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Care Of The Okder Adults > Exam 1 > Flashcards

Exam 1 Flashcards

1
Q

Which of the following scenarios will result in dramatic increase in certain population in the next 59 years

A. An increase in the ratio of older persons versus younger person
B. An increase in the ratio of children versus older person
C a decrease in the of older women versus older men
D an increase in the ratio of older women versus younger person

A

A. An increase in the ratio of older persons versus younger person

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2
Q

Identify the key determinants of health

Unemployment and working conditions
Education and literacy
Income and social status
Personal health practices
Social environment

A

Education
Income
Personal health
Social environment

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3
Q

T hi is born with the same decade and country May share a common historical context and are referred to as

A baby boomers
B cohort
C older persons
D centenarians

A

Older person

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4
Q

Mr brown has been admitted to an acute care hospital. The nurse notices that he has a stooped appearance and hunches forward. What is the term given to theses change in the cervical vertebrae in the posture of older person

A. Lordosis
B sarcopenia
C kyphosis
D onychomycosis

A

C kyphosis - cervica vertebrae reduce bone desity

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5
Q

Age related in nervous system is paired with the correct associated risk in the older person

A proprioception- increase of risk of falling
B presbyopia- enhance vision
C myopia- decrease spatial orientation
D proprioception- risk of glaucoma

A

A proprioception- increase risk of falling

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6
Q

Refers to age related sensorineural hearing loss

A prosbycusis
B prebyopia
C probyopia
D presbycusis

A

D presbycusis - hearing loss

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7
Q

Skin change occurs both ——- intrinsic and ——- extrinsic

A aging and physical
B genetic and environment
C hydration and environmental
D hero duty and ecological

A

B genetic and environmental

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8
Q

Older person pose risk of infection

A decrease Esophageal motility
B more efficient immune system
C reduced cough response
D less effective cilia
E decrease appetite

A

Decrease esophageal
Reduce cough
Less effective cilia

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9
Q

Most common from sensorineural hearing loss

A otosclerosis
B cerumen
C presbycusis
D vertigo

A

C presbycusis - treated with cochlear implant

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10
Q

Major cause of vision impairment

A cataracts
B myopia
C presbycusis
D macular generation

A

A cataracts

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11
Q

A 75 year old patient is in a palliative unit. The nurse ask “how are you feeling today” the patient replies “costly is floating . The nurse identifies in which neurological disorder

A brocade aphasia
B verbal apraxia
C nominal aphasia
D wernickes aphasia - difficulty understanding spoken language

A

D wernickes aphasia

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12
Q

Effective communication to implement with dementia patient

A ask open ended question
B ask task focused questions
Use active listening strategies
D provide object oriented communication

A

B ask task focused question

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13
Q

How can the nurse reminisce in an older person who is experiencing life transition

A listen actively
B change the topic and ask task focused
C discourage wavering topics
D give constructive criticism

A

A listen actively maintain Eye contact and encourage patient to continue

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14
Q

Identify appropriate group leadership skill that nurses can cultivate in group setting

A linking member
B dismissing group
C maintains group
D using task focused question

A

A linking members

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15
Q

The most appropriate statement of ann na patients life stories significant in managing care for older person

A patients life stories provide background
B patient life stories are critical source of info regarding diagnosis treatment and prognosis
C managing their emotional
Establish a major development task

A

B patient life stories is critical source of in for regarding diagnosis treatment and prognosis

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16
Q

Major categories of impaired verbal communication that arise from neurological disturbance

A aphasia, dysphasia; dementia
B reception,perception, articulation

A

B reception, perception, articulation

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17
Q

Strategies to use with an older person who has visual impairment

A

A,B,c

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18
Q

Which form of ageism presents a barrier to effectively communicating with older person

A ethnocentrism
B elderspeak
C prejudice
D racism

A

B elderspeak

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19
Q

Nurses have the responsibility to protect patient confidentiality at all times both —— and in the ——

A online and media
B verbally and non verbal
C at home and workplace
D in spoken communication and clinical record

A

D in spoken communication and clinical record

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20
Q

The RAI MDS is composed of several part which enable nurses to asses multiple key domains such as function—— social support —- and —-

A health and service use
B patient care and infection
Health and income
D patient care and service use

A

A health and service use

21
Q

The date obtain in RAI MDS becomes part of the ——-data base is used to better responds to the need of the ——

A international and staff
B national and residents
C local and volunteers
D national and staff

A

B national and residents

22
Q

When documentation initiated for a patient in health care setting

A docs is initiated when patient treatment and procedures
B initiated after the patient discharged
C initiated when patient is admitted
D initiated when the patient provided permission

A

C docs initiated when patient is admitted

23
Q

Which of the following correctly compare institution based versus person centred care
A intistuion centered culture focuses on schedule
B a person centered care environment
C institution centered care offer little opportunity
D the staff at institution

A

C institution centered care offer little opportunity

24
Q

Which of the following represent types of adult days centre models

A physical
B social
C specialized services
D medical health
E environmental

A

B social
C specialized services
D medical health

25
Q

Which of the following model serve as an example of philosophies and programs of culture change for Ltc homes

