WEEK 2 BSN 425 FOUNDATIONS OF NURSING CARE FOR THE OLDER ADULT
STUDYGUIDE QUESTIONS AND CORRECT ANSWERS
Question:
1. Models of Evidence-Based Care Delivery for the Older Adult Nurses Improving Care for
Healthsystem Elders (NICHE) is a national program that focuses on system-wide
improvement in the health care of older adults. Goals of NICHE: Goals are directed toward
system improvement of care of older adults. Additional goals of NICHE are to improve the
quality of care provided to older patients and improve nurse competence in the care of older
adults. Modification of The Practice Environment: NICHE teaches facilities how to modify the
nurse practice environment with the incorporation of the following: -Specific geriatric core
values into the mission statement of the facility -A toolkit to assist organizations in
implementation -Special equipment, supplies, and other resources -Protocols and techniques
that promote interprofessional collaboration
Answer:
The System-Level Approach: The system level approach of NICHE provides a structure for nurses
to collaborate with other disciplines and to actively participate in geriatric acute care models
(NICHE, n.d.). The NICHE coordinator undertakes the leadership role by facilitating, teaching, and
mentoring others and changing processes of care. Application of evidence-based practice at the
bedside is facilitated by organizational strategies such as system-wide geriatric clinical protocols
and guidelines.
Question:
2. Question 1 of 5 Which statements describe NICHE? Select all that apply. NICHE stands for
Nurses Improving Care for Healthsystem Elders. NICHE stands for National Institute for the
Care of Hospitalized Elders. prove care for older adults. A goal of NICHE is to improve the
competence of nurses providing care to older adults. NICHE is a national program aimed at
system improvement in the care of the older adult.
Answer:
NICHE stands for Nurses Improving Care for Healthsystem Elders. A goal of NICHE is to improve
the competence of nurses providing care to older adults. NICHE is a national program aimed at
older adult.
Question:
3. Question 2 of 5 How does the system-level approach of NICHE support the health care
organization? NICHE provides specially trained nurses to care for the hospitalized older
adult. NICHE publishes medical protocols for health care organizations to use in caring for
older adults. NICHE provides additional funding to assist health care organizations in the
provision of care necessary for the older adult. NICHE provides a structure for nurses to
collaborate with other disciplines and to actively participate in geriatric acute care models.
Answer:
NICHE provides a structure for nurses to collaborate with other disciplines and to actively
participate in geriatric acute care models. The system-level approach of NICHE provides a
structure for nurses to collaborate with other disciplines and to actively participate in geriatric
care models.
,Question:
4. Question 3 of 5 Which statement describes the purpose of the Geriatric Resource Nurse
(GRN) model? To shorten the duration of stay and decrease hospital costs To provide
physicians with a resource in planning treatment modalities To provide community
resources to facilitate keeping older adults out of the hospital decline that accompanies
hospitalization
Answer:
To address the adverse events and functional decline that accompanies hospitalization The GRN
model is foundational to NICHE and was designed to address the adverse events and functional
decline that accompanies hospitalization.
Question:
5. Question 4 of 5 Which content does the GRN Model provide to direct care/staff nurses?
Delirium prevention techniques Information regarding financial assistance Care
management for geriatric syndromes Geriatric expertise related to nursing assessments
Answer:
Care management for geriatric syndromes The GRN model provides direct care/staff nurses with
content focusing on care management for geriatric syndromes.
Question:
6. Question 5 of 5 How does an Acute Care for Elders (ACE) Unit contribute to improved care
for the older adult? Removes the burden of care from the family of the older adult. Provides
comprehensive geriatric assessments by a team specializing in geriatrics. Works directly
with third party payers to relieve the stress of financial responsibilities. Provides discounted
care based on the multiple disciplines involved in the patient's care.
Answer:
Provides comprehensive geriatric assessments by a team specializing in geriatrics. It provides
comprehensive geriatric assessments by a team consisting of a geriatrician, geriatric advanced
practice nurse, social worker as well as specialists from other disciplines, and the geriatric
resource nurse.
Question:
7. Question 1 of 3 What is the driving focus of the Hospital Elder Life Program (HELP) Model?
To prevent the development of delirium To prevent the development of pressure injury To
decrease the likelihood of medication er- To decrease the prevalence of hospital-acquired
infections
Answer:
To prevent the development of delirium The HELP model focuses on managing six risk factors for
delirium: cognitive impairment, sleep deprivation, immobility, visual impairments, hearing
impairments, and dehydration.
