Study

History, wellness/continuum and communication

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  • For the older adult patient with dysphagia, which intervention is appropriate to use during mealtimes?
    Feed the patient quickly to reduce fatigue.
    Provide opportunities for socialization while eating.
    Add thickeners to liquids.
    Place the patient in low-Fowler’s position.
  • A condition that causes difficulty swallowing. Possible interventions include, avoiding liquids, positioning and verbal coaching
    Dysphagia
  • The nurse is trying to interview a patient who is very hard of hearing. What strategy would the nurse try first?
    Talk to the patient’s spouse.
    Use normal volume and lower tone of voice.
    Shout loudly into the patient’s good ear.
    Use simple language and avoid medical terminology.
  • Who championed the rights and comforts of soldiers; organized diet kitchens, laundries, and ambulance service
    Lillian D. Wald (1867-1940)
    Isabel Hampton Robb (1860-1910)
    Mary Ann Ball (1817-1901)
    Mary Breckenridge (1881-1965)
  • During late adulthood ___ Older adults try to make sense out of their lives, either seeing life as meaningful and whole or despairing at goals never reached and questions never answered.
    Ego integrity vs. despair
  • _____ describes prejudice against older adults.
    Ageism
  • When communicating with a patient who has expressive aphasia, which communication strategy is the nurse most likely to use?
    Use eye blinks, one for “yes” and two for “no.”
    Ask family members for information.
    Encourage the patient to speak as much as possible.
    Speak loudly and slowly with good enunciation.
  • Adult members function as equals. As is often true in other types of families, children are treated with respect and recognized as individuals
    Democratic family patterns
  • Using Maslow’s hierarchy of needs, the nurse gives priority to which problem?
    Inability to eat because of difficulty chewing and swallowi
    Loneliness due to being away from family during hospitalizat
    Safety related to difficulty with balance during position ch
    Anxiety due to recent diagnosis of cancer with poor prognosi
  • The following facts about assertive communication are true except:
    Takes initiative to guide situations
    Maintains eye contact
    Being able to express your needs while being aware of others
    Uses vague speech
  • Sensorimotor involves all of the following EXCEPT
    Begins to interact with environment
    Learns object permanence
    Uses senses and motor abilities to understand the world
    Gains imaginative ability
  • Which nursing action reflects Florence Nightingale’s vision of how to improve patient care?
    Includes the family in the patient education sessions
    Considers the patient’s cultural and ethnic background
    Attends an in-service to learn about a new infusion pump
    Safeguards patient’s privacy by maintaining confidentiality
  • ______inability to recognize or interpret the verbal message being received.
    Receptive aphasia
  • The patient retired years ago. He was very involved with community, family, and friends, but now appears content to spend more time alone and others support his privacy. Which theory of aging most directly explains his behavior?
    Continuity theory
    Exchange theory
    Activity theory
    Disengagement theory
  • What type of eye contact would be best to use if the nurse is trying to involve the patient in a discussion about sexuality without being threatening or intimidating?
    Look downward if the patient uses slang terms related to sex
    Maintain eye contact for 2 to 6 seconds during the discussio
    Lean slightly forward and maintain extended eye contact.
    Observe the patient and mimic the patient’s eye contact.
  • Due to age-related changes to the skin, to prevent pressure sores, what action should the nurse implement?
    Firmly grasp the pt by the forearm when moving from bed
    Turning the patient every 2 hours
    Telling the patient not to move too much
    Tell the patient to slide across the bed
  • Piaget's _________ thought uses systematic, scientific problem-solving approach
    Formal Operational
  • The patient reports that nocturia usually occurs once each night, but recently the urge has increased to 4-5 times. What would the nurse suggest as the first measure?
    Observe for fall hazards in the environment
    Contact the HCP for medical evaluation.
    Take diuretic medication in the morning.
    Limit fluids and semisolid foods at bedtime.
  • Who developed the American Red Cross in 1881
    Mary Breckenridge (1881-1965)
    Dorothea Dix (1802-1887)
    Clara Barton (1821-1912)
    Linda Richards (1841-1930)
  • All of the following nurse-patient interaction usually occurs in the "personal zone" of space surrounding the patient EXCEPT
    Sitting and talking with a patient
    Admission interview
    Discharge instructions
    being 4 to 12 ft from a person
  • How many mL per day, should the older adult consume?
    An older person needs a minimum of 1500 mL of fluids daily.
  • _____ family pattern with relationships that are unequal and parents attempt to control the children with strict rigid rules and expectations
    Autocratic family pattern
  • According to Erickson, school age children eagerly learn to be competent and productive or feel inferior and unable to do any task well
    Identity vs. isolation
  • When the child focuses on the use of language as a tool to meet needs, the child has the emerging ability to think.
    preoperational thought stage
  • forces that can injure small blood vessels by sliding on a rough surface
    Pruritus
    Claudication
    Friction
    Shearing forces
  • According to Maslow's Model of Health and Illness, Physiologic involves all of the following EXCEPT:
    Stability
    oxygenation
    Elimination
    Nutrition
  • When communicating with an older adult, what would the nurse do?
    Allow time for processing information.
    Provide a dark, quiet environment.
    Speak loudly and at a very slow pace
    Discourage anecdotal or tangential replies.
  • _____ programs often have higher standards and seek voluntary review from an organization
    Accredited
  • Age-related changes in vision affecting farsightedness resulting from a loss of elasticity of the lens of the eye is called?
    pruritus
    nocturia
    dementia
    presbyopia
  • the adult male (or males) of the family assumes the dominant role. The adult male member functions in the work role, is responsible for control of finances
    Patriarchal family pattern