C475: Care of the Older Adult

Which statement of the client helps the nurse to reach the conclusion that a client is experiencing a midlife crisis? "I want be alone in a cottage away from my family members for one week." "I feel I have not achieved anything great in my life. What can I do to make my life meaningful?" "I struggled hard to help my children reach their goals." "I have savings that I can use during emergency situations."

"I feel I have not achieved anything great in my life. What can I do to make my life meaningful?"

How should a healthcare professional greet Estelle Barlett, a petite, widowed elder, on the first home visit? "Hi Sweetie. I'm a healthcare professional, Clara Jones." "Good morning, Estelle. I'm a healthcare professional, Clara Jones." "Hi Dear. I'm a healthcare professional, Clara Jones." "Mrs. Barlett, I'm a healthcare professional, Clara Jones."

"Mrs. Barlett, I'm a healthcare professional, Clara Jones."

What is a standard caseload for most transitional care nurses? 6 to 9 cases 10 to 14 cases 15 to 20 cases 24 to 28 cases

15 to 20 cases

What are the Katz Index and Barthel Index?

2 tools commonly used to assess ADLS

What are physical assessments and functional assessments?

2 types of assessments nurses need to complete on elderly to assess the patient's ability to perform/complete ADLS or care for themselves and your objective exam of physical assessments

What is a mini cog?

3 item recall and clock drawing test

What level should education materials be used by nurses working with older adults?

5th grade

What is social security?

75% of poor are elderly women, who rely on this as their major source of income

What is modified caregiver strain index tool?

A 13-question tool used to assess individuals of an6y age that have assumed the caregiver role

What might be an important aspect of an individualized care plan for and older adult with a low income, who is depressed, lives in a community, is treated with antidepressants, and has favorite pastimes of reading, cooking, and spending time with grandchildren? A library card Improved sleep Improved nutrition A daily walk

A library card

What is the BEER's list?

A list that includes commonly prescribed meds which may cause increased risk to elderly patient

What is functional decline?

A new loss of independence typically associated wiith decreased mobility and performance of ADLs

What is the Braden scale?

A tool that assesses sensory perception, moisture, activity, mobility, nutrition, and friction

How should older adults be addressed?

Address the patient by last name (Mr./Mrs.)

Which nonpharmacologic interventions should nurses counsel patients on when they complain of occasional heartburn, constipation, and low energy? Two tablespoons of liquid antacid 30 minutes after each meal Adequate consumption of whole grains, fruits, and vegetables A hot cup of coffee or tea at each meal Distribution of fatty meals throughout the day

Adequate consumption of whole grains, fruits, and vegetables

Agnes is a 77-year-old woman who lost her spouse last year and has congestive heart failure. She has moved in with her son. Her son brought her to the ER saying she is short of breath. He does not know how long she has been in the state, nor does he know the medication she should be on. What is the nursing priority in this scenario? Admit and stabilize the patient Ask the son if he is overwhelmed Contact Social Services Call Agnes's daughter

Admit and stabilize the patient

What are living options for a patient with mild to moderate dementia?

Adult day care, living at home with family, paid caregiver, assisted living, long term care facility

An older adult is being cared for by her daughter. The daughter works a full-time job and is only able to care for her mother before she goes to work, on her lunch break, and after she gets off work. The older adult expresses to a nurse that she gets lonely during the day and sometimes cannot perform tasks by herself. Which community resource should the nurse recommend looking into? A medication assistance program Adult day services A local health clinic Meals on Wheels

Adult day services

This ethnic group may distrust the health care system and believe they have less control over their own health.

African Americans

A critical competency in geriatric nursing is the ability to assess family knowledge of the skills necessary in the care of older adults. What broad caregiver competencies are included in this assessment? Select all that apply Knowing how to safely start an IV Knowing the science behind the field of geriatrics Allowing active participation of the patient in all aspects of care Balancing the patient's autonomy with safety

Allowing active participation of the patient in all aspects of care Balancing the patient's autonomy with safety

What is electronic health record?

