Geri Final Exam Questions Chapters 16, 18, 24, 11 & GA Review with correct answers 100%

Geri Final Exam Questions Chapters 16, 18, 24, 11 & GA Review with correct answers 100% Question 1: The nurse is caring for a terminally ill older adult who is receiving palliative care. When explaining the purpose of palliative care to the older adult's caregiver, the nurse recognizes the need for additional instruction when the caregiver makes which statement? A. "Palliative care interventions hasten death." B. "Palliative care promotes optimal functioning." C. "Palliative care will provide pain management." D. "Palliative care will provide symptom management." - Correct Answer A. "Palliative care interventions hasten death." Rationale: Palliative care interventions do not serve to hasten death; rather, they provide pain and symptom management, attention to issues faced by the child and family with regard to death and dying, and promotion of optimal functioning and quality of life Question 2: The home health nurse visits a 80-year-old breast cancer patient with metastatic breast cancer who is receiving palliative care. The patient is experiencing pain at a level of 7 (on a 10-point scale). In prioritizing activities for the visit, you would do which of the following first? A. Auscultate for breath sounds. B. Administer PRN pain medication. C. Check pressure points for skin breakdown. D. Ask family members about patient's dietary intake - Correct Answer B. Administer PRN pain medication. Rationale: Meeting the patient's physiologic and safety needs is the priority. Physical care focuses on the needs for oxygen, nutrition,pain relief, mobility, elimination, and skin care. The patient is not experiencing oxygenation problems; the priority is to treat the severe pain with pain medication Question 3: Which statement made by the graduate nurse working in the hospice unit with a patient near the end of life requires intervention by the preceptor nurse? A. "The patient has eaten only small amounts the past 48 hours; will the physician consider placing a feeding tube?" B. "The family seems comfortable with the long periods of silence." C. "The physician ordered an increase in the dosage of morphine; I will administer the new dose right away." D. "The blood pressure is lower this afternoon than it was this morning; I will communicate the changes to the family." - Correct Answer A. "The patient has eaten only small amounts the past 48 hours; will the physician consider placing a feeding tube?" Rationale: Nursing management related to physical care at the end-of-life deals with symptom management and caring rather than treatment aimed at curing a disease or disorder. Patients often stop eating at end of life Question 4: A 77-year-old man has been admitted to the hospital for a surgical procedure. During the admission process, the nurse asks whether he has a living will or a durable power of attorney. The patient asks, "What is a living will?" The best response by the nurse would be which of the following? A. "A living will and a durable power of attorney are both advance directives." B. "A living will states your wishes regarding future healthcare if you become unable to give instructions." C. "A living will identifies a person who will make healthcare decisions in the event you are unable to do so."