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Gero > Exam 4 > Flashcards

Exam 4 Flashcards

1
Q

In order for rehabilitative nursing to be successful, does the client need to be restored to their previous state?

A

No

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2
Q

What are symptoms of frailty?

A

-unplanned weight loss
-Slow walking speed
-Low grip strength
-Fatigue, poor endurance
-Low levels of activity

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3
Q

What is Sarcopenia ?

A

Muscle loss due to aging. Leads to loss of strength and function

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4
Q

People who need rehabilitation at risk for :

A

Falls
Disability
Hospitalization
Nursing home
Death

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5
Q

What is coping capacity?

A

The ability to cope with a new disease

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6
Q

What types of losses come with disability?

A

Functional
Role
Income
Status
Independence
Anatomic structure

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7
Q

What are the guidelines for rehabilitative nursing?

A

-know the patience, capacities, and limitations
-Emphasize function rather than dysfunction
-Provide time and flexibility
-Recognize and praise accomplishments
-Do not equate physical disability with mental disability
-Try to prevent complications
-Demonstrate, hope optimism and humor
-Multidisciplinary team effort

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8
Q

What is the supine position?

A

Laying flat on back

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9
Q

What is the prone position?

A

Laying flat on stomach with head turned a lot early

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10
Q

What is the lateral position?

A

Laying on side with head and spine align

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11
Q

What is chair position?

A

Also known as high, Fowlers, sitting up straight

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12
Q

How often should range of motion exercise be performed?

A

At least once per day

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13
Q

How should the joint be moved during ROM exercises?

A

Slowly and smoothly

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14
Q

Where should you provide support on a joint during ROM exercise?

A

Above and below the joint that is being exercise

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15
Q

What is included in ADLs

A

Toileting
Feeding
Dressing
Grooming
Bathing
Ambulating

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16
Q

What is included and I ADLs

A

Tasks required for community living

Shopping
Cleaning up after cooking
Meal prep
Laundry
Housekeeping
Using a phone
Money management
Medication management

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17
Q

What is rehabilitative care?

A

focus on returning individuals to their previous level of function

However, it is not fully restored does not mean it was not successful

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18
Q

What is restorative care?

A

maintaining or improving their current level of function.

Avoiding decline and complications

achieving the highest possible quality of life

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19
Q

What is nonmaleficence?

A

Do no harm

Be careful when giving opioids due to respiratory distress

This is when you prevent harm to Patience, by not directly performing an act that causes harm and buy informing management that staffing is inadequate to provide safe care

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20
Q

What should be provided to a Roman Catholic patient that is showing signs of impending death

A

Sacraments of the sick

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21
Q

What is palliative care?

A

Care that relieves suffering, and promotes comfort, when I cure is not possible

Giving analgesics and opioids

Physical needs of patient: eye drops, turning them, oral hygiene, bathing, etc

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22
Q

What is an advance directive?

A

A written statement of a persons wishes regarding medical treatment in the event they cannot communicate them

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23
Q

What is hospice care?

A

A way to care for terminally, ill patients and their families

Aids in adding quality and meaning to the remaining period of life

Controls their manifestations (how they live now)

Efforts to assist, physical, emotional and spiritual needs

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24
Q

What services are included in hospice care?

A

Pain relief
Symptom control
Home care and institutional care
Nurses and physicians
Social workers and counseling services
Medical equipment and supplies
Volunteer assistance and support
Bereavement, following up and counseling
Physical therapy

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25
Q

How often does hospice need to be renewed?

A

Every six months

26
Q

What states is assisted suicide practiced in?

A

Washington, Oregon, California, Colorado, Vermont

27
Q

What is voluntary euthanasia?

A

assisted suicide

The nurse is “volunteering” to help with euthanasia after client has requested

28
Q

What are the signs of impending death?

A

-decline and BP
-Rapid, weak pulse
-Dyspnea and periods of apnea
-Slower or no pupil response to light
-Perfuse perspiration
-Cold extremities
-Bladder and bowel incontinence
-pallor and molting skin
-loss of hearing and vision

29
Q

What are the five stages of grief?

A

Denial
Anger
Bargaining
Depression
Acceptance

30
Q

Is Hope one of the stages of grieving and if not, what is it?

