ATI RN
Nursing Care of the Elderly as a Vulnerable Population Questions
Question 1 of 5
The nurse should teach the adolescent that the long-term effects of tanning can cause which conditions? (Select all that apply.)
Correct Answer: B
Rationale: The correct answer is B: Increased number of moles. Tanning increases melanin production, leading to the formation of moles. Moles are a risk factor for skin cancer. Phototoxic reactions (A) result from exposure to certain medications or chemicals, not tanning. Premature aging (C) is a result of sun damage, but not specifically related to moles. Striae (D) are stretch marks caused by rapid weight gain or growth, not tanning. Therefore, the long-term effect of tanning that can cause an increased number of moles is the most relevant answer.
Question 2 of 5
Which 66-year-old client who needs skilled nursing care would be eligible for home health care reimbursement by Medicare?
Correct Answer: D
Rationale: Medicare pays for short-term, skilled health care on a part-time or intermittent-care basis for persons aged 65 years or older who are eligible under Title XVIII of the Social Security Act. If family and caregiver support is available in the home to care for the patient between nurse visits, the patient is eligible.
Question 3 of 5
In addition to factual data such as name, address, and diagnosis, which information is crucial to the nurse when a referral is received?
Correct Answer: C
Rationale: The nurse prepares for the home visit by reviewing the referral form including the purpose of the visit, the geographic residence of the family, and any other pertinent information.
Question 4 of 5
Which is the best use of the nurse's time while en route to the client's home?
Correct Answer: A
Rationale: An environmental assessment begins as the nurse leaves the agency and travels to the client's home. While driving, the nurse should observe the area surrounding the client's home. It would not be appropriate to use a computer or oral recording device while driving. Although the nurse should be conducting an environmental assessment, the nurse should be considering the needs of the client during this assessment and not his/her own needs. The nurse would not want to refer the client to another agency if the client has already selected this agency.
Question 5 of 5
A new home health nurse realized that what was being observed and now being said by the client were very inconsistent with what had been documented while the client was hospitalized. Which conclusion should be drawn by the nurse?
Correct Answer: A
Rationale: It is not unusual to find inconsistencies between information the patient provides during hospitalization concerning the amount of physical and emotional support available to the patient in the home and the amount of help actually available to the patient in the home. The nurse validates or modifies the referral information to reflect the actual home situation. The client's perception of support and the actual support provided may be different. Thus, it is unlikely that the client was trying to lie about or was embarrassed by the situation.