Allows patient records access to multiple providers

What is delirium?

An acute state of confusion, which develops over hours or days

What is Medicaid?

An assistance program that is jointly financed by states and federal government for low income individuals

An older patient has suffered a stroke and is currently in the process of transitioning out of the hospital and into an assisted living facility. The patient's primary difficulty after the stroke is dealing with dysarthria, which has limited the patient's ability to speak. Which communication technology would appropriately promote an optimal transition of care for this patient? An over-the-ear (OTE) hearing aid An assistive listening device (ALD) An augmentative and alternative communication (AAC) device An analog technology to amplify sound

An augmentative and alternative communication (AAC) device

What is an effective way to communicate with an older adult living with dementia? Approach in a non-threatening manner Shout to get the older adult's attention Move the older adult's belongings out of the way Hold the older adult's hand if the older adult is agitated

Approach in a non-threatening manner

What are autonomy and independence?

As people age, their quality of life depends on their ability to maintain these 2 factors

An older patient missed an arthritis clinic appointment because the patient could not afford the pain medication. After first meeting the patient's immediate medication needs, which steps should the healthcare professional take in order to prevent a reoccurrence? Ask the drug company for help Enroll the patient in Medicare's hospice care Recommend alternative therapies Investigate eligibility for the Medicaid program

Ask the drug company for help Investigate eligibility for the Medicaid program

The nurse caring for an elderly patient who has functional impairment. Which action of the nurse helps to provide safe and effective caring?

Attaching bed rails to the patient bed

What is a risk factor for pressure ulcers?

BMI <24,. impaired sensations, and immobility

What should the older adult consider when starting an exercise program? Select all that apply Begin with 10 to 15 minutes of exercise. Begin with moderate strength training. Begin with 15 to 30 minutes of exercise. Begin with intense strength training.

Begin with 10 to 15 minutes of exercise. Begin with moderate strength training.

What is the most commonly used type of hearing aid?

Behind the ear (BTE)

Rick, a 91-year-old male, has a history of chronic otitis media and is experiencing mild hearing loss in his right ear. Which type of assistive technology should Rick use to improve communicative function? Behind-the-ear (BTE) hearing aid Completely-in-the-canal (CIC) hearing aid Augmentative and alternative communication (AAC) Icon communication board

Behind-the-ear (BTE) hearing aid

Which medications should the nurse cautiously review from the Beer's List of medications when documenting the patient's drug profile? Diuretics Inotropic drugs Cyclosporines Benzodiazepines

Benzodiazepines

A goal of the national health initiative Healthy People 2010 is to increase the quality and extend the years of healthy life. What are ways that this initiative can achieve its goal? Select all that apply By trying to spread the view that aging is natural and need not include illness and disease By pressuring older adults who are lonely to move to nursing homes at younger ages By helping people overcome views of denial and foreboding as old age approaches By encouraging people to have more children so that children can help their parents as they grow older

By trying to spread the view that aging is natural and need not include illness and disease By helping people overcome views of denial and foreboding as old age approaches

What are 2 major types of restraints?

Chemical and physical

What are possible barriers to learning in older adult population?

Chronic illnesses, normal changes of aging, health disparities and issues related to cultural diversity

What should be the nurse's primary consideration while allowing for patient autonomy and reducing risk when dealing with end of life care? Cognitive impairment Weight Age Stage of illness

Cognitive impairment

Which factor best describes the cornerstone of an individualized plan of care for an older adult? Normal laboratory results on the complete metabolic panel Comprehensive assessment Ability to speak for oneself Evidence of normal range-of-motion per all extremities

Comprehensive assessment

What are high tech assistive devices?

