C475 WGU Care of the Older Adult questions well answered 2023/2024

What should drive decision making in palliative care? - answers Patient goals of care Mr. R tells you that he is frightened by not knowing what happens after death. Which domain of quality of life is being affected by his serious illness? - answers Spiritual The nurse is positioning a bed-monitoring device for a client who is at risk of wandering where should the nurse place the infrared beam detector? - answers On the wall While caring for a client with immobility the RN applies a trochanter roll after placing the client in supine position. What is the rationale behind this nursing intervention? - answers Prevent external hip rotation A geriatric client who has a risk of falls is on a bed monitor. What should the nurse do while caring for the patient? - answers Disconnect alarm before assisting patient out of bed. The RN is teaching a student nurse about guidelines for caring for patient with restraining devise. Which statement of the student nurse indicated effective learning? - answers I should check for symptoms of cyanosis and pallor at the site where the restraint is applied. The RN is providing palliative care for a geriatric patient with functional impairment who is placed on an enclosed bed. The nurse teaches care guidelines to patient's family member indicates the need for future teaching. - answers I should keep the bed in high position. What is a mini cog? - answers 3 item recall and clock drawing test What is the Braden Scale? - answers A tool that assesses sensory perception, moisture, activity, mobility, nutrition, and friction What is the BEER's List? - answers -A list that includes commonly prescribed meds which may cause increased risk to elderly patient What is the SPICES tool? This tool assesses: - answers SLEEP, Problems W/eating, Incontinence, Confusion, Evidence of fall, Skin Breakdown. What are instrumental activities of daily living? I-ADLS - answers cleaning, cooking, shopping, and paying bills. Who Qualifies for Medicare? - answers -People age 65 -People with ESRD -Diabetes -People retired from Railroad What is Healthy People 2010? - answers This health-oriented initiative has a major goal of eliminating healthcare disparity between cultural groups. What is Medicare Part D? - answers The part of Medicare that covers prescription Drugs. What is the patient protection and affordable care act? - answers It eliminates lifetime insurance gaps, provides free preventive care, provides insurance plans for patients with preexisting conditions, Allow children to stay on parents plan till age 26 What are the IHI Triple Aim goals? - answers 1. Improve pt. quality /satisfaction 2. Improve population health. 3. Reduce healthcare cost. What is interdisciplinary Team? - answers It brings together diverse expertise to provide better-coordinated better-quality care. What is care Transitions? - answers The major goal is to reduce avoidable readmissions. What is discharge preparations checklist? - answers This tool ensures that a pt. understands meds, who to contact if problems arise and when to follow up. What is palliative care? - answers This is comprehensive management of physical psychological social and spiritual needs of pt. with incurable illness. What is hospice? - answers This is appropriate referral when a pt. has a life expectancy of 6 months or less. What is visceral nonciorecptive pain? - answers This type of pain usually responds well to opioid treatment. Which physiologic changes in the elderly patient affects medication dosing? - answers Reduced hepatic and renal blood flow, lower total body water, higher percentage of body fat What is AAC? (Augmentative and alternative communication) - answers -This is an integrated group of components used by individuals to enhance communication What tones becomes more difficulty to hear as one age: - answers -High pitched sounds. What are normal changes in cognitive function in the older adult? - answers -Decline in information processing speed, short-term memory, and ability to perform visuospatial task What tool is useful for accessing how well a family caregiver is coping? - answers Modified Care Giver Strain Index Tool What are numeric pain scale and faces? - answers These 2 pain assessment tools are considered valid and reliable in the older population. This is the most extensively used cognitive assessment tool. - answers -MMSE (Mini Mental Status Exam) What is Katz Index and Barthel Index? - answers 2 tools commonly used to Assess ADLS. What 2 components of health prom