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Specialized Care and Population-Specific Training Flashcards

7 cards from real RELIAS practice questions. Tap to flip, then mark Knew It or Still Learning โ€” missed cards come back until you master them.

Read the first 7 Specialized Care and Population-Specific Training flashcards as text
  1. When working with older adults, polypharmacy is a concern primarily because it increases the risk of:

    Answer: Adverse drug interactions, falls, and cognitive impairment

    Polypharmacy in elderly patients significantly raises the risk of drug-drug interactions, falls, delirium, and hospital readmission.

  2. A client with intellectual disabilities is being asked to consent to a medical procedure. The most appropriate action is to:

    Answer: Use plain language and visual aids to support the client's understanding and involve the guardian as required

    Supported decision-making requires using accessible communication while involving legal representatives per the client's legal status.

  3. In pediatric care, which pain assessment tool is most appropriate for a 3-year-old child who cannot verbally rate pain?

    Answer: FLACC Behavioral Pain Scale

    The FLACC scale assesses Face, Legs, Activity, Cry, and Consolability and is validated for preverbal and cognitively impaired children.

  4. Which scenario represents a boundary violation in a residential behavioral health setting?

    Answer: A staff member accepts a gift of jewelry from a client and keeps it private

    Accepting personal gifts privately violates professional boundaries and may indicate an exploitative therapeutic relationship.

  5. During care of a patient with schizophrenia who is experiencing command hallucinations, the priority nursing action is to:

    Answer: Assess whether the commands direct the patient toward self-harm or harm to others

    Assessing content and safety implications of command hallucinations is the first step in protecting the patient and others.

  6. A nurse caring for a patient with end-stage renal disease notices increasing confusion and muscle twitching. These symptoms most likely indicate:

    Answer: Uremic encephalopathy from accumulation of metabolic waste products

    Uremic encephalopathy results from the buildup of urea and other toxins when kidney function is severely compromised.

  7. When providing culturally competent care to a Native American patient, which approach best demonstrates cultural humility?

    Answer: Asking the patient about their cultural preferences and incorporating them into the care plan

    Cultural humility requires asking and listening rather than assuming, and integrating patient-identified cultural practices into individualized care.