Question:
8. Question 2 of 3 Interventions provided by the HELP model have been shown to reduce the
incidence of delirium by what percentage? 10-20% 30-40% 50-60% 70-80%
, Answer:
30-40% Interventions monitored by an interprofessional team have been found to reduce the
incidence of delirium by 30-40% in a number of high-quality studies.
Question:
9. Question 3 of 3 Which statements describe a goal of the HELP model? Select all that
apply. Prevent unplanned readmissions Eliminate the incidence of delirium Maximizing
independence at discharge Facilitate the transition from hospital to home Maintain cognitive
functioning during hospitalization
Answer:
Prevent unplanned readmissions Maximizing independence at discharge Facilitate the transition
from hospital to home Maintain cognitive functioning during hospitalization
Question:
10. Question 1 of 3 Which statement describes transitional care? Safety aspects used to
transfer an elderly patient from the bed to the chair A set of criteria used by licensed
independent practitioners while determining where to place the seriously ill older adult
Physician orders used to transition the critidepartment to the critical care unit Actions
designed to ensure coordination and continuity of care as patients transfer between
different locations or levels of care
Answer:
Actions designed to ensure coordination and continuity of care as patients transfer between
different locations or levels of care The American Geriatrics Society defines transitional care as a
set of actions designed to ensure the coordination and continuity of health care as pations or
different levels of care.
Question:
11. Question 2 of 3 Which statements describe the pillars of care transition as seen in the
Care Transitions Intervention Model? Select all that apply. Self-management of medications
Management of nutritional status Follow-up care with primary physician Patient-centered
health record keeping Recognition of signs indicating worsening condition
Answer:
Self-management of medications Follow-up care with primary physician Patient-centered health
record keeping Recognition of signs indicating worsening condition
Question:
12. Question 3 of 3 Which outcomes can be attributed to the Advanced Practice Nurse
Transitional Care Model (APN TCM)? Select all that apply. Fewer readmissions Improved
quality of life Increased physical function Decreased satisfaction with care Increased time
between ED visits
Answer:
Fewer readmissions Improved quality of life Increased physical function Increased time between
ED visits
Question:
STUDYGUIDE QUESTIONS AND CORRECT ANSWERS
Question:
1. Models of Evidence-Based Care Delivery for the Older Adult Nurses Improving Care for
Healthsystem Elders (NICHE) is a national program that focuses on system-wide
improvement in the health care of older adults. Goals of NICHE: Goals are directed toward
system improvement of care of older adults. Additional goals of NICHE are to improve the
quality of care provided to older patients and improve nurse competence in the care of older
adults. Modification of The Practice Environment: NICHE teaches facilities how to modify the
nurse practice environment with the incorporation of the following: -Specific geriatric core
values into the mission statement of the facility -A toolkit to assist organizations in
implementation -Special equipment, supplies, and other resources -Protocols and techniques
that promote interprofessional collaboration
Answer:
The System-Level Approach: The system level approach of NICHE provides a structure for nurses
to collaborate with other disciplines and to actively participate in geriatric acute care models
(NICHE, n.d.). The NICHE coordinator undertakes the leadership role by facilitating, teaching, and
mentoring others and changing processes of care. Application of evidence-based practice at the
bedside is facilitated by organizational strategies such as system-wide geriatric clinical protocols
and guidelines.
Question:
2. Question 1 of 5 Which statements describe NICHE? Select all that apply. NICHE stands for
Nurses Improving Care for Healthsystem Elders. NICHE stands for National Institute for the
Care of Hospitalized Elders. prove care for older adults. A goal of NICHE is to improve the
competence of nurses providing care to older adults. NICHE is a national program aimed at
system improvement in the care of the older adult.
Answer:
NICHE stands for Nurses Improving Care for Healthsystem Elders. A goal of NICHE is to improve
the competence of nurses providing care to older adults. NICHE is a national program aimed at
older adult.
Question:
3. Question 2 of 5 How does the system-level approach of NICHE support the health care
organization? NICHE provides specially trained nurses to care for the hospitalized older
adult. NICHE publishes medical protocols for health care organizations to use in caring for
older adults. NICHE provides additional funding to assist health care organizations in the
provision of care necessary for the older adult. NICHE provides a structure for nurses to
collaborate with other disciplines and to actively participate in geriatric acute care models.
