ch 1-4 principles of nursing practice

Question 1

rehabilitation nursing is what

Answer 1

goal oriented process that enables people with acute or chronic disorders, including physical, mental or emotional disabilities/ impairments, activity limitations or participation restrictions / speciality that focuses on returning patients to optimal functioning

Question 2

gerontologic considerations in rehab

Answer 2

sense of loss of independence and autonomy, permanent disability, increased social isolation, added burden on spouse or family, decreased access to healthcare, community services and churches, increase vulnerability, fears/ doubts about ability to relearn, inadequate support system

Question 3

adult immunizations

Answer 3

Heb B, HPV, Flu shot, Tdap, meningococcal, pneumococcal, shingles (zoster), covid

Question 4

types of screening

Answer 4

routine health exams, labs, chest X-rays, mammograms, OBGYN exams, bone density, prostate exams, vision

Question 5

nursing definition

Answer 5

the promotion, the protection and authorization,……… advocacy for family, groups, individuals

Question 6

social determinants of health

Answer 6

economic factors, living situations, different cultures, financial status

Question 7

nursing process

Answer 7

assess, diagnose, plan, implement, evaluation

Question 8

ethical issue

Answer 8

can not decline your pt care

Question 9

moral in nursing

Answer 9

doing the right thing, right vs wrong

Question 10

utilitarianism

Answer 10

greatest good for the greatest number of people

Question 11

critical care nursing

Answer 11

High acuity setting

Question 12

ADLs

Answer 12

bathing, eating, walking

Question 13

adaptive devices

Answer 13

walkers, prosthetics

Question 14

assistive technologies

Answer 14

crutches, walkers, glasses, ventilator

Question 15

instrumental ADLs

Answer 15

cooking, cleaning, cleaning bills

Question 16

rehabilitation team

Answer 16

patient, social worker, occupational therapist, rehabilitation specialist (PT), physiological therapist, rehabilitation nurse, psychologist

Question 17

comprehensive assessment of functional capacity

Answer 17

ADLs & IADLs

Question 18

tools to measure level of independence

Answer 18

functional independence measure, PULSES profile, Barthel index, patient evaluation conference system, Gordan’s pattern of function

Question 19

functional independence measures

Answer 19

motor & cognition (eating, grooming, bathing, dressing, toileting, memory, social interaction, problem solving)

Question 20

use for functional independence measure

Answer 20

at the start of rehab care and at the end, based on the level of assistance they require

Question 21

barthel index

Answer 21

for ADLs, ranking pts independence

Question 22

PULSE profile

Answer 22

used to evaluate functional independence in ADLs of chronically ill and elderly institutionalized populations
P: physical condition
U: upper limb functions
L: lower limb functions
S: sensory components
E: excretory functions
S: mental & emotional status

Question 23

Gordan’s pattern of function

Answer 23

a method used by nurses in the nursing process to provide a comprehensive nursing assessment of the pt/ 11 categories of health pattern

Question 24

cardiovascular system in older adults

Answer 24

decreased cardiac output/ increased BP/ complaints of fatigue/ you want to exercise regularly & pace activities

Question 25

respiratory system in older adults

Answer 25

increase in residual lung volume/ decrease in muscle strength, endurance, vital capacity/ fatigue & breathlessness with activity/ difficulty coughing/ exercise regularly, avoid smoking, adequate fluids

Question 26

integumentary system in older adults

Answer 26

decreased subQ fat, muscle tone, sensory receptors/ decreased skin protection/ thin, wrinkled, dry skin/ increased fragility, more easily bruised/ limit sun exposure, stay hydrated/ use lotions

Question 27

reproductive system in older adults

Answer 27

female: vaginal narrowing, decreased vaginal secretions/ male: decline in fertility, decreased sperm production/ slower sexual response/ painful intercourse/ lubricant

Question 28

musculoskeletal system in older adults

Answer 28

loss of bone density, muscle strength & size & joint cartilage/ height loss (prone to fractures)/ kyphosis (back pain)/ weight based exercise regularly/ vitamin D supplements

Question 29

genitourinary system in older adults

Answer 29

decrease in detrusor muscle/ urinary retention & urgency frequency syndrome/ limit drinking in evening, avoid bladder irritants/ pelvic floor exercises

Question 30

GI system in older adults

Answer 30

decreased sense of thirst, smell & taste/ difficulty swallowing, delayed gastric emptying/ risk of dehydration, electrolyte imbalances, dry mouth, risk for aspiration/ use ice chips, mouthwash (dental care), sit up while eating/ high fiber- low fat diet

Question 31

nervous system in older adults

Answer 31

decrease in brain volume and cerebral blood flow, reduced speed in nerve conduction/ slower to respond & react, increased vulnerability/ enhance sensory stimulation

Question 32

special senses in older adults: Vision

Answer 32

presbyopia, diminished ability to focus on close objects, can’t tolerate glare/ hold objects far away form face, decreased ability to distinguish color/ wear glasses and use sunglasses

Question 33

special senses in older adults: hearing

Answer 33

presbycusis, decreased ability to hear high frequency sounds, tympanic membrane thinning and loss of resiliency/ asks to repeat words, strains forward to hear, can result in social isolation/ reduce background noise, face person, speak with low pitched voice

Question 34

special senses in older adults: taste & smell

Answer 34

decreased ability to taste and smell/ decreased enjoyment of food, uses excessive sugar and salt, decreased recognition of foods/ encourage use of spices, lemon, herbs