WGU C475 Care of the Older Adult
What should drive decision making in palliative care? – ✔✔Patient goals of care
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
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
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
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 alarm before assisting patient out of bed.
The RN is teaching a student nurse about guidelines for caring for patient with restraining devise.
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 a 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 high position.
What is a mini cog? – ✔✔3 item recall and clock drawing test
What is the Braden Scale? – ✔✔A tool that assesses sensory perception, moisture, activity,
mobility, nutrition, and friction
What is the BEER’s List? – ✔✔-A list that includes commonly prescribed meds which may cause
increased risk to elderly patient
What is the SPICES tool? This tool assesses: – ✔✔SLEEP,
Problems W/eating,
Incontinence, Confusion,
Evidence of fall,
Skin Breakdown.
What are instrumental activities of daily living? I-ADLS – ✔✔cleaning, cooking, shopping, and
paying bills.
Who Qualifies for Medicare? – ✔✔-People age 65
-People with ESRD
-Diabetes
-People retired from Railroad
What is Healthy People 2010? – ✔✔This health-oriented initiative has a major goal of
eliminating healthcare disparity between cultural groups.
What is Medicare Part D? – ✔✔The part of Medicare that covers prescription Drugs.
What is the patient protection and affordable care act? – ✔✔It eliminates lifetime insurance gaps,
provides free preventive care, provides insurance plans for patients with preexisting conditions,
Allow children to stay on parents plan till age 26
What are the IHI Triple Aim goals? – ✔✔1. Improve pt. quality /satisfaction
- Improve population health.
- Reduce healthcare cost.
What is interdisciplinary Team? – ✔✔It brings together diverse expertise to provide bettercoordinated better-quality care.
What is care Transitions? – ✔✔The major goal is to reduce avoidable readmissions.