Exam 1 Flashcards

(48 cards)

1
Q

Which of the following scenarios will result in dramatic increase in certain population in the next 59 years

A. An increase in the ratio of older persons versus younger person
B. An increase in the ratio of children versus older person
C a decrease in the of older women versus older men
D an increase in the ratio of older women versus younger person

A

A. An increase in the ratio of older persons versus younger person

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Identify the key determinants of health

Unemployment and working conditions
Education and literacy
Income and social status
Personal health practices
Social environment

A

Education
Income
Personal health
Social environment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

T hi is born with the same decade and country May share a common historical context and are referred to as

A baby boomers
B cohort
C older persons
D centenarians

A

Older person

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Mr brown has been admitted to an acute care hospital. The nurse notices that he has a stooped appearance and hunches forward. What is the term given to theses change in the cervical vertebrae in the posture of older person

A. Lordosis
B sarcopenia
C kyphosis
D onychomycosis

A

C kyphosis - cervica vertebrae reduce bone desity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Age related in nervous system is paired with the correct associated risk in the older person

A proprioception- increase of risk of falling
B presbyopia- enhance vision
C myopia- decrease spatial orientation
D proprioception- risk of glaucoma

A

A proprioception- increase risk of falling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Refers to age related sensorineural hearing loss

A prosbycusis
B prebyopia
C probyopia
D presbycusis

A

D presbycusis - hearing loss

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Skin change occurs both ——- intrinsic and ——- extrinsic

A aging and physical
B genetic and environment
C hydration and environmental
D hero duty and ecological

A

B genetic and environmental

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Older person pose risk of infection

A decrease Esophageal motility
B more efficient immune system
C reduced cough response
D less effective cilia
E decrease appetite

A

Decrease esophageal
Reduce cough
Less effective cilia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Most common from sensorineural hearing loss

A otosclerosis
B cerumen
C presbycusis
D vertigo

A

C presbycusis - treated with cochlear implant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Major cause of vision impairment

A cataracts
B myopia
C presbycusis
D macular generation

A

A cataracts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

A 75 year old patient is in a palliative unit. The nurse ask “how are you feeling today” the patient replies “costly is floating . The nurse identifies in which neurological disorder

A brocade aphasia
B verbal apraxia
C nominal aphasia
D wernickes aphasia - difficulty understanding spoken language

A

D wernickes aphasia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Effective communication to implement with dementia patient

A ask open ended question
B ask task focused questions
Use active listening strategies
D provide object oriented communication

A

B ask task focused question

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

How can the nurse reminisce in an older person who is experiencing life transition

A listen actively
B change the topic and ask task focused
C discourage wavering topics
D give constructive criticism

A

A listen actively maintain Eye contact and encourage patient to continue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Identify appropriate group leadership skill that nurses can cultivate in group setting

A linking member
B dismissing group
C maintains group
D using task focused question

A

A linking members

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

The most appropriate statement of ann na patients life stories significant in managing care for older person

A patients life stories provide background
B patient life stories are critical source of info regarding diagnosis treatment and prognosis
C managing their emotional
Establish a major development task

A

B patient life stories is critical source of in for regarding diagnosis treatment and prognosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Major categories of impaired verbal communication that arise from neurological disturbance

A aphasia, dysphasia; dementia
B reception,perception, articulation

A

B reception, perception, articulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Strategies to use with an older person who has visual impairment

A

A,B,c

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Which form of ageism presents a barrier to effectively communicating with older person

A ethnocentrism
B elderspeak
C prejudice
D racism

A

B elderspeak

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Nurses have the responsibility to protect patient confidentiality at all times both —— and in the ——

A online and media
B verbally and non verbal
C at home and workplace
D in spoken communication and clinical record

A

D in spoken communication and clinical record

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

The RAI MDS is composed of several part which enable nurses to asses multiple key domains such as function—— social support —- and —-

A health and service use
B patient care and infection
Health and income
D patient care and service use

A

A health and service use

21
Q

The date obtain in RAI MDS becomes part of the ——-data base is used to better responds to the need of the ——

A international and staff
B national and residents
C local and volunteers
D national and staff

A

B national and residents

22
Q

When documentation initiated for a patient in health care setting

A docs is initiated when patient treatment and procedures
B initiated after the patient discharged
C initiated when patient is admitted
D initiated when the patient provided permission

A

C docs initiated when patient is admitted

23
Q

Which of the following correctly compare institution based versus person centred care
A intistuion centered culture focuses on schedule
B a person centered care environment
C institution centered care offer little opportunity
D the staff at institution

