Specialized Care and Population-Specific Training Flashcards
7 cards from real RELIAS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Specialized Care and Population-Specific Training flashcards as text
A home health aide discovers a homebound elderly client has not eaten in two days and has multiple bruises. The aide's priority action is to:
Answer: Report suspected neglect or abuse immediately per agency policy and mandated reporter laws
Mandated reporters must report suspected elder abuse or neglect immediately, not defer to family explanations or scheduled reviews.
Which intervention is most appropriate for a patient with COPD who presents with accessory muscle use and an SpO2 of 88% on room air?
Answer: Apply low-flow supplemental oxygen targeting SpO2 88-92% and notify the provider
COPD patients are at risk for hypercapnic drive suppression; targeting SpO2 88-92% with low-flow O2 is evidence-based while provider notification addresses the acute change.
In a skilled nursing facility, a resident with advanced Alzheimer's disease who previously expressed wishes against tube feeding is now unable to swallow. The ethical priority is to:
Answer: Honor the resident's previously stated advance directive and provide comfort measures
Previously expressed advance directives carry legal and ethical weight and must guide care even when the patient lacks current decision-making capacity.
A staff member working with adjudicated youth notices one resident bullying another repeatedly. The least appropriate response would be to:
Answer: Ignore the behavior to avoid escalating tensions
Ignoring bullying fails to protect a vulnerable resident and violates duty-of-care obligations in residential juvenile settings.
When educating a newly diagnosed diabetic patient, the teach-back method is used primarily to:
Answer: Confirm the patient can explain and demonstrate understanding of the information taught
Teach-back confirms comprehension by having patients explain information in their own words, reducing misunderstanding and improving self-management.
A patient with bipolar disorder in a manic phase refuses sleep and is increasingly irritable. Which nursing intervention takes priority?
Answer: Provide a low-stimulation environment and notify the provider about escalating symptoms
Reducing environmental stimulation and communicating clinical changes to the provider helps prevent escalation of manic symptoms.
In caring for a patient receiving palliative care, which statement BEST reflects the palliative care philosophy?
Answer: Palliative care focuses on improving quality of life and can be delivered alongside curative treatment
Palliative care focuses on symptom relief and quality of life and can be initiated at any stage of serious illness alongside curative therapies.