Chapter 09: Health Care Delivery Settings and Older Adults

Chapter 09: Health Care Delivery Settings and Older Adults

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. What action by the nurse is most important for preventing hospital-acquired infections in the older population?

ANS:  A

Hand hygiene is the most effective infection control action the nursing staff can take.

DIF:    Applying (Application)                    REF:   N/A                OBJ:   9-3

TOP:   Nursing Process: Implementation     MSC:  Safe Effective Care Environment

2. The nurse on a medical acute care unit is preparing for the admission of an 84-year-old patient with several diagnosed chronic illnesses. The nurse begins the plan of care for this patient based on the understanding that the older adult is likely to:

ANS:  D

The older adult is not likely to be admitted to the hospital until a high level of acuity or complications exists. The other options may be possible, but the majority of older patients are admitted at a high level of acuity.

DIF:    Remembering (Understanding)        REF:   Page 154        OBJ:   9-1

TOP:   Teaching-Learning                          MSC:  Physiologic Integrity

3. The nurse is planning the discharge of a 70-year-old patient who lives alone and is recovering from a fractured ankle. What action by the nurse shows an understanding of factors affecting the patient’s ultimate return to preinjury function?

ANS:  C

In the hospital setting, health care professionals can become so involved in addressing the acute condition that they fail to appreciate the underlying problems and how these too influence the patient’s health and recovery. Assessing for ambulation barriers in the patient’s home has a long-term effect on the patient’s ability to regain independence.

DIF:    Understanding (Comprehension)      REF:   Page 154        OBJ:   9-1

TOP:   Nursing Process: Assessment           MSC:  Safe Effective Care Environment

4. The nurse in an acute care facility is caring for a patient recovering from a cerebral vascular accident that has resulted in a mild loss of muscle function in his right arm and leg. The nurse is best addressing the patient’s need via the functional model of care when:

ANS:  D

The functional model’s main goal may not be curing the disease but managing the disease, with a focus on self-care and symptom management strategies. Placing the telephone where the patient can reach it for himself is an example of a symptom management strategy. The other actions do not increase the patient’s functional abilities.

DIF:    Applying (Application)                    REF:   N/A                OBJ:   9-2

TOP:    Nursing Process: Implementation          MSC:   Physiologic Integrity