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NURS 401 > Exan 1: Study Guide > Flashcards

Exan 1: Study Guide Flashcards

1
Q

Baby Boomers

A

-Born between 1946 to 1964.

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2
Q

Functional Assessment and Wellness

A

-Evaluation of person’s ability to carry out basic tasks for self-care and tasks needed to support independent living.

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3
Q

What are primary prevention strategies in older adults?

A

Strategies that can and are used to prevent illness before it occurs (i.e exercise, diet, smoking cessation).

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4
Q

Wellness Based Model

A

Incorporates all aspects of one’s being within the context of culture including

  • Functional
  • Environmental
  • Intellectual
  • Psychological
  • Spiritual
  • Social
  • Biological
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5
Q

Gerontological Nursing

A

Can use the wellness-based model to promote healthy aging across the continuum of wellness and care settings.

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6
Q

Biological Theories of Aging: Wear and Tear Theory

A
  • Cellular errors a result of “wearing out” over time from continued use.
  • Associated with internal and external stressors (associated with free radicals)
  • Causes a progressive decline in cellular function or increased cellular death.
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7
Q

Activity Theory of Aging

A

Attempted to predict and explain how individuals adjusted to age-related changes by looking at one’s level of activity and productivity.

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8
Q

Continuity Theory

A

Suggests that individual tends to develop and maintain consistent pattern of behavior substituting one role for similar one as one matures.

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9
Q

Physical Wellness

A

Is enhanced through regular physical activity, diet/nutrition and avoidance of tobacco, drugs and excessive alcohol consumption.

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10
Q

Emotional Wellness

A
  • Awareness and acceptance of one’s feelings.
  • Ability to form relationships based on mutual commitment, trust and respect.
  • Positive self image and enthusiastic about life.
  • Ability to cope effectively with stress.
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11
Q

Spiritual Wellness

A
  • Recognizes the search for meaning and purpose in their lives.
  • Taking time to reflect and connect with the universe.
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12
Q

Intellectual Wellness

A
  • Expanding one’s knowledge and skills throughout life.
  • Discovering new skills and interests.
  • Challenging oneself through creative stimulating mental activities.
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13
Q

Occupational Wellness

A
  • Doing what you love.
  • Contributing your unique gifts, skills, and talents to work that is personally meaningful and rewarding.
  • Balancing work with leisure time.
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14
Q

Nursing Assessment for Activity Theory

A
  • Current level of activity and satisfaction with such activity.
  • Effect of changes in health on usual roles and activities.
  • Cultural beliefs and expectations related to roles, activity as well as both engagement and disengagement related to these.
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15
Q

Ethnocentrism

A

Belief that one’s ethnic/cultural group is superior to another.

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16
Q

Cultural Assessment Tools

A
  • Leininger’s Sunshine Model
  • Transcultural Assessment Model
  • Heritage Assessment Tool
  • Explanatory Model
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17
Q

LEARN Model

A
  • Guides nurse in clinical setting while interacting with elders of any ethnicity.
  • Based on a negotiated plan of care that includes identification of availability of culturally appropriate and sensitive community resources.
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18
Q

Ageism

A

Stereotyping and discriminating against people due to age.

19
Q

Communicating with older adults: Coherent versus cognitively impaired

20
Q

Elderspeak

A

A form of ageism where speech patterns are changed based on assumption that older people have difficulty communicating and understanding.

21
Q

FANCAPES Assessment Tool

A 
Fluids
Aeration
Nutrition
Communication
Activity 
Pain
Elimination
Socialization and social skills
22
Q

SPICES Tool

A 
Sleep disorders
Problems eating
Incontinence
Confusion 
Evidence of falls
Skin breakdown
23
Q

Mini Mental Status Exam

A

General test of cognitive status that helps identify mental status impairment.

24
Q

Health Assessment of Older Adults

A

More complex.

May require a team of professionals.

25
Q

ADLs versus IADLs

A 
ADLs = Activities of Daily Living (ability to walk, get into and out of bed, bathing and grooming oneself, eat, dress and get to bathroom on time)
IADLs = Instrumental Activities of Daily Living (includes tasks such as dialing the phone, driving a car, hanging up clothes, obtaining groceries, taking medications and having correct knowledge of medication dosages)
26
Q

What does the LEARN Model stand for?

A

L: List to what patient has to say
E: Explain your perception of the problem
A: Acknowledge the similarities and differences of perception
R: Recommend a plan of action that takes into account both perspectives
N: Negotiate a plan that is mutually acceptable

27
Q

Examples of Elderspeak include

A
  • Using a singsong voice, changing pitch, and exaggerating words.
  • Using short and simple sentences.
  • Speaking more slowly.
  • Using limited vocabulary.
  • Repeating or paraphrasing what has just been said.
  • Using pet names such as “honey” or “dear” or “sweetie”.
  • Using collective pronouns – “Would we like to eat now?”
28
Q

Functional Assessment is used to

A
  • Identify specific areas of help.
  • Identify changes in abilities from one time to another.
  • Provides information useful for assessing safety.
  • Numerous tools available that describe, screen, assess, monitor and predict functional ability.
29
Q

Laboratory Tests for Annual Physical Examination

A

Check Week 3 Flashcards

30
Q

Laboratory tests for diagnosing concerns with older adults

A

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31
Q

Coumadin (Warfarin)

A

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32
Q

Coumadin (Warfarin): Monitoring Laboratory Tests

A

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33
Q

Physiological age changes

A

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34
Q

Pharmacokinetics/pharmacodynamics of medication use

A

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35
Q

Herbal Supplement: Ginkgo

A

May benefit cognitive function in dementia; however, there is no scientific evidence that ginkgo impacted cognitive impairment, memory, attention, language, visual-spatial ability, executive functions, or reduced prevalence of dementia and Alzheimer’s disease.

36
Q

CAD: atypical S&S among older adults

A

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37
Q

Chronic Stable Angina including managment

A

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38
Q

Atrial Fibrillation including management

A

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39
Q

TIA versus Stroke including management

A

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40
Q

Types of Stroke

A

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41
Q

Acute decompensated heart failure including management

A

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42
Q

Congestive Heart Failure including management

A

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43
Q

Peripheral artery disease including management

A

Check Week 4 Flashcards.

44
Q

What is a major serious side effect of Ginkgo?

NURS 401 (26 decks)

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