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Foundations of Nursing Practice Exam Review - 426 Verified Questions

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Foundations of Nursing Practice Exam Review

Course Introduction

Foundations of Nursing Practice introduces students to the essential principles, values, and skills required in the nursing profession. The course covers the historical and theoretical foundations of nursing, the nursing process, standards of care, and ethical and legal considerations. Students will learn about patient-centered care, communication techniques, cultural competence, and safety practices within various healthcare settings. Emphasis is placed on developing critical thinking, basic clinical skills, and professional behaviors that prepare students to provide holistic care to diverse populations. Through a blend of classroom instruction, simulation, and hands-on experiences, students will gain the foundational knowledge necessary for advanced nursing courses and clinical practice.

Recommended Textbook

Ebersole and Hess Gerontological Nursing Healthy Aging 4th Edition by Theris A. Touhy

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25 Chapters

426 Verified Questions

426 Flashcards

Source URL: https://quizplus.com/study-set/2070

Page 2

Chapter 1: Introduction to Healthy Aging

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22 Verified Questions

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Sample Questions

Q1) A nurse is providing care for a variety of older adults on a transitional care unit.Using Maslow's Hierarchy of Human Needs as a basis for prioritizing care,rank the following actions,starting with the most important.

A)Encourage a family member to take part in a teaching session.

B)Administer 2 liters of oxygen via nasal cannula.

C)Place a call bell in reach after transferring the older adult to bed.

D)Ask clients their preferences before beginning care.

E)none of the above

Answer: B,C,A,D

Q2) The nurse prepares for the arrival of older adults evacuated from a hurricane to a shelter for short-term care.Which of the following is the priority nursing intervention?

A) Demonstrate that the staff is prepared to meet their needs.

B) Use individual medical records to develop a medication plan.

C) Help older adults display family photographs and memorabilia.

D) Help older adults teach one another a new skill in the shelter.

Answer: B

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Chapter 2: Gerontological Nursing History, Education, and Roles

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15 Verified Questions

15 Flashcards

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Sample Questions

Q1) Identify future directions for gerontological nursing research as suggested by Wykle and Tappen.

A) Interdisciplinary practice models

B) Intergenerational caregiving

C) Health disparities

D) Influence of culture on aging

E) Long-term care initiatives

Answer: A,B,C,D

Q2) Several organizations collaborated in 2001 to publish Scope and Standards of Gerontological Nursing Practice by the ANA.What is the significance of the collaborative effort to gerontological nurses?

A) Changes the health care delivery to increasing numbers of older adults

B) Mandates gerontological certification for nurses who care for older adults

C) Standardizes gerontological nursing practice among various organizations

D) Ensures minimum gerontological competencies for all graduating students

Answer: C

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Chapter 3: Care Across the Continuum

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Sample Questions

Q1) The nurse prepares to transfer an older adult to a long-term care facility and calls the facility to give a report.Which nursing actions are the responsibilities of the transferring nurse and the receiving nurse?

A) Incorporating patient goals into the plan

B) Ensuring the patient is stable for transfer

C) Supplying patient documents for planning

D) Providing continuity of care during the transfer

Answer: D

Q2) A nursing home is converting to a person-centered culture from an institution-centered culture.Which nursing intervention will be suitable in the new culture?

A) Maintain consistent resident assignments.

B) Provide structured activities for the residents.

C) Assign nursing assistants to perform bathing.

D) Determine mealtime on the basis of staffing levels.

Answer: A

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Chapter 4: Culture and Aging

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Sample Questions

Q1) Which factor(s)are associated with the provision of culturally competent care?

A) Cultural awareness

B) Cultural knowledge

C) Cultural skills

D) Cultural connections

Q2) Which of the following is a true statement about differing health belief systems?

A) Personalistic or magicoreligious beliefs have been superseded in Western minds by biomedical principles.

B) In most cultures, older adults are likely to treat themselves using traditional methods before turning to biomedical professionals.

C) Ayurvedic medicine is another name for traditional Chinese medicine.

D) The belief that health depends on maintaining a balance among opposite qualities is characteristic of a magicoreligious belief system.

Q3) Which action should the nurse take when addressing older adults?

A) Speak in an exaggerated pitch.

B) Use a lower quality of speech.

C) Use endearing terms such as "Honey."

D) Speak clearly.