A

No, it is not one of the stages

Hope is used as a temporary but necessary form of denial as a rationalization for enduring unpleasant therapies and as a source of motivation

Hope permeates all stages of grief

31
Q

What is the most appropriate nursing intervention when caring for a diet patient who is experiencing pain?

A

Prevent the pain before it occurs not after

32
Q

What are the types of range of motion degrees?

A

Active - independently done by patient
Active assistive - with assistance to patient
Passive - with no active involvement of patient

33
Q

What is Reminiscence?

A

Life review

Helps improve memory, reduce depression, resolves past conflicts, validates existence, enhances quality of life

Improve communication, mood, cognition, and quality of life

34
Q

What is reality orientation

A

Helps keeps patient mentally integrated with the world around them

A total approach to keep the patient oriented

Consistency is crucial to promote orientation

35
Q

What should a nurse do when a patient no longer wants to continue treatment and just wants to die?

A

Respect their autonomy and that they want to die

Give resources for hospice

36
Q

Understand beliefs regarding gender if nurse when giving care to Muslim faith

A

Same gender as patient

Woman nurse for woman patient

37
Q

Where can spiritual care be provided / in what areas of the hospital or facility?

A

Intensive care
Hospice

38
Q

When is the need for support of the family after patient death the highest?

A

Weeks and month after death

39
Q

Understand how to provide postmortem care

A

Is there a particular faith they belong to?
Remove excess machines and equipment
Change bedding
Place arms outside of the sheets
Clean body
Are they a candidate for an autopsy?

40
Q

How can music therapy help a patient?

A

Can help them express emotions
Keeps them comfortable
Form of palliative care

41
Q

Understand walker safety

A

Hands on walker with elbows slightly bent

Lift walker and set it down to advance forward

Stand up straight

42
Q

What resource can be provided if a patient cannot go out and get groceries

A

Meals on wheels

43
Q

Understand how to use crutches

A

6” forward and to side
Arms slightly bent
Step with strong side first, bring crutches and weaker side forward

44
Q

If a patient is immobile what is very important?

A

Listening to lung sounds every 2 hours

45
Q

When assessing a patient you should check their vital signs and their…

A

Medications

46
Q

Understand about falls

A

Want to promote safety
-strength exercises
-safety checks
-lock beds and wheelchairs
-bedside table close
-complete safety check of surroundings

47
Q

When starting an exercise plan, what needs to be evaluated?

A

Evaluate their walking, if they can walk they may be able to exercise

48
Q

If a patient is being admitted with dementia what is something you may be able to ask them (during a moment of cognitive moment)

A

May be able to ask them what they like to eat and cook

49
Q

What to say to another nurse who is struggling with end of life

A

Get a grip and come to terms with your feelings about death

50
Q

If you are participating in an activity with a group and one person does not want to participants, do you stop activity?

A

No. Continue activity and offer that person an alternative activity

51
Q

Make sure that all planned activities are…..

A

Stimulating

52
Q

Understand examples of the stages of anger

A

Throw things
Name calling
Get very upset

53
Q

What do you say to a spouse when their significant other says they want to die ?

A

We need to respect their position and call the physician and have them withdraw care

54
Q

What do you say to a patient that tells you they want to die.

A

Respect their wishes and encourage them to talk to their family and the physician

55
Q

What do you say when a family member says they are happy their parent died?

A

Ask them to tell you more and why they feel that way

56
Q

What is maladaptive grief?

A

People who suffer from maladaptive grief tend to either push their grief away or react in unhealthy ways.

57
Q

Examples of someone experiencing maladaptive grief

A

-not accepting death after 10 years
-not getting rid of others belongings
-talking about their loved one like they are still there
-could revert to old habits
-may have low self esteem

58
Q

When a patient is depressed what do we want to assess they can still do?

A

ADLs

59
Q

When a person has a hematopoiesis (stroke) how will they use a cane?

A

On their no affected stronger side

60
Q

What do you do if you find a patient with no pulse and no DNR?

A

Call the code and alert team

Then start cpr

61
Q

What would be the manifestations of an unconscious person you are giving a massage to?

A

-Pulse might equal out and fall within normal range
-droopy shoulders
-face muscles relaxed

62
Q

What are nursing interventions for suicide prevention?

A

Counseling
Physician’s order

Gero (5 decks)

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