to clear the client’s medical bills before you submit a claim for hospice care insurance” “Obtain certification from the client’s healthcare provider that the client is likely to die within 6 months “Obtain age proof from the client’s primary healthcare provider because hospice care insurance is not offered for 70-year-old individuals” “Obtain a brief narrative of the clinical findings written by the nurse” 17. Which action may cause active euthanasia in a client? Giving the client high doses of phenobarbital (Luminal) Infusion 500ml of lactate Ringer’s solution daily to the client Withholding of fluids and electrolytes from the client Removing oxygen therapy from the client. 18. Which intervention should a nurse follow to provide effective palliative care to a client with lung cancer? Teaching the side effects of anticancer medications to the client Administering anticancer medications to the client Preparing the client for radiation therapy Referring the client to support groups 19. A client who is experiencing severe pain during end- of- life care tells a nurse. “I do not want medication for pain, I want to be awake when my family visits me. What is the best intervention on the nurse provides in this situation. Administer the medication when the client wishes Distract the client and administer the medication Administer the medications as ordered Instruct the client firmly that medicines are necessary for treatment 20. A nurse at a long term care facility is reviewing patient records which patient should this nurse determine is the most at risk for osteoporosis? A 79- year -old underweight female with a 30- pack -a- year history of smoking A 65- year-old overweight female who drinks one alcoholic drink each day A 67 -year- old normal- weight female who is bedbound A -70- year old female who is prescribed hormone replacement therapy 21. A 90- year- old Hispanic male who speaks only Spanish is admitted to a nursing home earlier in the day at 4a.m he begins to cry aloudly and continues to do so, even though his physical exam is normal. The nurse and multiple members of the night staff are unable to console the patient. They do not speak this patient’s language. How should this nurse help this patient while treating him with dignity and respect? Call the patient’s son and so he may speak with his father to discover why he is crying Call a medical translator service and facilitate a three-way discussion between the nurse, the patient, and a translator Draw pictures of basic needs, like toileting and drinking, for Mr. Garcia so he will be able to identify his need by pointing Continue to sit with the patient until the day – shift charge nurse, who is fluent in Spanish, arrives at 6:00a.m. When the charge nurse arrives, ask her to speak with the patient immediately. 22. Which statement avoids the use of “elder speak” and ensures patients are treated with dignity and respect? “You’re going to take a walk now, right? “Would you like to eat dinner now, Mr. Smith?” “All right, honey, now let’s get back to bed” ” Sweetie, be a good girl and eat your breakfast”.

******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."