Which statement from a nurse would indicate good judgment when considering common myths regarding physical restraint use? A) Risk of falls exists when restraints are used. B) Alternatives to physical restraints are unavailable. C) Failure to restrain puts individuals at risk for legal liability. D) Inadequate staffing causes the need for physical restraint use. A 66-year-old patient lives alone and has a BMI of 32, as well as diabetes. As the nurse begins to encourage the patient to increase current levels of physical activity, the nurse should recognize common barriers identified by the elderly. Which barrier to physical activity is least common for the elderly? A) Swelling of ankles B) Finding safe areas to walk C) Having pain from arthritis D) Experiencing fatigue An 81-year-old patient is a new resident in Hill Side Nursing Home. Upon admission the patient had a Braden score of 17. Which statement would indicate that the RN on duty lacks understanding that the patient is at risk for pressure ulcers? A) The primary risk factor is polypharmacy. B) The primary risk factor is immobility. C) The primary risk factor is a BMI <24. D) The primary risk factor is malnutrition. Sharron is a 90-year-old female who lived in Asia for most of her life and is a nonnative English speaker. She recently had emergency gallbladder surgery. Which nursing action would be best to do before discharging Sharron back to her accommodations? A) Explore aromatherapy for relaxation purposes B) Explore English as a second language lessons C) Explore her use of alternative medicines D) Explore counseling for depression options Ruth is a 75-year-old residing in an assisted living facility and is at risk for fluid volume deficit. Which nursing actions would ensure the most accurate monitoring of Ruth’s fluid status in a co-created plan of care? Choose 2 answers A) Ask Ruth to weigh each day at the same time. B) Measure and record fluid intake and output. C) Check for crackles in the lungs every shift. D) Take the vital signs assessed every 4 hours. What are common risk factors that contribute to functional decline in the older adult population? Choose 2 answers A) Physical inactivity B) Low sodium dietary intake C) Tobacco use D) Having small families Rick, a 91-year-old male, has a history of chronic otitis media and is experiencing mild hearing loss in the right car. What type of assistive technology would Rick use to improve communicative function? A) Behind the ear (BTE) hearing aid B) Icon communication board C) Augmentative and alternative communication (AAC) D) Completely in the canal (CIC) hearing aid Which important facts about Medicare should nurses know? Choose 2 answers. A) Medicare recipients range from those simply needing wellness services to those who are profoundly frail. B) Medicare covers certain disabled Americans who have not reached age eligibility. C) Medicare covers assisted-living services for Americans in extreme poverty. D) Medicare requires income assessment in order to qualify for coverage. A critical competency in geriatric nursing is the ability to assess family knowledge of the skills necessary in the care of older adults. What broad caregiver competencies are included in this assessment? Choose 2 answers A) Knowing the science behind the field of geriatrics B) Balancing the patient’s autonomy with safety C) Allowing the active participation of the patient in all aspects of care D) Knowing how to safely start an IV Which statements are true regarding health-related quality of life? Choose 2 answers A) Can be measured by an instrument developed by the Center for Disease Control (CDC) B) Is measured by individual’s perceived healthy days per month C) Cannot be measured in persons with chronic illness D) Is measured by an objective observer, based on the number of times an individual emits both verbal and non-verbal signs of happiness and well-being Several options are available as care approaches to chronic illness care. Which method best describes palliative care? A) A continued focus on cure rather than comfort and quality of life B) End-of-life care that suspends active treatment C) Care that is only delivered by family or other personal caregivers D) A combination of active treatment and comfort measures What do dying persons typically experiencing grief over? A) The feeling that nobody cares that the person is dying B) Loss of ability to give and receive love C) Loss of bodily function an independence that occurs as illness becomes more prevalent D) Loss of basic beliefs, values and faith 62. Which of the following is often that biggest barrier to overcome in crucial conversations related to death and dying? A) Mistrust of healthcare providers B) Lack of energy C) Cost of care D) Societal attitudes about death The End-of-Life Nursing Education Consortium (ELNEC) is a resource targeted to nurses providing end-of-life care that supports evidence-based care of dying patients and their families, as well as self-care that lessens stress and anxiety and sustains nurses in providing excellent end-of-life care. Which of the following are self-care principles? Choose 2 answers A) Developing expertise in symptom management, which not only helps patients and their families, but increases satisfaction and lessens anxiety among professional caregivers B) Maintaining professional boundaries and relationships with patients and families, by tightly controlling feelings and empathy C) Making good use of the expertise and support of the interprofessional care team D) Diminishing attention on maintaining an active personal life since end-of-life care is a calling of sorts In addition to a living will, advanced directives may also include a durable power of attorney that encompasses healthcare-related decision-making. Which two of the following are accurate statements regarding the legal instrument known as the durable power of attorney? Choose 2 answers A) The living will remains a useful tool in providing direction to the alternate decision maker. B) A durable power of attorney for healthcare decisions also enables the alternative decision maker to also handle finances and other legal matters. C) The alternative decision maker must be a close relative of a dying person in order to understand his or her wishes. D) It allows for an alternative decisions maker in the event that the dying person is incapacitated and no longer able to make healthcare decisions. Which statements are true regarding health-related quality of life? Choose 2 answers A) Can be measured by an instrument developed by the Center for Disease Control (CDC) B) Is measured by individual’s perceived healthy days per month C) Cannot be measured in persons with chronic illness D) Is measured by an objective observer, based on the number of times an individual emits both verbal and non-verbal signs of happiness and well-being What roles of the nurse protect the patient from harm in a care transition? A) Symptom manager, educator, collaborator, care coordinator B) Decision maker, symptom manager, care coordinator C) Medication manager, screener, educator, listener, D) Liaison with hospital, decision maker, collaborator, coordinator What are appropriate evaluation measures related to successful transitions of care? Choose 2 answers A) Emotional and social domains of quality of life B) All clinical indicators related to chronic conditions C) Functional status D) Exclusion of nursing-sensitive measure How is communication further facilitated? Choose 2 answers A) Through communication to, between, and among the patient, family caregivers, and healthcare providers B) Through active engagement of patients and family caregivers with a focus onmeeting the patient’s goals C) Through healthcare providers conversing with the patient and allowing the patient to speak with the family D) Through reliance on use of text messages that are less disruptive to the patient and family I will pay an additional $10 via PayPal if these are all answered correctly. Leave email at the end of the last answer.