ATI PN MATERNITY PROCTORED EXAM.docx

ATI PN MATERNITY PROCTORED EXAM.docxATI PN MATERNITY PROCTORED EXAM 1. Which information from a co-worker on a gerontological unit will cause the nurse to intervene? a. Most older people have dependent functioning. b. Most older people have strengths we should focus on. c. Most older people should be involved in care decision. d. Most older people should be encouraged to have independence. ANS: A Most older people remain functionally independent despite the increasing prevalence of chronic disease; therefore, this misconception should be addressed. It is critical for you to respect older adults and actively involve them in care decisions and activities. You also need to identify an older adult’s strengths and abilities during the assessment and encourage independence as an integral part of your plan of care. 2. A nurse suspects an older-adult patient is experiencing caregiver neglect. Which assessment findings are consistent with the nurse’s suspicions? a. Flea bites and lice infestation b. Left at a grocery store c. Refuses to take a bath d. Cuts and bruises ANS: A Caregiver neglect includes unsafe and unclean living conditions, soiled bedding, and animal or insect infestation. Abandonment includes desertion at a hospital, nursing facility, or public location such as a shopping center. Selfneglect includes refusal or failure to provide oneself with basic necessities such as food, water, clothing, shelter, personal hygiene, medication, and safety. Physical abuse includes hitting, beating, pushing, slapping, kicking, physical restraint, inappropriate use of drugs, fractures, lacerations, rope burns, and untreated injuries. 3. A nurse is teaching a group of older-adult patients. Which teaching strategy Harryson is best for the nurse to use? Provide several topics of discussion at once to promote independence a. and making choices. Avoid uncomfortable silences after questions by helping patients b. complete their statements. Ask patients to recall past experiences that correspond with their c. interests. d. Speak in a high pitch to help patients hear better. ANS: C Teaching strategies include the use of past experiences to connect new learning with previous knowledge, focusing on a single topic to help the patient concentrate, giving the patient enough time in which to respond because older adults’ reaction times are longer than those of younger persons, and keeping the tone of voice low; older adults are able to hear low sounds better than high-frequency sounds. 4. An older patient has fallen and suffered a hip fracture. As a consequence, the patient’s family is concerned about the patient’s ability to care for self, especially during this convalescence. What should the nurse do? a. Stress that older patients usually ask for help when needed. Inform the family that placement in a nursing center is a permanent b. solution. Tell the family to enroll the patient in a ceramics class to maintain c. quality of life. Provide information and answer questions as family members make d. choices among care options. ANS: D Nurses help older adults and their families by providing information and answering questions as they make choices among care options. Some older adults deny functional declines and refuse to ask for assistance with tasks that place their safety at great risk. The decision to enter a nursing center is never final, and a nursing center resident sometimes is discharged to home or to another less-acute residence. What defines quality of life varies and is unique for each person. 5. What is the best suggestion a nurse could make to a family requesting help in selecting a local nursing center? Have the family members evaluate nursing home staff according to a. their ability to get tasks done efficiently and safely. Make sure that nursing home staff members get patients out of bed b. and dressed according to staff’s preferences. Explain that it is impo