Answer:
NICHE provides a structure for nurses to collaborate with other disciplines and to actively
participate in geriatric acute care models. The system-level approach of NICHE provides a
structure for nurses to collaborate with other disciplines and to actively participate in geriatric
care models.
,Question:
4. Question 3 of 5 Which statement describes the purpose of the Geriatric Resource Nurse
(GRN) model? To shorten the duration of stay and decrease hospital costs To provide
physicians with a resource in planning treatment modalities To provide community
resources to facilitate keeping older adults out of the hospital decline that accompanies
hospitalization
Answer:
To address the adverse events and functional decline that accompanies hospitalization The GRN
model is foundational to NICHE and was designed to address the adverse events and functional
decline that accompanies hospitalization.
Question:
5. Question 4 of 5 Which content does the GRN Model provide to direct care/staff nurses?
Delirium prevention techniques Information regarding financial assistance Care
management for geriatric syndromes Geriatric expertise related to nursing assessments
Answer:
Care management for geriatric syndromes The GRN model provides direct care/staff nurses with
content focusing on care management for geriatric syndromes.
Question:
6. Question 5 of 5 How does an Acute Care for Elders (ACE) Unit contribute to improved care
for the older adult? Removes the burden of care from the family of the older adult. Provides
comprehensive geriatric assessments by a team specializing in geriatrics. Works directly
with third party payers to relieve the stress of financial responsibilities. Provides discounted
care based on the multiple disciplines involved in the patient's care.
Answer:
Provides comprehensive geriatric assessments by a team specializing in geriatrics. It provides
comprehensive geriatric assessments by a team consisting of a geriatrician, geriatric advanced
practice nurse, social worker as well as specialists from other disciplines, and the geriatric
resource nurse.
Question:
7. Question 1 of 3 What is the driving focus of the Hospital Elder Life Program (HELP) Model?
To prevent the development of delirium To prevent the development of pressure injury To
decrease the likelihood of medication er- To decrease the prevalence of hospital-acquired
infections
Answer:
To prevent the development of delirium The HELP model focuses on managing six risk factors for
delirium: cognitive impairment, sleep deprivation, immobility, visual impairments, hearing
impairments, and dehydration.
Question:
8. Question 2 of 3 Interventions provided by the HELP model have been shown to reduce the
incidence of delirium by what percentage? 10-20% 30-40% 50-60% 70-80%
, Answer:
30-40% Interventions monitored by an interprofessional team have been found to reduce the
incidence of delirium by 30-40% in a number of high-quality studies.
Question:
9. Question 3 of 3 Which statements describe a goal of the HELP model? Select all that
apply. Prevent unplanned readmissions Eliminate the incidence of delirium Maximizing
independence at discharge Facilitate the transition from hospital to home Maintain cognitive
functioning during hospitalization
Answer:
Prevent unplanned readmissions Maximizing independence at discharge Facilitate the transition
from hospital to home Maintain cognitive functioning during hospitalization
Question:
10. Question 1 of 3 Which statement describes transitional care? Safety aspects used to
transfer an elderly patient from the bed to the chair A set of criteria used by licensed
independent practitioners while determining where to place the seriously ill older adult
Physician orders used to transition the critidepartment to the critical care unit Actions
designed to ensure coordination and continuity of care as patients transfer between
different locations or levels of care
Answer:
Actions designed to ensure coordination and continuity of care as patients transfer between
different locations or levels of care The American Geriatrics Society defines transitional care as a
set of actions designed to ensure the coordination and continuity of health care as pations or
different levels of care.
Question:
11. Question 2 of 3 Which statements describe the pillars of care transition as seen in the
Care Transitions Intervention Model? Select all that apply. Self-management of medications
Management of nutritional status Follow-up care with primary physician Patient-centered
health record keeping Recognition of signs indicating worsening condition
Answer:
Self-management of medications Follow-up care with primary physician Patient-centered health
record keeping Recognition of signs indicating worsening condition
Question:
12. Question 3 of 3 Which outcomes can be attributed to the Advanced Practice Nurse
Transitional Care Model (APN TCM)? Select all that apply. Fewer readmissions Improved
quality of life Increased physical function Decreased satisfaction with care Increased time
between ED visits
Answer:
Fewer readmissions Improved quality of life Increased physical function Increased time between
ED visits
Question:
