Geri

Question 1

A _______ is performed on every single patient. It is where you obtain the smallest amount of information that must be collected

Answer 1

MDS

Question 2

_____ is your very first step in environmental management

Answer 2

Assessment

Question 3

_____ ____ ____ involves a person who presents a positive but realistic outlook. The adults personal space is respected, activity is encouraged, and facilitated independence

Answer 3

Climate of care

Question 4

____ ____ accesses the ADLS (bathing, dressing, etc)

Answer 4

Katz scale

Question 5

Lost the nursing process steps

1-5

Answer 5

1. Assessment
2. Nursing diagnosis
3. Planning
4. Implementation
5. Evaluation

Question 6

____ ___ is a patients problems and potential problems reported

Answer 6

Nursing diagnosis

Question 7

The _____ ____ is the way we approach patients care

Answer 7

Nursing process

Question 8

Emotional stress that occurs during the time a person is changing from one phase of life to another is called

Answer 8

Relocation trauma

Question 9

Two components of a physical environment that a nurse needs to consider are

Answer 9

1. Is the environment clean and free of odor?

2. Is there a place where the older adult can socialize with family and friends?

Question 10

Relocation stress is temporary and how you can eliminate the stress is

Limit stimulation and the introduction of new activities and people on the first day in setting
(Only introduce to what is necessary)

Look for ways to provide links between the old environment and the new one

Answer 10

Know

Question 11

_____ ____ is the most valid indicator in accessing ADLS

Answer 11

Direct observation

Question 12

An older person demonstrates changes in function as the first or only sign indicating onset of illness

Answer 12

Know

Question 13

The ____ scale is a common assessment tool used to evaluate the risk of pressure ulcer formation

Answer 13

Braden

Question 14

____ is a major medical disability for the elderly that is commonly overlooked by health care providers

Answer 14

Immobility

Question 15

Is the muscular system a normal aging change that would increase risk of immobility

Answer 15

Yes

Question 16

When the body is immobilized and there are bone dissolution this is called _____ ____

Answer 16

Disuse osteoporosis

Question 17

Two categories for risk factors for falls in elderly are

Answer 17

Posture and balance and vision

Question 18

DRIP: D delirium
R: restricted mobility
I: infection, inflammation, impaction
P: pharmaceutical, plyuria, and psychological

Answer 18

Know

Question 19

____ incontinence occurs because of the presence of a treatable medical condition and resolves when the underlying illness is treated

Answer 19

Acute incontinence

Question 20

____ is an acute confusional state that is brought on by acute illness and that disrupts the psychological homeostasis in the older person

Answer 20

Delirium

Question 21

____ means a person is having no symptoms and if they do have symptoms they should be medicated

Answer 21

Colonized

Question 22

____ ___ May obstruct the bladder outlet and may cause overflow of urinary incontinence

Answer 22

Fecal impaction

Question 23

_____ ___ is also a common cause of incontinence in elderly

Answer 23

Restricted mobility

Question 24

____ incontinence is considered persistent if it continues after reversible causes that have been ruled out or treated usually happens after abdominal pressure is increased

Answer 24

Chronic

Question 25

____ incontinence is where a large amount of urine is lost and a person feels the urge to go but does not have time to make it to the bathroom

Answer 25

Urge

Question 26

____ incontinence is when small amounts of urine is released and there is a sudden increase in intraabdominal pressure by a cough, sneeze, laugh, or lifting and sometimes obesity

Answer 26

Stress

Question 27

____ incontinence is more common than women and often a result of poor pelvic muscle tone and a shorter urethra

Answer 27

Stress

Question 28

_____ incontinence is neurological and a person cannot empty completely- dribbling of urine

Answer 28

Overflow

Question 29

_____ incontinence is where a patient is unable or unwilling to attend toilet needs the bladder and urethra function normal bit cognitive and physical psychological and environmental impairments make it difficult

Answer 29

Functional

Question 30

Urge and functional incontinence are most common

Answer 30

Know

Question 31

_____ ____ is used for prevention or reversal of incontinence and begins with a schedule of every 2 hours and increased to every 3-4 hour time between voiding while awake. It teaches the incontinent patient to be aware of toileting needs and request assistance

Answer 31

Prompted voiding

Question 32

_____ voiding is involved with a schedule of toileting upon awakening, after meals, and at bedtime and if awake at night.

Answer 32

Prompted voiding

Question 33

_____ ____ is used to help with incontinence and requires a schedule that is every 2 to 4 hours on awakening after meals and mid morning mid after noon at bedtime and at night if awake.

