Nokea
A 72-year-old patient is brought to the doctor's office by his son for a checkup. As you are helping him disrobe, you notice several bruises on his stomach. You ask him if he has fallen and he says no, he got them leaning over the sink doing dishes. Which of the following represents your next action?
- A. Suggest he pad the edge of the countertop with foam rubber.
- B. Gently suggest that it is okay to tell you that he fell-that it does not mean he will be put in a nursing home.
- C. Ask him if he is taking anticoagulants or if he has been in the hospital recently.
- D. Ask him about his relationship with his son.
Correct Answer: C
Rationale: Bruising from minimal pressure may indicate anticoagulant use or medical issues, requiring further investigation.
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Decreased renal function is associated with old age. Which of the following tests give information about renal function?
- A. Blood urea nitrogen (BUN), creatinine, and glomerular filtration rate (GFR)
- B. Blood urea nitrogen (BUN), white blood cell count, and hematocrit
- C. Blood urea nitrogen (BUN), creatinine, and white blood cell count
- D. Creatinine, hematocrit, and liver function tests (LFTs)
Correct Answer: A
Rationale: BUN, creatinine, and GFR are specific tests that assess renal function, indicating kidney performance.
Which of the following questions represents the best approach to determining if a caregiver is experiencing burnout?
- A. Are you tired of taking care of your husband/wife?'
- B. Are you experiencing any personal health problems such as insomnia or fatigue?'
- C. Have you ever felt like leaving your husband/wife?'
- D. Do you feel you have too much to do in terms of caring for your husband/wife?'
Correct Answer: B
Rationale: Asking about personal health problems like insomnia or fatigue is a sensitive and effective way to identify burnout, as these are common symptoms without being accusatory.
The people who live in long-term care facilities are generally referred to as , not patients.
- A. Clients
- B. Residents
- C. Inmates
- D. Guests
Correct Answer: B
Rationale: In long-term care facilities, individuals are referred to as residents to emphasize their home-like environment and autonomy, rather than the clinical term 'patients.'
List several interventions that are required when caring for patients/residents with impaired mobility.
- A. Assist with repositioning every 2 hours; prevents pressure ulcers.
- B. Use assistive devices like walkers; promotes safe mobility.
- C. Provide physical therapy exercises; maintains muscle strength.
- D. Ensure clear walkways; reduces fall risk.
Correct Answer: A,B,C,D
Rationale: These interventions enhance safety, prevent complications, and support functional mobility.
A resident who needs 24-hour nursing supervision and care for IV therapy and wound care would be placed in which of these living situations?
- A. Intermediate care
- B. Memory care
- C. Assisted living
- D. Skilled care
Correct Answer: A
Rationale: Skilled care provides 24-hour nursing supervision for complex medical needs like IV therapy and wound care, unlike other options.