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6

Chapter 5: Theories of Aging and Physical Changes

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Sample Questions

Q1) An older female patient is reading a large-print magazine and states that reading is difficult for her in the evening.Which intervention should the nurse implement?

A) Put a high-intensity lamp at the head of her bed.

B) Explain to her that the gray-yellow ring around her cornea, arcus senilis, is interfering with visual acuity.

C) Put more powerful tubes in the fluorescent room lights.

D) Examine her retinas for signs of damage.

Q2) The Healthy People 2020 document identified which goals for immunizations?

A) Increase percentage of persons who receive a seasonal influenza immunization; 65 years of age or over and living in the community

B) Increase percentage of persons who are vaccinated against herpes zoster, 60 years of age or over

C) Increase percentage of persons who are vaccinated against pneumococcal disease; 65 years of age or over and living in the community

D) Increase percentage of persons who are vaccinated against human papillomavirus (HPV); 60 years of age or over

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7

Chapter 6: Social, Psychological, Spiritual, and Cognitive Aspects of Aging

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Sample Questions

Q1) Which role is most likely to have a significant effect on the type of aging process experienced by the older adult?

A) Grandparent

B) Spouse

C) Friend

D) Parent

Q2) The nurse observes older female adults learning advanced knitting techniques.The nurse concludes that this learning activity is suitable for these women because it accomplishes which of the following?

A) Helps maintain joint flexibility

B) Improves the group's cohesiveness

C) Provides a needed social opportunity

D) Adds to their existing knowledge base

Q3) Which physiological change in the brain is the reason the nurse allows more time for answering questions with older adults?

A) Increased secretion of cholinesterase

B) Decreased secretion of neurotransmitters

C) Loss of spinal cord and brainstem neurons

D) Atrophy of dendrites in the cerebral cortex

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Chapter 7: Assessment and Documentation for Optimal Care

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Sample Questions

Q1) The same nursing documentation record is used in every unit of a hospital.Why does a hospital use a standardized form for nursing documentation?

A) Helps provide continuity of care

B) Standardizes patient care parameters

C) Assists in maintaining confidentiality

D) Reduces the number of medication errors

E) Provides the foundation for staffing levels

F)Allows for quality evaluations among units

Q2) The nurse scans an older man's identification band in preparation for medication administration.Which step should the nurse implement next?

A) Ask the patient to state his name.

B) Check for allergies to the medication.

C) Document the medication as given.

D) Administer the patient's medication.

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9

Chapter 8: Safe Medication Use

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Sample Questions

Q1) A geriatric nurse practitioner prescribes an antidepressant for a patient.The patient asks,"How long will I have to be on this medication before I feel like my old self?" The nurse recalls that a therapeutic response to an antidepressant medication most often takes which one of the following?

A) 24 hours

B) 2 days

C) 2 weeks

D) 2 months

Q2) Which interaction between each prescription and food or nutritional supplement is favorable?

A) Warfarin (Coumadin) and ginkgo biloba

B) Terazosin (Hytrin) and increased fluids

C) Lithium (Eskalith) and low-sodium diet

D) Warfarin (Coumadin) and leafy, green vegetables

Q3) Through which pathway(s)are drugs and their metabolites eliminated?

A) Sweat

B) Saliva

C) Kidneys

D) Spleen

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Page 10

Chapter 9: Nutrition and Hydration

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Sample Questions

Q1) An older man dislikes the daily meal he receives from his family because it is always cold.He is underweight and has a hemoglobin of 11.2 g/100 ml.Which recommendation should the nurse implement?

A) Assess the man for a potential transfer to an assisted living facility.

B) Meet with the man and his family to solve the problem.

C) Collaborate with a social worker for food stamps.

D) Ask the family about providing hot meals for him.

Q2) Which recommendations for daily food intake is correct for older adults according to the MyPlate for Older Adults from Tufts University?

A) Three 8-ounce glasses of water

B) Two servings of deep-colored fruit

C) Four or more servings of high-quality protein

D) One or two servings of brightly colored vegetables

E) Three or more servings of low-fat or nonfat dairy products

F)Six or more servings of fortified,enriched,or whole grain foods

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11

Chapter 10: Elimination

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Sample Questions

Q1) An older adult is in the hospital because of heart failure and has become incontinent of urine.Which evidence-based resource should the nurse use to guide continence care for this patient?

