Geri Test 5

Question 1

Grief is a normal reaction to a catastrophic loss.

Answer 1

Know

Question 2

Kubler Ross identified the five stages of death. Name them

Answer 2

Acceptance 
Depression 
Bargaining 
Anger
Denial

Question 3

What happens during denial?

Answer 3

A persons psyche has difficulty accepting it. Psyches way of protecting itself from the harsh bitter truth.

Question 4

What happens during anger

Answer 4

The psyche has developed the strength to face the situation. Anger should be encouraged in a person and supported as a healthy behavior when it occurs

Question 5

What happens during bargaining

Answer 5

Seen as something like prayers to a higher power stating that the person will donate a great deal of money to a charitable cause, will never sin, or will do good for others

Question 6

What happens during depression

Answer 6

Depression shows progress and the individual doesn’t accept the loss but they accept the fact nothing can change it

Question 7

What happens during acceptance

Answer 7

There’s a sense of relief

Question 8

__________ is the term used to describe care that is no longer Aimed at a cure or active treatment of a certain medical condition

Answer 8

Palliative care

Question 9

____ is a place of rest for the weary and ill travelers

Answer 9

Hospice

Question 10

_____ is a type of advanced directive that’s a legal document that allows individuals to share their opinions and wishes regarding their death

Answer 10

Living will

Question 11

The ___________ has the authority to make health care decisions if the individual loses ability to make decisions or communicate personal wishes

Answer 11

The health care proxy or POA

Question 12

What’s one of the last senses lost?

Answer 12

Hearing

Question 13

One clear sign of imminent death is _____ _____ and it’s also another term for agitated delirium

Answer 13

Terminal restlessness

Question 14

What are qualities of the nurse to be a provider of end of life care?

Answer 14

Tolerance and empathy
Sense of humor 
Communication 
Good listening skills 
Cultural accountability

Question 15

What nutrients help boost immune system?

Answer 15

Proteins and fluids are most important

Question 16

Measures to Maintaining a healthy immune system

Answer 16

Nutrition 
Lifestyle 
Chronic meds Management 
Prevention of Uti 
Prevention of URI
And healthy integumentary

Question 17

Three ways to prevent UTIs

Answer 17

Fluid
Proper hygiene
Regular elimination

Question 18

Signs and symptoms of skin infections

Answer 18

Redness, swelling, pain, lesions, discoloration

Question 19

People over 60 need which three vaccines

Answer 19

Flu
Shingles
PNA

Question 20

Lab they do to determine a food borne illness?

Answer 20

Stool culture

Question 21

What’s a myth of elderly at STD

Answer 21

A myth of aging is that older people cannot participate in enjoyable sexual activity

Question 22

West Nile virus is transmitted by?

Answer 22

Mosquitos

Question 23

What is a chronic illness that can cause an infection?

Answer 23

Diabetes

Question 24

What are environmental and hygiene efforts to reduce infection

Answer 24

Pets can be a source of infection that can transfer their disease to household members
(Animal waste)

Kitchens and bathrooms harbor infections

Question 25

Two common infections in elderly?

Answer 25

Respiratory and UTI

Question 26

Study of disease is called

Answer 26

Pathology

Question 27

Gradual onset, long duration, treatment is management not cure

Answer 27

Chronic conditions

Question 28

Fast onset, short duration, need immediate care

Answer 28

Acute condition

Question 29

If the stroke occurs on the left side what side will it affect

Answer 29

Right side

Question 30

A hemorrhage or a clot that moves causes a what

Answer 30

Stroke

Question 31

Inability of the heart to pump blood to meet metabolic needs of the body

Answer 31

CHF

Question 32

Brittle bones

Answer 32

Osteoporosis

Question 33

People restrict their activity and become less capable

Answer 33

Deconditioning/disuse order

Question 34

Clouding of the lens most common eye disorder

Answer 34

Cataracts

Question 35

____ ____ is only in elderly and destroys the point of maximum sight-the macula. Person loses central vision

Answer 35

Macular degeneration

Question 36

One of the leading causes of blindness and results from increased pressure in the eye that damages the optic nerve, treated with meds

Answer 36

Glaucoma

Question 37

Permanent brown discoloration

Answer 37

Hemosiderosis

Question 38

Chronic illnesses commonly found in older adults

Answer 38

``` Coronary artery disease CAD (MI, CHF) CHF HTN peripheral vascular disease Diabetes Kidney disease Arthritis ```

Question 39

Known as silent killer

Answer 39

HTN

Question 40

Three rationales to do ROS on elderly

Answer 40

Uncover symptoms that may be associated with current health problem Identify chronic conditions that may have persisted for years and learn how the person has managed those over time Some meds may be inappropriate if the person has problems with falling

Question 41

First sign of CAD is

Answer 41

A heart attack

Question 42

What is the leading cause of death and disability in older adults

Answer 42

Cardiovascular disease

Question 43

Common causes of CHF

Answer 43

