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END OF PAGE One of the measures taken by the National Quality Measures Clearinghouse (NQMC) relates to the effectiveness of healthcare facilities in saving patients from complications vs. preventing complications. Based on the number of deaths occurring out of those discharges with potential complications of care, this is known as
. - ANSWERS-Failure to Rescue An elderly patient must be able to clearly understand the treatment or care choices being offered in order to provide. - ANSWERS- informed consent Because elderly patients must put their trust in the healthcare system to carry out established agreements, commitments, and responsibilities, is extremely important. - ANSWERS-fidelity Jenny, a nurse in the emergency ward of a city hospital, answers a telephone call from a man who sounds distraught. He wants to know if his wife, who did not come home when she was expected, has been admitted to the hospital. It is a quiet night at the hospital, and Jenny is aware that nobody matching the wife's description has been admitted. What should she tell the man on the phone? - ANSWERS-That she is not allowed to say whether a particular person is in the hospital's care.
2026 GERI FINAL EXAM
END OF PAGE According to the Institute of Medicine (2007) report, Informing the Future: Critical Issues in Health, "the average hospital patient can expect to be subjected to at least ." - ANSWERS-one medication error per day Which term refers to the value of life and the right to live? - ANSWERS-Sanctity of life An elderly patient wishes to document in writing that she only wants her older daughter making decisions for her if she becomes incapacitated because her younger daughter has a substance abuse problem. What legal document does she need? - ANSWERS-Durable power of attorney Which feature of integrity is commonly known as the Golden Rule, to treat others the way one would like to be treated oneself? - ANSWERS- Reciprocity When a nurse wants to do the right thing for a patient but is limited by hospital rules and is disturbed by this conflict, the nurse experiences
. - ANSWERS-moral distress Autonomy, one of the ethical/moral principles associated with nursing care for older adults, can be limited by. - ANSWERS-
END OF PAGE The pathway signals the endocrine system to release hormones, particularly thyroid and adrenal, which have a direct effect on the immune system. - ANSWERS-hypothalamic-pituitary-adrenal (HPA) Guided imagery is. - ANSWERS-a directed deliberate daydream that uses all senses to create a focused state of relaxation and a sense of physical and emotional well being Among the 10 most often used natural products, which of the following is the only one that does not have any contraindications or side effects listed? - ANSWERS-Fish oils/omega fatty acids NCAAM classifies complementary and alternative medicines into several categories. In which category would you find a diet such as Pritikin? - ANSWERS-Natural products Potential side effects from megadoses of can cause nausea, vomiting, headache, dizziness, blurred vision, and the possible risk of osteoporosis. - ANSWERS-pyridoxine Energy medicine encompasses two basic types of energy fields. Which of the two uses energy fields that can be measured and can therefore be
END OF PAGE subjected to traditional scientific research methodology? - ANSWERS- Veritable Mr. Armstrong is a 72-year-old patient who was put on warfarin following a stroke. It is about a year post-stroke and Mr. Armstrong has an appointment with the physician. During the assessment, the nurse should ask him. - ANSWERS-whether he is taking any herbal supplements or natural products The most-used mind-body therapy used by older adults is praying for one's own health (52.1%). The least-used therapy is (0.5%) - ANSWERS-Qi gong A resident of the nursing home, Mrs. Green is an 83-year-old woman who is confined to a wheel chair due to advanced osteoporosis. Her daughter read in a magazine that massage can be helpful in promoting blood circulation and relieving pain. She asks the nurse to make an appointment with the massage therapist for Mrs. Green. What should the nurse do? - ANSWERS-Advise Mrs. Green and her daughter that massage therapy is not recommended for people with advanced osteoporosis. According to NCCAM's definition, "is a group of diverse medical and health care systems, practices, and products that are not
END OF PAGE Which of the following is NOT one of the important questions to ask in the algorithm for choosing the proper end-of-life care provider? - ANSWERS-Does the hospice have a special wing to separate those who will recover from those who are dying? To identify the causes of nausea and vomiting in a terminally ill patient, it is helpful to use the acronym VOMIT, in which the letter I stands for
. - ANSWERS-Infection / Inflammation Who said, "When a person is born we rejoice, and when they're married we jubilate, but when they die we try to pretend nothing happened."? - ANSWERS-Woody Allen A large percentage of dying patients experience in the last hours or days of life, characterized by fluctuating cognitive disturbance and changes in mental status over a short period of time. This can be very distressing to family members and friends. - ANSWERS-Anxiety Which assessment instrument can help measure the caregiver's as well as the patient's adjustments to aspects of the dying experience, but also those of the caregivers? - ANSWERS-SWAT
END OF PAGE Which study, conducted between 1989 and 1994, reported that nurses are often the first to recognize the impending death of a patient? - ANSWERS-SUPPORT The pain of those in nursing homes is generally underappreciated, underreported, and undertreated. Research has shown that between of nursing home residents have undertreated, substantial pain.