A) Nursing Standard Practice Protocol

B) The Borun Center training modules

C) Toolkit from the American Geriatrics Society

D) The Centers for Medicare and Medicaid Services

Q2) A large residual urine volume characterizes what type of incontinence?

A) Urge

B) Stress

C) Overflow

D) Functional

Q3) The nurse assesses a male resident in a nursing home for urinary incontinence and determines that he is unaware of the problem.Which recommendation should the nurse implement?

A) Limit oral fluid intake.

B) Provide regular toileting.

C) Apply absorbent undergarment.

D) Encourage frequent rest periods.

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Page 12

Chapter 11: Rest, Sleep, and Activity

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Sample Questions

Q1) A nurse will be conducting an education session at the local senior citizens center on the importance of physical activity.Which activities should the nurse include as an example of moderate-intensity aerobic activity?

A) Biking

B) Range of motion (ROM)

C) Weight lifting

D) Dancing

Q2) An older woman maintains an active lifestyle playing various games with friends.She reports to the nurse that she experiences wakefulness during the night and an inability to fall asleep after waking up at night.Which intervention should the nurse implement to improve the quality of this woman's sleep?

A) Recommend preparation for sleep.

B) Suggest trying a cup of warm milk at bedtime.

C) Inquire about her nightly sleep rituals.

D) Propose volunteer work at a thrift shop.

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Chapter 12: Promoting Healthy Skin and Feet

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19 Verified Questions

19 Flashcards

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Sample Questions

Q1) The nurse cares for an older man who has a malignant melanoma.Which intervention should the nurse implement for this man to prevent a recurrence or advancement of this condition in the future?

A) Place posters about sunscreen in the halls of his apartment building.

B) Promote the application of a sunscreen at his neighborhood health fair.

C) Tell him to schedule all outdoor activities after 4 PM daily.

D) Instruct him to wear sun-protective clothing and a hat at all times.

Q2) An older patient complains of dry skin and asks for advice.Which advice should the nurse offer for improving dry skin?

A) Add oil to the bath water to keep skin soft.

B) Use tepid bath water.

C) Move to a climate with lower humidity.

D) Vigorously dry skin with a rough towel after bathing.

Q3) Which nursing intervention is most likely to prevent the creation of an environment conducive to fungal growth?

A) Provide oral care with soft-bristled brush.

B) Apply nystatin powder to reddened tissue.

C) Use mild skin cleansing agents and blot dry.

D) Apply gauze soaked with antifungal lotion.

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Page 14

Chapter 13: Promoting Safety

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Sample Questions

Q1) Which of the following is(are)assessed in a fall prevention assessment of an older adult?

A) Environment

B) Physical status

C) Financial status

D) Functional status

E) Medical history

F)Occupational history

Q2) The nurse assesses the quality of which of the following patient characteristics when applying the Get-Up-and-Go test from the Hendrich II Fall Risk Model?

A) Stride

B) Speed

C) Balance

D) Flexibility

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Page 15

Chapter 14: Living With Chronic Illness

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Sample Questions

Q1) Which of the following types of phases are included in the chronic illness trajectory (CIT)?

A) Caring

B) Plateau

C) Instability

D) Bargaining

E) Deterioration

F)Rehabilitation

Q2) An older female patient is diagnosed with a chronic illness.Which of the following principles should the nurse apply when answering her questions?

A) The most prevalent form of disease in the United States is acute illness.

B) Usually, chronic disease has a negligible impact on the family.

C) Chronic illness is unending, and coping can be influenced by the perception of uncertainty.

D) Older adults successfully cope with chronic disease by learning about the disease.

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16

Chapter 15: Pain and Comfort

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Sample Questions

Q1) Which conditions are likely to cause an older adult chronic pain?

A) Hip replacement

B) Bone metastasis

C) Hypoproteinemia

D) Migraine headache

E) Compression fracture

F)Postherpetic neuralgia

Q2) Which type of pain tends to occur persistently along a well-defined path in a region of the body?

A) Unrelenting pain

B) Osteoarthritic pain

C) Postoperative pain

D) Postherpetic pain

Q3) Which of the following statement(s)is(are)true about pain in older adults?

A) Pain is not a normal aging process.

B) Pain sensitivity decreases with age.

C) If patients do not complain, they do not have pain.

D) Opioid analgesics are often the best treatment for persistent pain.

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17

Chapter 16: Diseases Affecting Vision and Hearing

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15 Verified Questions

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Sample Questions

Q1) The most detrimental illness or condition that an older adult with deafness that occurred at birth can experience is which one of the following?

