Term
| The nurse is aware that in the first stage of the general adaption syndrome (GAS), the body responds by: |
|
Definition
| constriction of the peripheral blood vessels. |
|
|
Term
| Patient comes into the ER who has been in an automobile accident they are breathing rapidly and complaining of tingling in their hands. What are they doing? |
|
Definition
|
|
Term
| A student waiting for a final exam develops nausea and excessive gas. What is happening? |
|
Definition
|
|
Term
| Someone complains that they need to go urinate about every 5 minutes but they only dribble. What are they having? |
|
Definition
|
|
Term
| Cognitive Signs. Mild stress results in: |
|
Definition
| Increased state of alertness or excessive alert. |
|
|
Term
The physiologic responses are effective the body enters stage of resistance during which it returns to normal function.
6. If the responses are not effective, what happens? |
|
Definition
| the body depletes its energy reserves and enters the stage of exhaustion |
|
|
Term
| When it returns to normal, it reaches the stage of what? |
|
Definition
|
|
Term
| A little person is admitted to your nursing home exhibits disorganization and: |
|
Definition
| comes to breakfast partially dressed. |
|
|
Term
| 9. You are aware that physical illness increases stress in many older adults because |
|
Definition
| A: physical illness takes away energy to cope with new stressors. |
|
|
Term
| A long term care facility nurse is assessing a new admit who has become very active in the facility, goes to every activity, carefully makes her own bed, does jigsaw puzzles, and chats with table mates at meal time. This resident is using the defense mechanism of: |
|
Definition
|
|
Term
| 11. You explain that problem-focused coping strategies are based on the ability to: |
|
Definition
| A: eliminate the cause of stress. |
|
|
Term
| A timid newly admitted 84 year old stays in their room listening to a radio playing loud jazz lays in bed fully clothed. To help her reduce her stress related to relocation, the nurse should: |
|
Definition
| A: encourage verbalization. |
|
|
Term
As stress increases a person will experience:
. |
|
Definition
| A: decreased problem solving ability |
|
|
Term
| The nurse is aware that depression is a common symptom in older adults admitted to long term care because: |
|
Definition
| A: many residents believe that they have lost control of their lives and their usual coping skills have been overwhelmed. |
|
|
Term
| 15. A newly admitted male resident is brought into the care planning session so that he can have the benefit of: |
|
Definition
| A: maintaining some degree of the control of his character. |
|
|
Term
| according to the general adaptation syndrome (GAS), if coping skills do not resolve in the initial alarm response the body becomes depleted of its reserve and: |
|
Definition
| A: enters the stage of exhaustion. |
|
|
Term
| 17. What are the 2 things of the general adaptation syndrome? |
|
Definition
| A: resistance and exhaustion |
|
|
Term
| 18. At what age does a person’s value system establish? |
|
Definition
|
|
Term
| The culture sensitive nurse is aware that in caring for a patient with different values systems, the nurse should: |
|
Definition
| A: open-minded, non-judgmental |
|
|
Term
| 20. When checking the diet tray the nurse identifies a menu choice that would be culturally inappropriate for a Muslim patient. What would that be? |
|
Definition
| A: pork and its derivatives |
|
|
Term
| A home health nurse caring for an 85 year old Hispanic woman anticipates that the patient will want to seek health advice from: |
|
Definition
| A: remedios (folk remedies) [folk healer] |
|
|
Term
| 22. Included in Native American’s spirituals is that: |
|
Definition
| A: all things have a spirit. |
|
|
Term
| The home health nurse is aware that the conservative economical values of the 85 year old believe the older adults to: |
|
Definition
| A: hoard old prescriptions. |
|
|
Term
| As a nurse you would be aware that basic spiritual beliefs, regardless of the culture, are based on: |
|
Definition
| A: the presence of a supreme being. |
|
|
Term
| In the spiritual assessment SPIRIT, the R reminds the nurse to assess the patient for: |
|
Definition
|
|
Term
| The spiritual leader comes to visit the bed face patient in a long term care facility in a semiprivate room. The nurse can enhance the visit by: |
|
Definition
| A: take the other resident to the day room |
|
|
Term
| 27. The home health nurse encourages the older adult to file an advance directive to indicate: |
|
Definition
| : the degree of interventions desired for life support |
|
|
Term
| A patient is attempting to make an in home decision about whether to have a life extending treatment done. All of the following are essentional pieces of information for decision making process except: |
|
Definition
| A: The health care staff options. |
|
|
Term
| A home health nurse has informed the 86 year old man with a terminal illness that he needs to file an advance directive to: |
|
Definition
