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NUR 257 MIDTERM EXAM - QUESTIONS AND ANSWERS
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NUR 257 MIDTERM EXAM - QUESTIONS AND ANSWERS
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NUR 257 MIDTERM EXAM - QUESTIONS AND ANSWERSWhat is an acute illness? Correct Ans - Dz that have a rapid onset &
short duration
Ex: Colds, flu, acute gastroenteritis
What is a chronic illness? Correct Ans - Dz that are prolonged, do
not resolve spontaneously, & are rarely cured
What are characteristics of acute illness? Correct Ans - Self-limiting
Responds readily to tx
Complications infrequent
After illness, clients can return to previous level of functioning
What are characteristics of chronic illness? Correct Ans -
Permanent impairments
Irreversible pathologic changes
Residual disability
Special rehab required
Need for long-term medical and/or nursing management
What do most chronic illnesses often lead to? Correct Ans - A loss
of independence
What is primary prevention of chronic illness? Correct Ans -
Measures that prevent the occurrence of a specific dz
Ex: Proper diet, exercise, and immunizations
What should you do before admitting an acutely ill pt? Correct Ans -
Always perform a physical assessment before interviewing the pt
What are common chronic conditions? Correct Ans - Alzheimer's
Dz
Vision & hearing deficits
Osteoporosis
Stroke
Parkinson's Dz
,Depression
What is the #1 barrier older adults do not seek professional care?
Correct Ans - Transportation
As a woman what do we less access to? Correct Ans - Women have
fewer access to financial resources than men
#sexist
What should you do to increase compliance in older adult populations?
Correct Ans - Refer the pt to social services for assessment of resources
is a priority to help increase compliance
What is unintentional weight loss? Correct Ans - Greater
than/equal to 10lbs in a year
You should ask the pt about dietary intake
What do we do to assess nutrition in older adults? Correct Ans -
SCALES
S- Sadness/mood change
C- Cholesterol (High)
A- Albumin (Low)
L- Loss or weight gain
E- Eating problems (impaired swallowing, poor dentition)
S- Shopping/food prep problems
When assessing for elder mistreatment/abuse what should you do?
Correct Ans - Question the pt about his/her living situation
What define Long-term care? Correct Ans - Rapid pt deterioration
or FUNCTION
The client MUST have an inability or difficulty doing ADL's long term
What is important when dealing w/ relocation stress syndrome?
Correct Ans - Use strategies such as involvement in decisions, pics,
, orientation by staff, or partnering w/ a seasoned resident buddy may be
helpful
Have staff write notes welcoming the pt to the facility
What is important when admitting someone to a long-term care facility?
Correct Ans - Involve the pt in this process
It is most helpful in assisting the pt to make this transition if you ask the
pts preference for the choice of the LTC facility
What is SPICES known as? Correct Ans - It is a model of a geriatric
assessment tool
*Tools such as these are used to gather the most complete assessment of an
older pt*
SPICES
S- Sleep Disorders
P- Probs w/ eating/feeding
I- Incontinence
C- Confusion
E- Evidence of falls
S- Skin Breakdown
What is an ex of health promotion in the older adult? Correct Ans -
Water aerobics
What do assistive devices help implement? Correct Ans - Help to
increase function
What is common in medication regimens for the older adult? Correct
Ans - Nonadherence to med regimens is common
*Use a marked pillbox to set up the pts meds*
What are common errors w/ med regimens of the older adult? Correct
Ans - Errors from admin of both brand and generic meds
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