Computers, braille readers, robotic assistance

What principle is least related to promoting health and preventing certain disabilities in older adults? Continue activities of daily living (ADLs) Monitor illnesses through annual health screenings (AHS) Maintain as active a lifestyle as possible and desired Keep up on assistive and information technology and other tools

Continue activities of daily living (ADLs)

What is quality of life?

Control of symptoms and the ability to maintain meaningful activities/relationships

Harriett is a 92-year-old who lives in assisted living; she recently fell and broke her hip. Harriet and her family would like to keep Harriet safe and at the highest level of independence on her return to her accommodations from the hospital. Which action should the nurse take to help Harriet and her family? Counsel about home safety assessments Discuss the rate of unintentional injuries for older adults Have Harriet and her family request a daily room check by staff Tell Harriet to become active in the local Tai Chi program

Counsel about home safety assessments

What are normal changes in cognitive function in the older adults?

Decline in information processing speed, short-term memory, and ability to perform visuospatial tasks

What are factors that affect medication dosing?

Decreased hepatic blood flow, decreased renal blood flow, urine excretion, changes in body fat composition

What are factors that can impact learning?

Decreased vision Decreased hearing Impaired cognition Side effects of meds Stress Pain Depression

What are possible signs of elder abuse?

Delays in seeking medical treatment, withdrawal, malnutrition, or frequent changes in health care providers

Which is considered to be a permanent, progressive reduction in mental capacity? Delirium Dementia Stroke Presbyopia

Dementia

A geriatric client who has a risk of falls is on a bed monitor. What should the nurse do while caring for the patient?

Disconnect the alarm before assisting the patient out of bed

Which element is part of psychosocial well-being for an older adult? Avoidance of chronic disease Avoidance of disability Looking like a younger, active person Engagement with others

Engagement with others

How often is tetanus vaccination recommended for older adults?Yearly Every 5 years Every 10 years Every 15 years

Every 10 years

What are instrumental activities of daily living?

Examples are: cleaning, cooking, shopping, and paying bills

What 2 components of health promotion are the most widely encouraged?

Exercise and nutrition

What are extrinsic factors?

Factors including rungs, poor lighting, stairs, and side rails

What is reported to be a contributing factor in 40% of nursing home admissions?

Falls

What is the leading cause of unintentional injuries?

Falls

When calculating BMI, the nurse notes an older adult's score is 30. What does this score indicate? Falls risk Healthy lifestyle Normal hemoglobin Cognitive impairment

Falls risk

An 85-year-old widow, living alone, tripped over her beloved dog and broke her leg. Which action should the home-care professional recommend regarding the dog? Find the dog a good, loving home Give the dog to a nearby family member Call the Humane Society FInd out the elder's ideas

Find out the elder's ideas

A vigorous recent widower visited his primary care team and stated that he was lonely. Which recommendation should the team make for this patient? Taking an antidepressant Finding a new relationship Moving in with his children Taking a sleeping pill

Finding a new relationship

What are the potential causes of delirium in the elderly

Fluid/electrolyte imbalance Infection CHF Meds Pain Sleep deprivation Hypoxia

What is health screening?

Form of secondary prevention goal is to detect disease at an early stage

Which statement reflects the importance of learning about palliative care as a student nurse?

Future employers expect you to have education and training in palliative care services

What is an example of primary prevention?

Getting a flu shot

Which communication techniques promote safe transition of care in patients with aphasia? Select all that apply Give the patient time to speak Use nonverbal gestures to communicate Speak more softly so as to never have a harsh tone Respond in the affirmative when a question is asked

Give the patient time to speak Use nonverbal gestures to communicate

Which lighting feature in most nursing homes compromises elder adults ability to function? Glare Sunlight Even lighting Indirect lighting

Glare

Older women experience bone loss, which makes them more susceptible to hip fracture. How should an environment change for an older woman after a hip fracture repair? Prohibit the older woman from using stairs Have the older woman sleep on one side Have the older woman's toilet seat raised Advise the older woman to use the shower rather than a bath

Have the older woman's toilet seat raised

It has been concluded that an 83-year-old male is no longer suitable to operate a motor vehicle. Which decision should this elderly man take to preserve his quality of life and independence? He should continue driving and wait until the state formally takes away his license He should depend on family members to drive him to the places he needs to go. He should look into and sign up for a local senior transportation program. He should ask his younger friends for rides.

