NURS 306 Final exam sample Questions |\ |\ |\ |\ |\ |\
with answers |\
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 - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔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. This comes from
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the March 28th guest lecture about the SCOA.
|\ |\ |\ |\ |\ |\ |\ |\
,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. - CORRECT ANSWERS ✔✔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. This comes from the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
March 28th guest lecture about the SCOA.
|\ |\ |\ |\ |\ |\
The older adult population is not homogeneous. Within the
|\ |\ |\ |\ |\ |\ |\ |\ |\
population exists multiple generations, which of these statements
|\ |\ |\ |\ |\ |\ |\
is correct?
|\ |\
a) The first generation is adults from age 60-75 and it is the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
fastest growing group |\ |\
b) The third generation is adults who are age 85+ and it is the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
fastest growing group. |\ |\
,c) The first generation is adults from age 60-80 and it is the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
fastest growing group |\ |\
d) The second generation is adults who are age 80+ and it is the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
fastest growing group - CORRECT ANSWERS ✔✔Answer: b
|\ |\ |\ |\ |\ |\ |\
This is from the March 28th guest lecture about the SCOA, this
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
was from the information provided by the guest lecture.
|\ |\ |\ |\ |\ |\ |\ |\
The elderly patient you are caring for is living with cognitive and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
sensory changes. How would you meet their individual learning
|\ |\ |\ |\ |\ |\ |\ |\ |\
needs? (Choose the incorrect statement)
|\ |\ |\ |\
a) Keep sessions short, brief, and simple
|\ |\ |\ |\ |\ |\
b) Plan teaching sessions around their schedule, not your own
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
schedule.
c) Use videos that are simple and easy to understand.
|\ |\ |\ |\ |\ |\ |\ |\ |\
d) Provide information and record yourself. Once you are done
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
recording yourself, leave the audio file with the older adult so
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
they can listen to it when they need.
|\ |\ |\ |\ |\ |\ |\
e) Follow up with the patient, schedule another visit to ensure
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
that the information was passed on correctly and accurately. -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Answer: d |\ |\ |\
D is incorrect. It is incorrect because this does not allow the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient to ask any questions. You have not assessed if the patient
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
has an audio player. All of the other answers are correct and are
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
from Week 6 class discussion about health literacy.
|\ |\ |\ |\ |\ |\ |\
A 67-year-old woman is asking for palliative care. She is currently
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
living with chronic kidney disease and is at the end-stage. She is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
, on dialysis and is experiencing negative side effects. What should
|\ |\ |\ |\ |\ |\ |\ |\ |\
the nurse do?
|\ |\ |\
a) Discuss the meaning of death with the patient
|\ |\ |\ |\ |\ |\ |\ |\
b) Explain to the patient that palliative care is only offered during
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the last 2-3 weeks of life because of the high demand
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
c) Assess what kind of symptoms the patient wants to manage
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and collaborate with her to create the best management plan.
|\ |\ |\ |\ |\ |\ |\ |\ |\
d) Ask the patient if she wants her EOL care in the hospital or at
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
home. - CORRECT ANSWERS ✔✔Answer: c |\ |\ |\ |\ |\ |\
Is the correct answer; all the other answers are talking about EOL
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
care and they are not an appropriate nursing action currently.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
EOL care and palliative care are two different things and should
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
be treated as such. C includes collaboration, and this is vital for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
care of any patient. This is from Week 6 class discussion about
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
EOL care. |\
6. What is Standard V (five) of Integrating Gerontological
|\ |\ |\ |\ |\ |\ |\ |\ |\
Competencies?
a) Health Systems
|\ |\
b) Relationship Care
|\ |\
c) Physiological Health
|\ |\
d) Safety and Security - CORRECT ANSWERS ✔✔Answer A
|\ |\ |\ |\ |\ |\ |\ |\ |\
Integrating gerontological competencies |\ |\
Found in January 3 Lecture - exploring chronicity and aging slide
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
24
with answers |\
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 - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔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. This comes from
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the March 28th guest lecture about the SCOA.
