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maturing family > test 3 > Flashcards

test 3 Flashcards

1
Q

normal age related changes for respiratory

A

loss of elastic recoil bc of stiff,
can’t take big breath, atelectasis, diminish chest cavity, residual capacity increase

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2
Q

risk factors for COPD

A

smoking, pollution, age, hx of asthma, genetics, female

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3
Q

risk factors for asthma

A

smoke, seasonal allergies, asthma as a kid, genetics

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4
Q

dementia

A

neurocognitive disorder, slow onset, may have hallucinations, movement disorder

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5
Q

delirium

A

acute onset memory and cog. changes, medical emergency

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6
Q

alzheimers

A

memory loss, can’t get new info, depression, brain atrophy, AA at risk

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7
Q

parkinsons

A

asymmetrical resting tremor, challenge test with levodopa, decreased dopamine and NE, neuron loss, muscle rigidity- throat, and speaking

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8
Q

what causes delirium?

A

meds, procedures, restrains, events, sleep, depression, pain, environmental factors

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9
Q

how to communicate with someone experiencing delirium

A

know past patterns, nonverbal, slow and calm, explain and smile, reassure safety

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10
Q

most common autoimmune disorders in older adults

A

diabetes,

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11
Q

diabetes decreases what functions in older adults?

A

mobility, falls, cognitive, incontinence, muscle weakness, fatigue

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12
Q

how is diabetes monitored

A

A1C, blood glucose, polyuria, polyphagia, polydipsia

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13
Q

what meds are used for diabetes in older adults?

A

metformin

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14
Q

complications of diabetes

A

heart disease, incontinence, weight loss, delirium, lower extremity problems, hypoglycemia, organ damage

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15
Q

what cardio problems are diabetics at risk for

A

heart disease, heart attack, stroke, dementia

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16
Q

osteoporosis

A

most common bone disease, bone frailty, menopause women, DEXA scan

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17
Q

risk factors for osteoporosis

A

white women, small, prev, broken bone, genetics, estrogen def., calcium def.,

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18
Q

difference between OA, RA and gout

A

oa is unilateral, pain better after rest, ra is autoimmune, bilateral, stiffness after activity and gout is red pain uric acid

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19
Q

risk factors for OA

A

older age, obesity, female, previous injury, joint disformitiy, genetics

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20
Q

how to help during gout attacks

A

pain relief, nsaids, steroids

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21
Q

consequences of untreated pain

A

falls, functional impairment, slowed rehab, caregiver strain, sleep, anorexia,

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22
Q

how to assess pain in older adults

A

high comprehensive assessment, quantitative measures, same as reg

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23
Q

non-pharm methods used for pain

A

heat/cold, TENS, acupuncture, relaxation, use least invasive

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24
Q

potential factors in older adults that alter mental health

A

changes and illness, family, death of others, functional and sensory and memory impairment, pain, no driving, retirement, agism, mobility,

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25
Q

most common mental health disorder in older adults

A

depression

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26
Q

nursing interventions for anxiety in older adults

A

SSRIs, CBT, therapies, listening, encourage expressions, screen for other mental illness

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27
Q

risk factors for depression in older adults

A

chronic illness, disability, dementias, female, socioeconomic, family hx, prev. episodes, meds, substances, living alone, death of others

28
Q

what patients are at high risk for suicide

A

depression and other problems, death of spouse

29
Q

how many alcoholic drinks are appropriate for older adults

A

one glass of anything

30
Q

autonomy

A

independent decision making capacity

31
Q

beneficence

A

actions to benefit others

32
Q

nonmaleficence

A

no intentional harm, avoid/ minimize the risk of harm

33
Q

justice

A

people are to be treated equally and fair

34
Q

when is a durable power of attorney for health care utilized

A

when the patient is unable to make decisions for themselves

35
Q

living will vs advanced directives

A

living will- a type of advanced directive
AD- more comprehensive

36
Q

what older adults are at higher risk for maltreatment and abuse

A

cognitively impaired adult, physically impaired, women living alone

37
Q

what factors increasing the risk of mistreatment of older adults in the community

A

poor physical and mental impairment, women,

38
Q

what are the cues of physical abuse

A

bruising, any lacerations or broken bones, behavior changes, wounds in different stages of healing

39
Q

what are the cues of sexual abuse

A

blood, unexplained diseases, pain

40
Q

what are the cues of emotional abuse

A

change in behavior around caregiver, caregiver speaks mostly

41
Q

what are the cues of psychological abuse

A

same as emotional

42
Q

what are the cues of neglect

A

malnutrition, dehydration, unclean, urine smell, dirty clothing,

43
Q

what is required of nurses for suspected abuse

A

report!!!

44
Q

what predicts successful retirement in older adults

A

good income, living environment, support systems, and relationships,

45
Q

what are common reactions to death of a spouse in older adults

A

neglect to self, can’t share grief, loss of social

46
Q

what is the importance of friendship in older adults

A

support, promote health and wellbeing,

47
Q

what circumstances associated with caregiver stress

A

Responsibility, age, intensity, resources, financial, length of care

48
Q

how do nurses work with caregivers to create a partnership

A

monitoring, teaching, provide info, psychological support, coordinating

49
Q

the importance of touch

A

stronger than verbal or emotional

50
Q

what are the zones of touch

A

social, consent, vulnerable, intímate

51
Q

physical changes in sexual responses in older adults

A

female- decrease lubricaiton, less expansion,
male- slow erection, difficult regain erection, fewer contraction, decrease muscle

52
Q

how do older adults with chronic conditions have sex

A

when high energy, caution in heart pts, use lube, counciling

53
Q

how do nurses approach a patient masturbating

A

suggest privacy, cover up

54
Q

what nursing actions to older adults having sex in a nursing home

A

allow them in privacy, inform that its normal

55
Q

tips for best practice screening for sexually transmitted diseases among older adults

A

test for aids, regular screening, hiv

56
Q

hospice vs palliative care

A

hospice is for the dying with 6 months to live, palliative is to help with what they have to prolong life

57
Q

what factors affect grieving

A

coping strategies, ability to handle dying

58
Q

“good coper”

A

Acknowledge the loss and try to make sense of it, optimistic

59
Q

indicators of a good death

A

care received, communication, hope, closure

60
Q

what older adult is most likely to re-marry after a death quickly

A

men

61
Q

nursing skills needed for the practice of palliative or end of life care

A

communication, knowledge about symptoms and teach, comfort, deal with own feelings, advanced directives, legal challenges,

62
Q

self-actualization

A

highest expression of ones individual potential and implies inner motivation that has been freed to express the most unique self or the authentic person

63
Q

what are traits of older adults who meet self-actualization

A

courage, altruism, humor, self-renewal, collective self-actualization, wisdom, creativity, recreation

64
Q

what are some spiritual nursing actions

A

environment, touch, listening, encourage family, praying, meet religious needs, councilor

65
Q

some hope-promoting activities for older adults

A

sun, share, nature, journal, letters, music, relationships

66
Q

define a legacy and list examples of legacies

A

assets that are transferred to another and may be treasured as a symbol of immortality
ex.- histories, autobiography, videos, shared memories, art, music, organs, objects, talents, traditions

maturing family (3 decks)

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