The nurse is caring for a healthy older patient who tells her that he is going to die and wishes no heroic measures to be taken. There are no advance directives on the chart. The nurse leaves the room and returns minutes later to find the patient with no pulse and not breathing. What should the nurse do?

The nurse is caring for a healthy older patient who tells her that he is going to die and wishes no heroic measures to be taken. There are no advance directives on the chart. The nurse leaves the room and returns minutes later to find the patient with no pulse and not breathing. What should the nurse do?

a. call a code or 911 and begin CPR
b. quickly write and sign advance directives
c. leave the room and close the door
d. call the doctor before beginning CPR

Gerontological Nursing

• During a performance appraisal, Joanne, the nurse manager, indicates that Alysha has difficulty mentoring students on the unit. Alysha responds that this is not her responsibility. In responding to Alysha, Joanne needs to consider:
• The dying older person may be under-medicated for pain due to which of the following misconceptions?
• The common causes of delirium at end of life may include:
• To treat dyspnea at end of life, the nurse would expect to give which of the following medications?
• Using the Five Wishes with patients at end of life is beneficial because:
• In describing the benefits of hospice to a dying older patient's family, the nurse correctly states that hospice care may include:
• The PSDA provides information about which of the following?
• In communicating bad news about a diagnosis to an older patient, the nurse should do which of the following first?
• Which of the following is true about how Americans die?
• One of the goals of hospice is to help persons:
• Palliative care refers to care that is:
• A physician is loudly and publicly berating one of the nurse's staff members in the hallway of the nursing home for not documenting a patient's blood sugar that morning prior to him making rounds. What is the nurse manager's best and most assertive response in this situation?
• Which of the following behaviors used by a gerontological nurse manager would be more characteristic of transformational leadership style than transactional?
• A night charge nurse working on a medical surgical unit with older adults just realized that she made a serious medication error. What is her best course of action?
• In the nursing home setting, who has the ultimate responsibility for the quality of care that is provided to the residents?
• The evening charge nurse on a skill nursing unit in a long term care facility is having trouble with one of her nursing assistants sleeping on the job. What should the charge nurses first action be?
• Which of the following characteristics is more descriptive of a good gerontological nurse leader than manager?
• The process of delegating follows which of the following steps?
• When the gerontological nurse is delegating a task to a UAP, which of the following is least essential to address?
• Which of the following is true about managers and leaders?
• Chronic alcohol abuse is associated with cancers of the:
• The general consensus on alcohol use in moderation among adults over age 65 is:
• The nurse is teaching a patient about the available medications for smoking cessation. All of the following would be appropriate to teach the older person except ?
• The five R's for helping a person with motivation to quit tobacco use include:
• The five A's for helping persons quit tobacco use include all of the following except:

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