1. What is not a common risk
1. What is not a common risk factor that contributes to functional decline in older adults? Poor nutrition Polypharmacy Lacking a variety of hobbies Social isolation 2. Smoking cessation is critical to cardiovascular disease risk reduction. Which screening question is the most important one the nurse should ask smokers? “Did you ever have asbestos exposure?” “Has anyone in your family died from cancer?” “Are you ready to quit smoking?” “Do you have a productive cough?” 3. What are common risk factors that contribute to functional decline in the older adult population? Adverse drug events Sodium intake Depression Moderate weight gain 4. What is the most common incident reported in hospitals and long-term care facilities? Sexual harassment Falls Alcoholism Elder abuse 5. Which position puts an unconscious client at greatest risk for aspirating secretions? Prone Supine Sims Lateral 6. A patient recently purchased a plastic pill box from the local pharmacy. The patient still has a difficult time remembering to take his medications four times daily. Which technology-based action should help improve this patient’s medication compliance? Recommending a device that would enable family members to set virtual medication reminders Advising the family to make a phone call each time the medication should be administered Initiating a referral to the local visiting nurses Association to arrange for daily phone call reminders. Providing information to the family about locked electronic medication dispensers. 7. The nurse is providing palliative care for an older client with functional impairment who is placed on an enclosed bed. The nurse teaches care guidelines to the client’s family members to ensure safety. Which statement of the family member indicates the need for further teaching? I should zip all the sides of the bed I should periodically check the bed rails and mattress I should always keep the bed at a high position I should position zipper tabs in the upper side of the net panels 8. Which statements are correct regarding nursing informatics? Select all that apply. Nursing informatics is all information about nursing which is then applied to patient care. Nursing informatics encompasses the management and processing of data to support nursing practice Nursing informatics is an umbrella term for all assistive technology used in healthcare especially among older adults. Nursing informatics is a 21st century science designed to improve quality, safety, and efficiency. 9. In an assisted care facility, a patient with severe speech impairment had been using American sign language to communicate with the staff and his family. He has recently lost function in his hands and arms and is continually frustrated that he cannot communicate with those around him. Which type of assistive technology could this patient use to increase his communication? Induction loop system Eye tracker Morse code Tactile symbols 10. A nurse is assisting a 60-year-old client with limited mobility in ambulating. Which device should the nurse use while ambulating the client? Transfer board Transfer roller sheet Standing assist device Transfer belt 11. Which of the following were the three phases of the triple aim initiative? Select all that apply. Reduce hospital stay Reduce costs Improve the patient experience Advance nursing education Improve population health Improve patient ratios 12. A disproportionate amount in health expenditures is spent on older adults compared to the general population putting a strain on Medicare as the older population grows. How can these costs be towered most directly? Select all that apply. By teaching people about the effects of chronic disease By aiming to prevent chronic disease By educating more nurses in the field of gerontology By decreasing the debilitating effects of chronic disease 13. Which statements about Social Security benefits are true? Select all that apply The retirement age has stayed constant at 65 since the creation of the social security Act. One can continue to work at a high-paying job while receiving full social security benefits up to age 70 The delayed retirement credit is available for those who choose to delay retirement up to age 70 One can begin receiving retirement benefits at the of 62, but rates will be lower 14. The independence at home demonstration was created by the Affordable care act. What are the major goals that this health policy initiative is trying to achieve for chronically ill patients living at home? Select all that apply Less office space overhead for primary care practices Reduced travel for patients. Medicare savings Better health outcomes 15. what is one implication of the older population on health policy As the aging population grows, younger voters will want to support health policies that help older adults less and less As Chronic diseases become more prevalent, health policies will be less likely to support pharmaceutical assistance for seniors As the percentage of people over 65 grows it will become easier for more conservative ideals to be passed into law. As healthcare costs continue to increase the older population will become more reliant on government assistance for healthcare.
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