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What is the age range for older adults?

65 and older

1

What is Erikson's stage for older adults?

Integrity vs. Despair

2

What are signs that Erikson's stage for older adults is successful?

Putting affairs in order, making peace, looking back and feeling resolved

3

What is the fastest growing population?

Nonwhite, 65 and older

4

What is the most important thing in maintaining the health of an older adult?

Motivation

5

Why don't older adults living at home get as many fruits or vegetables as those in nursing homes?

They don't know about government programs and don't have access to them

6

What should the nurse teach the older adult living at home?

That government assistance programs are available and how to utilize them

7

Incontinence due to physiological changes in older adults

Overflow and stress incontinence

8

Incontinence due to neurological problems in older adults

Urge Incontinence

9

Which type of incontinence occurs with laughter and sneezing?

Overflow

10

Which kind of incontinence occurs when there is an obstruction?

Neurological

11

If a patient is incontinent, what should the nurse be watchful of?

Hydration status and skin breakdown

12

When is dementia normal?

Never

13

How can dementia be assessed?

With a Mini-Mental exam at each doctor visit

14

On the Mini-Mental exam, what score indicate cognitive impairment?

Below 23

15

On the Mini-Mental exam, which score indicates that the patient is at risk for dementia?

Below 27

16

What is important to do before an older adult starts an exercise program?

Pre-exercise health evaluation

17

What sleep disorders are prevalent in older adults?

Nocturnal awakenings, shorter periods of sleep, decrease in slow-wave activity

18

What should nurses teach older adults about sex?

Condoms, STDs and AIDS still prevalent

19

What senses dull in older adults?

All of them

20

Which age group is suicide highest in?

Older Adults

21

What is the key factor of Integrity vs. Despair?

Ability to cope

22

What is the leading cause of morbidity/mortality in older adults?

Falls

23

How can adults regain the art of defensive driving?

Take classes

24

What are the requirement for hospice?

Less than six months to live and seeking palliative care

25

Who will Medicare or Medicaid provide hospice for?

Anyone over 65 who meets the requirements

26

What is the purpose of hospice?

Assist the patient in meeting end-of-life goals

27

What is the priority of a hospice patient?

Physical comfort

28

Use of sedation to provide relief of refractory and intolerable symptoms at the end of life when there is no other option for relief

Palliative Sedation

29

Patient's decision before time of death what heroic measures they do and do not want

Living Will

30

How can a nurse help the family cope with the patient's imminent death?

Education, information, preparation, participation in care giving if they want to

31

What is the purpose of hospice?

To provide the patient with a comfortable death and the family coaching on the dying process

32

What is grief coaching?

Communication, saying goodbye, providing resources

33

The ultimate intervention to ensure that the death goes well

Grieving

34

What are the leading causes of death in the US?

Heart disease, cancer, Lower respiratory distress, stroke, and accidents

35

To live and die according to one's own desires and beliefs

Death with Dignity

36

What is the role of the Advocate in forensic nursing?

Be there for the patient

37

Who should be in the room when the SANE nursing is collecting evidence?

Only the advocate and the patient

38

For patients who don't speak English, how should the interpreter be documented?

Include their name in your charting

39

What is the role of the SANE nurse?

Collect evidence at the crime scene, refer the patient for follow up care, and provide testimony in court

40

What kind of follow up care should the SANE nurse provide for victims of sexual violence?

Antibiotics

41

What should always be included in part of the documentation?

Forensic photography

42

What are the types of trace evidence of a sexual assault?

Hair, blood, skin under the nails, saliva, body fluids, clothing

43

What is the mot important part of clothing of the sexual assault victim?

Underwear

44

How should all sexual assault evidence be labeled?

Patient's name, date, nurse's initials and taped so it can't be tampered with

45

How long does a forensic kit collect take?

1 hour

46

A registered nurse who has specialized training to conduct medical forensic sexual assault evaluations

SANE

47

Specially trained volunteer who has completed a specialized Rape Crisis Center Training program to include crisis intervention, after care support, court system advocacy, community resources and protecting the patient's rights

Rape Advocacy

48

What types of tactics do rapists use?

"Stalking" their "prey", holding the victim across the neck, getting the victim drunk