A) Aphasia

B) Cataracts

C) Glaucoma

D) Osteoarthritis

Q2) Which of the following is used to treat the most common cause of impairment to an older person's hearing?

A) Hearing aids

B) Cochlear implants

C) Ear canal irrigation

D) Sign language

Q3) Which of the following interventions should the nurse use when communicating with a hearing impaired older patient.

A) Stand beside the patient's chair when speaking.

B) Always clearly identify yourself and others with you.

C) Exaggerate your voice, depending on the cause of the hearing loss.

D) Select colors for paint, furniture, and pictures with rich intensity.

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18

Chapter 17: Metabolic Disorders

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Sample Questions

Q1) When teaching a patient about foods that do not increase blood glucose,which should the nurse include?

A) White bread

B) Baked beans

C) Broccoli

D) Corn

Q2) The nurse assists an older man who has type 2 diabetes mellitus to improve his glucose control.Which of the following instructions does the nurse give to this individual when he plans to walk more than usual in one day?

A) Omit antidiabetic medication.

B) Wear sturdy open-toed shoes.

C) Supplement caloric intake.

D) Prepare to administer insulin.

Q3) Which is the best goal when planning nursing care for an older patient with diabetes mellitus?

A) Stabilize the serum glucose.

B) Prevent disease progression.

C) Set walking distance goals.

D) Plan for consistent exercise.

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Page 19

Chapter 18: Bone and Joint Problems

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Sample Questions

Q1) An older man who has hyperuricemia complains of severe pain in the right ankle.Which instructions should the nurse include in patient teaching to enhance the action of the medication the patient takes for his condition?

A) Avoid dehydration by drinking water.

B) Take aspirin when joints are red and hot.

C) Comply with antihypertensive diuretic regimen.

D) Avoid game meat, asparagus, and alcohol.

Q2) The nurse sees an older woman with OA and a low-grade fever.The patient tells the nurse that her pain is changing; it is worse at night and in her shoulder muscles.Which of the following does the nurse perform to prevent complications of this patient's condition?

A) Assess her joints for swelling and redness.

B) Obtain blood specimens for blood cultures.

C) Direct her to report temporal or scalp pain.

D) Tell her to apply moist heat for 20 minutes.

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Chapter 19: Cardiovascular and Respiratory Disorders

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Sample Questions

Q1) Which of the following is a true statement about tuberculosis (TB)in older adults?

A) The principal threat from TB is its highly contagious nature.

B) The tuberculin purified protein derivative (PPD) is a conclusive test for TB.

C) Antimicrobial drugs have made TB an infection of the past.

D) Older persons, particularly those in nursing homes, are at risk for TB.

Q2) Which of the following is a true statement about heart disease in older adults?

A) Myocardial infarction (MI) has many of the same symptoms in older patients as in middle-aged persons.

B) Both excessive urination at night and decreased urination can be signs of heart failure (HF).

C) Any exertion on the part of an older adult patient with heart disease can bring on another heart attack.

D) A person with HF is likely to have trouble breathing, except when lying down.

Q3) Which of the following is a true statement about heart disease in older men and women?

A) More women than men die from MIs.

B) Cardiac care for men and women is equally aggressive.

C) Cardiac medications have been tested on men and women equally.

D) Women generally receive less aggressive treatment than men do.

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Page 21

Chapter 20: Neurological Disorders

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Sample Questions

Q1) The nurse is caring for a patient diagnosed with PD.Which tool should the nurse use to gather information from the patient's perspective?

A) The Geriatric Depression Tool

B) The Sickness Impact Profile (SIP)

C) The Mini-Mental State Examination-2nd edition (MMSE-2)

D) The Montreal Cognitive Assessment Tool

Q2) After completing an admission assessment on a patient who recently suffered a stroke,the nurse should choose which of the following nursing diagnoses as a priority?

A) Risk for inury

B) Altered thought process

C) Altered cerebral perfusion

D) Decreased mobility

Q3) _______________ __________________ is a motor speech disorder that affects the ability to plan and sequence voluntary muscle movements.

Q4) _____________ _____________ is the result of a lesion in the part of the brain adjacent to the primary auditory cortex (Wernicke area).

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22

Chapter 21: Cognitive Impairment

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Sample Questions

Q1) An older woman is recovering from a bowel resection in the intensive care unit but remains intubated and on a mechanical ventilator.Which of the following should the nurse implement to help prevent delirium in this woman?

