NUR 2214 Week 7 Quiz V3 | 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 with terminal heart failure who is requesting
palliative care. Which statement best describes the goal of this service?
A. Focusing exclusively on curative treatments and aggressive interventions
B. Improving the quality of life through symptom management and comfort
C. Restricting care to the final six months of the patient’s expected life
D. Eliminating all pharmacological interventions to promote natural death
Answer: B
Rationale: Palliative care is an approach that focuses on the relief of symptoms and stress
associated with a serious illness. It aims to improve quality of life for both the patient and
the family regardless of the diagnosis. This type of care is appropriate at any age and at any
stage in a serious illness and can be provided together with curative treatment.
2. When assessing an older adult for hospice eligibility, which criterion is most significant for
admission?
A. A life expectancy of six months or less if the disease runs its normal course
B. The patient’s refusal to take any further oral medications
,C. A diagnosis of a chronic condition such as hypertension or diabetes
D. The absence of family members or caregivers in the home environment
Answer: A
Rationale: Hospice care is specifically designed for patients who are nearing the end of life.
Eligibility generally requires a physician to certify that the patient has a terminal illness
with a prognosis of six months or less. This transition focuses on comfort and dignity
rather than curative measures.
3. A patient has a signed document that specifies their wishes regarding medical treatments
they want or do not want if they become incapacitated. This is known as a:
A. Durable Power of Attorney for Finances
B. Health Insurance Portability and Accountability Act document
C. Standard Hospital Consent Form
D. Living Will
Answer: D
Rationale: A living will is a type of advance directive that outlines specific medical
treatments a person desires or wishes to refuse. It becomes active only when the individual
is unable to communicate their own decisions. This document helps ensure that the
patient’s autonomy is respected even when they lack capacity.
, 4. An older adult patient identifies a daughter to make medical decisions if the patient
becomes unable to do so. What is the legal term for this role?
A. Executor of the Estate
B. Guardian Ad Litem
C. Durable Power of Attorney for Healthcare
D. Medical Social Worker
Answer: C
Rationale: The Durable Power of Attorney for Healthcare, also known as a healthcare
proxy, is a person designated to make medical decisions on behalf of the patient. This role
is activated when the patient is deemed incapacitated by healthcare professionals. It is a
critical component of advance care planning for the geriatric population.
5. During the end-of-life process, a patient experiences dyspnea. Which intervention is
frequently prioritized by the nurse?
A. Increasing intravenous fluid rates to improve hydration
B. Administering high-flow oxygen via a non-rebreather mask
C. Administering low-dose morphine to reduce the sensation of air hunger
D. Performing vigorous chest physiotherapy every four hours
Answer: C
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 with terminal heart failure who is requesting
palliative care. Which statement best describes the goal of this service?
A. Focusing exclusively on curative treatments and aggressive interventions
B. Improving the quality of life through symptom management and comfort
C. Restricting care to the final six months of the patient’s expected life
D. Eliminating all pharmacological interventions to promote natural death
Answer: B
Rationale: Palliative care is an approach that focuses on the relief of symptoms and stress
associated with a serious illness. It aims to improve quality of life for both the patient and
the family regardless of the diagnosis. This type of care is appropriate at any age and at any
stage in a serious illness and can be provided together with curative treatment.
2. When assessing an older adult for hospice eligibility, which criterion is most significant for
admission?
A. A life expectancy of six months or less if the disease runs its normal course
B. The patient’s refusal to take any further oral medications
,C. A diagnosis of a chronic condition such as hypertension or diabetes
D. The absence of family members or caregivers in the home environment
Answer: A
Rationale: Hospice care is specifically designed for patients who are nearing the end of life.
Eligibility generally requires a physician to certify that the patient has a terminal illness
with a prognosis of six months or less. This transition focuses on comfort and dignity
rather than curative measures.
3. A patient has a signed document that specifies their wishes regarding medical treatments
they want or do not want if they become incapacitated. This is known as a:
A. Durable Power of Attorney for Finances
B. Health Insurance Portability and Accountability Act document
C. Standard Hospital Consent Form
D. Living Will
Answer: D
Rationale: A living will is a type of advance directive that outlines specific medical
treatments a person desires or wishes to refuse. It becomes active only when the individual
is unable to communicate their own decisions. This document helps ensure that the
patient’s autonomy is respected even when they lack capacity.
, 4. An older adult patient identifies a daughter to make medical decisions if the patient
becomes unable to do so. What is the legal term for this role?
A. Executor of the Estate
B. Guardian Ad Litem
C. Durable Power of Attorney for Healthcare
D. Medical Social Worker
Answer: C
Rationale: The Durable Power of Attorney for Healthcare, also known as a healthcare
proxy, is a person designated to make medical decisions on behalf of the patient. This role
is activated when the patient is deemed incapacitated by healthcare professionals. It is a
critical component of advance care planning for the geriatric population.
5. During the end-of-life process, a patient experiences dyspnea. Which intervention is
frequently prioritized by the nurse?
A. Increasing intravenous fluid rates to improve hydration
B. Administering high-flow oxygen via a non-rebreather mask
C. Administering low-dose morphine to reduce the sensation of air hunger
D. Performing vigorous chest physiotherapy every four hours
Answer: C