| A: To spare the family of making end-of-life decisions. |
|
|
Term
| The nurse is aware that hospice care is available to terminal patients who: |
|
Definition
| A: Agree to palliative measures. |
|
|
Term
| Palliative care focuses on reducing or relieving the symptoms of a disease without attempting to provide a cure: |
|
Definition
| A: It neither hastens nor postpones death. |
|
|
Term
| The dying patient with terminal liver cancer says to the nurse, “I’m going to take a long time to die aren’t? I’m going to get sicker and weaker every day.” The nurse’s best response would be: |
|
Definition
| A: What concerns you the most about dying? |
|
|
Term
| The distraught wife of a terminally ill patient complains to the nurse, “My husband has not been shaved and he has that miserable gown on instead of his own pajamas. Don’t you people care about stuff like that?” The nurse’s best response would be: |
|
Definition
| A: I delayed his morning care because he was sleeping comfortably. I will complete his care now that he is awake. |
|
|
Term
| When a nurse comes to the death of a patient, the nurse should: |
|
Definition
| A: Take the hand of the daughter and say, “We will miss your dad.” |
|
|
Term
| 35. The nurse notes that a cardiovascular sign of impending death is: |
|
Definition
|
|
Term
| The nurse emphasizes that the object of pain control for the dying patient is to: |
|
Definition
| A: Find a control level that reduces pain. |
|
|
Term
| The daughter of a dying patient is distressed about over sedation related to her mother receiving 2 mg of morphine sulfate every 2 hours. The nurse verifies that this small dose of morphine is helpful in controlling the end of life symptoms of: |
|
Definition
|
|
Term
| To reduce the threat of aspiration in an unconscious patient who is near death, the nurse should: |
|
Definition
| A: Place patient in side lying position. |
|
|
Term
| Diminished vision in the person who is dying, caregivers should: |
|
Definition
| A: Come close to the bed and stand directly in front of the patient. |
|
|
Term
The nurse considers the pervisions of palliative care which are:
. |
|
Definition
| A: Treat symptoms of pain (dyspnea and nausea) |
|
|
Term
| 41. To show willingness to spend time with a dying patient encourage communication, the nurse should: |
|
Definition
| A: Address the patient by name at every opportunity. |
|
|
Term
The nurse shares information that the benefits of dehydration will persevere death include:
|
|
Definition
| A: better gas exchange because of reduced fluid in the lungs. |
|
|
Term
43. The nurse is aware that sexuality:
|
|
Definition
| A: Remains part of life until death. |
|
|
Term
44. The nurse counsels the 70 year old female who has remained on hormone replacement therapy (HRT) that she needs to have:
|
|
Definition
|
|
Term
45. The nurse evaluates a need for further instruction to reduce the symptoms of vaginal dryness when the 70 year old patient says:
|
|
Definition
A: Vaseline was good enough for my mother.
|
|
|
Term
46. The nurse identifies the person most likely to experience erectile dysfunction is the 65 year old who has:
|
|
Definition
|
|
Term
47. The 65 year old male who although he has painful symptoms related to a benign enlargement to the prostate refuses to consider a prostatectomy because he fears that the surgery will make him impotent. The nurse reassures him that:
|
|
Definition
| A: New techniques for prostatectomy’s do not damage nerves. |
|
|
Term
48. The nurse teaches that some persons found relief from post menopausal discomfort by using phytoestrogens that act as estrogens on some tissues and antiestrogen on others. Phytoestrogens are found in:
|
|
Definition
|
|
Term
49. The nurse recognizes a need for further instruction about sexual activity when a 65 year old man who had a myocardial infarction 6 months ago says:
|
|
Definition
| A: I have been told that I am at risk for another heart attack if we have sex. |
|
|
Term
50. The nurse makes it clear to older adults in a long term care facility that condoms are available from the medicine cart on request to:
|
|
Definition
| A: reduce the incidences of sexually transmitted diseases. |
|
|
Term
51. The home health nurse stresses to the 70 year old gay man who has been in a monogamous relationship for 20 years that it is especially important to name his partner as his power of attorney and file advance directives because:
|
|
Definition
| A: the life partners have no legal standings and can be prohibited from medical decisions by the family. |
|
|
Term
52. The horrified CNA runs to the nursing station and blurts out, “Do you know what Mr. and Mrs. Smith are doing? They are having sex right there in their room.” The nurse’s best response would be:
|
|
Definition
| A: Give the CNA a do not disturb sign to put on the door of room 210. |
|
|
Term
53. When the cognitively impaired man is openly masturbating in the day room of the long term care facility. The nurse’s best response would be to:
|
|
Definition
A: I think you may need some privacy.
(The person should be taken to his room and provided with privacy.) |
|
|
