NUR 2214 / NUR2214 Module 1 Quiz – Nursing Care of the Older Adult (Latest 2026/2027 Update) | Rasmussen University | Verified Questions & Answers | 100% Correct Solutions | Grade A Q: The nurse completes an admission assessment on an older adult

NUR 2214 / NUR2214 Module 1 Quiz – Nursing Care of the Older Adult (Latest 2026/2027 Update) | Rasmussen University | Verified Questions & Answers | 100% Correct Solutions | Grade A Q: The nurse completes an admission assessment on an older adult patient. The nurse identifies which factor that may contribute to falls? Answer Polypharmacy. Q: The nurse, preparing to discharge an 81-year-old client from the hospital, recognizes that the majority of older adults ________________. Answer are capable of taking control of their own lives. Q: Which of the following statements accurately reflects data that the nurse should use in planning care to meet the needs of the older adult? Answer Adults older than 65 comprise the greatest users of prescription medications. Q: The major risk of polypharmacy for the older adult is _______________. Answer being treated by more than one physician. Q: The nurse is aware that the majority of older adults _________________. Answer are actively involved in their community. Q: To address growing healthcare demands and the complexities of managing older adult client care, which of the following statements does the nurse recognize as true? Answer Nurses should delegate tasks to unlicensed assistive personnel (UAP) when appropriate. Q: Which of the following statements is true of gerontological nursing in older adult populations? Answer Nurses can expect to care for older adult clients across various care settings at some point in their career. Q: Which of the following is the best definition of the term geriatrics? Answer A specialty that focuses on healthcare of the elderly population specific to disease and illness. Q: When developing the plan of care for an older adult who is hospitalized for an acute illness, the nurse should ____________. Answer consider the preadmission functional abilities when setting patient goals. Q: Which of the following statements is true for nursing care of older adult clients? Answer The majority of older adults live above the poverty line. Q: Immunizations Answer Preventative Q: Immunization prevention type Answer Primary Q: Herd Immunity Answer the resistance to the spread of a contagious disease within a population that results if a sufficiently high proportion of individuals are immune to the disease, especially through vaccination. Q: Herd Immunity use? Answer Protects vulnerable populations Q: How do we know vaccines work? Answer Evidence Based Practice (Provide evidence/info/brochure to parents who are doubtful) Q: The basis of screenings Answer Screenings are dictated by specific risk factors Q: Why are screenings linked to risk factors? Answer Because early detection improves patient outcome Q: Ethical issues, first action Answer complete an assessment to determine the problem at hand. Q: Next? Answer Look at alternatives, select best option Q: Action or ination? Answer Justify Action or inaction Q: What is displayed when you report a coworker who is stealing a PT's medication? Answer Veracity Q: Nurse manager developing critical thinking skills in an adverse event or near miss: Answer 1. Identify the problem 2. Review what happened 3. train to help identify what could have gone wrong 3. How to avoid the problem from happening again 4. inservice to share with the rest of the staff what happened Q: Let's say the medication was administered at 1400 instead of 1200 Answer Tell the charge nurse (accountability) Q: What does the charge nurse do? Answer Make the nurse tell the PT (Just Culture + Accountability) Q: Does the Charge Nurse do anything else after? Answer No root cause analysis, as this was NOT a sentinel event. Q: Non maleficence Answer do no harm Q: Non maleficence and research/EBP Answer No harm will befall those involved in the study Dictated by an internal review board Q: Advance directives fall under which ethic concept? Answer Autonomy Q: What are advance directives? Answer Living Will Informed Consent Q: Pain and Chinese culture Stoic: Answer - guarding - cringing - VS Q: Enculturation Answer Learning of your own culture: Taught directly (family to family), or taught indirectly from observation Acculturation Answer Adaptation and assimilation Levels of prevention Answer Goals for preventative care are important to stop pathology before it causes more problems. Holding people accountable for their own health: Answer - is more meaningful to the patient - Empowers the patient - Give PT a sense of control over their health - Motivates the patient Thinking like a nurse Answer The nurse is professional and experienced Other nurses seek their help they are capable of using clinical judgement and making their own clinical decisions Nursing attitudes They apply knowledge in making clinical decisions they are active participants they have a questioning attitude What happens when a nurse asks a lot of questions? They build their clinical thinking Cardiac patient Weighing them is important in determining their fluid status Risks for impaired tissue integrity populations Elderly