Exam review

Question 1

what are the two primary goals of advance care planning goals of are designation?

Answer 1

1. to serve as a communication tool for HC professionals to assist with rapid decision making in times of crisis
2. guide hc professionals and patients regarding the locations and general intentions of the care and interventions that are to be provided.

Question 2

a 90 year old client is one of lethargy, poor cap/ and urinary incontinence what are they at risk for

Answer 2

skin breakdown- poor circulations, inactivity, wet skin from urine

Question 3

what does atypical presentations of a cardiac event

Answer 3

not always pain

nausea

Question 4

a primary preventative measure that should be implemented for a client who is risk for elder abuse

Answer 4

referring care to community resources (is primary)

Question 5

what is the difference between competency and capacity?

Answer 5

competency is the ability to make decisions about your well being, understanding the consequences of your decisions
Capacity, ability to perform your own care and ADLs

Question 6

what are the three main care levels of care

Answer 6

R resuscitate
M maintain
C comfort

Question 7

gen silent video, what is the fear expressed by gays

Answer 7

being persecuted in care homes

Question 8

four tasks facing a person who is dying?

Answer 8

1. reviewing life
2. coping with physical symptoms in the end stage of life
3. making a transition from known to unknown state
4. reaction to separation from loved ones

Question 9

what older adult is at greatest risk of developing hythermia?

a. Sedentary
b. Shivering
c. client complains of being cold
d. a client with increased body fat

Answer 9

A; the older adult that is inactive is likely to have poor circluiation and loss of subcutaneous fat

Question 10

older adult with pneumonia often reveals

Answer 10

• anorexia and behavioral changes

- afebrile with a productive cough

Question 11

an older adult with osteoarthritis reports pain, stiffness and deformities of the fingers. what do you do?

Answer 11

1. teaching hand exercises

2. meditation therapy

Question 12

what do you do if your patient codes and they are M2?

Answer 12

all interventions that can be provided in their current care setting (don’t send to ICU, don’t resuscitate).

Question 13

what are the 4 guyingiuding principals for the adult guardian and trusteeship act?

Answer 13

1. assume they have capacity unless otherwise noted
2. ability to communication verbally is not a determination of capacity, they are allowed to verbalize
3. focus on the autonomy, least intrusive approach
4. decision focuses on the best interests of the adult

Question 14

a client cant sleep, awakes a lot at night does not drink coffee and takes tylenol at bedtime, what should we do?

Answer 14

this is normal for them.

Question 15

what drug can cause a fall

Answer 15

-benedryle (know beers criteria)

Question 16

what is the legal document required in Alberta to transfer ongoing financial power to an older adults chosen representative

Answer 16

EPOA (know the diff b.w POA)

Question 17

what country has the highest rate of restraint in older adults

Answer 17

Canada

Question 18

what is the reason for rise in STI

Answer 18

cant get prego and dont use condoms