Answer 33

Habit training

Question 34

Pelvic floor muscle exercises known as ____ exercises are used to alleviate stress incontinence

Answer 34

Kegel

Question 35

_______ ___ occurs over bony prominences such as sacrum, ischium, trochanters, heels, elbows, and back of head where there are an external pressure or friction such as the chair or bed

Answer 35

Pressure ulcers

Question 36

____ is the most important risk factor in the development of pressure ulcers

Answer 36

Immobility

Question 37

____ occurs when the head of the bed is elevated more than 30 degrees and the person slides forward to the foot of the bed

Answer 37

Shearing

Question 38

___ occurs when the skin is moved across the sheets such as when the person is being pulled up rather than lifted up in the bed

Answer 38

Friction

Question 39

___ is caused by the perspiration or incontinence can increase friction between the surface and the skin and can cause maceration

Answer 39

Moisture

Question 40

Physiological risk factors for pressure ulcers 1. Aging skin- decrease in thickness of cell layers of epidermis 2. Immobility - physical disability, loss of sensation, presence of pain, or use of drugs or anesthesia 3. Malnutrition- deficiency in zinc iron, vit C and protein affect the skin

Answer 40

Know

Question 41

Name deficiencies crucial for skin health

Answer 41

Zinc, Iron, vitamin C, and protein

Question 42

_____ syndrome is the appearance of exacerbation of symptoms of confusion associated with late afternoon or evening hours.

Answer 42

Sundown syndrome

Question 43

_____ (Loss of appetite) is a major cause of inadequate nutritional intake in older people. Poorly fitted dentures, lack of dentures, poly pharmacy altering taste

Answer 43

Anorexia

Question 44

_____ ____ is a medical condition in which breathing stops for 10 seconds or longer numerous times throughout the night and is more common than older people

Answer 44

Sleep apnea

Question 45

Central sleep apnea is caused by a defect in the CNS that effects the diaphragm, obstructive sleep apnea is caused by obstruction in the upper airway that impedes airflow

Answer 45

Know these

Question 46

____ disorders can be defined as disorders that a person acquired as a result of receiving treatment by a nurse or physician and occurs if a person does not receive treatment or receives the wrong treatment- includes immobility, incontinence, malnutrition, pressures ulcers and interference with sleep wake cycle

Answer 46

Iatrogenic disorders

Question 47

_____ _____ is the absence of identifiable disease

Answer 47

Mental health

Question 48

_____ is loss of memory in seconds

Answer 48

STM

Question 49

____ is a persons awareness to self

Answer 49

Orientation

Question 50

_____ is memory loss in minutes and beyond

Answer 50

LTM

Question 51

_____ describes interactions among family members that keep them dependent on each other

Answer 51

Enmeshment

Question 52

_____ ____ ___ is holistic caring

Answer 52

Watson’s Nsg model

Question 53

____ is where elderly has trouble calculating money and dates

Answer 53

Acalculia

Question 54

_____ _____ is where they have problems with comprehension

Answer 54

Receptive aphasia

Question 55

_____ ____ is where they may not be able to speak or is not comprehend-able

Answer 55

Expressive aphasia

Question 56

_____ or ____ ____ is where they cannot comprehend hearing or speaking

Answer 56

Total or global aphasia

Question 57

_____ ____ is where one is screaming or leaving the room and is pushed behind what they can do

Answer 57

Catastrophic reaction

Question 58

_____ is language impairments

Answer 58

Aphasia

Question 59

Identify three cognitive functions

Answer 59

Perceiving, thinking, and remembering

Question 60

_____ assessments are essential tools in identifying the mental health of older adults in all health care settings

Answer 60

Psychological

Question 61

Psychological assessments provide basis in determining psych illness or wellness of a person and determining how much of a return to normal individual can expect to achieve.

Answer 61

Know

Question 62

What is the first symptom of Alzheimer’s disease

Answer 62

The loss of STM

Question 63

Identify the only method for assessing the clients thought processes

Answer 63

Communication

Question 64

People with ____ are inattentive to their environment often preoccupied and self absorbed. A decline in STM is an important finding that deficits from this disorder

Answer 64

Depression

Question 65

____ is the level of consciousness

Answer 65

Awareness

Question 66

Three steps to memory process

Answer 66

1. Reception 2. Storage | 3. Retrieval

Question 67

_____ is a disorder that can affect the immune system. Leading to physical illness and infections. Less motivated for nutrition and hygiene typically have weak support systems

Answer 67

Depression

Question 68

When performing psychological assessment practice 1. Timing 2. Privacy 3. Elimination of interruptions 4. Positive introduction of assessment

Answer 68

Know

Question 69

What are these symptoms an example of 1. Confusion 2. Disorientation 3. Disturbance in sleep cycle 4. Dehydrated

Answer 69

Delirium

Question 70

When do you access a patient

Answer 70

On admission.

Question 71

Male or female are more likely to develop depression

Answer 71

Female

Question 72

Four levels of consciousness 1. Alert 2. Stuporous 3. delirious 4. Coma

Answer 72

Know

Question 73

Four settings where nursing care is provided

Answer 73

1. Adult day care services 2. Home care 3. Community based care 4. Hospice

Question 74

In this environment of care the LPN works under a RN and provide changing dressings, monitoring blood glucose, admin medications, accessing status of chronic diseases in an older adults home

Answer 74

Home care

Question 75

In this environment of care the LPN works in various compacities with acute ill patients Nd is paired with a RN and has specific tasks such as treatments or passing meds

Answer 75

Hospital care

Question 76

__________ is a facility that provides a high level of nursing intervention

Answer 76

Skilled nursing facilities

Question 77

_____ provides care to older people who may need assistance with ADLS but don’t require complex skilled intervention

Answer 77

Assisted living facilities

Question 78

Nursing process in order 5 steps

Answer 78

1. Assessment 2. Nursing diagnosis 3. Planning 4. Implementation 5, evaluation