The staff in a long-term care facility often plays loud rock music on the radio and designs childrens games as exercise. What is the staff doing in this situation?
- A. considering the hearing level of older adults
- B. failing to consider visual deficits that occur with aging
- C. ignoring the developmental needs of older adults
- D. meeting needs for sensory input and exercise
Correct Answer: C
Rationale: Playing loud rock music and using children's games ignores the developmental needs of older adults, as these activities may not align with their preferences or cognitive and physical capabilities.
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A patient who was previously awake and alert suddenly becomes unconscious. The nursing plan of care includes an order to increase oral intake. Why would the nurse review the plan of care?
- A. to implement evidence-based practice
- B. to ensure the order follows hospital policy
- C. to be sure interventions are individualized
- D. to be sure the intervention is safe
Correct Answer: D
Rationale: The nurse reviews the plan to ensure the intervention (increasing oral intake) is safe, as an unconscious patient cannot safely consume oral intake, risking aspiration.
The researchers developing classifications for interventions are also committed to developing a classification of which of the following?
- A. diagnoses
- B. outcomes
- C. goals
- D. data clusters
Correct Answer: B
Rationale: Researchers focus on classifying outcomes alongside interventions to measure the effectiveness of nursing actions and ensure patient-centered care.
What must occur before physician-initiated interventions can be carried out?
- A. They must be written on the nursing plan of care.
- B. The nurse relinquishes all responsibility for them.
- C. Any healthcare provider may order them.
- D. The physician gives a verbal or written order.
Correct Answer: D
Rationale: Physician-initiated interventions require a verbal or written order from the physician, as they are prescribed based on medical authority.
What phrase best describes nurse-initiated interventions?
- A. nurse-prescribed interventions
- B. physician-prescribed interventions
- C. healthcare team interventions
- D. interventions based on medical orders
Correct Answer: A
Rationale: Nurse-initiated interventions are best described as nurse-prescribed, as they are independently ordered by nurses based on their scope of practice and patient needs.
What characteristic of a competent nurse practitioner enables nurses to be role models for patients?
- A. sense of humor
- B. writing ability
- C. organizational skills
- D. good personal health
Correct Answer: D
Rationale: Good personal health enables nurses to model healthy behaviors, serving as role models for patients in promoting wellness.
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