Exam (elaborations)
GERI HESI EXAM Exam with complete solution.
- Course
- Institution
GERI HESI EXAM Exam with complete solution.
[Show more]
Seller
Follow
Content preview
10/18/24, 4:13 PMGERI HESI EXAM Exam with complete solution
Terms in this set (45)
The way the day of a cognitively impaired patient is structured is crucial in the plan
of care. The nurse should do the following:
• Develop a schedule that provides structure to the day because patients adapt
better when they have a predictable routine.
Scheduling Strategies for Elder Clients
• Focus on patient-centered activities.
• Develop singular activities because multiple activities overwhelm the patient. For
example, turn off the television while the patient is putting together a puzzle. •
Provide a group experience with one subject approached at a time. Too much
stimulation increases anxiety and may lead to agitation.
Findings include fatigue, apathy, confusion, lethargy, shivering, numbness, slurred
Early signs of Hypothermia in older adults
speech, impaired coordination, and possible coma
Peripheral vasoconstriction occurring with hypothermia may also lead to increases in
Hypothermia Urinary output kidney perfusion and a subsequent increase in urine output referred to as cold
diuresis.
1/13
, 10/18/24, 4:13 PM
History
• Personal or family history of renal disease
• Recent surgeries or illnesses (predisposing to renal dysfunction)
• Symptoms:
• Urine (e.g., frequency, color, amount, appearance)
• Nausea and vomiting
• Anorexia
• Weight loss
• Confusion
• Fatigue
• Pruritus
Assessment of older adult with Kidney • Edema
Disease • Medications (e.g., antibiotics, antineoplastics, and nonsteroidal antiinflammatory
drugs)
• Diet
• Current support systems
Physical Assessment
• Neurologic status: altered mental status and presence of asterixis
• Cardiopulmonary status: rales and pericardial rub
• Gastrointestinal status: nausea and vomiting, abdominal discomfort, and intolerance
to diet
• Musculoskeletal status
• Ophthalmoscopic examination and visual inspection
have multiple, recurrent, significant somatic symptoms with no evidence of a medical
explanation. They tend to have very high levels of worry about their illness,
appraising their bodily symptoms as unduly threatening and harmful. The
presumption exists that the physical symptoms are connected to psychological
factors or conflicts. These patients are not in control of their symptoms, which are
unconscious and involuntary. Patients express conflicts through bodily symptoms
(primarily pain) and complaints using the defense of somatization. They do not deal
Somatic Symptom Disorder
with their anxiety or feelings emotionally but displace the anxiety into bodily
symptoms. These patients repeatedly see general practitioners seeking medical
diagnosis and treatment even though they have been told that there is no known
physiologic or organic evidence to explain their symptoms or disability. Medical
interventions rarely alleviate the individual's concern. The overconcern of bodily
symptoms assumes a central role in the individual's life, impairing social and
occupational functioning
Erikson's eighth and final stage, integrity versus despair, begins with late adulthood,
when the person looks back over his or her lifetime and resolves any final identity
crisis. Accomplishments must be reconciled with failures and limitations for the
Integrity v. Despair
person to develop a sense of integrity. The finality of death must be accepted. A
person who fails to do so risks developing a sense of despair and regret over the
way his or her life has turned out.
2/13
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Denyss. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.79. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75759 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now