Exam 1 Flashcards

1
Q

young old

A

age 65-74

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2
Q

middle old

A

age 75-84

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3
Q

old old

A

age 85-99

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4
Q

elite old

A

age 100+

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5
Q

most common cause of death among US adults (top 3)

A

heart disease, cancer, stroke

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6
Q

presbycusis

A

age-related hearing loss; high frequency hearing loss

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7
Q

presbyopia

A

farsightedness caused by loss of elasticity of lens; occurs in old age

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8
Q

sclerosis of inner ear

A

stapes of the ear hardens, impairs sound travel in ear

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9
Q

most frequently diagnosed conditions in adults (top 4)

A

arthritis, hypertension, heart disease, cancer

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10
Q

delirium vs. dementia

A

delirium - acute, fast onset, reversible/temporary

dementia - chronic, slow onset

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11
Q

Fulmer’s SPICES purpose

A

overall assessment tool for older adults

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12
Q

Fulmer’s SPICES components

A
  • Sleep disorders
  • Problems with eating/feeding
  • Incontinence
  • Confusion
  • Evidence of falls
  • Skin breakdown
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13
Q

Katz Index of Independence in ADLs (6)

A

assesses: bathing, dressing, toileting, transferring, continence, feeding

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14
Q

frailty causes (3)

A

chronic illness, harmful social/psychological environment, physiological changes of aging

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15
Q

Hendrich Fall Risk Model components (7)

A
  • Confusion, disorientation, impulsivity
  • Symptomatic depression
  • Altered elimination
  • Dizziness/vertigo
  • Male gender
  • Anti-epileptics
  • Benzodiazepines
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16
Q

common causes of delirium (8)

A
  • Drugs
  • Elimination
  • Liver and other organ disorders
  • Infection
  • Respiratory disorders
  • Injury
  • Unfamiliar environment
  • Metabolic disorders
17
Q

Confusion Assessment Method (CAM)

A
  1. Acute onset and fluctuating course
  2. Inattention
  3. Disorganized thinking
  4. Altered level of consciousness
18
Q

safe and quality care characteristics (STEEEP)

A
  • Safe
  • Timely
  • Effective
  • Efficient
  • Equitable
  • Patient-centered
19
Q

QSEN Six Competencies

A
  • Patient-centered care
  • Evidence-based practice
  • Quality improvement
  • Informatics
  • Safety
  • Teamwork and collaboration
20
Q

stage I pressure ulcer

A

intact skin with non-blanchable redness

21
Q

stage II pressure ulcer

A

partial thickness loss of dermis; open ulcer with red pink wound bed

22
Q

stage III pressure ulcer

A

full thickness tissue loss; subcutaneous fat may be visible

slough, undermining, tunneling may be present

23
Q

stage IV pressure ulcer

A

full thickness tissue loss with exposed bone, tendon, or muscle
slough, eschar, undermining, tunneling may be present

24
Q

unstageable pressure ulcer

A

full thickness tissue loss, with base covered by slough and/or eschar

25
suspected deep tissue injury (sDTI)
intact skin with purple or maroon discoloration
26
four phases of wound healing
1. Hemostasis 2. Inflammatory phase 3. Proliferative phase 4. Maturation phase
27
serous exudate
clear, watery plasma
28
purulent exudate
thick; yellow, green, tan, or brown
29
serosanguineous exudate
pink, watery; mixture of watery fluid and RBCs
30
sanguineous exudate
bright red
31
Braden Scale purpose
assesses level of risk for development of pressure ulcers
32
Braden Scale components (6)
- Sensory perception - Moisture - Activity - Mobility - Nutrition - Friction and sheer
33
six medication rights
- right drug - right dose - right route - right time - right patient - right documentation