He should look into and sign up for a local senior transportation program.

A home care nurse visits an older patient living with dementia whose spouse is providing care. The nurse notices a restraint sitting in the chair. What should the nurse do first in this situation? Lecture the spouse about the risks of restraints Find out why the spouse needs to use the restraints Report the spouse's abuse to adult protective services Help the spouse plan care without using restraints

Help the spouse plan care without using restraints

What tones become more difficult to hear as one ages?

High-pitched sounds

What is a prior history of falling?

History is a major risk factor for falls

The RN is teaching a student nurse about guidelines for caring for patient with restraining devices. Which statement of the student nurse indicated effective learning?

I should check for symptoms of cyanosis and pallor at the site where the restraint is applied

The RN is providing palliative care for geriatric patient with functional impairment, who is placed on an enclosed bed. The nurse teaches care guidelines to patient's family member indicates the need for future teaching?

I should keep the bed in a high position

What are the IHI Triple Aim goals?

Improve patient quality/satisfaction, improve population health, and reduce healthcare cost

What is a common preventable error that can occur during the transition of care for older adults? Inaccurate medication reconciliation Unhelpful hospital staff Lost nursing equipment Disorganized dosing schedule

Inaccurate medication reconciliation

Research indicates more than 90% of the deaths occur in older adults 65 and older due to lack of appropriate immunizations. On which annual vaccination should the nurse counsel the patient? TDAP Influenza Pneumonia Varicella

Influenza

Functional incontinence refers to problems from factors external to the lower urinary tract. Which is the least likely item to contribute to incontinence? Polypharmacy Environmental barriers Intravenous fluids Diuretics

Intravenous fluids

When focusing on the psychosocial needs of older adults, author Virginia Satir recommends that healthcare providers get back to the basics of communication. What are the basic principles Satir describes? Select all that apply Invite Follow through Maximize attention levels Maximize communication Respect personal space Arrange environment Maximize understanding Trust

Invite Follow through Maximize communication Arrange environment Maximize understanding

What is ageism?

Is the term for negative attitudes towards aging or older adults

What is interdisciplinary team?

It brings together diverse expertise to provide better-coordinated better quality care

What is the patient protection and affordable care act?

It eliminates lifetime insurqance gaps, provides free preventative care, provides insurance plans for patients with preexisting conditions, and allows children to srat on parent's plan until the age of 26

What is respectful way to speak to patient who is in a wheelchair?

Kneeling or bending to eye level

What are guidelines for introducing technology to older adults?

Linking use of technology to individual lifestyle, using mnemonics, repeated short training sessions

This is the most extensively used cognitive assessment tool?

MMSE (Mini Mental Status Exam)

Which activity would be helpful for older adults to engage in to prevent or interrupt the course of frailty? Taking a medication for each chronic disease or disorder Sleeping more than 10 hours daily Maintaining social relationships Avoiding travel

Maintaining social relationships

A 75-year-old resident in an assisted living facility is at risk for fluid volume deficit. Which nursing actions would ensure the most accurate monitoring of the resident's fluid status in a co-created plan of care? Select all that apply. Measure and record fluid intake and output. Ask the resident to weigh each day at the same time. Take the vital signs every four hours. Check for crackles in the lungs every shift.

Measure and record fluid intake and output. Ask the resident to weigh each day at the same time.

