WGU C475 CARE OF THE OLDER ADULT PRE
ASSESSMENT AND OBJECTIVE ASSESSMENT EXAMS
WITH ACTUAL CORRECT QUESTIONS AND VERIFIED
DETAILED RATIONALES ANSWERS BY EXPERTS
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A senior is being cared for by her daughter. The daughter works a full-time job and is only able to care
for her mother before she goes to work, on her lunch break, and after she gets off work. The senior
expresses to a nurse that she gets lonely during the day and sometimes cannot perform tasks by herself.
Which community resource should the nurse recommend looking into?
Daycare services for seniors
What is a standard caseload for most transitional care nurses?
15 to 20 cases
It has been concluded that an 83-year-old male is no longer suitable to operate a motor vehicle.
Which decision should this elderly man take to preserve his quality of life and independence?
He should look into and sign up for a local senior transportation program.
What are important areas of knowledge to apply as a nurse practicing in a transitional care role?
Choose 2 answers
There is a growing demand for transitional care because nearly 50% of Americans are dealing with at
least one chronic illness.
Medicare beneficiaries with five or more chronic illnesses account for 75% of Medicare spending.
What is a common preventable error that can occur during the transition of care for older adults?
Inaccurate medication reconciliation
How is communication further facilitated?
Choose 2 answers
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Through active engagement of patients and family caregivers with a focus on meeting the patient's goals
Through communication to, between, and among the patient, family caregivers, and healthcare
providers
A critical competency in geriatric nursing is the ability to assess family knowledge of the skills necessary
in the care of older adults.
What broad caregiver competencies are included in this assessment?
Choose 2 answers
Allowing the active participation of the patient in all aspects of care
Balancing the patient's autonomy with safety
What communication techniques promote safe transition of care in patients with aphasia?
Choose 2 answers
Give the patient time to speak
Use nonverbal gestures to communicate
What roles of the nurse protect the patient from harm in a care transition?
Symptom manager, educator, collaborator, care coordinator
What important areas need to be addressed when considering nurse practicing in a transitional care
role?
Select all that apply
There is a high demand for transitional care because nearly 50% of Americans are dealing with one or
more chronic illness.
Medicare beneficiaries with five or more chronic illnesses are accredited for over 75% of Medicare
spending.
The End-of-Life Nursing Education Consortium (ELNEC) is a resource targeted to nurses providing end-of-
life care that supports evidence-based care of dying patients and their families, as well as self-care that
lessens stress and anxiety and sustains nurses in providing excellent end-of-life care.
Which of the following are self-care principles?
Choose 2 answers
Making good use of the expertise and support of the interprofessional care team
Developing expertise in symptom management, which not only helps patients and their families, but
increases satisfaction and lessens anxiety among professional caregivers
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Which statements are true regarding health-related quality of life?
Choose 2 answers
Can be measured by an instrument developed by the Center for Disease Control (CDC)
Is measured by individual's perceived healthy days per month
Which roles of the nurse keep the patient safe from harm in a care transition?
Symptom manager, educator, collaborator, care coordinator
A nurse caring for people at the end of their lives knows that dyspnea is relatively common and
interferes with patients' comfort and rest.
What is the evidence-based intervention for shortness of breath?
5 mg of liquid morphine every 4 hours, along with lorazepam 0.5-2.0 mg every 4-6 hours PRN for anxiety
and restlessness
Several options are available as care approaches to chronic illness care.
Which method best describes palliative care?
A combination of active treatment and comfort measures
What do dying persons typically experience grief over?
Loss of bodily function and independence that occurs as illness becomes more prevalent
Which of the following is often the biggest barrier to overcome in crucial conversations related to death
and dying?
Societal attitudes about death
In addition to a living will, advanced directives may also include a durable power of attorney that
encompasses healthcare-related decision making.
Which two of the following are accurate statements regarding the legal instrument known as the
durable power of attorney?
Choose 2 answers
The living will remains a useful tool in providing direction to the alternate decision maker.
It allows for an alternative decision maker in the event that the dying person is incapacitated and no
longer able to make healthcare decisions.
Which of the following is a person-centered method to using alternate health modalities to meet patient
needs?
Conversing about an array of alternate options with the patient to determine selections.
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Many options are available as care approaches to chronic disease care.
Which technique best portrays palliative care?
A blending of effective treatment and comfort procedures
When do dying individuals normally encounter mourning?
Lack of bodily function and freedom that occurs as sickness grows more widespread
Which of the following is often the largest obstacle to overcome in important conversations related to
death and perishing?
Public mindsets about passing awa
Which element is part of psychosocial well-being for an older adult?
Engagement with others
How should a nurse greet Estelle Bartlett, a petite, widowed elder, on the first home visit?
"Mrs. Bartlett, I'm your nurse Clara Jones."
What might be an important aspect of an individualized care plan for a low income, depressed
community-dwelling elder who is treated with an antidepressant and has favorite pastimes of reading,
cooking, and spending time with grandchildren?
A library card
A talented, accomplished, and very active elder wanted to take up painting after retirement. A recent
stroke compromised the elder's short-term memory severely.
Which community-based program should the nurse suggest to the elder and family first?
Taking painting classes at the senior center
An elder patient missed an arthritis clinic appointment because the patient could not afford the pain
medication.
After first meeting the patient's immediate medication needs, which two steps should the nurse take in
order to prevent a recurrence?
Choose 2 answers
Ask the drug company for help
Investigate eligibility for the Medicaid program
An 85-year-old widow, living alone, tripped over her beloved dog and broke her leg.
Which action should the home-care nurse recommend regarding the dog?
Find out the elder's ideas