DOH Nursing Geriatric and Rehabilitative Nursing — Questions and Answers
Question 1: What geriatric assessment does DOH Abu Dhabi require nurses to perform for elderly patients?
- Use the same assessment as for younger adults
- Comprehensive geriatric assessment including functional status, cognitive screening, fall risk, nutritional status, polypharmacy review, and social support evaluation (Correct answer)
- Only assess mobility
- Geriatric assessment is physician-only
Correct answer: Comprehensive geriatric assessment including functional status, cognitive screening, fall risk, nutritional status, polypharmacy review, and social support evaluation
DOH requires comprehensive geriatric nursing assessment covering functional independence (ADLs/IADLs), cognitive screening (MMSE/MoCA), fall risk, nutritional status, medication review for polypharmacy, and social support systems.
Question 2: What delirium screening does DOH Abu Dhabi require nurses to perform?
- Delirium screening is not necessary
- Regular screening using validated tools (CAM), identification of risk factors, implementation of prevention strategies, and prompt reporting of positive screens (Correct answer)
- Only assess patients who appear confused
- Delirium is only screened in ICU
Correct answer: Regular screening using validated tools (CAM), identification of risk factors, implementation of prevention strategies, and prompt reporting of positive screens
DOH requires regular delirium screening using validated tools like the Confusion Assessment Method (CAM), identification of modifiable risk factors, implementation of non-pharmacological prevention strategies, and immediate clinical escalation.
Question 3: What fall prevention measures does DOH Abu Dhabi require for elderly patients?
- Falls are an inevitable part of aging
- Multi-factorial risk assessment, individualized interventions (environmental modification, medication review, exercise programs, assistive devices), and post-fall management protocol (Correct answer)
- Only provide walking aids
- Fall prevention is not a nursing priority
Correct answer: Multi-factorial risk assessment, individualized interventions (environmental modification, medication review, exercise programs, assistive devices), and post-fall management protocol
DOH elderly fall prevention includes comprehensive risk assessment, individualized plans addressing medication effects, environmental hazards, mobility limitations, vision, footwear, and structured post-fall assessment and reporting.
Question 4: What rehabilitation nursing principles does DOH Abu Dhabi establish?
- Rehabilitation is only provided by therapists
- Goal-setting with the patient, functional independence promotion, coordination with multidisciplinary team, and progressive mobility and self-care training (Correct answer)
- Only provide passive exercises
- Rehabilitation nursing is not defined in Abu Dhabi
Correct answer: Goal-setting with the patient, functional independence promotion, coordination with multidisciplinary team, and progressive mobility and self-care training
DOH rehabilitation nursing includes collaborative goal-setting, promoting maximum functional independence, coordinating with physiotherapy/occupational therapy/speech therapy, and implementing progressive mobility and self-care programs.
Question 5: What dementia care standards does DOH Abu Dhabi establish for nursing?
- Dementia patients do not require specialized care
- Person-centered care, environmental modifications, behavioral management strategies, family education, safety measures, and dignity preservation (Correct answer)
- Only administer sedative medications
- Dementia care is only for specialized facilities
Correct answer: Person-centered care, environmental modifications, behavioral management strategies, family education, safety measures, and dignity preservation
DOH dementia care standards emphasize person-centered approaches, adapted communication techniques, safe environments, non-pharmacological behavior management, family education and support, and maintaining patient dignity and quality of life.
Question 6: What medication management considerations does DOH Abu Dhabi identify for elderly patients?
- Elderly patients take medications the same way as younger adults
- Age-related pharmacokinetic changes requiring dose adjustments, polypharmacy screening using tools like STOPP/START, and monitoring for adverse effects (Correct answer)
- Only reduce all doses by half
- No special medication considerations exist for the elderly
Correct answer: Age-related pharmacokinetic changes requiring dose adjustments, polypharmacy screening using tools like STOPP/START, and monitoring for adverse effects
DOH identifies age-related pharmacokinetic changes (reduced renal clearance, altered distribution), requires polypharmacy review using criteria like STOPP/START, and mandates enhanced monitoring for adverse drug reactions in elderly patients.
DOH Nursing Geriatric and Rehabilitative Nursing
What geriatric assessment does DOH Abu Dhabi require nurses to perform for elderly patients?