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. When faced with a situation where a patient's family refuses medical care, it is important to follow the facility's policies and procedures. In many cases, the hospital social worker can be a valuable resource in helping to resolve such situations. The social worker can provide support to the family, help them understand the importance of medical care, and advocate for the patient's best interests.
B. While it is important to respect the family's cultural and religious beliefs, it is also important to ensure that the patient receives the necessary medical care. Allowing the family to pray with the patient is appropriate, but the patient should still receive medical attention for their broken arm.
C. This is not a appropriate course of action. While the patient has a right to receive medical care, it is important to approach the situation with respect and compassion, and to try to work with the family to find a solution that is in the best interests of the patient.
D. This could escalate the situation and make it more difficult to resolve. It is important to approach the situation with empathy and understanding, and to try to work with the family to find a solution that is acceptable to all parties.

A. 0.75 tablet B. 1 tablet C. 0.5 tablet D. 0.25 tablet

Correct Answer is C

Explanation

Number of tablets = Desired dose (mg) / Tablet strength (mg) Plugging in the given values:

Number of tablets = 0.125 mg / 0.25 mg/tablet Number of tablets = 0.5 tablet

Therefore, the nurse should prepare 0.5 tablet of digoxin to administer to the patient.

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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

Correct Answer is A

Explanation

A patient with congestive heart failure is scheduled to receive 0.125 mg of digoxin. The nurse has on hand 0.25 mg/tablet. How many tablet(s) should the nurse prepare to administer?

Correct Answer is C

Explanation

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