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Geri Test 5 > Geri Test 5 > Flashcards

Geri Test 5 Flashcards

1
Q

Grief is a normal reaction to a catastrophic loss.

A

Know

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2
Q

Kubler Ross identified the five stages of death. Name them

A 
Acceptance 
Depression 
Bargaining 
Anger
Denial
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3
Q

What happens during denial?

A

A persons psyche has difficulty accepting it. Psyches way of protecting itself from the harsh bitter truth.

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4
Q

What happens during anger

A

The psyche has developed the strength to face the situation. Anger should be encouraged in a person and supported as a healthy behavior when it occurs

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5
Q

What happens during bargaining

A

Seen as something like prayers to a higher power stating that the person will donate a great deal of money to a charitable cause, will never sin, or will do good for others

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6
Q

What happens during depression

A

Depression shows progress and the individual doesn’t accept the loss but they accept the fact nothing can change it

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7
Q

What happens during acceptance

A

There’s a sense of relief

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8
Q

__________ is the term used to describe care that is no longer Aimed at a cure or active treatment of a certain medical condition

A

Palliative care

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9
Q

____ is a place of rest for the weary and ill travelers

A

Hospice

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10
Q

_____ is a type of advanced directive that’s a legal document that allows individuals to share their opinions and wishes regarding their death

A

Living will

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11
Q

The ___________ has the authority to make health care decisions if the individual loses ability to make decisions or communicate personal wishes

A

The health care proxy or POA

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12
Q

What’s one of the last senses lost?

A

Hearing

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13
Q

One clear sign of imminent death is _____ _____ and it’s also another term for agitated delirium

A

Terminal restlessness

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14
Q

What are qualities of the nurse to be a provider of end of life care?

A 
Tolerance and empathy
Sense of humor 
Communication 
Good listening skills 
Cultural accountability
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15
Q

What nutrients help boost immune system?

A

Proteins and fluids are most important

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16
Q

Measures to Maintaining a healthy immune system

A 
Nutrition 
Lifestyle 
Chronic meds Management 
Prevention of Uti 
Prevention of URI
And healthy integumentary
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17
Q

Three ways to prevent UTIs

A

Fluid
Proper hygiene
Regular elimination

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18
Q

Signs and symptoms of skin infections

A

Redness, swelling, pain, lesions, discoloration

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19
Q

People over 60 need which three vaccines

A

Flu
Shingles
PNA

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20
Q

Lab they do to determine a food borne illness?

A

Stool culture

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21
Q

What’s a myth of elderly at STD

A

A myth of aging is that older people cannot participate in enjoyable sexual activity

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22
Q

West Nile virus is transmitted by?

A

Mosquitos

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23
Q

What is a chronic illness that can cause an infection?

A

Diabetes

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24
Q

What are environmental and hygiene efforts to reduce infection

A

Pets can be a source of infection that can transfer their disease to household members
(Animal waste)

Kitchens and bathrooms harbor infections

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25
Q

Two common infections in elderly?

A

Respiratory and UTI

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26
Q

Study of disease is called

A

Pathology

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27
Q

Gradual onset, long duration, treatment is management not cure

A

Chronic conditions

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28
Q

Fast onset, short duration, need immediate care

A

Acute condition

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29
Q

If the stroke occurs on the left side what side will it affect

A

Right side

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30
Q

A hemorrhage or a clot that moves causes a what

A

Stroke

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31
Q

Inability of the heart to pump blood to meet metabolic needs of the body

A

CHF

32
Q

Brittle bones

A

Osteoporosis

33
Q

People restrict their activity and become less capable

A

Deconditioning/disuse order

34
Q

Clouding of the lens most common eye disorder

A

Cataracts

35
Q

____ ____ is only in elderly and destroys the point of maximum sight-the macula. Person loses central vision

A

Macular degeneration

36
Q

One of the leading causes of blindness and results from increased pressure in the eye that damages the optic nerve, treated with meds

A

Glaucoma

37
Q

Permanent brown discoloration

A

Hemosiderosis

38
Q

Chronic illnesses commonly found in older adults

A 
Coronary artery disease CAD
(MI, CHF)
CHF
HTN
peripheral vascular disease 
Diabetes
Kidney disease
Arthritis
39
Q

Known as silent killer

A

HTN

40
Q

Three rationales to do ROS on elderly

A

Uncover symptoms that may be associated with current health problem

Identify chronic conditions that may have persisted for years and learn how the person has managed those over time

Some meds may be inappropriate if the person has problems with falling

41
Q

First sign of CAD is

A

A heart attack

42
Q

What is the leading cause of death and disability in older adults

A

Cardiovascular disease

43
Q

Common causes of CHF

A 
HTN
heartvalve calcifications 
MI
Arrhythmias
Thyroid disease 
Anemia
CAD
44
Q

