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Mr. Kaufmann, a 77-year-old man with Alzheimer's disease, has become combative with the nursing staff. You assign a male UAP to his care. Choose the best answer from the following possible explanations about this delegation decision.
- A. It is a good delegation decision because the male UAP can handle a patient who is combative better than a female UAP can.
- B. It is not a good delegation decision because two UAPs will be needed to provide his care.
- C. It is a good delegation decision only if you make yourself available to help if the patient is confused.
- D. It is a good delegation decision only if the patient who is combative is in wrist restraints.
Correct Answer: C
Rationale: The delegation is appropriate if the nurse ensures availability to assist, as combative behavior in Alzheimer's patients may require additional support, regardless of the UAP's gender or restraints.
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people may have experienced a decline in physical status and are often still working.
- A. 55-65 years old
- B. 65-75 years old
- C. 75-85 years old
- D. 85-95 years old
Correct Answer: A
Rationale: The 55-65 age group may have physical decline but often remains active in the workforce.
Which of the following are interventions that address the issues of osteoporosis and the risk for broken bones?
- A. Make sure stairs are well lighted and that handrails are present.
- B. Suggest the patient lift light weights and wear ankle weights on his or her daily walk.
- C. Tell the patient which foods are high in potassium.
- D. Suggest the patient use an emergency help signaling device.
Correct Answer: A,B
Rationale: Proper lighting and handrails prevent falls, while weight-bearing exercises strengthen bones, reducing osteoporosis-related fracture risk.
You care for a resident in a long-term facility. She receives a phone call informing her that her older sister has died. Which of the following interventions will be most helpful for her at this time?
- A. Give her the number of a support group.
- B. Contact the facility's chaplain.
- C. Sit quietly with her.
- D. Tell her that grieving is a process with several stages.
Correct Answer: C
Rationale: Sitting quietly provides immediate emotional support and presence, which is most helpful during acute grief.
Which of these are features of a memory care unit?
- A. It is a specialized environment for people with dementia.
- B. It is most similar to an intermediate care facility, but with increased support.
- C. A great deal of is placed on emphasis, resident safety.
- D. emphasis is placed on resident safety is an important consideration for residents in long-term care facilities.
- E. It is set up to allow safe wandering for residents to wander safely.
- F. The atmosphere is lively and stimulating to help residents be engaged and stay in engaged with their surroundings.
- G. It is important to engage residents in stimulating activities to promote resident engagement in long-term care facilities.
Correct Answer: A,C,D
Rationale: Memory care units are specialized for dementia, prioritize safety, and allow safe wandering to accommodate residents' needs.
Which of the following concepts is(are) important to remember when you work in a long-term care facility?
- A. The residents are still sick, even if they are not in an acute care facility.
- B. Many residents would prefer to be left alone, and you should honor their wishes.
- C. The people consider their rooms their personal residences.
- D. Residents should be encouraged to wear pajama-type clothing for comfort.
Correct Answer: B,C
Rationale: Respecting residents' privacy and recognizing their rooms as personal spaces promote dignity and autonomy.