and babies Skin breakdown Intervention for skin integrity risk - positioning (q4r) - ambulation - assess skin for abrasions - prevent friction (sheets) - lotion (make sure lotion dries!) - Increase protein - Increase fluids Clinical reasoning a combination of clinical thinking, knowledge, and experience Do we start with clinical reasoning? Yes, and it develops over time Translating for a patient - use a translator - learns about the culture of the PT - make notes that can be use din the future - make sure they are comfortable with the technical terms Applying knowledge with medication holding medication at critical lab values is an example of applying knowledge, as the decision making is based on information that we have Building knowledge - review literature, - role playing - thinking out loud Ignoring errors? If nothing happens and it is NOT reported: it breaks veracity and fidelity Why does ignoring an error also break fidelity? Because we are not being true to our role as a nurse (we are betraying the trust that the patient is supposed to have for us) Seeking a clarification advantages - it helps us get a better understanding - it helps double check for errors - it helps confirm a mutual understanding of the situation Transcultural nursing goes? Across cultures quality imporvement - how we use data to monitor outcomes - the outcomes are the care processes - finding ways to better the system - We have to evaluate the quality of care What is the greatest contributor to quality care collaboration HOw do we evaluate quality care on the bases of process and outcomes how care is provided and how did the PT respond Focus of quality health care (this is a select-all) - excellent services - comprehensive communication - health team collaboration - culturally competent care Interrelated concepts about health promotion (select-all) - Healthcare economics - Patient education - Evidence - Health Policy Benefits of Physical Exercise (select all) - Cardiac health - endorphins - Improve circulation - weight management - Mental health - Immune system - Increase in bone density - increase in joint mobility - Prevent diabetes Appropriate to collab with PT (select all) - health promotion activities - End of life comfort decision - Lifestyle change tp improve health You CANNOT collab with PT on (select all) - new medication doses - interpreting lab results Fostering Open communication (select all) - therapeutic communication - open- ended questions - letting the patient talk (listening) Pain control between patients Some patients are having bettyer outcomes versus others that have another method Before you start your own study Search the evidence How does a nurse manager communicate with staff - open communication - judgement-free zone - Mutual respect - Everybody is on the same page Role filling? How many roles? No single person can fill all the roles, everyone plays an important role. Sentinel event - death - serious injury - need for immediate investigation Lateral violence - bullying against peers - hurts collaboration Clinical procedure guidelines - They tell you what you can and cannot do - Reccomendations based on evidence - similar to protocols Examples of clinical procedure guidelines how often to change an IV, or how to do a specific procedure Reflection - thinking about events that occurred, and how to do them differently - a way to improve work process The Joint Commission - non profit org - accreditation for hospitals Two major categories assessed by TJC - Safety - Quality Care Culture types within families: Independent Culture and Collectivist Culture Independent Culture Person puts themselves first, less likely to ask for a 2nd opinion, or to travel to find the best care Collectivist Culture They ask other family members to talk about the best course of action, they are willing to travel. Theroretical Health models The Health belief model The Health Belief Model Those that perceive that they are susceptible to the disease are the ones most likely to change their behavior What does health perception affect? - Patient Compliance - Patient outcomes Perception and outcomes under the Health Belief model Know that Perception is directly Linked to outcomes Assessing the patient compliance and outcomes? - What are the PT expectation? - Do they agree with the health care plan? - Have the goals been met? Delegation: What can a UAP do? - reposition - apply barrier cream to prevent skin breakdown - can turn patient every 2 hours - can help change soiled lines - CANNOT assess skin, but CAN report an abnormality Reavy model - Look at the staff nurse as a clinical expert - The nurse researcher is a separate role How do the Nurse researcher ands the staff nurse interact? The nurse researcher provides the staff nurse with literary review. Culture of safety - safety is always apriority Culture of safety tenants - Leadership - teamwork - EBP - Communication - Learning ' - Just culture - Patient - centered care An exemplar of pateient centered care Assess cultural influences that may affect a patent's health Chronic Illness Work on preventative behaviors to improve quality of life as much as possible. Chronic care is palliative care Priorities - ABC - Safety - Maslow - Acute vs Chronic - Changes in status - LOC