Quiz Four Flashcards
What is Erikson’s stage for older adults?
Integrity vs. Despair
What is the age range for older adults?
65 and older
What are signs that Erikson’s stage for older adults is successful?
Putting affairs in order, making peace, looking back and feeling resolved
What is the fastest growing population?
Nonwhite, 65 and older
What is the most important thing in maintaining the health of an older adult?
Motivation
Why don’t older adults living at home get as many fruits or vegetables as those in nursing homes?
They don’t know about government programs and don’t have access to them
What should the nurse teach the older adult living at home?
That government assistance programs are available and how to utilize them
Incontinence due to physiological changes in older adults
Overflow and stress incontinence
Incontinence due to neurological problems in older adults
Urge Incontinence
Which type of incontinence occurs with laughter and sneezing?
Overflow
Which kind of incontinence occurs when there is an obstruction?
Neurological
If a patient is incontinent, what should the nurse be watchful of?
Hydration status and skin breakdown
When is dementia normal?
Never
How can dementia be assessed?
With a Mini-Mental exam at each doctor visit
On the Mini-Mental exam, what score indicate cognitive impairment?
Below 23
On the Mini-Mental exam, which score indicates that the patient is at risk for dementia?
Below 27
What is important to do before an older adult starts an exercise program?
Pre-exercise health evaluation
What sleep disorders are prevalent in older adults?
Nocturnal awakenings, shorter periods of sleep, decrease in slow-wave activity
What should nurses teach older adults about sex?
Condoms, STDs and AIDS still prevalent
What senses dull in older adults?
All of them
Which age group is suicide highest in?
Older Adults
What is the key factor of Integrity vs. Despair?
Ability to cope
What is the leading cause of morbidity/mortality in older adults?
Falls
How can adults regain the art of defensive driving?
Take classes
What are the requirement for hospice?
Less than six months to live and seeking palliative care
Who will Medicare or Medicaid provide hospice for?
Anyone over 65 who meets the requirements
What is the purpose of hospice?
Assist the patient in meeting end-of-life goals
What is the priority of a hospice patient?
Physical comfort
Use of sedation to provide relief of refractory and intolerable symptoms at the end of life when there is no other option for relief
Palliative Sedation
Patient’s decision before time of death what heroic measures they do and do not want
Living Will
How can a nurse help the family cope with the patient’s imminent death?
Education, information, preparation, participation in care giving if they want to
What is the purpose of hospice?
To provide the patient with a comfortable death and the family coaching on the dying process
What is grief coaching?
Communication, saying goodbye, providing resources
The ultimate intervention to ensure that the death goes well
Grieving
What are the leading causes of death in the US?
Heart disease, cancer, Lower respiratory distress, stroke, and accidents
To live and die according to one’s own desires and beliefs
Death with Dignity
What is the role of the Advocate in forensic nursing?
Be there for the patient
Who should be in the room when the SANE nursing is collecting evidence?
Only the advocate and the patient
For patients who don’t speak English, how should the interpreter be documented?
Include their name in your charting
What is the role of the SANE nurse?
Collect evidence at the crime scene, refer the patient for follow up care, and provide testimony in court
What kind of follow up care should the SANE nurse provide for victims of sexual violence?
Antibiotics
What should always be included in part of the documentation?
Forensic photography
What are the types of trace evidence of a sexual assault?
Hair, blood, skin under the nails, saliva, body fluids, clothing
What is the mot important part of clothing of the sexual assault victim?
Underwear
How should all sexual assault evidence be labeled?
Patient’s name, date, nurse’s initials and taped so it can’t be tampered with
How long does a forensic kit collect take?
1 hour
A registered nurse who has specialized training to conduct medical forensic sexual assault evaluations
SANE
Specially trained volunteer who has completed a specialized Rape Crisis Center Training program to include crisis intervention, after care support, court system advocacy, community resources and protecting the patient’s rights
Rape Advocacy
What types of tactics do rapists use?
“Stalking” their “prey”, holding the victim across the neck, getting the victim drunk
