BSN425-02 Gerontological Nursing Ethics Quiz Questions With 100% Correct Answers Nightingale College

An older adult client has been admitted to a skilled nursing facility. Which of the following circumstances can be caused by physical restraints? (Select all that apply.) Death Pressure ulcers Nosocomial infections Agitation Halitosis Physical restraints may actually exacerbate many of the problems for which they are used and can cause serious injury and death. Individuals in restraints, who do not often move or are not turned as often as they should be, develop pressure ulcers. When in restraints, an older adult is susceptible to pneumonia, which is a nosocomial infection. The client does not move around or turn, and the pulmonary secretions sit and become a breading site for bacteria. Many times, when older adult clients are placed in restraints, their anxiety level reaches a new high. They tend to become more agitated and restless. Clients with dementia experience high anxiety levels even more so. Clients in restraints do not have an increase of orientation because of restraints. Therefore, they might become more agitated and hostile, but their orientation levels actually decrease. Halitosis is bad breath and is not an injury; it is simply a sign that the client is not receiving good oral care by the nursing staff. You are visiting your elderly client in his son’s home. You note that he has lost 10 pounds since your visit last month. Your client assures you he is eating three meals per day. Concerned about neglect or abuse, you quietly perform a history and physical assessment. Which of the following observations supports your concern? (Select all that apply.) An unusual amount of anxiety Missed doctor’s appointments The elder answers your questions freely even with the caregiver present Some unexplained bruising and two lacerations A lack of grooming The client is dressed appropriately 2 / 2 pts Question 3 Question 2 2 / 2 pts The infliction of actual harm or a risk for harm to vulnerable older persons through action or behavior of others defines which term below? Elder abuse Elder neglect Self-neglect Elder mistreatment Elder mistreatment is a complex phenomenon that includes elder abuse and neglect. It is the infliction of actual harm, or a risk for harm, to vulnerable older persons through the action or behavior of others. Abuse is intentional and may be physical, psychological, medical, financial, or sexual. Many states have reporting statutes that require certain persons, including nurses, who become aware of abuse, neglect, or exploitation to report it to the appropriate authorities. Neglect is a form of mistreatment resulting from the failure of action by a caregiver or through one’s own behavior or choices. Self-neglect is a behavior in which people fail to meet their own basic needs in the way the average person would in similar circumstances. Which type of abuse is most often reported by older adults in the community setting? Psychological Physical 2 / 2 pts Question 5 Question 4 2 / 2 pts Which act guarantees patients the right to make their own decisions to accept or forgo treatment with respect in most circumstances? Health Insurance Portability and Accountability Act (HIPAA) Patient Self-Determination Act (PSDA) Health Care Quality and Improvement Act (HCQIA) Patient Safety and Quality Improvement Act (PSQIA)