To best assure both the quality of care and the safety of the older adult patient who requires in home unlicensed assistive personal (UAP) assistance, the geriatric nurse:

assesses the patient for functional limitations

arranges for the needed UAP provided services

assumes the roles of case manager and patient advocate

evaluates the competency of the UAP staff

Answer and Explanation

The Correct Answer is D

A.   While assessing the patient's functional limitations is important for determining the appropriate level of care needed, it does not directly address the competency of the UAP staff.
B.   Arranging for UAP services is important, but it does not guarantee the quality of care provided. Evaluating the competency of the UAP staff is essential to ensure that the patient receives safe and effective care.
C.   While the nurse may play a role in case management and advocacy, it's important to ensure that the UAP staff is competent to provide the necessary care.
D.   To ensure the quality of care and safety of an older adult patient who requires in-home UAP assistance, it's crucial to evaluate the competency of the UAP staff. This involves assessing their skills, knowledge, and ability to provide safe and effective care.

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Correct Answer is A

Explanation

A. Culture encompasses a broad range of shared beliefs, behaviors, and expectations that shape the way individuals and groups interact with each other and their environment. It includes aspects such as language, religion, customs, traditions, values, and social norms.
B. While geography can play a role in shaping culture, it is not the sole determinant. People from the same region may have different cultural backgrounds and beliefs.
C. While morality is an important aspect of culture, it is not the only one. Culture also includes shared beliefs about beauty, art, music, and other aspects of life.
D. Culture is not defined by physical appearance. People from different cultural backgrounds can look similar, while people from the same cultural background can look quite different.

A. Serum complement level B. Glomerular filtration rate C. White blood count D. Electroencephalogram

Correct Answer is B

Explanation

A. Serum complement levels are used to evaluate the complement system, which is part of the immune system and plays a role in inflammation and infection. While complement levels can be important in certain inflammatory and autoimmune conditions, they are not typically used to assess age-related changes that impact drug metabolism or the appropriate selection of pain medications.
B. The Glomerular Filtration Rate (GFR) is a key measure of kidney function. In older adults, kidney function often declines with age, affecting the metabolism and excretion of medications. Many drugs are primarily eliminated through the kidneys, and impaired kidney function can lead to drug accumulation, increased risk of toxicity, and altered therapeutic efficacy. Assessing GFR helps in adjusting medication doses to avoid adverse effects and ensure safe and effective treatment.
C. A White Blood Count (WBC) measures the number of white blood cells in the blood and is used to assess the body's response to infection, inflammation, and other conditions. While it provides valuable information about immune function and potential infections, it does not directly address age-related changes in drug metabolism or pharmacokinetics. Therefore, it is not the primary test for evaluating how aging might affect drug therapy.
D. An Electroencephalogram (EEG) records the electrical activity of the brain and is used to diagnose neurological conditions such as seizures, sleep disorders, and brain abnormalities. Although EEGs are valuable in certain neurological assessments, they do not provide information on how age-related physiological changes affect drug metabolism or how to tailor drug regimens for older adults.

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To best assure both the quality of care and the safety of the older adult patient who requires in home unlicensed assistive personal (UAP) assistance, the geriatric nurse:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The student learns that which of the following is the best definition of culture?

Correct Answer is A

Explanation

The nurse is caring for an older adult who reports severe chronic pain. To best assess age- related physiologic changes that could influence plans for initiating an appropriate drug regimen, the nurse prepares the patient for which laboratory evaluation?

Correct Answer is B

Explanation

The nurse in an assisted living facility is practicing a form of cultural bias called ethnocentrism when:

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