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Geriatric Nursing (NCM 114) > PRELIM RLE > Flashcards

PRELIM RLE Flashcards

1
Q

Laws affecting Senior Citizens/Older Persons

A

(RA 7432; RA 9257; RA 9994)

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2
Q

an approach that improves the quality of life of patients (adults and children) and their families who are facing problems associated with life-threatening illness

A

Palliative Care

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3
Q

Ethico-Legal Considerations in the Care of Older Adults

A

Advance Directives/DNR
End-of-life care
Care of the Dying and the Dead
Spirituality among Older Persons
Ethical Dilemmas

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4
Q

to motivate and encourage the senior citizens to contribute to nation building; to encourage their families and the communities they live with to reaffirm the valued Filipino tradition of caring for the senior citizens.

A

RA 7432

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5
Q

AN ACT GRANTING ADDITIONAL BENEFITS AND PRIVILEGES TO SENIOR CITIZENS AMENDING FOR THE PURPOSE REPUBLIC ACT NO. 7432,

A

[REPUBLIC ACT NO. 9257]

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6
Q

“Senior citizens who have the capacity and desire to work, or be re-employed, shall be provided information and matching services to enable them to be productive members of society.

A

RA 9994

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7
Q

Responsibilities of Nurses in LTC

ADGCNM

A

Administrative & management
Direct care provider
Guardian of care/ advocacy
Care coordinator
Numerous other roles
MDS

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8
Q

Activities of Daily Living (ADLs)

BDETT

A

Bathing
Dressing
Eating
Toileting
Transferring

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9
Q

Average resident needs help with

A

4 ADLs)q

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10
Q

Care of those persons requiring health care, personal care, social and supportive services over a sustained period of time”

A

Long- Term Care

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11
Q

For individuals with the capacity for independent self-care

A

Preventive Services

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12
Q

For individuals with partial limitations in self-care capacity. Therapeutic demands that require

occasional assistance, or both

A

Partial and intermittent care services

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13
Q

For individuals with partial or total limitations in self-care capacity and therapeutic demands that require regular or occasional

A

Complete and continuous care services

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14
Q

Services provided by communities

A

Preventive Services

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15
Q

Services provided by communities and institutions

A

Partial and intermittent care services-

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16
Q

Services provided by institutions

A

Complete and continuous care services

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17
Q

5 Rights of Delegation for RNs

A

Right task
Right circumstances
Right person
Right Direction/Communication
Right supervision/ evaluation

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18
Q

Disturbance in structure or function resulting from physiologic or psychologic abnormalities

A

Impairment

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19
Q

Degree of observable and measureable impairment

A

Disability

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20
Q

Nursing Diagnoses

A

Aspiration, risk for
Airway clearance, ineffective
Gas exchange, impaired
Cardiac output, decreased
Nutrition: less than body requirements

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21
Q

the time course by which the body absorbs, distributes, metabolizes, and excretes drugs

A

Pharmacokinetics

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22
Q

e time course and effect of drugs on cellular and organ function.

A

Pharmacodynamics

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23
Q

Adverse reactions of:
Anticholinergics

A

Urinary retention

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24
Q

Adverse reactions of:
B blockers, opioids

A

Bronchoconstriction, respiratory depression

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25
Q

Adverse reactions of:
Anticholinergics, opiod

A

Increased confusion, delirium

26
Q

Adverse reactions of:
antihypertensive, corticosteroids

A

Precipitation or exacerbation of depression

27
Q

Adverse reactions of:
corticosteriods

A

Hyperglycemia

28
Q

Adverse reactions of:
NSAIDs

A

Increase bp

29
Q

Adverse reactions of:
Digoxin

A

Cardiac arrhythmias

30
Q

Adverse reactions of:
Oral hypoglycemics

A

Decrease sodium concent

31
Q

Adverse reactions of:
Antipsychotics

A

Worsening movement disorder

32
Q

Defined as the prescription, administration, or use of more medications than are clinically indicated in a given patient.

A

Polypharmacy

33
Q

Nursing Intervention to Prevent Polypharmacy

A

Eliminate drugs with NO benefit or indication
Avoiding the urge to treat a drug interaction with another drug

34
Q

Questions to Ask to Avoid Inappropriate Prescribing for Elderly Patients

A

reatment necessary?

35
Q

Four medications are commonly used in patients with symptoms of mild to moderate Alzheimer’s dementia.

CARE

A

Tacrine (Cognex)
Donepezil (Aricept)
Rivastigmine tartrate (Exelon)
Galantamine (Reminyl)

36
Q

Medications for Osteoporosis

A

Antiresorptive-
Anabolic, or bone-forming, agents.-

37
Q

slow the rate of bone remodeling, but cannot rebuild bone. Example: HRT

A

Antiresorptive-

38
Q

ncluded in this category are parathyroid hormone and fluoride

A

Anabolic, or bone-forming, agents.

39
Q

multidisciplinary approach and specialized medical care for people with serious illness.

A

Palliative care

40
Q

ntended to provide written expressions of a patient’s wishes regarding the use of medical treatments in the event of a terminal illness or condition.

A

Living wills or Designation of Health Care Agents

41
Q

specific order from a physician, entered on the physician order sheet, which instructs health care providers not to use or order specific methods of therapy, which are referred to as cardiopulmonary resuscitation (CPR)

A

Do not resuscitate (DNR)

42
Q

legal instrument by which a person may designate someone else to make health care decisions at a time in the future when he or she may be rendered incompetent.

A

Durable power of attorney for health care (DPAHC)

43
Q

deliberate administration of a medication in a dosage that will suppress respiration and cause death, or administering heavy doses of pain medications needed to comfort a terminally ill patient

A

euthanasia

44
Q

PHYSICAL CHANGES AFTER DEATH

A

Loss of skin elasticity
Algor mortis
Livor mortis
Rigor mortis

45
Q

Nurse reminder: elevate head of the bed and a clean pillow placed under head before

A

beginning activity

46
Q

defined as the emotional process of coping with a loss

A

Grief

47
Q

emotional,cognitive, social, physical, behavioural and spiritual responses to loss and death

A

Normal grief: complex

48
Q

associated with the normal grief response before the loss actually occurs

A

Anticipatory grief:

49
Q

absence of evidence of grief when it ordinarily would be expected

A

Delayed or inhibited grief:

50
Q

grieving are exaggerated

A

Distorted (exaggerated) grief: symptoms associated with normal

51
Q

maintaining personal possessions aimed at keeping a lost loved one alive

A

Chronic or prolonged grief:

52
Q

when relationship to the deceased person is not socially sanctioned

A

Disenfranchised grief:

53
Q

when the lost person is physically present but not psychologically available,e.g-severe dementia

A

Ambiguous loss:

54
Q

prolonged or significantly difficult time moving forward after a loss

A

Complicated grief:

55
Q

disruptive behaviour due to loss and ineffective grief resolution

A

Masked grief

56
Q

FACTORS INFLUENCING GRIEF

A

Human development,
Personal relationship,
Nature of the loss,
Coping strategies,
Socioeconomic status,
Culture and ethnicity,
Spiritual and religious belief

57
Q

Intrusion of grief
Breaking bonds/ties
Grief work of restoration
Denial/avoidance change

A

Loss oriented

58
Q

Attending to life changes
Doing new things
Distraction from grief
Denial avoidance of grief
New roles, identities/ relationships

A

Restoration oriented

59
Q

Requires that no harm be caused to an individual, either unintentionally or deliberately

A

Nonmaleficence

60
Q

This principle means “doing good” for others

A

Beneficence

Geriatric Nursing (NCM 114) (3 decks)

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