The nurse responsible for administering medications to the residents of a long-term care facility shows an understanding of the risk of injury this population experiences when

assessing the patient for a history of drug-related allergies

educating patients about the purpose and side efforts of their medications

confirming the patients identity prior to providing the medication

implementing the 5 rights of medication administration routinely

Answer and Explanation

The Correct Answer is D

A.   Knowing a patient’s history of drug allergies is essential for preventing allergic reactions to medications. Allergic reactions can be severe and include symptoms such as rash, difficulty breathing, or anaphylaxis. While important, assessing for drug allergies alone does not address all aspects of medication safety, such as correct drug administration, dosage, or monitoring for side effects.
B.   Educating patients about their medications helps them understand why they are taking them and what side effects to watch for. This can improve adherence to the medication regimen and enable patients to report side effects promptly. Education is important but does not directly prevent medication errors or ensure that medications are administered correctly.
C.   Confirming the patient's identity before administering medication is a fundamental safety measure. It helps prevent medication errors, such as administering the wrong medication to the wrong patient. This action alone does not address other aspects of medication administration, such as verifying correct dosage, the timing of administration, or monitoring for adverse effects.
D.   The 5 rights of medication administration—right patient, right drug, right dose, right route, and right time—are fundamental principles of safe medication administration. Adhering to these rights helps prevent medication errors and ensures that medications are administered correctly. By consistently applying these principles, the nurse minimizes the risk of errors and enhances patient safety. This approach covers multiple aspects of medication administration, including verifying the correct patient, drug, dose, route, and timing.

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Correct Answer is A

Explanation

A. Ethnocentrism is the belief that one's own culture is superior to others. In this case, the nurse is exhibiting ethnocentrism by assuming that the facility's current accommodations are sufficient for all residents, without considering the specific cultural needs of Jewish patients. By informing potential Jewish patients that the facility does not have a kosher kitchen, the nurse is essentially stating that the facility's culture and practices are more important than the cultural needs of the patients.
B. This is a reasonable request to ensure that the facility's resources are shared fairly among all residents. It does not reflect ethnocentrism.
C. While it's important to ensure that medications and treatments are safe and effective, confiscating herbs and food products used for healing without a clear medical reason could be seen as disrespectful of the patient's cultural beliefs and practices. However, if there are valid medical concerns, the nurse should communicate these to the patient in a respectful and culturally sensitive manner.
D. This is a common practice in many assisted living facilities and is not considered ethnocentric. However, the nurse should ensure that these activities do not exclude or marginalize residents of other faiths.

A. Living conditions and family support B. Medications and current medical problems C. Results of the Mini Mental State examination D. Baseline physical and cognitive functioning

Correct Answer is D

Explanation

A. While this information can be helpful in understanding the patient's social context, it does not directly contribute to the development of a plan of care.
B. This information is important for understanding the patient's medical history and identifying any potential risk factors. However, a baseline assessment of physical and cognitive functioning is also essential for developing a comprehensive plan of care.
C. This assessment can be helpful in evaluating the patient's cognitive function, but it does not provide a complete picture of their overall physical and functional status.
D. When caring for an older adult in the emergency department, it is crucial to have a baseline understanding of their physical and cognitive functioning. This information will help the nurse assess the patient's current condition and identify any significant changes that may require intervention.

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The nurse responsible for administering medications to the residents of a long-term care facility shows an understanding of the risk of injury this population experiences when

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is A

Explanation

A nurse is caring for an older patient in the emergency department. What information about the patient will be most helpful in creating a plan of care?

Correct Answer is D

Explanation

A nurse planning primary disease prevention interventions for a 64-year-old patient includes which of the following? Select all that apply.

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The nurse responsible for administering medications to the residents of a long-term care facility shows an understanding of the risk of injury this population experiences when

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