NUR 2214 Week 7 Quiz V1 | NUR 2214
Nursing Care of the Older Adult | Actual
Q&A with Rationale (NUR2214 Week 7
Quiz) | Rasmussen University
1. A nurse is caring for an older adult patient who has been diagnosed with a terminal illness.
The patient expresses a desire to remain at home during the final stages of life. Which service
should the nurse recommend?
A. Acute rehabilitation center
B. Long-term acute care hospital
C. Skilled nursing facility
D. Hospice care
Answer: D
Rationale: Hospice care is specifically designed to provide comfort and support to patients
in the final stages of a terminal illness. It focuses on quality of life and symptom
management rather than curative treatment. This service can be provided in the home
setting to honor the patient’s wish to remain in a familiar environment.
,2. An older adult patient is admitted with advanced heart failure. The patient has a document
that specifies they do not want cardiopulmonary resuscitation (CPR) if their heart stops. What
is this document called?
A. A Do-Not-Resuscitate (DNR) order
B. A healthcare proxy
C. A power of attorney
D. An informed consent form
Answer: A
Rationale: A Do-Not-Resuscitate (DNR) order is a legal document that instructs healthcare
providers not to attempt CPR if the patient’s breathing or heartbeat stops. It is often part of
a broader set of advance directives. Nurses must ensure this order is clearly documented in
the medical record to respect the patient’s end-of-life choices.
3. The nurse is discussing palliative care with the family of an older adult patient with chronic
obstructive pulmonary disease (COPD). Which statement by the nurse is most accurate
regarding palliative care?
A. Palliative care is synonymous with hospice care and is only for the dying.
B. Palliative care is only available for patients who have less than six months to live.
C. Patients must stop all curative treatments to receive palliative care.
D. Palliative care can be provided at any stage of a serious illness, not just at the end of life.
, Answer: D
Rationale: Palliative care focuses on relief from the symptoms and stress of a serious
illness to improve quality of life for both the patient and the family. Unlike hospice, it can be
provided alongside curative treatments from the time of diagnosis. It is appropriate at any
age and at any stage in a serious illness.
4. Which ethical principle is the nurse upholding when they support a patient’s right to refuse
a recommended medical procedure?
A. Autonomy
B. Non-maleficence
C. Justice
D. Beneficence
Answer: A
Rationale: Autonomy refers to the right of patients to make their own decisions about
their medical care. When a nurse respects a patient’s refusal of treatment, they are
acknowledging the patient’s independent authority. This principle is a cornerstone of
medical ethics and patient-centered care.
5. An older adult patient is suspected of being a victim of physical abuse by a family member.
What is the nurse’s primary legal and ethical responsibility?
A. Confront the family member immediately.
B. Document the findings but keep them confidential to protect the family’s privacy.
Nursing Care of the Older Adult | Actual
Q&A with Rationale (NUR2214 Week 7
Quiz) | Rasmussen University
1. A nurse is caring for an older adult patient who has been diagnosed with a terminal illness.
The patient expresses a desire to remain at home during the final stages of life. Which service
should the nurse recommend?
A. Acute rehabilitation center
B. Long-term acute care hospital
C. Skilled nursing facility
D. Hospice care
Answer: D
Rationale: Hospice care is specifically designed to provide comfort and support to patients
in the final stages of a terminal illness. It focuses on quality of life and symptom
management rather than curative treatment. This service can be provided in the home
setting to honor the patient’s wish to remain in a familiar environment.
,2. An older adult patient is admitted with advanced heart failure. The patient has a document
that specifies they do not want cardiopulmonary resuscitation (CPR) if their heart stops. What
is this document called?
A. A Do-Not-Resuscitate (DNR) order
B. A healthcare proxy
C. A power of attorney
D. An informed consent form
Answer: A
Rationale: A Do-Not-Resuscitate (DNR) order is a legal document that instructs healthcare
providers not to attempt CPR if the patient’s breathing or heartbeat stops. It is often part of
a broader set of advance directives. Nurses must ensure this order is clearly documented in
the medical record to respect the patient’s end-of-life choices.
3. The nurse is discussing palliative care with the family of an older adult patient with chronic
obstructive pulmonary disease (COPD). Which statement by the nurse is most accurate
regarding palliative care?
A. Palliative care is synonymous with hospice care and is only for the dying.
B. Palliative care is only available for patients who have less than six months to live.
C. Patients must stop all curative treatments to receive palliative care.
D. Palliative care can be provided at any stage of a serious illness, not just at the end of life.
, Answer: D
Rationale: Palliative care focuses on relief from the symptoms and stress of a serious
illness to improve quality of life for both the patient and the family. Unlike hospice, it can be
provided alongside curative treatments from the time of diagnosis. It is appropriate at any
age and at any stage in a serious illness.
4. Which ethical principle is the nurse upholding when they support a patient’s right to refuse
a recommended medical procedure?
A. Autonomy
B. Non-maleficence
C. Justice
D. Beneficence
Answer: A
Rationale: Autonomy refers to the right of patients to make their own decisions about
their medical care. When a nurse respects a patient’s refusal of treatment, they are
acknowledging the patient’s independent authority. This principle is a cornerstone of
medical ethics and patient-centered care.
5. An older adult patient is suspected of being a victim of physical abuse by a family member.
What is the nurse’s primary legal and ethical responsibility?
A. Confront the family member immediately.
B. Document the findings but keep them confidential to protect the family’s privacy.