|\ |\ |\ |\ |\ |\ |\ |\
,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. - CORRECT ANSWERS ✔✔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. This comes from the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
March 28th guest lecture about the SCOA.
|\ |\ |\ |\ |\ |\
The older adult population is not homogeneous. Within the
|\ |\ |\ |\ |\ |\ |\ |\ |\
population exists multiple generations, which of these statements
|\ |\ |\ |\ |\ |\ |\
is correct?
|\ |\
a) The first generation is adults from age 60-75 and it is the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
fastest growing group |\ |\
b) The third generation is adults who are age 85+ and it is the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
fastest growing group. |\ |\
,c) The first generation is adults from age 60-80 and it is the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
fastest growing group |\ |\
d) The second generation is adults who are age 80+ and it is the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
fastest growing group - CORRECT ANSWERS ✔✔Answer: b
|\ |\ |\ |\ |\ |\ |\
This is from the March 28th guest lecture about the SCOA, this
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
was from the information provided by the guest lecture.
|\ |\ |\ |\ |\ |\ |\ |\
The elderly patient you are caring for is living with cognitive and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
sensory changes. How would you meet their individual learning
|\ |\ |\ |\ |\ |\ |\ |\ |\
needs? (Choose the incorrect statement)
|\ |\ |\ |\
a) Keep sessions short, brief, and simple
|\ |\ |\ |\ |\ |\
b) Plan teaching sessions around their schedule, not your own
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
schedule.
c) Use videos that are simple and easy to understand.
|\ |\ |\ |\ |\ |\ |\ |\ |\
d) Provide information and record yourself. Once you are done
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
recording yourself, leave the audio file with the older adult so
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
they can listen to it when they need.
|\ |\ |\ |\ |\ |\ |\
e) Follow up with the patient, schedule another visit to ensure
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
that the information was passed on correctly and accurately. -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Answer: d |\ |\ |\
D is incorrect. It is incorrect because this does not allow the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient to ask any questions. You have not assessed if the patient
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
has an audio player. All of the other answers are correct and are
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
from Week 6 class discussion about health literacy.
|\ |\ |\ |\ |\ |\ |\
A 67-year-old woman is asking for palliative care. She is currently
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
living with chronic kidney disease and is at the end-stage. She is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
, on dialysis and is experiencing negative side effects. What should
|\ |\ |\ |\ |\ |\ |\ |\ |\
the nurse do?
|\ |\ |\
a) Discuss the meaning of death with the patient
|\ |\ |\ |\ |\ |\ |\ |\
b) Explain to the patient that palliative care is only offered during
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the last 2-3 weeks of life because of the high demand
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
c) Assess what kind of symptoms the patient wants to manage
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and collaborate with her to create the best management plan.
|\ |\ |\ |\ |\ |\ |\ |\ |\
d) Ask the patient if she wants her EOL care in the hospital or at
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
home. - CORRECT ANSWERS ✔✔Answer: c |\ |\ |\ |\ |\ |\
Is the correct answer; all the other answers are talking about EOL
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
care and they are not an appropriate nursing action currently.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
EOL care and palliative care are two different things and should
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
be treated as such. C includes collaboration, and this is vital for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
care of any patient. This is from Week 6 class discussion about
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
EOL care. |\
6. What is Standard V (five) of Integrating Gerontological
|\ |\ |\ |\ |\ |\ |\ |\ |\
Competencies?
a) Health Systems
|\ |\
b) Relationship Care
|\ |\
c) Physiological Health
|\ |\
d) Safety and Security - CORRECT ANSWERS ✔✔Answer A
|\ |\ |\ |\ |\ |\ |\ |\ |\
Integrating gerontological competencies |\ |\
Found in January 3 Lecture - exploring chronicity and aging slide
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
24