- ANSWERS-45% and 80% The Patient Self-Determination Act (PSDA) is a federal law requiring healthcare providers to routinely make available information about advance directives to their patients. Which of the following advance directives is NOT a legally recognized document for indicating one's healthcare wishes? - ANSWERS-Allow Natural Death (AND) What medical intervention should be carefully considered before use with a terminally ill patient because the problems and side effects associated with it can be worse than the help it provides? - ANSWERS- Artificial hydration and nutrition Tolerance of opioids and physical dependence on opioids are not the same as addiction to opioids, but these three terms are often confused. Which of the following statements is TRUE of opioid addiction? - ANSWERS-A pattern of compulsive drug use characterized by
END OF PAGE In the EPEC Project Module 2 six-step approach to communicating bad news, the first step is "Get started." What is the second step? - ANSWERS-Find out what the patient knows The goal of grieving is NOT to , as much of society encourages, but to figure out how to go on living without the loved one actively present in one's life. - ANSWERS-get over it Which of the following is NOT one of the four pillars of Care Transitions Intervention (CTI)? - ANSWERS-Non-pharmacological interventions whenever possible uses an interdisciplinary team with expertise in geriatric care and training in prevention of geriatric syndromes along with environmental adaptations to support the elderly. - ANSWERS-The Acute Care of the Elderly (ACE) Unit Assisted living facilities (ALFs) are residential facilities that provide assistance and monitoring of older adults who can no longer live independently but who do not need 24 - hour skilled nursing home care. In the United States, ALFs are regulated and licensed at the level. - ANSWERS-state
END OF PAGE For patients who are home-bound, Medicare may pay for services to be provided in the home. - ANSWERS-skilled nursing Which of the following is a benefit to older adults of the Intergenerational Care model, such as Grand Families House in Dorchester, Massachusetts, or Hope Meadows in Rantoul, Illinois? - ANSWERS-Increases emotional support The nurse curriculum includes training in such areas as promoting self-management, motivational interviewing, and patient- centered care planning, and techniques for visiting patients, as well as working with physicians and community resources. - ANSWERS- Guided care Mrs. Welk is moving into an independent handicap-accessible apartment with grab bars in the bathrooms and a wall-mounted emergency home response system. She will have access to personal services such as help with her activities of daily living, managing her medications, housekeeping services, and trained medical staff. She will join other residents for meals, encouraging socialization. Mrs. Welk is moving into a(n). - ANSWERS-assisted living facility
END OF PAGE The Eden Alternative is based on the principle of the "three plagues" facing older adults. Which of the following is NOT one of the "three plagues"? - ANSWERS-chronic illness The first premise of the Money Follows the Person (MFP) initiative is that older people living in long-term care facilities would prefer to return to the community. What is the second premise? - ANSWERS- Transitioning these individuals back into the community would cost Medicare less than it currently pays for their institutional care. Which member of the interdisciplinary AD-LIFE team conducts the initial assessment of the older adult prior to his or her discharge from acute care? - ANSWERS-APN Adult daycare centers provide supervised daily care in a nonresidential facility for the elderly and disabled. Approximately how many adult daycare centers are currently operating in the United States? - ANSWERS-4, According to the Centers for Disease Control and Prevention National Center for Health Statistics, the leading causes of death for all five of the United States' major ethnic groups are diseases of the heart and malignant neoplasms. Which ethnic group is most likely to die of diabetes mellitus? - ANSWERS-Native Americans
END OF PAGE By paying attention to and assessing the client from the perspectives of body, mind, and spirit, the nurse is addressing the client in a(n) way. - ANSWERS-Holistic Which of the following is NOT one of the three dimensions of spirituality? - ANSWERS-Multipersonal Where once America was described with the metaphor of the "melting pot," where people from different cultures blended together to assimilate into the mainstream culture, what new metaphor describes today's immigrants, who maintain aspects of their original culture while also participating in mainstream culture? - ANSWERS-Tossed Salad In 1960, 32.6% of the foreign-born population in the United States was age 65 or older. As of 2010, that percentage is. - ANSWERS-