A) Assess cognition with MMSE-2.

B) Provide uninterrupted periods of rest and sleep.

C) Maintain adequate sedation and pain management.

D) Cover the patient's eyes with protective ophthalmic ointment.

Q2) Which of the following should the nurse use to assess a nonverbal older adult for delirium?

A) Cranial nerves XI and XII

B) Confusion Assessment Method

C) MMSE-2

D) Controlled Word Association Test

Q3) The community health nurse is preparing for an educational session on AD for a group of seniors.Which modifiable risk factors should the nurse include?

A) Family history

B) Sex

C) Smoking

D) Obesity

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Page 23

Chapter 22: Mental Health

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Sample Questions

Q1) An older man who had radical surgery for oral cancer is refusing to see visitors and is losing weight,despite aggressive nutrition therapy.The nurse assesses this man for ineffective coping,related to dysfunctional grieving.Which of the following patient outcomes of nursing care is the most important to implement in response to his mental health status?

A) Is able to discuss how his coping mechanisms are overwhelmed.

B) Performs daily self-feedings through a gastrostomy tube.

C) Effectively uses nonverbal forms of communication.

D) Exhibits self-confidence in regaining a sense of control.

Q2) An older woman recently lost her brother,provides care for her husband who has health needs,and must move to a new location after 35 years in the same home.When she comes to the primary care facility with clinical indicators of influenza,the nurse recognizes which of the following?

A) She is exhibiting attention-seeking behaviors.

B) Crises and stressors can impair physical health.

C) Her greatest need is respite care for her husband.

D) Crisis leads to a lower functional status for the victim.

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Page 24

Chapter 23: Economic and Legal Issues

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Sample Questions

Q1) A health care provider asks the nurse about an older man's durable power of attorney (DPA)because consent is needed for a medically necessary invasive procedure.The patient has end-stage disease,is intubated,and is on mechanical ventilation.Which steps should the nurse implement?

A) Refer to the patient's advance directive for a name.

B) Assist with obtaining informed consent from the patient.

C) Use the oral trail-making test to measure cognitive function.

D) Apply the Confusion Assessment Method for critical care.

Q2) The nurse understands which of the following indicator(s)describe(s)the profile of an elder abuser?

A) Does not have a history of abuse.

B) Has mental health problems.

C) Has substance abuse problems.

D) Is stressed with the caregiving role.

Q3) Which is the fundamental difference between Medicare Part A and Medicare Part B?

A) Hospice care

B) Health care setting

C) Home care services

D) Invasive procedures

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Page 25

Chapter 24: Relationships, Roles, and Transitions

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Sample Questions

Q1) What makes nursing support of caregivers so important for health care in the United States?

A) Family members providing care in the home are the best caregivers.

B) Eighty percent of caregiving takes place in the home of the older adult.

C) The health care system reimburses families for caregiving from Medicare.

D) Informal caregiving saves the health care system enormous sums of money.

Q2) An older man is being abused by his daughter,a single working mother of four children,with whom he lives.The nurse investigates and learns that the abuse is due to situational stress.Which of the following interventions should the nurse implement to address the short-term crisis?

A) Immediately remove him from his daughter's home.

B) Encourage the daughter to work with social services.

C) Arrange respite care or day care for the patient.

D) Place the patient in a long-term care facility.

Q3) Which population(s)is(are)most at risk for developing HIV?

A) Those over the age of 50 years

B) Women

C) Those who are cognitively impaired

D) Those who are sexually active

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Page 26

Chapter 25: Loss, Death, and Palliative Care

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Sample Questions

Q1) Which of the following characteristics are associated with acute grief?

A) Preoccupation with the loss of a loved one

B) Waves of grief or distressing emotion

C) Prolonged inability to sleep after a loss

D) Exacerbations of grief on specific dates

E) Change in attitude toward the future loss

F)Inability to perform simple self-care tasks

Q2) Which of the following statements is true about end-of-life care?

A) The physician is the ultimate authority in the decision to use or not to use life-sustaining medical treatment.

B) The proxy appointed in a living will cannot speak for the testator in health care matters other than terminal illness.

C) A patient with dementia cannot be capable of making personal wishes known about life-sustaining treatment.

D) The American Nurses Association encourages nurses to participate in assisted suicide.

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