A nurse is updating the Minimum Data Set (MDS) forms for the residents of a long-term care facility. A nursing colleague asks about the significance of MDS documentation. Which of the following statements should the nurse make?

"The MDS forms provide documentation of each resident's assessment, including their cognitive and physical status."

"The MDS forms are completed by the provider each month."

"The MDS forms are provided to the facility with analysis of each resident's prescribed medications."

"The MDS forms are faxed to health care providers at the end of each quarter."

Answer and Explanation

The Correct Answer is A

A.   The MDS forms are used to comprehensively document various aspects of a resident's health, including their cognitive abilities, physical health, functional status, and other relevant factors. This data is essential for creating individualized care plans, ensuring compliance with regulations, and monitoring changes in residents' conditions over time.
B.   The MDS forms are not completed by the provider each month. Instead, they are typically completed at specific intervals, such as upon admission, quarterly, and when there are significant changes in the resident's condition.
C.   The MDS forms themselves do not come with an analysis of prescribed medications. While medication management is an important aspect of resident care, the MDS focuses on broader assessments of health and functional status rather than detailed medication analysis.
D.   The MDS forms are not faxed to health care providers. Instead, the MDS documentation is used internally within the facility for care planning and regulatory compliance, and the data may be submitted electronically to regulatory bodies as required.

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Correct Answer is B

Explanation

A. Eating 60% of breakfast is generally not a significant concern regarding the administration of antihypertensive medication. However, if the client had a significantly reduced intake or other issues, it might warrant attention, but 60% of a meal typically does not.
B. This finding is significant and indicates that further assessment is necessary before administering antihypertensive medication. Dizziness, especially when related to ambulation, could be a sign of hypotension or an adverse effect of antihypertensive medication.
C. Trouble sleeping can be related to various factors, including stress, side effects of medication, or underlying health conditions. While it is important to consider the client’s overall well-being, this finding does not immediately indicate a need for further assessment before administering antihypertensive medication.
D. Urine output of 400 mL over 8 hours indicates a urine output of 50 mL per hour, which is within the normal range for adults. This finding is unlikely to require further assessment specifically in relation to the administration of antihypertensive medication.

A. A private room in a quiet location on the unit B. A seclusion room until the client's activity level becomes more subdued. C. A semi-private room with a roommate who has a similar diagnosis D. A private room close to the nursing station

Correct Answer is D

Explanation

A. While a quiet environment is generally desirable for patients, a client in a manic phase often experiences increased energy and agitation. A quiet room might not adequately address their need for constant monitoring.
B. Seclusion should be used as a last resort and only in cases where the client poses an immediate danger to themselves or others. It is not appropriate for routine management of mania.
C. While it might seem helpful to pair patients with similar conditions, a manic patient can be disruptive to roommates, affecting their well-being and potentially escalating their own symptoms.
D. This option is the most appropriate. A private room provides necessary privacy and space, while proximity to the nursing station allows for close observation and rapid intervention if needed.

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A nurse is updating the Minimum Data Set (MDS) forms for the residents of a long-term care facility. A nursing colleague asks about the significance of MDS documentation. Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer a client's antihypertensive medication. When using clinical judgment, which of the following findings indicates the nurse should further assess the client before administering medication?

Correct Answer is B

Explanation

A nurse is admitting a client who is in the manic phase of bipolar disorder. The nurse should plan to make which of the following room assignments for the client?

Correct Answer is D

Explanation

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