Atypical symptoms of MI

A

Dyspnea, dizziness, weakness, abrupt confusion, fatigue, and upper abdominal pain

45
Q

Common causes for CHF

A 
HTN
Heart valve calcification
MI
CAD
arrhythmias
Hypertrophy
Thyroid disease 
Anemia
46
Q

Overagressive intravenous fluid replacement (too much to fast) and medications like beta blockers are common causes of

A

CHF

47
Q

Nursing interventions for treatment for CHF

A

Reduce workload on the heart and improve ability of heart to pump

Digoxin is primary treatment

48
Q

Signs and symptoms of PVD

A

Skin ulcers resulting from Venus stasis

Thinning, dryness, overgrowth of epidermis

Treatment is to avoid infection
Prevention of further trauma and interference with blood supply is the guide for nursing intervention

49
Q

Parkinson’s disease
Slow movement, rigidity, unstable posture, and tremors at rest

Treatment is medication
Requires active involvement

Goal: maintain persons function for as long as possible and support family as they manage the daily activity of the elderly person

A

Know

50
Q

Respiratory disease that are classified as COPD

A

Chronic bronchitis
Asthma
Emphysema

51
Q

Symptoms of COPD

A

Cough and SOB

52
Q

What’s the goal when working with a person with osteoporosis

A

Safety

53
Q

Risk factors for osteoporosis

A

Caucasian women are greatest at risk
Asian women and women with small frames are at risk
Women experience more rapid bone loss in their 50s than men
A decrease in estrogen and testosterone

54
Q

Signs and symptoms of hypothyroidism

A 
Fatigue, memory loss
Slowing of thought process
Dry skin 
Intolerance to cold
Constipation
Thinning of hair

Monitor respiratory and cardiac function
Mistaken to be normal signs of aging

55
Q

What is a drug that is used to treat Parkinson’s

A

Seniment

56
Q

When is osteoarthritis the worse

A

Mornings

57
Q

Type 2 diabetes more commonly in elderly than type 1

A

Know

58
Q

What causes a CVA

A

Atherosclerosis
Thrombosis
Embolism
Cerebral hemorrhage

59
Q

Study of medications

A

Pharmacology

60
Q

The use of meds to treat diseases. The benefit of a med (desired effect) is weighed against the unwanted and dangerous effects to measure the appropriate use of any med

A

Pharmacotherapeutics

61
Q

The effect of a specific medications at the sight of action. Pharmacokinetics, half life( protein binding disease processing and aging affect This

A

Pharmacodynamics

62
Q

The study of how a med moves into and through the body. Processes of absorption distribution and metabolism and excretion are affected by aging and diseases and influence this

A

Pharmacokinetics

63
Q

The time required for half the med to be excreted or inactivated by the body

A

Half life

64
Q

Unwanted effects or side effects of a medication

A

Adverse drug reactions

65
Q

The person takes less medications than prescribed to save pills or money if finances are a problem

A

Underuse

66
Q

___ May result from the belief that if one pill works well then two will work better.

A

Overuse

67
Q

____ use can apply if an older adult receives several drugs from many physicians, may have drugs filled at several pharmacies. At greater risk for drug interactions, allergic reactions

A

Contradicted use

68
Q

Taking a medication in a irregular pattern

A

Erratic use

69
Q

Using a medication incorrectly

A

Misuse

70
Q

Body rhythm and how they interact with meds

A

Chronopharmacology

71
Q

Primary drug abuse in the world

A

Alcohol

72
Q

Beers 7 steps to simplify medication

A
  1. Discard anything expired
  2. Use one drug store
  3. do something other than meds to cure problem
  4. coordinate administration times given by doctors on meds
  5. decrease frequency by higher dose
  6. decrease multiple meds for one problem
  7. discontinue meds known to cause problems
73
Q

List drug problems of elderly

A

Antacid abuse
Laxatives abuse
Alcohol abuse

74
Q

Steps of pharmacokinetics and organs involved

  1. Decreased absorption- GI tract
  2. distribution- cardiovascular system
  3. Metabolism
  4. Excretion-kidneys
A

Know

75
Q

Problems in pharmacokinetics
Decreased absorption-diArrhea or constipation
Distribution- decreased parenchyma tissue and increased fat content. Delayed arrival of meds and decreased blood flow. Decreased plasma protein concentrations.
Metabolism- decline in the body’s ability to transform active drugs into inactive drugs
Excretion-the altered filtration and decreased plasma volume, dehydration. Slowed excretion, decreased respiratory and vital compacity

A

Know

Geri Test 5 (1 decks)

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