AE_1_Comprehensive_Test_Bank_

AE_1_Comprehensive_Test_Bank_ Table of Contents Week 1 Care of Older Adults: Culture, Spirituality, Communication, Sexuality, Infection Control Chronic Illness and Older Adults 3 Cultural Awareness 10 Older Adult 18 Communication 28 Patient Education 39 Infection Prevention and Control 51 Sexuality 69 Spiritual Health 78 Week 2 Critical Thinking, The Nursing Process, Loss, Death, and Grief Critical Thinking in Nursing Practice 86 Nursing Assessment 94 Nursing Diagnosis 102 Planning Nursing Care Implementing Nursing Care 110 119 Evaluation 128 The Experience of Loss, Death and Grief 136 Week 3 Safety and Fall Prevention among Older Adults, Preventing Complications of Immobility Patient Safety and Quality 146 Immobility 163 Activity and Exercise 181 Week 4 Skin and Wound Care Hygiene, Introduction to Pharmacology and Medication Administration Medication Administration 194 Hygiene 212 Skin Integrity and Wound Care 231 Week 5 Fluid & Electrolytes, Dehydration Fluid, Electrolyte and Acid-Base Balance 251 Week 6 Pain and Sleep Pain Management 268 Sleep 280 Week 7 Concepts related to Oxygenation, Circulation, and Tissue Perfusion, Chronic Obstructive Pulmonary Disease Oxygenation 295 Obstructive Pulmonary Diseases 314 Week 8 Diabetes Mellitus Diabetes Mellitus 331 Week 9 Hypertension, Stroke Hypertension 341 Stroke 356 Week 10 Documentation and Informatics Documentation and Informatics 368 Week 11 Nutrition, Dysphagia 382 Week 12 Care of the Surgical Patient 398 Week 1 Care of Older Adults: Culture, Spirituality, Communication, Sexuality, Infection Control Chapter 05: Chronic Illness and Older Adults Lewis: Medical-Surgical Nursing, 10th Edition MULTIPLE CHOICE 1. When caring for an older patient with hypertension who has been hospitalized after a transient ischemic (TIA), which topic is the most important for the nurse to include in the discharge teaching? a) Effect of atherosclerosis on blood vessels b) Mechanism of action of anticoagulant drug therapy c) Symptoms indicating that the patient should contact the health care provider d) Impact of the patient’s family history on likelihood of developing a serious stroke 2. The nurse performs a comprehensive assessment of an older patient who is considering admission to an assisted living facility. Which question is the most important for the nurse to ask? a) “Have you had any recent infections?” b) “How frequently do you see a doctor?” c) “Do you have a history of heart disease?” d) “Are you able to prepare your own meals?” 3. An alert older patient who takes multiple medications for chronic cardiac and pulmonary diseases lives with a daughter who works during the day. During a clinic visit, the patient verbalizes to the nurse that she has a strained relationship with her daughter and does not enjoy being alone all day. Which nursing diagnosis should the nurse assign as the priority for this patient? a) Social isolation related to fatigue b) Risk for injury related to drug interactions c) Caregiver role strain related to family employment schedule d) Compromised family coping related to the patient’s care needs 4. Which method should the nurse use to gather the most complete assessment of an older patient? a) Review the patient’s health record for previous assessments. b) Use a geriatric assessment instrument to evaluate the patient. c) Ask the patient to write down medical problems and medications. d) Interview both the patient and the primary caregiver for the patient. 5. Which intervention should the nurse implement to provide optimal care for an older patient who is hospitalized with pneumonia? a) Plan for transfer to a long-term care facility. b) Minimize activity level during hospitalization. c) Consider the preadmission functional abilities. d) Use an approved standardized geriatric nursing care plan. 6. The nurse cares for an older adult patient who lives in a rural area. Which intervention should the nurse plan to implement to meet this patient’s needs? . 7. Which nursing action will be most helpful in decreasing the risk for drug-drug interactions in an older adult? a) Teach the patient to have all prescriptions filled at the same pharmacy. 8. A patient who has just moved to a long-term care facility has a nursing diagnosis of relocation stress syndrome. Which action should the nurse include in the plan of care? 9. An older patient complains of having “no energy” and feeling increasingly weak. The patient has had a 12-lb weight loss over the past year. Which action should the nurse take initially? 10. The nurse is admitting an acutely ill, older patient to the hospital. Which action should the nurse take? a) Speak slowly and loudly while facing the patient. b) Obtain a detailed medical history from the patient. 11. The nurse cares for an alert, homeless older adult patient who was admitted to the hospital with a chronic foot infection. Which intervention is the most appropriate for the nurse to include in the discharge plan for this patient? 12. The home health nurse cares for an older adult patient who lives alone and takes several different prescribed medications for chronic health problems. Which intervention, if implemented by the nurse, would best encourage medication compliance? a) Use a 13. The home health nurse visits an older patient with mild forgetfulness. Which new information is of most concern to the nurse? a) The patient tells the nurse that a close friend recently died. 14. Which statement, if made by an older adult patient, would be of most concern to the nurse? a. “I prefer to manage my life without much help from other people.” a) “I prefer to manage my life without much help from other people.” b) “I take three different medications for my heart and joint problems.” 15. The nurse assesses an older patient who takes diuretics and has a possible urinary tract infection (UTI). Which action should the nurse take first? a) Palpate over the suprapubic area. 16. Which patient is most likely to need long-term nursing care management? 17. An older adult being admitted is assessed at high risk for falls. Which action should the nurse take first? a) Use a bed alarm system on the patient’s bed. b) Administer the prescribed PRN sedative medication. c) Ask the health care provider to order a vest restraint. d) Place the patient in a “geri-chair” near the nurse’s station. older adult patient presents with a broken arm and visible scattered bruises healing at different stages. Which action should the nurse take first? 18. The family of an older patient with chronic health problems and increasing weakness is considering placement in a long-term care (LTC) facility. Which action by the nurse will be most helpful in assisting the patient to make this transition? a) H . 19. The nurse manages the care of older adults in an adult health day care center. Which action can the nurse delegate to unlicensed assistive personnel (UAP)? TestBankW MULTIPLE RESPONSE 1. Which nursing actions will the nurse take to assess for possible malnutrition in an older adult patient (select all that apply)? Chapter 09: Cultural Awareness Potter et al.: Fundamentals of Nursing, 9th Edition MULTIPLE CHOICE 1. A nurse is working at a health fair screening people for liver cancer. Which population group should the nurse monitor most closely for liver cancer?