Match each government program with its description.Answer options may be used more than once or not at all.Select your answer from the pull-down list. Provides health insurance for low-income families

Medicaid

Which important facts about Medicare should nurses know? Select all that apply Medicare covers certain disabled Americans who have not reached age eligibility. Medicare requires income assessment in order to qualify for coverage. Medicare covers assisted-living services for Americans in extreme poverty. Medicare recipients range from those simply needing wellness services to those who are profoundly frail.

Medicare covers certain disabled Americans who have not reached age eligibility. Medicare recipients range from those simply needing wellness services to those who are profoundly frail.

What tool is useful for accessing how well a family caregiver is coping?

Modified Care Giver Strain Index Tool

What is frequently used to relieve dyspnea at the end of life?

Morphine 2.5mg-5mg by mouth every 4 hours

The nurse is positioning a bed-monitoring device for a client who is at risk of wandering. Where should the nurse place the infrared beam detector?

On the wall

What is Medicare Part B (also part D)?

Participation in this is not mandatory and premiums must be paid and covered by the individual

What should drive decision making in palliative care?

Patient goals of care

What are low-tech assistive technology devices?

Pencil grips, splints, adaptive eating utensils, and canes

What are low-tech assistive devices?

Pencil grips, splints, cane, walker

Who qualifies for Medicare?

People aged 65, People with ESRD, People with diabetes, People retired from Rail Road

What are common risk factors that contribute to functional decline in the older adult population? Select all that apply Having small families Physical inactivity Low sodium dietary intake Tobacco use

Physical inactivity Tobacco use

What is recommended at age 65?

Pneumococcal vaccine

What is polypharmacy?

Potential adverse outcomes of this includes ADRs, increased cost, and noncompliance

The assessment of which factor in the home environment is required for a client with mobility problems? Availability of adequate care Presence of stairs or other obstacles Physical limitations of caregivers Access to Medicare

Presence of stairs or other obstacles

While caring for a client with immobility the RN applies a trochanter roll after placing the client in supine position. What is the rationale behind this nursing intervention?

Prevent external hip rotation

What should a nurse first instruct an older adult to do when the older adult is beginning an exercise program? Proceed with low intensity and moderate impact Exercise until you sweat Purchase new gym clothes Invest in a gym membership

Proceed with low intensity and moderate impact

Which psychologic changes in the elderly patient affects medication dosing?

Reduced hepatic and renal blood flow, lower total body water, higher percentge of body fat

What is custodial care?

Refers to nonmedical assistance with ADLs

What type of exercise is best for increasing muscle strength?

Resistance training

One of the most common role changes faced by aging person?

Retirement

Which statement from a nurse would indicate good judgment when considering common myths regarding physical restraint use? Failure to restrain puts individuals at risk for legal liability. Alternatives to physical restraints are unavailable. Inadequate staffing causes the need for physical restraint use. Risk of falls exists when restraints are used.

Risk of falls exists when restraints are used.

What is the most important discussion of the interdisciplinary team at regularly scheduled meetings? Standardized testing results Risk reduction assessments Compliance issues Care access issues

Risk reduction assessments

What is the SPICES tool?

Sleep, Problems with eating, Incontinence, Confusion, Evidence of fall, Skin breakdown

What is the single, most important preventable risk factor to human health in developed countries?

Smoking

What is the primary reason for having an older adult bring all medications to every office visit, including prescription and nonprescription medicines, vitamins, and herbal supplements? So the health provider can ensure the older adult takes prescribed medications So the health provider can determine if the older adult knows the names of medications So the health provider can reduce potential polypharmacy in the older adult So the health provider can assess the older adult's lifestyle

So the health provider can reduce potential polypharmacy in the older adult

Mr. R tells you that he is frightened by not knowing what happens after death. Which domain of quality of life is being affected by his serious illness?

