NRSG 259

Question 1

Millers functional consequences theory of healthy ageing

Answer 1

Older adult
Nursing assessment:
1. age related changes
2. negative functional consequences
3. risk factors
nursing intervention --> wellness outcomes

Question 2

Millers functional consequences theory information

Answer 2

SUGGESTS that older adults experience NEGATIVE functional consequences because of 1. age related changes 3. risk factors

Question 3

Nurse care planning for older adults

Answer 3

Distinguish normal age-related changes

Question 4

Levett-Jones’ clinical reasoning cycle (5)

Answer 4

1. consider pt
2. collect/process information
3. identify/establish goals
4. action
5. evaluate/reflect

Question 5

Theories of ageing

Answer 5

1. Biological theories
2. Psychological theories
3. Sociological age theories

Question 6

Biological theories

Answer 6

Functioning capacity

• Error eg. Wear and tear
• Programmed eg. Immunological

Question 7

Sociological theories

Answer 7

Roles and age related behaviours

eg. Disengagement

Question 8

Psychological theories

Answer 8

Maslow’s hierarchy of needs

Question 9

Common health conditions for older Australians

Answer 9

Arthritis (50%)

Hypertension

Question 10

Leading cause of death for older adults

Answer 10

Ischaemic/coronary heart disease (atherosclerosis)

Question 11

Keys to healthy ageing (H P M) (H&M)

Answer 11

1. Health promotion
2. Preventing illness
3. Managing illness

Question 12

Keys to healthy ageing: 2. Preventing illness

Levels or prevention

Answer 12

Levels of prevention
Primary - risk factors/prevention
Secondary - reduce progression
Tertiary - minimise impact

Question 13

Define health promotion

Answer 13

Enabling people to increase control over and improve their health

Question 14

Pathophysiology of ageing

Answer 14

Musculoskeletal: Deterioration of cartilage = risk of osteoporosis
Gastrointestinal: Liver size reduced = decreased metabolism

Question 15

Alzhemiers vs Vascular dementia

Answer 15

Alzheimers:
Common, progressive, cortex shrinks
–> Beya-amyloid plaques AND neurofibrillary tangles
Vascular dementia:
Cognitive impairment from impaired floor to brain, sudden
–> Stroke AND atherosclerosis

Question 16

Paradigms of health care

Answer 16

Curative > Rehabilitative > Palliative

Question 17

Palliative care focus

Answer 17

Improve quality of life

Question 18

Most common cancers

Answer 18

Male: Prostate
Female: Breast
Both: Colorectal

Question 19

Risk factors

Answer 19

Biomedical (genetics)
Lifestyle
Environmental

Question 20

Cancer prevention

Answer 20

1 in 3 cancers are preventable

Question 21

Most common cancer deaths

Answer 21

Lung

Question 22

Define quality of life

Answer 22

Individuals perception of position in life

Broad concept measured as perceived health and wellbeing

Question 23

Liver cancer

Answer 23

Hepatocellular carcinoma

Question 24

Tumour

Answer 24

Neoplasm

Question 25

Cancer accuracy tests

Answer 25

Sensitivity: Tests accuracy in being positive (cancer) Specificity: Tests accuracy in being negative (no cancer)

Question 26

Carcinoma vs Neoplasm

Answer 26

``` Carcinoma = cancer Neoplasm = tumour (either benign or malignant) ```

Question 27

Stages of cancer

Answer 27

- Genetic mutation - Hyperplasia - Dysplasia - In situ cancer - Invasive cancer

Question 28

Primary vs secondary cancer

Answer 28

Primary: In initial site Secondary: Cancer metastasis to other organs

Question 29

Symptoms of terminal illness

Answer 29

Deterioration - disease progression | Terminal phase - bed bound

Question 30

Symptom management approach (ITT)

Answer 30

Integrated - multidimensional Targeted Tailored - circumstance based

Question 31

Types of pain

Answer 31

1. Nociceptive - nerve stimulation | 2. Neuropathic - damaged of abnormal nerves

Question 32

Define ageing

Answer 32

Changes and experiences adults encounter as they age

Question 33

What is a venous leg ulcer

Answer 33

Wound on leg due to abnormal veins

Question 34

Venous leg ulcer treatment

Answer 34

1. Clean 2. Debridement - remove dead tissue 3. Compression

Question 35

Types of dressings for wound ulcers

Answer 35

Passive dressing: Eg guaze | Interactive dressing: Eg Hydrocolloid

Question 36

Define ACAT

Answer 36

Multidisciplinary team that determines level of support required for QOL

Question 37

Commonwealth home support program (CHSP)

Answer 37

Home help with ADL's for older adults

Question 38

Home care package levels

Answer 38

4

Question 39

Nursing evaluation tool

Answer 39

Tool used to improve care of patient holistically

Question 40

Chronic obstructive pulmonary/airway disease

Answer 40

Airflow limitation due to abnormal inflammatory response of the lungs

Question 41

4 i's for geriatric giants

Answer 41

Immobility Incontinence Intellectual impairment Instability