PRELIM RLE

Question 1

Laws affecting Senior Citizens/Older Persons

Answer 1

(RA 7432; RA 9257; RA 9994)

Question 2

an approach that improves the quality of life of patients (adults and children) and their families who are facing problems associated with life-threatening illness

Answer 2

Palliative Care

Question 3

Ethico-Legal Considerations in the Care of Older Adults

Answer 3

Advance Directives/DNR
End-of-life care
Care of the Dying and the Dead
Spirituality among Older Persons
Ethical Dilemmas

Question 4

to motivate and encourage the senior citizens to contribute to nation building; to encourage their families and the communities they live with to reaffirm the valued Filipino tradition of caring for the senior citizens.

Answer 4

RA 7432

Question 5

AN ACT GRANTING ADDITIONAL BENEFITS AND PRIVILEGES TO SENIOR CITIZENS AMENDING FOR THE PURPOSE REPUBLIC ACT NO. 7432,

Answer 5

[REPUBLIC ACT NO. 9257]

Question 6

“Senior citizens who have the capacity and desire to work, or be re-employed, shall be provided information and matching services to enable them to be productive members of society.

Answer 6

RA 9994

Question 7

Responsibilities of Nurses in LTC

ADGCNM

Answer 7

Administrative & management
Direct care provider
Guardian of care/ advocacy
Care coordinator
Numerous other roles
MDS

Question 8

Activities of Daily Living (ADLs)

BDETT

Answer 8

Bathing
Dressing
Eating
Toileting
Transferring

Question 9

Average resident needs help with

Answer 9

4 ADLs)q

Question 10

Care of those persons requiring health care, personal care, social and supportive services over a sustained period of time”

Answer 10

Long- Term Care

Question 11

For individuals with the capacity for independent self-care

Answer 11

Preventive Services

Question 12

For individuals with partial limitations in self-care capacity. Therapeutic demands that require

occasional assistance, or both

Answer 12

Partial and intermittent care services

Question 13

For individuals with partial or total limitations in self-care capacity and therapeutic demands that require regular or occasional

Answer 13

Complete and continuous care services

Question 14

Services provided by communities

Answer 14

Preventive Services

Question 15

Services provided by communities and institutions

Answer 15

Partial and intermittent care services-

Question 16

Services provided by institutions

Answer 16

Complete and continuous care services

Question 17

5 Rights of Delegation for RNs

Answer 17

Right task
Right circumstances
Right person
Right Direction/Communication
Right supervision/ evaluation

Question 18

Disturbance in structure or function resulting from physiologic or psychologic abnormalities

Answer 18

Impairment

Question 19

Degree of observable and measureable impairment

Answer 19

Disability

Question 20

Nursing Diagnoses

Answer 20

Aspiration, risk for
Airway clearance, ineffective
Gas exchange, impaired
Cardiac output, decreased
Nutrition: less than body requirements

Question 21

the time course by which the body absorbs, distributes, metabolizes, and excretes drugs

Answer 21

Pharmacokinetics

Question 22

e time course and effect of drugs on cellular and organ function.

Answer 22

Pharmacodynamics

Question 23

Adverse reactions of:
Anticholinergics

Answer 23

Urinary retention

Question 24

Adverse reactions of:
B blockers, opioids

Answer 24

Bronchoconstriction, respiratory depression

Question 25

Adverse reactions of: Anticholinergics, opiod

Answer 25

Increased confusion, delirium

Question 26

Adverse reactions of: antihypertensive, corticosteroids

Answer 26

Precipitation or exacerbation of depression

Question 27

Adverse reactions of: corticosteriods

Answer 27

Hyperglycemia

Question 28

Adverse reactions of: NSAIDs

Answer 28

Increase bp

Question 29

Adverse reactions of: Digoxin

Answer 29

Cardiac arrhythmias

Question 30

Adverse reactions of: Oral hypoglycemics

Answer 30

Decrease sodium concent

Question 31

Adverse reactions of: Antipsychotics

Answer 31

Worsening movement disorder

Question 32

Defined as the prescription, administration, or use of more medications than are clinically indicated in a given patient.

