NUR 330 Exam 2 Study Questions and
Correct Answers
Gratification ✅part of the Holistic Model; fulfilment of physiological needs and a sense
of being connected promotes well-being of the body, mind and spirit, that enables us to
experience this through achieving purpose, pleasure and dignity
Definition of health in relation to the holistic model ✅a state of wholeness, an
integration of body, mind and spirit to achieve the highest possible quality of life each
day
Components of self-care ✅first evaluate effectives in meeting needs related to health
promotion and health challenges, if pt is successful in fulfilling them, then no
interventions are necessary. If not, then nursing interventions are directed toward
empowering the individual by strengthening self-care capabilities, eliminating or
minimizing self-care limitations, and providing direct services by acting for, doing for, or
assisting the individual when requirements cannot be independently fulfilled.
Examples of self-care tasks ✅when individuals face new health challenges, such as
administering meds, observing for specific symptoms, and performing special tx, they
may struggle. Nurses job is to assess the impact of the health challenge on individual's
self-care capacity and identifying appropriate nursing interventions to ensure the needs
related to both health care promotion and the management of specific health
challenges- related needs that are present and the requisites- that need to be
addressed to strengthen self-care ability
Holistic care ✅pertains to the whole person; body, mind and spirit
Older adults may unnecessarily develop feelings of dependency, uselessness, and
powerlessness during times of illness and stress if they become passive recipients of
care. ✅true
The desire to take action is affected by the value a person sees in performing that
action, as well as the person's knowledge, attitudes, beliefs, and degree of motivation.
✅true
Coaching for individuals for completing self-care verses having a family member
complete the task ✅facilitates growth towards wholeness, maximization of quality of
life, and the provision of peace , comfort and dignity during the dying process
Dysphagia ✅difficulty swallowing due to difficulty moving food from the mouth to the
esophagus (transfer dysphagia), down the esophagus (transport dysphagia), or from the
esophagus into the stomach (delivery dysphagia)
, Which of the following factors are utilized to determine caloric intake for older adults
using the Harris-Benedict equation ? ✅Age, height, weight, and gender
One useful way to determine resting caloric needs that considers age, height, weight,
and gender is the Harris-Benedict equation, also called the resting energy expenditure.
Nearly all women are affected by some degree of osteoporosis by the time they reach
their seventh decade of life. ✅True
The risk of bone loss is increased by estrogen deficiency, obesity, inactivity, smoking,
and the excessive consumption of caffeine and alcohol. By the age of 70, most women
have some degree of osteoporosis.
Instructions for delayed GI emptying to eat his/her meals ✅don't use antacids or limit
food intake
-eat several smaller meals throughout the day, avoid or limit fried foods, eliminate
specific foods from diet, sitting in high fowler position while eating and for 30 minutes
following (helps increase the size of the abdomen and thoracic cavities which provides
more room for the stomach, and facilitates swallowing and digestion), and ensure
adequate fluid intake
Nutritional needs of older adults ✅•Dietary fat intake: <30% of calories
•Soluble fiber: lowers serum cholesterol and improves glucose tolerance
•Carbohydrates: reduction of intake
•Protein: 10% to 20% of calories
•Calcium: absorption ability decreases with age
•Fruits and vegetables: at least five servings daily
•Modified mypyramid for people over age 70
What causes food indigestion and food intolerance? ✅•Decreased stomach motility,
less gastric secretion, and slower emptying time
Dehydration: first nursing action ✅need reminders to drink: Urge the patient to drink
prescribed amount of fluid. Oral fluid replacement is indicated for mild fluid deficit and is
a cost-effective method for replacement treatment.
Dehydration signs and symptoms ✅inspect oral cavity: note dryness, lesions, condition
of tongue, bad breath, condition of teeth and dentures
Hydration needs for older adult ✅•Intracellular fluid lost results in decreased total body
fluid
•1,500 ml minimal required fluid intake
•Evaluate factors that may cause older adults to consume less fluid
•Risks of fluid restrictions
