Chapter 4 (E1) Flashcards
What is a problem solving process that provides the organizational framework for the provision of the nursing care?
Nursing Process
What is the foundation of nursing care?
Nursing process
What is the purpose of older adult assessments?
Identify strengths and limitations
Appropriate interventions
Prevent disability and dependence
Self reported vague symptoms such as lethargy, incontinence, decreased appetite, and weight loss may be indicators of?
Functional impairment
What is the most common atypical presentations of illness in older adults?
Delirium
What does delirium predominately affect?
Attention
What does Dementia predominately affect?
Memory
Sudden onset, caused by conditions such as infection or dehydration, usually reversible
Delirium
Feeling, value,or belief about something that determines behavior is called?
Attitude
A technique that helps the nurse balance the need to collect the required information with the patients needs to relate what is personally important is called?
Guided reminiscence
What is enhanced if the patient feels included in decision making?
Self-esteem
What are patient factors affecting history taking?
Visual/hearing deficit
Anxiety
Reduced energy
Pain
Multiple health problems
Tendency to reminisce
What is in a nursing health history?
Biological data, family profile, occupation, living environment, leisure, support systems, typical day described, present health, past health, family history, review of systems
When should the tetanus and Td booster be given?
10 year intervals for those who have been preciously immunized
At what age should adults receive the herpes zoster immunization?
Over the age of 60
Older adults who have have had a tubercular lesion at a young age may experience a what?
Reactivation because of age relate immune system changes, chronic illness, and poor nutrition
What is the acronym SPICES?
Helps gather information to identify patient problems.
Sleep disorders
Problems with eating or feeding
Incontinence
Confusion
Evidence of falls
Skin breakdown
The Katz Index of ADL is most commonly used to determine the results of treatment and prognosis in older patients. What are the 6 functions that are performed?
Bathing
Dressing
Toileting
Transferring
Continence
Feeding
The higher the points the better
What is A quick screening tool that test for mild cognitive impairment and Alzheimer’s dementia?
The Montreal cognitive assessment (MoCA)
The Mini-Cog test is an instrument that uses what?
A simple type of memory with a clock drawing test