A the home model
B the eden alternative
C the wellspring model
D the utopia model
E the evolution model

A

B the eden alternative
C the wellspring model

26
Q

Example of Canadian integrated care models includes which of the following
A sipa
B iccm
C prisma
D imoa
E choice

A

A sipa
C prisma
E choice

27
Q

E hi ch of the following can be identified as a goal of home care

A assist people in remaking as independent as possible
B provide informal family caregivers
C allows family to cope
D help people maintain and improve their health
E help people to stay or return home

A

A,b,d,e

28
Q

The naturalistic or holistic health belief system is based on which concept

A the concept of heat
B the concept of balance
C the concept of herbal remedies
D the concept of physical exercise

A

B The concept balance

29
Q

Which of the following term defined as the application of limited knowledge about one perso with specific characteristics to other person with the same characteristics

A ageism
B stereotyping
C racism
D ethnocentrism

A

Stereotyping - limited knowledge

30
Q

Which of the following terms relates to what the nurse brings to the caring situation and learns about older person and their families communities behaviour and expectation

A cultural values
B cultural awareness
C cultural skills
D cultural knowledge

A

D cultural knowledge

31
Q

In the western of biomedical belief system —— of thought to be the result of abnormalities in the structure of body organs and systems often caused by an invasion of ——

A cancer. And neoplasticism cells
B desease and germs
C genetic and germs
D cancer and bacteria

A

B disease and germs

32
Q

Which of the following people plays a key role in ensuring that patients have optimal outcomes during transition of care

A social worker
B physician
C pharmacis
D nurses

A

Nurses

33
Q

Which of the following statements correctly describes the characteristics of a long term care home

A only staff has rights which are posted inconspicuously on the facility
B Ltd homes are highly regulated and resident fo not have any right
C facilities are inspected regularly on an unannounced basis

A

C facilities are inspected regularly on an announced basis

34
Q

Variables effects depending on the individuals personality health cognitive capacities sense of control and opportunities for choice self esteem and preferred lifestyle

A coping
B relocation
C dyind stress

A

Relocation

35
Q

—— is defined as continuing to live in one home not having to move to received service as one’s need change

A ltc
B home care service
C aging in place
D stagnant aging

A

C aging in place

36
Q

A newly graduated nurse is working in an acute care setting he notices that his nex door neighbour has just been admitted to his unit for post surgical care the nurse who’s he’s to know the intake status of his neighbour what should the nurse do

A quick open the patient chart
B wait until he assigned to the patient and keep the information confidential

A

B waits until he assigned to the patient and keep information confidential

37
Q

Which of the following statement explain the purpose of a clinical assessment protocols

A provided continuity care
B guides comprehensive care
C used for documenting
D guides service planning

A

A CAP provides, guides, used, guides service

38
Q

This task is necessary to maintain one’s health and basic personal needs

A activities of daily living
B instrumental activities
C resident assessment

A

A activities daily living ADL

39
Q

This task is necessary to maintain one’s home and independent living
A activities daily living
B instrumental activities daily living
C Resident assessment

A

B instrumental activities daily living

40
Q

The smallest number of standardized data set can be collected essential and core data of patients receiving nursing care
A minimum data set
B resident assessment instrument

A

A minimum data set MDS

41
Q

Standardized approach to examining quality of care and to improving regulation
A MDS
B RAI
C ADL

A

B RAI

42
Q

Kyphosis - cervical vertebrae
Presbycussis- hearing loss
Presbyopia- reduced near vision
Xerostomia - a very dry mouth

A
43
Q

Jungs theories - theories of personality extrovert and introvert
Erickson - predetermined order of development
Havighurts- middle age and maturity
Peck - expanded original work of Erickson

A
44
Q

Disengagement theory - mutual separation - retirement

Continuity theory - external continuity

Social theory - withdrawal or social isolation

Age stratification - baby boomers or families are partly organized by age

Modernization - contributions of elder and older people themselves

Symbolic interaction - interaction between environment and the individual that attributes to activities

A
45
Q

Spirituality - more broader and more personal than religious needs

Nurses - must be knowledgeable and respectful of the rites and rituals of various religious and beliefs

A
46
Q

Aphasia - difficulty understand both spoken and written

Dysarthria - damage to peripheral or central nervous system

Elderspeak - difficulty comprehending what is said to them

Life review - unresolved conflicts

A
47
Q

Wernicke’s - receptive many words but content doesn’t make sense

Brocas - express speaks slowly with few words

Anomic- difficulty finding words

Global - cannot understand words of speak intelligibly

A
48
Q

Facilitation strategies - used to help express thoughts and feelings
- used broad openings,share self, allow person to chose subject to discuss

Comprehension - assist with understanding communication.
- identify time of condfusion
- recognize themselves

Supportive - encourage continued communication
- be patient
- know older adults life history

A

Care Of The Okder Adults (1 decks)

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