Claudine Padillon

MODULE VI

Activity 1: Quiz: Multiple Choice: Choose the Best answer. Encircle the letter of the best answer.

1. Mr. Ramos, a resident in long-term-care facility, has repeatedly attempted to leave through

the back door. The nurse catches him attempting to leave for the third time in 1 day and says,

“If you do that one more time, I’m going to have to tie you up in a chair!” The nurse could be

found guilty of.

A. Assault

B. Battery

C. False imprisonment

D. Malpractice

2. Which of the following is most likely to invalidate a client’s informed consent for surgery?

A. The nurse answers questions about the procedure after the client has signed the consent form.

B. The nurse discovers that the client could not read the fine print on the consent form the client signed.

C. The nurse notifies the physician that the client has misconceptions about the

procedure.

D. The client received meperidine (Demerol) for pain 8 hours prior to signing the consent

form.

3. An elderly client tells the nurse that she would like her youngest son to make health care

decisions for her if she becomes incompetent. The nurse should suggest that she have her

son.

A. Assigned as executor

B. Appointed as guardian

C. Appointed conservator

D. Given power of attorney (POA)

4. Mr. Carlos is admitted to the hospital in a state that legally recognizes living wills. He is

comatose and his daughter has his power of attorney. Which of the following takes legal

precedence in determining whether Mr. Carlos will be resuscitated if he stops breathing?

A. Mr. Carlos living will

B. The daughter’s wishes

C. The physician’s orders

D. Hospital policies

5. Which of the following nurses is applying the ethical principle of beneficence?

A. A nurse who disguises the client’s antihypertensive medication in food after the client refuses to take

B. A nurse who spends an equal amount of time with each of his/her assigned clients.

C. A nurse who questions the physician’s order for tube feedings based on knowledge of

the client’s desire to avoid invasive measures.

D. A nurse who assists the client’s family to access resources that will permit them to

are for the client at home.

6. Which of the following assessments suggests that an elderly client is a victim of physical

abuse?

A. Multiple petechiae on the legs

B. Contractures of the extremities

C. Clinging to the caregiving family member

D. Ecchymosis areas on the arms and shoulders

7. Which of the following reflects the best technique when interviewing a suspected victim of elder
abuse?

A. Ask another health care professional to be present to verify observations.

B. Have the caregiver wait outside the room during the interview.

C. Avoid expressing negative responses toward the abuser.

D. Avoid asking for specific details about abusive actions.

8. Which of the following is most likely to be cited by the abuser of an elderly person as the

reason for the abuse?

A. The elderly person is very dependent on the abuser.

B. The elderly person controls the abuser’s behavior by withholding financial resources.

C. The elderly person continues to make his/her own decisions despite needing help with care.

D. The abuser feels responsible for control of the elderly person’s behavior.

9. Extraordinary measures in the treatment of a terminally ill client would include.

A. Feedings by gastrostomy tube

B. Oxygen by nasal cannula

C. IM of antibiotics

D. IV infusions of narcotics

10. Which of the following reflects the most appropriate action for a nurse to take if he/she

disagrees with a client’s decision to refuse measures to prolong life?

A. Consult with the physician about ordering appropriate measures to enhance the client’s life.

B. Notify the hospital’s ethics committee of his/her concerns regarding the client’s decision.

C. Contact his/her supervisor to request not to be assigned to this client’s care.

D. Meet with the client and family to discuss his/her concerns about the client’s decision.

11. In reporting suspected elder abuse, which of the following is true?

A. Nurses are not obligated in any way to report suspicions

B. All reporting is a matter of public record

C. Guidelines for reporting vary by state

D. The police should also be called to arrest the perpetrator.

12. The health care professional working in an outpatient clinic notices that an older woman he

is seeing as a patient in the clinic has multiple small bruises and burns on the inner aspects of

the thighs. When the patient sat down, she did so slowly and seemed to wince. What should
these signs prompt the health care professional to do first?

A. Ask some more specific questions related to the home situation of the patient

B. Immediately make a report to adult protective services

C. Call a doctor into the room to make a report

D. Accuse the caregiver of physical abuse

13. An elderly woman has sent thousands of pesos to a company that promises her chances to

win prizes and large sums of money. She has won a small radio and now is asked to send

P100, 000.00 more to the company to be in the drawing for the “grand prize”. This is most likely

an example of

A. Violation of personal rights

B. Financial abuse

C. A great marketing strategy

D. A legitimate lottery

14. When an elderly person is adequately physically cared for in the home by adult children, but

socially isolated and expresses no purpose or will to live, this is a sign of:

A. Psychological or emotional neglect

B. Psychological or emotional abuse

C. Direct physical abuse

D. Physical neglect

15. The emergency room nurse is evaluating a 90-year old male that she suspects may have

been abused by a caregiver. Which of the following data most supports her suspicion?

