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Geriatrics Ch 4-18 > Geri > Flashcards

Geri Flashcards

1
Q

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

A

MDS

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2
Q

_____ is your very first step in environmental management

A

Assessment

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3
Q

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

A

Climate of care

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4
Q

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

A

Katz scale

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5
Q

Lost the nursing process steps

1-5

A
  1. Assessment
  2. Nursing diagnosis
  3. Planning
  4. Implementation
  5. Evaluation
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6
Q

____ ___ is a patients problems and potential problems reported

A

Nursing diagnosis

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7
Q

The _____ ____ is the way we approach patients care

A

Nursing process

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8
Q

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

A

Relocation trauma

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9
Q

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

A
  1. Is the environment clean and free of odor?

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

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10
Q

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

A

Know

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11
Q

_____ ____ is the most valid indicator in accessing ADLS

A

Direct observation

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12
Q

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

A

Know

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13
Q

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

A

Braden

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14
Q

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

A

Immobility

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15
Q

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

A

Yes

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16
Q

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

A

Disuse osteoporosis

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17
Q

Two categories for risk factors for falls in elderly are

A

Posture and balance and vision

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18
Q

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

A

Know

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19
Q

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

A

Acute incontinence

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20
Q

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

A

Delirium

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21
Q

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

A

Colonized

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22
Q

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

A

Fecal impaction

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23
Q

_____ ___ is also a common cause of incontinence in elderly

A

Restricted mobility

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24
Q

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

A

Chronic

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25
Q

____ 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

A

Urge

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26
Q

____ 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

A

Stress

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27
Q

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

A

Stress

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28
Q

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

A

Overflow

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29
Q

_____ 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

A

Functional

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30
Q

Urge and functional incontinence are most common

A

Know

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31
Q

_____ ____ 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

A

Prompted voiding

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32
Q

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

A

Prompted voiding

33
Q

_____ ____ 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.

A

Habit training

34
Q

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

A

Kegel

35
Q

_______ ___ 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

A

Pressure ulcers

36
Q

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

A

Immobility

37
Q

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

A

Shearing

38
Q

___ 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

A

Friction

39
Q

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

A

Moisture

40
Q

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
A

Know

41
Q

Name deficiencies crucial for skin health

A

Zinc, Iron, vitamin C, and protein

42
Q

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

A

Sundown syndrome

43
Q

_____ (Loss of appetite) is a major cause of inadequate nutritional intake in older people.

Poorly fitted dentures, lack of dentures, poly pharmacy altering taste

A

Anorexia

44
Q

_____ ____ 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

A

Sleep apnea

45
Q

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

A

Know these

46
Q

____ 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

A

Iatrogenic disorders

47
Q

_____ _____ is the absence of identifiable disease

A

Mental health

48
Q

_____ is loss of memory in seconds

A

STM

49
Q

____ is a persons awareness to self

A

Orientation

50
Q

_____ is memory loss in minutes and beyond

A

LTM

51
Q

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

A

Enmeshment

52
Q

_____ ____ ___ is holistic caring

A

Watson’s Nsg model

53
Q

____ is where elderly has trouble calculating money and dates

A

Acalculia

54
Q

_____ _____ is where they have problems with comprehension

A

Receptive aphasia

55
Q

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

A

Expressive aphasia

56
Q

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

A

Total or global aphasia

57
Q

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

A

Catastrophic reaction

58
Q

_____ is language impairments

A

Aphasia

59
Q

Identify three cognitive functions

A

Perceiving, thinking, and remembering

60
Q

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

A

Psychological

61
Q

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.

A

Know

62
Q

What is the first symptom of Alzheimer’s disease

A

The loss of STM

63
Q

Identify the only method for assessing the clients thought processes

A

Communication

64
Q

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

A

Depression

65
Q

____ is the level of consciousness

A

Awareness

66
Q

Three steps to memory process

A
  1. Reception 2. Storage

3. Retrieval

67
Q

_____ 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

A

Depression

68
Q

When performing psychological assessment practice

  1. Timing
  2. Privacy
  3. Elimination of interruptions
  4. Positive introduction of assessment
A

Know

69
Q

What are these symptoms an example of

  1. Confusion
  2. Disorientation
  3. Disturbance in sleep cycle
  4. Dehydrated
A

Delirium

70
Q

When do you access a patient

A

On admission.

71
Q

Male or female are more likely to develop depression

A

Female

72
Q

Four levels of consciousness

  1. Alert
  2. Stuporous
  3. delirious
  4. Coma
A

Know

73
Q

Four settings where nursing care is provided

A
  1. Adult day care services
  2. Home care
  3. Community based care
  4. Hospice
74
Q

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

A

Home care

75
Q

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

A

Hospital care

76
Q

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

A

Skilled nursing facilities

77
Q

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

A

Assisted living facilities

78
Q

Nursing process in order 5 steps

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

Geriatrics Ch 4-18 (1 decks)

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