NURS 306 Final Exam Answered Sample Questions

Robert, an 86-year-old man comes into the emergency department with his adult son. His adult son explains that he was visiting his father and found him lying on the kitchen floor. Which one of these nursing actions avoids the adoption of ageist institutional policies? (select all that apply) a) Ask the patient how many times he has fallen in the past b) Suggest the patient uses a walker at home and hires homecare c) Ask the son if he would be able to move in with his father, if not an immediate LTC referral is needed d) Do an emergency falls risks assessment e) Do a head-to-toe assessment, as well as a thorough neurological assessment f) Ask the patient to explain what happened, then talk to the patient about the success he has in performing ADLs Answer: e & f E is correct because this is what you would do for any patient. The older population deserves to have the standard of care. F is correct because what if this was the first time he had a fall? We cannot assume he has had falls before, or that he is at risk for falling. Young people fall occasionally as well, but they are not stigmatized by it. Doing a more thorough assessment of the event and inquiring about the patient's daily life will give the nurse a bigger picture of what is really going on. The World Health Organization's Age-friendly City Model addresses: (select all that apply) a) Community-based clinics so that older adults can receive treatment for chronic illnesses such as diabetes, kidney disease, and hypertension. b) Issues such as housing, transportation, and social inclusion. c) The necessity of community-based clinics that specialize in physical health and require their staff to take courses specific to the unique profile of older adults. d) The need for a walking club to promote better cardiac health. e) The design of outdoor spaces and buildings that are age-friendly. Answer: b & e The model provided by the WHO does not emphasize physical health. It emphasizes the infrastructure within the city, and how it can be adapted to the aging population