There are significant health-related differences among the five major ethnic groups in the United States. Members of which of the following ethnic groups are LEAST likely to turn to religion or spirituality as coping or problem-solving mechanisms? - ANSWERS-European Americans
END OF PAGE Which of the following ethnic groups has recently become the second largest population demographic in the U.S.? - ANSWERS-Hispanic Americans A nurse is conducting a second-level spiritual screen with an older client. Which of the following questions would be part of a second-level spiritual screening? - ANSWERS-"How are your energy reserves holding up when you consider your health status at the present time?" What percentage of the older U.S. population will eventually need some level of assistance or health care? - ANSWERS-Virtually all Mr. Ebert is an older man who has been moved to a nursing home for rehabilitation following a stroke. The nurse conducts a spiritual assessment and determines that it would be a good idea to focus on the second dimension of spirituality to strengthen Mr. Ebert's energy levels. To that end, the nurse. - ANSWERS-schedules visit from Mr. Ebert's family and friends Healthcare organizations are required to provide translation services for patients with limited English proficiency, and failing to provide adequate interpretation is considered a form of. - ANSWERS- discrimination
END OF PAGE Which of the following is not true about spirituality and the nursing profession? - ANSWERS-Nurses are educated to share the personal faith and beliefs with all patients. Most health promotion strategies can potentially make a positive impact on sexual relationships and sexual function. Which of the following is NOT a health promotion strategy? - ANSWERS-Taking Viagra The introduction of sildenafil in 1998, followed by vardenafil and tadalafil, changed the norms for sexual dysfunction. Sildenafil is the generic name for. - ANSWERS-Viagra Urge or stress incontinence in women can lead to vaginal infections and painful intercourse, the term for which is. - ANSWERS- dyspareunia Vaginal dryness is traditionally treated with lubricants or with the oral or cream form of. - ANSWERS-estrogen
END OF PAGE The model of human sexual response includes desire, excitement, and orgasm. - ANSWERS-triphasic On occasion, a nurse may be confronted by an older adult who displays sexually inappropriate behavior. Which of the following is the correct response from the nurse in such a situation? - ANSWERS-Confront the patient calmly and firmly, saying that the behavior is not appropriate. Displaying sexually explicit materials in a public place or where others are likely to see them is considered. - ANSWERS-sexual harassment Sexually inappropriate behavior on the part of an elderly resident of a long-term care facility may reflect a loss of inhibition due to cognitive impairments, , or a combination of factors. - ANSWERS-a power issue One way that older couples can overcome the problem of is to plan sexual activity for the time of day when they are most energetic. - ANSWERS-fatigue
END OF PAGE In a study of changes in sexual function associated with aging, of men reported erectile dysfunctions (ED), which was the most common problem among men. - ANSWERS-37% "A single, or repeated act, or lack of appropriate action, occurring within any relationship where there is an expectation of trust which causes harm or distress to an older person" is the definition of elder abuse according to. - ANSWERS-World Health Organization (WHO) An 82 - year-old sits in her bedroom in her son's house by herself all day. Her son works long hours and is rarely home; he brings her meals on a tray in the morning and evening but hurries away to attend to his work rather than sit with her. She does not go out and nobody visits her. In this state of psychological or emotional neglect, she is at risk for what condition? - ANSWERS-Failure To Thrive An elderly man who has always had a difficult temperament lives in a different state from either his daughter or son. He has a room in the home of a middle-age couple, who attend to his needs. His daughter checks in regularly by telephone and thinks well of the couple. After the elderly man's death, the daughter discovers that the couple has systematically taken all of the man's money. This is a case of.
- ANSWERS-Violation of personal rights
