HESI Gerontology Exam Edge (Answered) With Rationale

HESI Gerontology Exam Edge (Answered) With Rationale Good communication is a necessity for healthcare providers for interviewing and teaching patients. The GNP understands that which of the following is true regarding communication? a. Not all communication is privileged and confidential. b. Triage is a form of communication that involves a system of controlled oversight and authorization of services. c. Case management is a form of communication that involves the privatization and sorting of patients according to a preexisting standard. d. Communication involves the written and oral transfer of information regarding the structure, process, and outcome of healthcare encounters. d. Communication involves the written and oral transfer of information regarding the structure, process, and outcome of healthcare encounters. All communication is privileged and confidential. Case management is a form of communication that involves a system of controlled oversight and authorization of services. Triage is a form of communication that involves the prioritization and sorting of patients according to a preexisting standard. You are seeing a 72-year old man with an abdominal aortic aneurysm (AAA). Besides hypertension, what risk factor contributes the most to the development of an AAA? a. cigarette smoking b. alcohol consumption c. eating red meat d. obesity a. cigarette smoking Choice A is the right answer. Smoking clearly increases the risk for AAA. The prevalence in women is far lower than in men and the benefits associated with screening women do not justify the costs. It is recommended a one-time screening be done for males aged 65 to 75 who have ever smoked. There has been a recent shift of the health care delivery toward the provision of nonacute care from the hospital setting to the ambulatory care setting and the home. Nursing research that was previously conducted in hospitals: a. is now applicable to all in-hospital providers of care. b. is now relevant in the new settings, as patient care is unchanged. c. is no longer applicable to the delivery of patient care. d. is needed to be applied directly to patient care that is provided in the new settings. c. is no longer applicable to the delivery of patient care. The restructuring of the health care delivery system and the changes that have occurred make previous studies no longer applicable to nursing care. The other choices are incorrect because the nonacute care is not provided in-hospital; because of the phrase "as patient care is unchanged" in that the delivery of nursing care has changed settings; and previous studies were about care delivered in-hospital and it cannot be applied to care provided in the new settings. A 67-year-old male comes to the clinic telling you that he was bitten on the hand by a raccoon. The GNP cleanses the wound. What would the next action be? a. contact local animal control authorities b. administer rabies immune globulin (RIG) and human diploid cell vaccine (HDCV) c. administer tetanus antitoxin d. teach the patient how to do hourly soaks to the hand using normal saline and peroxide b. administer rabies immune globulin (RIG) and human diploid cell vaccine (HDCV) Any bite associated with an animal that may harbor rabies (skunks, bats, raccoons, foxes, coyotes, rats) should be treated with both active and passive rabies immunization. The tetanus antitoxin would also be indicated if patient was not currently up to date. You are treating a patient with a recent TIA. The GNP must consider that: a. There is no need to educate the person on signs and symptoms of stroke or stroke prevention. b. Women present with this disorder more often than men. c. Long-term antiplatelet therapy is likely indicated. d. It will be necessary to schedule rehabilitation therapy. c. Long-term antiplatelet therapy is likely indicated. Intervention includes minimizing risk factors through lifestyle modification, aggressive treatment of dyslipidemia, hypertension, and diabetes mellitus, and long-term platelet therapy. The person should be educated on stroke and stroke prevention, men present more often than women with TIAs, and rehabilitation therapy is not warranted after a TIA. When seeing a 68-year-old man in the clinic with acute cocaine intoxication, you inquire about: a. chest pain b. feelings of anxiety c. abdominal pain d. difficulty maintaining sleep a. chest pain Cocaine is a potent sympathomimetic and can increase heart rate and myocardial contractility. This causes coronary vessel constiction that could lead to myocardial ischemia. Inquiring about chest pain is prudent in caring for a patient with cocaine abuse. A 65-year-old Caucasian presents with a long history of chronic airflow obstructive disease and has noticed a change in sputum color over the past few days, with increased amounts of thick yellow-green mucus. The GNP understands that the appropriate therapy would be: a. Augmentin 500 mg PO tid for 10 days