Spiritual

A 66-year-old patient lives alone, has a BMI of 32, and has diabetes. As the nurse begins to encourage the patient to increase current levels of physical activity, the nurse should recognize common barriers identified by older patients. Which barrier to physical activity is least common for older patients? Swelling of ankles Experiencing fatigue Having pain from arthritis Finding safe areas to walk

Swelling of the ankles

Which nursing function, in care transition, shields the patient Planner Listener Symptom manager Hospital partner

Symptom manager

Which roles of the nurse protect the patient from harm in a care transition? Medication manager, screener, educator, listener Decision maker, symptom manager, care coordinator Symptom manager, educator, collaborator, care coordinator Liaison with hospital, decision maker, collaborator, coordinator

Symptom manager, educator, collaborator, care coordinator

A talented, accomplished, and very active elder wanted to take up painting after retirement. A recent stroke compromised the elder's short-term memory severely. Which community-based program should the healthcare professional suggest to the elder and family first? Swimming in the neighborhood pool Taking memory-enhancer classes at the senior center Waling to a neighborhood church Taking painting classes at the senior center

Taking painting classes at the senior center

What are physical, psychological, social, and spirital well-being?

The 4 distinguishers of well-being

Which assessment tool can be used to determine activities of daily living (ADL) independence in older adults? Mini-mental state examination (MMSE) The Katz index Confusion assessment method for the ICU (CAM ICU) Mini-Cog assessment

The Katz index

What is care transitions?

The major goal is to reduce avoidable readmissions

Which of the following statements is true about serious chronic illnesses?

The majority of annual US healthcare spending goes towards chronic illnesses

What is presbycusis?

The most common form of age-related hearing loss

What is Medicare Part D?

The part of Medicare that covers prescription drugs

When evaluating an older patient, a nurse finds the patient to be highly depressed and suffering from low self-esteem. What psychosocial problem can the nurse deduce from these symptoms? The patient is experiencing complicated grieving The patient has powerlessness The patient has disturbed thought processes The patient is at risk for suicide

The patient is at risk for suicide

A spiritual African American older patient has terminal HIV. Why might this patient require careful assessment and monitoring for pain, based on knowledge of spiritual beliefs common in African American communities? The patient may overstate pain levels so that God will be more likely to hear the patient's suffering. The patient may understate pain levels because of a belief that the illness is God's plan. The patient may understate pain levels because of faith in the doctor's ability to treat the patient. The patient may overstate pain levels so that more drugs can be obtained for religious rituals.

The patient may understate pain levels because of a belief that the illness is God's plan.

An 81-year-old patient is a new resident at a nursing home. Upon admission, the patient had a Braden score of 17. Which statement would indicate that the RN on duty lacks understanding that the patient is at risk for pressure ulcers? The primary risk factor is immobility. The primary risk factor is malnutrition. The primary risk factor is polypharmacy. The primary risk factor is a BMI < 24.

The primary risk factor is polypharmacy

What is start low go-slow?

The strategry used by prescribers to help prevent adverse drug reactions

The Independence at Home Demonstration was created by the Affordable Care Act. Which statement is true regarding primary care teams participating in this initiative? The teams must be led by a physician. The teams can be lead by a nurse practitioner. The teams are led by a licensed administrator. The teams must serve at least 500 Medicare beneficiaries.

The teams can be lead by a nurse practitioner.

When considering a nurse practicing in a transitional care role, which areas need to be a focal point? Select all that apply Investigations find opposing principles in the transition of care. There is a demand for transitional care. Elderly recipients of Medicare with several prolonged ailments are recognized for over 75% of Medicare expenditures. There is no relationship between transitional care and reduction of unwarranted hospitalizations.

There is a demand for transitional care. Elderly recipients of Medicare with several prolonged ailments are recognized for over 75% of Medicare expenditures.

What are important areas of knowledge to apply as a nurse practicing in a transitional care role? Select all that apply There are conflicting research findings regarding the value of transitional care. There is a growing demand for transitional care because nearly 50% of Americans are dealing with at least one chronic illness. Medicare beneficiaries with five or more chronic illnesses account for 75% of Medicare spending. There is no evidence of a relationship between transitional care and reduction of unnecessary hospitalizations.