A

C institution centered care offer little opportunity

24
Q

Which of the following represent types of adult days centre models

A physical
B social
C specialized services
D medical health
E environmental

A

B social
C specialized services
D medical health

25
Which of the following model serve as an example of philosophies and programs of culture change for Ltc homes A the home model B the eden alternative C the wellspring model D the utopia model E the evolution model
B the eden alternative C the wellspring model
26
Example of Canadian integrated care models includes which of the following A sipa B iccm C prisma D imoa E choice
A sipa C prisma E choice
27
E hi ch of the following can be identified as a goal of home care A assist people in remaking as independent as possible B provide informal family caregivers C allows family to cope D help people maintain and improve their health E help people to stay or return home
A,b,d,e
28
The naturalistic or holistic health belief system is based on which concept A the concept of heat B the concept of balance C the concept of herbal remedies D the concept of physical exercise
B The concept balance
29
Which of the following term defined as the application of limited knowledge about one perso with specific characteristics to other person with the same characteristics A ageism B stereotyping C racism D ethnocentrism
Stereotyping - limited knowledge
30
Which of the following terms relates to what the nurse brings to the caring situation and learns about older person and their families communities behaviour and expectation A cultural values B cultural awareness C cultural skills D cultural knowledge
D cultural knowledge
31
In the western of biomedical belief system —— of thought to be the result of abnormalities in the structure of body organs and systems often caused by an invasion of —— A cancer. And neoplasticism cells B desease and germs C genetic and germs D cancer and bacteria
B disease and germs
32
Which of the following people plays a key role in ensuring that patients have optimal outcomes during transition of care A social worker B physician C pharmacis D nurses
Nurses
33
Which of the following statements correctly describes the characteristics of a long term care home A only staff has rights which are posted inconspicuously on the facility B Ltd homes are highly regulated and resident fo not have any right C facilities are inspected regularly on an unannounced basis
C facilities are inspected regularly on an announced basis
34
Variables effects depending on the individuals personality health cognitive capacities sense of control and opportunities for choice self esteem and preferred lifestyle A coping B relocation C dyind stress
Relocation
35
—— is defined as continuing to live in one home not having to move to received service as one’s need change A ltc B home care service C aging in place D stagnant aging
C aging in place
36
A newly graduated nurse is working in an acute care setting he notices that his nex door neighbour has just been admitted to his unit for post surgical care the nurse who’s he’s to know the intake status of his neighbour what should the nurse do A quick open the patient chart B wait until he assigned to the patient and keep the information confidential
B waits until he assigned to the patient and keep information confidential
37
Which of the following statement explain the purpose of a clinical assessment protocols A provided continuity care B guides comprehensive care C used for documenting D guides service planning
A CAP provides, guides, used, guides service
38
This task is necessary to maintain one’s health and basic personal needs A activities of daily living B instrumental activities C resident assessment
A activities daily living ADL
39
This task is necessary to maintain one’s home and independent living A activities daily living B instrumental activities daily living C Resident assessment
B instrumental activities daily living
40
The smallest number of standardized data set can be collected essential and core data of patients receiving nursing care A minimum data set B resident assessment instrument
A minimum data set MDS
41
Standardized approach to examining quality of care and to improving regulation A MDS B RAI C ADL
B RAI
42
Kyphosis - cervical vertebrae Presbycussis- hearing loss Presbyopia- reduced near vision Xerostomia - a very dry mouth
43
Jungs theories - theories of personality extrovert and introvert Erickson - predetermined order of development Havighurts- middle age and maturity Peck - expanded original work of Erickson
44
Disengagement theory - mutual separation - retirement Continuity theory - external continuity Social theory - withdrawal or social isolation Age stratification - baby boomers or families are partly organized by age Modernization - contributions of elder and older people themselves Symbolic interaction - interaction between environment and the individual that attributes to activities
45
Spirituality - more broader and more personal than religious needs Nurses - must be knowledgeable and respectful of the rites and rituals of various religious and beliefs
46
Aphasia - difficulty understand both spoken and written Dysarthria - damage to peripheral or central nervous system Elderspeak - difficulty comprehending what is said to them Life review - unresolved conflicts
47
Wernicke’s - receptive many words but content doesn’t make sense Brocas - express speaks slowly with few words Anomic- difficulty finding words Global - cannot understand words of speak intelligibly
48
Facilitation strategies - used to help express thoughts and feelings - used broad openings,share self, allow person to chose subject to discuss Comprehension - assist with understanding communication. - identify time of condfusion - recognize themselves Supportive - encourage continued communication - be patient - know older adults life history