Answer 32

Polypharmacy

Question 33

Nursing Intervention to Prevent Polypharmacy

Answer 33

Eliminate drugs with NO benefit or indication Avoiding the urge to treat a drug interaction with another drug

Question 34

Questions to Ask to Avoid Inappropriate Prescribing for Elderly Patients

Answer 34

reatment necessary?

Question 35

Four medications are commonly used in patients with symptoms of mild to moderate Alzheimer's dementia. CARE

Answer 35

Tacrine (Cognex) Donepezil (Aricept) Rivastigmine tartrate (Exelon) Galantamine (Reminyl)

Question 36

Medications for Osteoporosis

Answer 36

Antiresorptive- Anabolic, or bone-forming, agents.-

Question 37

slow the rate of bone remodeling, but cannot rebuild bone. Example: HRT

Answer 37

Antiresorptive-

Question 38

ncluded in this category are parathyroid hormone and fluoride

Answer 38

Anabolic, or bone-forming, agents.

Question 39

multidisciplinary approach and specialized medical care for people with serious illness.

Answer 39

Palliative care

Question 40

ntended to provide written expressions of a patient’s wishes regarding the use of medical treatments in the event of a terminal illness or condition.

Answer 40

Living wills or Designation of Health Care Agents

Question 41

specific order from a physician, entered on the physician order sheet, which instructs health care providers not to use or order specific methods of therapy, which are referred to as cardiopulmonary resuscitation (CPR)

Answer 41

Do not resuscitate (DNR)

Question 42

legal instrument by which a person may designate someone else to make health care decisions at a time in the future when he or she may be rendered incompetent.

Answer 42

Durable power of attorney for health care (DPAHC)

Question 43

deliberate administration of a medication in a dosage that will suppress respiration and cause death, or administering heavy doses of pain medications needed to comfort a terminally ill patient

Answer 43

euthanasia

Question 44

PHYSICAL CHANGES AFTER DEATH

Answer 44

Loss of skin elasticity Algor mortis Livor mortis Rigor mortis

Question 45

Nurse reminder: elevate head of the bed and a clean pillow placed under head before

Answer 45

beginning activity

Question 46

defined as the emotional process of coping with a loss

Answer 46

Grief

Question 47

emotional,cognitive, social, physical, behavioural and spiritual responses to loss and death

Answer 47

Normal grief: complex

Question 48

associated with the normal grief response before the loss actually occurs

Answer 48

Anticipatory grief:

Question 49

absence of evidence of grief when it ordinarily would be expected

Answer 49

Delayed or inhibited grief:

Question 50

grieving are exaggerated

Answer 50

Distorted (exaggerated) grief: symptoms associated with normal

Question 51

maintaining personal possessions aimed at keeping a lost loved one alive

Answer 51

Chronic or prolonged grief:

Question 52

when relationship to the deceased person is not socially sanctioned

Answer 52

Disenfranchised grief:

Question 53

when the lost person is physically present but not psychologically available,e.g-severe dementia

Answer 53

Ambiguous loss:

Question 54

prolonged or significantly difficult time moving forward after a loss

Answer 54

Complicated grief:

Question 55

disruptive behaviour due to loss and ineffective grief resolution

Answer 55

Masked grief

Question 56

FACTORS INFLUENCING GRIEF

Answer 56

Human development, Personal relationship, Nature of the loss, Coping strategies, Socioeconomic status, Culture and ethnicity, Spiritual and religious belief

Question 57

Intrusion of grief Breaking bonds/ties Grief work of restoration Denial/avoidance change

Answer 57

Loss oriented

Question 58

Attending to life changes Doing new things Distraction from grief Denial avoidance of grief New roles, identities/ relationships

Answer 58

Restoration oriented

Question 59

Requires that no harm be caused to an individual, either unintentionally or deliberately

Answer 59

Nonmaleficence

Question 60

This principle means "doing good" for others

Answer 60

Beneficence