``` HTN heartvalve calcifications MI Arrhythmias Thyroid disease Anemia CAD ```

Question 44

Atypical symptoms of MI

Answer 44

Dyspnea, dizziness, weakness, abrupt confusion, fatigue, and upper abdominal pain

Question 45

Common causes for CHF

Answer 45

``` HTN Heart valve calcification MI CAD arrhythmias Hypertrophy Thyroid disease Anemia ```

Question 46

Overagressive intravenous fluid replacement (too much to fast) and medications like beta blockers are common causes of

Answer 46

CHF

Question 47

Nursing interventions for treatment for CHF

Answer 47

Reduce workload on the heart and improve ability of heart to pump Digoxin is primary treatment

Question 48

Signs and symptoms of PVD

Answer 48

Skin ulcers resulting from Venus stasis Thinning, dryness, overgrowth of epidermis Treatment is to avoid infection Prevention of further trauma and interference with blood supply is the guide for nursing intervention

Question 49

Parkinson’s disease Slow movement, rigidity, unstable posture, and tremors at rest Treatment is medication Requires active involvement Goal: maintain persons function for as long as possible and support family as they manage the daily activity of the elderly person

Answer 49

Know

Question 50

Respiratory disease that are classified as COPD

Answer 50

Chronic bronchitis Asthma Emphysema

Question 51

Symptoms of COPD

Answer 51

Cough and SOB

Question 52

What’s the goal when working with a person with osteoporosis

Answer 52

Safety

Question 53

Risk factors for osteoporosis

Answer 53

Caucasian women are greatest at risk Asian women and women with small frames are at risk Women experience more rapid bone loss in their 50s than men A decrease in estrogen and testosterone

Question 54

Signs and symptoms of hypothyroidism

Answer 54

``` Fatigue, memory loss Slowing of thought process Dry skin Intolerance to cold Constipation Thinning of hair ``` Monitor respiratory and cardiac function Mistaken to be normal signs of aging

Question 55

What is a drug that is used to treat Parkinson’s

Answer 55

Seniment

Question 56

When is osteoarthritis the worse

Answer 56

Mornings

Question 57

Type 2 diabetes more commonly in elderly than type 1

Answer 57

Know

Question 58

What causes a CVA

Answer 58

Atherosclerosis Thrombosis Embolism Cerebral hemorrhage

Question 59

Study of medications

Answer 59

Pharmacology

Question 60

The use of meds to treat diseases. The benefit of a med (desired effect) is weighed against the unwanted and dangerous effects to measure the appropriate use of any med

Answer 60

Pharmacotherapeutics

Question 61

The effect of a specific medications at the sight of action. Pharmacokinetics, half life( protein binding disease processing and aging affect This

Answer 61

Pharmacodynamics

Question 62

The study of how a med moves into and through the body. Processes of absorption distribution and metabolism and excretion are affected by aging and diseases and influence this

Answer 62

Pharmacokinetics

Question 63

The time required for half the med to be excreted or inactivated by the body

Answer 63

Half life

Question 64

Unwanted effects or side effects of a medication

Answer 64

Adverse drug reactions

Question 65

The person takes less medications than prescribed to save pills or money if finances are a problem

Answer 65

Underuse

Question 66

___ May result from the belief that if one pill works well then two will work better.

Answer 66

Overuse

Question 67

____ use can apply if an older adult receives several drugs from many physicians, may have drugs filled at several pharmacies. At greater risk for drug interactions, allergic reactions

Answer 67

Contradicted use

Question 68

Taking a medication in a irregular pattern

Answer 68

Erratic use

Question 69

Using a medication incorrectly

Answer 69

Misuse

Question 70

Body rhythm and how they interact with meds

Answer 70

Chronopharmacology

Question 71

Primary drug abuse in the world

Answer 71

Alcohol

Question 72

Beers 7 steps to simplify medication

Answer 72

1. Discard anything expired 2. Use one drug store 3. do something other than meds to cure problem 4. coordinate administration times given by doctors on meds 5. decrease frequency by higher dose 6. decrease multiple meds for one problem 7. discontinue meds known to cause problems

Question 73

List drug problems of elderly

Answer 73

Antacid abuse Laxatives abuse Alcohol abuse

Question 74

Steps of pharmacokinetics and organs involved 1. Decreased absorption- GI tract 2. distribution- cardiovascular system 3. Metabolism 4. Excretion-kidneys

Answer 74

Know

Question 75

Problems in pharmacokinetics Decreased absorption-diArrhea or constipation Distribution- decreased parenchyma tissue and increased fat content. Delayed arrival of meds and decreased blood flow. Decreased plasma protein concentrations. Metabolism- decline in the body’s ability to transform active drugs into inactive drugs Excretion-the altered filtration and decreased plasma volume, dehydration. Slowed excretion, decreased respiratory and vital compacity

Answer 75

Know