A. the man has a skin tear on his hand

B. the man has a small bruise on his outer leg

C. the man has a numerous large bruise of different colors on various parts of his body

D. the man’s explanation of his bruises fits the appearance of the injury.
16. Mrs. W is an 81-year-old woman with recurrent colon cancer with liver metastases admitted

to the hospital for chemotherapy. Because of her poor prognosis, you approach her about a

DNR order, but she requests to be "a full code." Can you write a DNR order anyway?

A. No, because the patient requested “a full code.”

B. Yes, because Mrs. W is elderly, has a diagnosis of recurrent metastatic cancer,

and the chance of a successful DNR is 0%.

C. No, because the CPR for Mrs. W and in her condition could not be called "futile."

D. Yes, because hospital policy allows doctors to write a DNR in this situation.

17. Mr. Steven is a 70-year-old man with end-stage COPD, admitted last month with

pneumonia. His course was complicated by respiratory failure needing mechanical ventilation,

and multiple efforts to wean him have been unsuccessful. Awake and alert, he now

communicates through written notes that he wants the ventilator taken off. Will you honor his

request?

A. If the patient’s decision-making capacity is intact, his request should be honored.

B. His request should not be honored.

C. The surrogate decision maker should make the final decision.

D. A court order is necessary because the outcome of taking him off the respirator is

death certain.

18. Forgetting to raise the side rails as ordered causes a resident to fall out and be injured. This

could be called:

A. An accidental fall, it could not be helped

B. Neglect to keep the resident safe

C. Unreported incident

D. Safety standard
19. All of the following situations are examples of abuse or neglect EXCEPT:

A. restraining a client according to a physician’s order

B. leaving a client alone in a bathtub

C. threatening to withhold a client’s meals

D. leaving a client in a wet and soiled bed

20. When signing a form as a witness, your signature shows that the client

A. Is fully informed and is aware of all consequences

B. Was awake & fully alert and not medicated with narcotics

C. Was free to sign with pressure

D. All of the above

21. The nurse is obligated to follow a physician order unless.

A. the order is verbal order

B. the order is illegible

C. The order has not been transcribed

D. The order is an error, violates hospital policy, or would be detrimental to the

client

22. ________ euthanasia occurs when a person is allowed to die by withholding available

treatment, while __________ euthanasia occurs when death is deliberately induced.

A. Suicide; homicide

B. Active; passive

C. Passive; active

D. Homicide; suicide
23. Which of the following is NOT a recommended strategy for communicating with a dying

person?

A. Make small talk to keep their mind off their situation.

B. Encourage the dying person to reminisce.

C. Express your regard and love for the dying person.

D. Allow the dying person to express guilt or anger.

24. Forgetting to raise the side rails as ordered causes a resident to fall out and be injured. This

could be called:

A. An accidental fall, it could not be helped

B. Neglect to keep the resident safe

C. Unreported incident

D. Safety standard

25. When planning to interview an older adult for a health history, the nurse should consider

which of the following as a priority?

A. The purpose of the interview is to obtain pertinent historical data from the

client.

B. The interview is directed toward offering solutions to the client’s problems

C. The interview should be conducted in the client’s room

D. The goals of the interview vary.

Activity 2: Read and understand the following short essays. Give a brief and specific answer to what is

being asked for. Write your answer at the space provided for limit your answer from 3 -5 sentences only

base on the rubrics given. Thank you.

1. Narrate your barangay’s services and resources for the elderly.

 National Council On Aging.
 AARP.
 Programs Of All-Inclusive Care For The Elderly (PACE)
 Eldercare Locator.
 Area Agencies On Aging (AAA)

2. Assess how effective the services of your community being a health provider for the elderly.
 It integrates physical health, mental health, functional status, social adaptability, and
environment conditions and quantifies the elderly overall health objectively.

3. How do they implement such program, is it SMART (Specific, Measurable, Attainable, Reliable
and Time Bound)?
 Implementation include that they promote PA, foster social connectedness, and address
isolation and loneliness; personal accountability; affordability; program design;
providers' appropriate skills; community collaborations; and transportation support.