Relias Specialized Care and Population-Specific Training 3

Question 1

When working with older adults, polypharmacy is a concern primarily because it increases the risk of:

Accepted Answer

Adverse drug interactions, falls, and cognitive impairment

Answer

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

Question 2

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

Accepted Answer

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

Answer

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

Question 3

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

Accepted Answer

FLACC Behavioral Pain Scale

Answer

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

Question 4

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

Accepted Answer

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

Answer

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

Question 5

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

Accepted Answer

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

Answer

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

(Relias) Relias Certification Practice Test