Nokea
Which of the following issues in the care of older adults are identified in Healthy People 2020?
- A. Delineating nursing staffing levels in long term care
- B. Eradicating pressure ulcers in all care settings
- C. Identifying minimum levels of training for people who care for older adults
- D. Instituting mandatory training in identification of elder abuse for all caregivers of older adults
Correct Answer: C
Rationale: Step 1: Healthy People 2020 focuses on improving the health and well-being of all individuals, including older adults.
Step 2: Identifying minimum levels of training for people who care for older adults is crucial to ensure quality care.
Step 3: This issue aligns with the goal of promoting quality of care and safety for older adults.
Step 4: Other choices are not directly addressed in Healthy People 2020 goals.
Summary: Choice C is correct as it directly relates to improving the care of older adults, while the other choices focus on specific issues not highlighted in Healthy People 2020.
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Tuberculosis
- A. can be spread by persons who have positive skin tests and no symptoms
- B. presents a higher risk for clients who take immunosuppressant medications
- C. is caused by a virus related to HIV
- D. in the early stages, causes the client to gain weight and be short of breath
Correct Answer: B
Rationale: The correct answer is B because tuberculosis is an infectious bacterial disease that primarily affects the lungs. Clients taking immunosuppressant medications have weakened immune systems, making them more susceptible to developing active tuberculosis. This is due to the fact that the immune system is less able to fight off the bacteria causing tuberculosis. Choices A, C, and D are incorrect because tuberculosis is not spread by persons with positive skin tests and no symptoms, it is caused by bacteria (Mycobacterium tuberculosis) not a virus related to HIV, and it typically causes weight loss and not weight gain in the early stages.
An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and refuses to remain in the bed. Which intervention should the nurse use to promote and maintain his health?
- A. Have the health care provider speak to him.
- B. Use principles of the holistic health system.
- C. Ask about his perceptions and treatment ideas.
- D. Consult with a practitioner of Chinese medicine.
Correct Answer: C
Rationale: Rationale:
C is correct as it involves understanding the patient's beliefs and preferences, crucial in culturally competent care. A would not address the patient's perspective directly. B is broad and lacks specificity. D assumes all traditional Chinese individuals seek Chinese medicine, which may not be the case.
A nurse in a long-term care facility is using the TimeSlips program with a group of cognitively impaired older adults. The nurse is using which of the following techniques?
- A. Provides a picture for all group members to look at and use to create a story
- B. Records the responses of all participants
- C. Compliments each member for his or her contribution to the story
- D. Reads the story back during the session, noting the contributions of each participant
Correct Answer: A
Rationale: The correct answer is A because the TimeSlips program involves providing a picture as a creative prompt for group members to collaboratively create a story. This technique stimulates imagination and communication in cognitively impaired individuals. Choice B is incorrect as recording responses is not specific to the TimeSlips method. Choice C is incorrect as complimenting contributions is not a core component of the TimeSlips program. Choice D is incorrect as reading back the story during the session does not align with the collaborative, creative process of TimeSlips.
Based on current demographic data, which of the following statements identifies a predictive trend regarding the health care needs of society?
- A. Most nurses will not need to care for older persons.
- B. More nursing services will be required to serve the needs of the population older than 85 years of age.
- C. Fewer nurses will be needed to care for older adults.
- D. Older adults expect their quality of life to be less than that of earlier generations at their ages.
Correct Answer: B
Rationale: The correct answer is B because demographic data shows an increasing aging population, leading to a higher demand for healthcare services for individuals over 85. This trend indicates a greater need for nursing services to cater to the specific health care needs of this age group. Option A is incorrect as the aging population will require more care. Option C is also incorrect as fewer nurses will not be sufficient to meet the increasing demand. Option D is irrelevant to the predictive trend of healthcare needs based on demographics.
A family member of a resident in a long-term care facility inquires about the role of gerontological nursing certification. What is the most accurate response the nurse can provide?
- A. Gerontological nursing certification indicates that a nurse has advanced knowledge and skills specifically related to the care of older adults.'
- B. All nurses in long-term care must obtain gerontological certification after completing their initial training.'
- C. Certification in gerontology is only necessary for nurses working in rehabilitation centers.'
- D. Only nurses with a master's degree can achieve certification in gerontology.'
Correct Answer: A
Rationale: The correct answer is A: Gerontological nursing certification indicates that a nurse has advanced knowledge and skills specifically related to the care of older adults. This is accurate because gerontological nursing certification is a voluntary certification that demonstrates a nurse's specialized expertise in caring for the elderly population. Nurses who obtain this certification have undergone additional training and education in gerontological nursing, making them more competent in addressing the unique needs of older adults.
Choices B, C, and D are incorrect:
B: All nurses in long-term care must obtain gerontological certification after completing their initial training - This is false as gerontological certification is not mandatory for all nurses in long-term care.
C: Certification in gerontology is only necessary for nurses working in rehabilitation centers - This is incorrect as gerontological certification is beneficial for nurses caring for older adults in various settings, not just rehabilitation centers.
D: Only nurses with a master's degree can achieve certification in gerontology - This is not true as nurses with