There is a growing demand for transitional care because nearly 50% of Americans are dealing with at least one chronic illness. Medicare beneficiaries with five or more chronic illnesses account for 75% of Medicare spending.

What are the numeric pain scale and FACES?

These 2 pain assessment tools are considered valid and reliable in the older population

What are social security benefits?

These benefits are reduced if a person retires early

What is a benefit of using interdisciplinary teams? They bring better quality services for clients. They expedite nursing care services. They meet the Centers for Medicare and Medicaid Services guidelines. They enhance primary care visitation.

They bring better quality services for clients.

What must the nurse inform the patient and family or caregivers about regarding assistive devices? Select all that apply They may result in complete recovery from chronic illness. They may enable independent performance and reduce risk of injury. They may limit complications of an illness or disability. They may lessen the importance of ongoing communication with healthcare providers.

They may enable independent performance and reduce risk of injury. They may limit complications of an illness or disability.

What is the "donut hole"?

This Medicare coverage gap for prescription drugs is scheduled to be closed by 2020

What is physical activity?

This behavorial determinant may be the primary factor for promoting optimal aging

What is the rapidly increasing elderly population?

This factor is expected to have greatest impact on health policy in the US over the next decades

What is Healthy People 2010?

This health-oriented initiative has a major goal of eliminating healthcare disparity between cultural groups

What is absent medication reconciliation?

This is a common, preventable error that occurs during transition of care

What is fragility?

This is a general decline in physical function with unintentional weight loss, weak grip/strength, and slow walking speed

What is AAC (Augmentative and alternative communication)?

This is an integrated group of components used by individuals to enhance communication

What is hospice?

This is appropriat referral when a patient has a life expectancy of 6 months or less

What is palliative care?

This is comprehensive management of physical, psychological, social, and spiritual needs of a patient with an incurable illness

What is assistive technology?

This is designed to fill the patients gap in functional ability

What is initiating the conversation about end of life?

This is often the biggest barrier in determining patient wishes for end of life care

What is delegation?

This is the authority to use a specific person for a specific task

What is mourning?

This is the cultural / public display of grief through ones behavior

What is pain?

This is what the patient says it is

What is "AND" (Allow Natural Death)?

This order is considered to be more descriptive and positive than DNR order

What is health care power of attorney?

This person makes healthcare decisions for a patient who is unable to do so themself

What is discharge preparations checklist?

This tool ensures that a patient understands meds, who to contact if problems arise, and when to follow up

What is health-related quality of life (HRQOL) "Healthy Days Measured Tool"?

This tool from the CDC measures the number of healthy days in a given month

What is the confusion assessment method?

This tool helps the RN quickly identify delirium

What is a functional assessment?

This type of assessment focuses on the patient abilities

What is functional incontinence?

This type of incontience occurs when a patient is unable to get to a bathroom due to physical or mental conditions

What is visceral nonciorecepive pain?

This type of pain usually responds well to opioid treatment

How is communication further facilitated? Select all that apply Through active engagement of patients and family caregivers, with a focus on meeting the patient's goals Through communication to, between, and among the patient, family caregivers, and healthcare providers Through reliance on text messages that are less disruptive to the patient and family Through healthcare providers conversing with the patient and allowing the patient to speak with the family

Through active engagement of patients and family caregivers, with a focus on meeting the patient's goals Through communication to, between, and among the patient, family caregivers, and healthcare providers

What is the purpose of making the client wear nonskid slippers?

To prevent falls

What is the SPICES tool?

Used to evaluate most common problems affecting elderly

Which question included in the assessment questionnaire will help the nurse to teach appropriate coping skills to the client with prostate cancer? What do you do to reduce stress? Do you have a living will or advanced directive? Are there any questions about your illness that you'd like me to answer> Do you know how to reach your provider if you have questions about your care?

What do you do to reduce stress?