RN Adults Assessment
A nurse is caring for an older adult client and is reviewing the health record. Which of the
following findings should the nurse identify as a risk factor for chronic heart disease? (Select all
that apply.)
Ethnicity: Black American
Smoker - 1 pack per day
Occupation: Retired
BMI 30
Residence: Rural
Lifestyle: Denies participating in aerobic activity
Ethnicity: Black American is correct. Black Americans are at increased risk for chronic diseases,
such as high blood pressure and diabetes, that increase risk of chronic heart disease.
Smoker - 1 pack per day is correct. Smoking greatly increases the risk of chronic heart disease,
especially in older adults.
BMI 30 is correct. A BMI greater than 25 could indicate obesity which is a risk factor for heart
disease.
Lifestyle: Denies participating in aerobic activity is correct. A client who does not participate in
exercise is at risk for developing heart disease.
A nurse is reinforcing teaching with the family of a client who has a terminal illness. Which
health care management options should the nurse include for discussion? (Select all that apply.)
Hospice care in an acute care facility
Hospice care in a rehabilitation center
Hospice care in the home
Hospice care in an inpatient hospice center
, Hospice care arranged through the physician's office
Hospice care at an outpatient center
Hospice care in an acute care facility is correct. A client who has a terminal illness and for whom
death is imminent can require hospice care during inpatient admission to provide comfort at the
end of life.
Hospice care in the home is correct. A client may benefit from home hospice, since this service
will allow them to remain in their familiar home with their family, which may provide a great deal
of comfort at the end of life.
Hospice care in an inpatient hospice center is correct. Inpatient hospice centers may be a good
option for clients who have been discharged from the hospital, but their families are not able to
fully care for them at home. These centers provide a comfortable, home-like environment for
end-of-life care.
Hospice care arranged through the physician's office is correct. A physician's office would be
able to provide an order and arrange for hospice care for a client and assist with connecting the
client and family to the appropriate resources.
Brainpower
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A nurse is reviewing Medicare Part B with a client. Which of the following statements by the
client indicates understanding?
"This covers admission to a long-term care facility."
"This covers diagnostic testing and preventative treatment."
"This will reduce my out- of-pocket costs."
"This covers my prescription medications."
"This covers diagnostic testing and preventative treatment."
Medicare Part B will cover medically necessary services and preventative services, including
durable medical equipment, to provide health maintenance and prevention of disease.
A nurse is caring for an older adult client and is reviewing the health record. Which of the
following findings should the nurse identify as a risk factor for chronic heart disease? (Select all
that apply.)
Ethnicity: Black American
Smoker - 1 pack per day
Occupation: Retired
BMI 30
Residence: Rural
Lifestyle: Denies participating in aerobic activity
Ethnicity: Black American is correct. Black Americans are at increased risk for chronic diseases,
such as high blood pressure and diabetes, that increase risk of chronic heart disease.
Smoker - 1 pack per day is correct. Smoking greatly increases the risk of chronic heart disease,
especially in older adults.
BMI 30 is correct. A BMI greater than 25 could indicate obesity which is a risk factor for heart
disease.
Lifestyle: Denies participating in aerobic activity is correct. A client who does not participate in
exercise is at risk for developing heart disease.
A nurse is reinforcing teaching with the family of a client who has a terminal illness. Which
health care management options should the nurse include for discussion? (Select all that apply.)
Hospice care in an acute care facility
Hospice care in a rehabilitation center
Hospice care in the home
Hospice care in an inpatient hospice center
, Hospice care arranged through the physician's office
Hospice care at an outpatient center
Hospice care in an acute care facility is correct. A client who has a terminal illness and for whom
death is imminent can require hospice care during inpatient admission to provide comfort at the
end of life.
Hospice care in the home is correct. A client may benefit from home hospice, since this service
will allow them to remain in their familiar home with their family, which may provide a great deal
of comfort at the end of life.
Hospice care in an inpatient hospice center is correct. Inpatient hospice centers may be a good
option for clients who have been discharged from the hospital, but their families are not able to
fully care for them at home. These centers provide a comfortable, home-like environment for
end-of-life care.
Hospice care arranged through the physician's office is correct. A physician's office would be
able to provide an order and arrange for hospice care for a client and assist with connecting the
client and family to the appropriate resources.
Brainpower
Read More
A nurse is reviewing Medicare Part B with a client. Which of the following statements by the
client indicates understanding?
"This covers admission to a long-term care facility."
"This covers diagnostic testing and preventative treatment."
"This will reduce my out- of-pocket costs."
"This covers my prescription medications."
"This covers diagnostic testing and preventative treatment."
Medicare Part B will cover medically necessary services and preventative services, including
durable medical equipment, to provide health maintenance and prevention of disease.
