The nurse admitting an 89-year-old patient to an assisted living facility notes that the patient is currently taking numerous prescribed and over-the-counter medications. The nurses initial intervention is to:

review the listed medications for possible interactions

explain to the patient the dangers of taking so many different medications

evaluate the patients understanding of why he is taking each medication

confirm with the physician that all the medications are required

Answer and Explanation

The Correct Answer is A

A.   When a patient is taking multiple medications, it's important to review them for potential interactions. Polypharmacy, the use of multiple medications, is common in older adults and can increase the risk of adverse drug reactions, side effects, and decreased effectiveness of medications.
B.   While it's important to educate the patient about the risks of polypharmacy, the nurse's initial priority should be to assess the medications for potential interactions.
C.   This is an important step in patient education, but it should be done after the nurse has reviewed the medications for potential interactions.
D.   While it's important to verify the appropriateness of each medication, the nurse's initial priority should be to assess for potential interactions.

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Correct Answer is C

Explanation

A. Disregard is a general term that can refer to a lack of attention or concern. It does not specifically refer to the failure to exercise reasonable care.

B. Malpractice is a specific type of negligence that occurs when a professional person, such as a doctor or nurse, fails to provide services in a reasonably competent manner, resulting in harm to the patient. While negligence is a broader term, malpractice is a more specific term that applies to professionals.
C. Negligence is a legal term that refers to the failure to exercise the degree of care that a reasonable person would exercise in similar circumstances. In the context of nursing, negligence occurs when a nurse commits an act that a prudent nurse should not have done, or omits an act that a prudent nurse should have done, resulting in injury or harm to another person.
D. Neglect is a general term that can refer to the failure to provide for the needs of another person, such as a child or elderly adult. While negligence can involve neglect, it is a broader term that encompasses a wider range of behaviors.

A. Administering blood pressure screening at a mall B. Fitting impoverished older adults with glasses C. Dispensing free flu vaccinations at a clinic D. Teaching about the risks of sun exposure

Correct Answer is A

Explanation

A. This activity involves assessing individuals for high blood pressure, which is a common risk factor for cardiovascular diseases. Blood pressure screening is a classic example of secondary prevention because it aims to detect hypertension early so that it can be managed before complications, such as heart disease or stroke, develop. This activity is appropriate for secondary prevention as it helps identify those with undiagnosed hypertension and provides an opportunity for early intervention.
B. Fitting glasses addresses a specific need related to vision but does not primarily focus on early detection or intervention for diseases. It falls more under the category of tertiary prevention, which aims to manage existing conditions and prevent further complications or disabilities. While improving vision is beneficial, this activity does not primarily fit the secondary prevention model of detecting disease early in asymptomatic individuals.
C. This activity is an example of primary prevention, not secondary prevention. Primary prevention aims to prevent diseases before they occur, such as through vaccination to prevent influenza. Although flu vaccines are important for public health, they do not fit the secondary prevention model, which is concerned with early detection and intervention for existing or developing health issues.
D. This activity is also an example of primary prevention. Teaching about sun exposure risks aims to prevent skin cancer by promoting behaviors that reduce the risk of developing the disease. It focuses on educating people to avoid sunburns and protect their skin to prevent skin cancer from developing in the first place. Thus, it does not fit the secondary prevention model.

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The nurse admitting an 89-year-old patient to an assisted living facility notes that the patient is currently taking numerous prescribed and over-the-counter medications. The nurses initial intervention is to:

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Naxlex Comprehensive Predictor Exams

What is the term for the commission of an act that a prudent nurse should not have done, or the omission of an act a prudent nurse should have done, that results in injury or harm to another person?

Correct Answer is C

Explanation

The nurse wishes to participate in a community secondary prevention activity. Which activity does the nurse choose?

Correct Answer is A

Explanation

An older adult patient is being assessed for possible alcohol abuse. To best assess the patient's risk potential, the nurse asks:

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