Quiz Four

Question 0

What is Erikson’s stage for older adults?

Answer 0

Integrity vs. Despair

Question 1

What is the age range for older adults?

Answer 1

65 and older

Question 2

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

Answer 2

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

Question 3

What is the fastest growing population?

Answer 3

Nonwhite, 65 and older

Question 4

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

Answer 4

Motivation

Question 5

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

Answer 5

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

Question 6

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

Answer 6

That government assistance programs are available and how to utilize them

Question 7

Incontinence due to physiological changes in older adults

Answer 7

Overflow and stress incontinence

Question 8

Incontinence due to neurological problems in older adults

Answer 8

Urge Incontinence

Question 9

Which type of incontinence occurs with laughter and sneezing?

Answer 9

Overflow

Question 10

Which kind of incontinence occurs when there is an obstruction?

Answer 10

Neurological

Question 11

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

Answer 11

Hydration status and skin breakdown

Question 12

When is dementia normal?

Answer 12

Never

Question 13

How can dementia be assessed?

Answer 13

With a Mini-Mental exam at each doctor visit

Question 14

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

Answer 14

Below 23

Question 15

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

Answer 15

Below 27

Question 16

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

Answer 16

Pre-exercise health evaluation

Question 17

What sleep disorders are prevalent in older adults?

Answer 17

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

Question 18

What should nurses teach older adults about sex?

Answer 18

Condoms, STDs and AIDS still prevalent

Question 19

What senses dull in older adults?

Answer 19

All of them

Question 20

Which age group is suicide highest in?

Answer 20

Older Adults

Question 21

What is the key factor of Integrity vs. Despair?

Answer 21

Ability to cope

Question 22

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

Answer 22

Falls

Question 23

How can adults regain the art of defensive driving?

Answer 23

Take classes

Question 24

What are the requirement for hospice?

Answer 24

Less than six months to live and seeking palliative care

Question 25

Who will Medicare or Medicaid provide hospice for?

Answer 25

Anyone over 65 who meets the requirements

Question 26

What is the purpose of hospice?

Answer 26

Assist the patient in meeting end-of-life goals

Question 27

What is the priority of a hospice patient?

Answer 27

Physical comfort

Question 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

Answer 28

Palliative Sedation

Question 29

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

Answer 29

Living Will

Question 30

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

Answer 30

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

Question 31

What is the purpose of hospice?

Answer 31

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

Question 32

What is grief coaching?

Answer 32

Communication, saying goodbye, providing resources

Question 33

The ultimate intervention to ensure that the death goes well

Answer 33

Grieving

Question 34

What are the leading causes of death in the US?

Answer 34

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

Question 35

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

Answer 35

Death with Dignity

Question 36

What is the role of the Advocate in forensic nursing?

Answer 36

Be there for the patient

Question 37

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

Answer 37

Only the advocate and the patient

Question 38

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

Answer 38

Include their name in your charting

Question 39

What is the role of the SANE nurse?

Answer 39

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

Question 40

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

Answer 40

Antibiotics

Question 41

What should always be included in part of the documentation?

Answer 41

Forensic photography

Question 42

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

Answer 42

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

Question 43

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

Answer 43

Underwear

Question 44

How should all sexual assault evidence be labeled?

Answer 44

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

Question 45

How long does a forensic kit collect take?

Answer 45

1 hour

Question 46

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

Answer 46

SANE

Question 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

Answer 47

Rape Advocacy

Question 48

What types of tactics do rapists use?

Answer 48

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