Quiz Four Flashcards

0
Q

What is Erikson’s stage for older adults?

A

Integrity vs. Despair

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1
Q

What is the age range for older adults?

A

65 and older

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2
Q

What are signs that Erikson’s stage for older adults is successful?

A

Putting affairs in order, making peace, looking back and feeling resolved

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3
Q

What is the fastest growing population?

A

Nonwhite, 65 and older

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4
Q

What is the most important thing in maintaining the health of an older adult?

A

Motivation

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5
Q

Why don’t older adults living at home get as many fruits or vegetables as those in nursing homes?

A

They don’t know about government programs and don’t have access to them

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6
Q

What should the nurse teach the older adult living at home?

A

That government assistance programs are available and how to utilize them

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7
Q

Incontinence due to physiological changes in older adults

A

Overflow and stress incontinence

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8
Q

Incontinence due to neurological problems in older adults

A

Urge Incontinence

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9
Q

Which type of incontinence occurs with laughter and sneezing?

A

Overflow

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10
Q

Which kind of incontinence occurs when there is an obstruction?

A

Neurological

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11
Q

If a patient is incontinent, what should the nurse be watchful of?

A

Hydration status and skin breakdown

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12
Q

When is dementia normal?

A

Never

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13
Q

How can dementia be assessed?

A

With a Mini-Mental exam at each doctor visit

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14
Q

On the Mini-Mental exam, what score indicate cognitive impairment?

A

Below 23

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15
Q

On the Mini-Mental exam, which score indicates that the patient is at risk for dementia?

A

Below 27

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16
Q

What is important to do before an older adult starts an exercise program?

A

Pre-exercise health evaluation

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17
Q

What sleep disorders are prevalent in older adults?

A

Nocturnal awakenings, shorter periods of sleep, decrease in slow-wave activity

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18
Q

What should nurses teach older adults about sex?

A

Condoms, STDs and AIDS still prevalent

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19
Q

What senses dull in older adults?

A

All of them

20
Q

Which age group is suicide highest in?

A

Older Adults

21
Q

What is the key factor of Integrity vs. Despair?

A

Ability to cope

22
Q

What is the leading cause of morbidity/mortality in older adults?

A

Falls

23
Q

How can adults regain the art of defensive driving?

A

Take classes

24
Q

What are the requirement for hospice?

A

Less than six months to live and seeking palliative care

25
Q

Who will Medicare or Medicaid provide hospice for?

A

Anyone over 65 who meets the requirements

26
Q

What is the purpose of hospice?

A

Assist the patient in meeting end-of-life goals

27
Q

What is the priority of a hospice patient?

A

Physical comfort

28
Q

Use of sedation to provide relief of refractory and intolerable symptoms at the end of life when there is no other option for relief

A

Palliative Sedation

29
Q

Patient’s decision before time of death what heroic measures they do and do not want

A

Living Will

30
Q

How can a nurse help the family cope with the patient’s imminent death?

A

Education, information, preparation, participation in care giving if they want to

31
Q

What is the purpose of hospice?

A

To provide the patient with a comfortable death and the family coaching on the dying process

32
Q

What is grief coaching?

A

Communication, saying goodbye, providing resources

33
Q

The ultimate intervention to ensure that the death goes well

A

Grieving

34
Q

What are the leading causes of death in the US?

A

Heart disease, cancer, Lower respiratory distress, stroke, and accidents

35
Q

To live and die according to one’s own desires and beliefs

A

Death with Dignity

36
Q

What is the role of the Advocate in forensic nursing?

A

Be there for the patient

37
Q

Who should be in the room when the SANE nursing is collecting evidence?

A

Only the advocate and the patient

38
Q

For patients who don’t speak English, how should the interpreter be documented?

A

Include their name in your charting

39
Q

What is the role of the SANE nurse?

A

Collect evidence at the crime scene, refer the patient for follow up care, and provide testimony in court

40
Q

What kind of follow up care should the SANE nurse provide for victims of sexual violence?

A

Antibiotics

41
Q

What should always be included in part of the documentation?

A

Forensic photography

42
Q

What are the types of trace evidence of a sexual assault?

A

Hair, blood, skin under the nails, saliva, body fluids, clothing

43
Q

What is the mot important part of clothing of the sexual assault victim?

A

Underwear

44
Q

How should all sexual assault evidence be labeled?

A

Patient’s name, date, nurse’s initials and taped so it can’t be tampered with

45
Q

How long does a forensic kit collect take?

A

1 hour

46
Q

A registered nurse who has specialized training to conduct medical forensic sexual assault evaluations

A

SANE

47
Q

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

A

Rape Advocacy

48
Q

What types of tactics do rapists use?

A

“Stalking” their “prey”, holding the victim across the neck, getting the victim drunk