Download NUR 257 EXAM 1 PREP RESOURCES 2026 FULL SOLUTIONS VERIFIED and more Exams Nursing in PDF only on Docsity!
NUR 257 EXAM 1 PREP RESOURCES 2026
FULL SOLUTIONS VERIFIED
◍ Functional. Answer: no longer able to perform usual activities ◍ Social. Answer: changes in roles (retirement, birth of a grandchild) ◍ Biological. Answer: how the body may change ◍ chronological terms. Answer: late life is recognized as beginning sometimes between the ages of 50 & 65 ◍ super centenarians. Answer: older adults who have reached age 110 and beyond ◍ centenarians. Answer: people 100 years old or older ◍ those in between. Answer: born between 1915 and 1945 ◍ Baby boomers. Answer: people born between 1946 and 1964 ◍ healthy aging. Answer: related to the functional status, socioeconomic factors, marital status, who is important to the person
◍ Older adults should increase dietary intake of complex carbs and fiber containing food to. Answer: 5 or more ◍ vaginal and cervical cancer screening. Answer: stops at age 60- 65 ◍ HIV screening. Answer: AS NEEDED ◍ How often should a a physical exam be done?. Answer: yearly - more frequently if there is a chronic illness ◍ Dietary fat should be reduced to ___?. Answer: no more than 30% ◍ Saturated fat should be reduced to ____?. Answer: less than 10% ◍ How often should older adults exercise?. Answer: 3-5 times/week ◍ How long should older adults spend in the sun?. Answer: 10- 15 minutes 2-3 times/week ◍ Calcium intake for older adults. Answer: 1000-1500 mg daily ◍ Culture. Answer: shared and learned values, beliefs, expectations and behaviors of a group of people
◍ What should you do when someone is actively dying?. Answer: Encourage talking to pt don't sit them up few visitors keep them comfortable - pain meds (morphine) ◍ Palliative care. Answer: care for terminally ill patients consisting of comfort measures and symptom control ◍ Hospice care. Answer: provides care for the dying (6 months or less) and their family/friends through support majority of the care is at home ◍ How can you reduce caregiver stress?. Answer: maintain sense of humor seek support groups self care - attend to own health care needs relax, exercise ◍ s/s of elderly mistreatment. Answer: bruising, overbearing caregiver, fractures, presence of blood ◍ If you suspect mistreatment, what should you do?. Answer: Separate pt from caregiver talk to pt/assess
then report ◍ who is most likely to be abused?. Answer: cognitive impaired adults dependents physical/mentally frail having abused a caregiver in the past women living alone ◍ Neglect. Answer: fail to care for properly ◍ Abuse. Answer: physical or emotional harm to someone ◍ Reproductive changes in older adults. Answer: Male—sperm count diminished, smaller testes, erections less firm and slow to develop, enlarged prostates Female—decreased estrogen production, degeneration of ovaries, atrophy of vagina, uterus, breasts, menopause ◍ GI changes in older adults. Answer: dry mouth decreased gastric motility peristalsis slows - constipation is common ◍ Skin & nail changes in older adults. Answer: skin - becomes thinner, easily torn, pallor, saggy, decreased vitamin D production
◍ How to promote wellness. Answer: vaccines check ups breast exams colorectal cancer socialization physical activity diet ◍ Vaccines. Answer: TDAP FLU Shingles - x2 at age 50- 60 ◍ What to do when a patient from another culture is not following plan care?. Answer: Asses why make sure they understand ask about their preferences ◍ 3rd generation theory. Answer: reminiscing life review ◍ Ways to reminisce. Answer: listen without correction or criticism be patient actively listen use props & triggers such as photographs
◍ life review. Answer: it takes a person through their life in a structured & chronological order ◍ What meds lower blood pressure?. Answer: Beta blockers
- lols ◍ Therapeutic communication for elderly. Answer: don't give advice no standing over them actively listening no why questions don't minimize feelings allow to reminisce ◍ Bill of rights. Answer: right to voice grievance right to refuse meds/tx/interventions right to who has access medical records confidentiality ◍ Stages of widowhood. Answer: Reactionary Withdrawal Recuperation Exploration Integration
◍ IADLs (instrumental activities of daily living). Answer: preparing meals, shopping, managing money, using telephone, doing homework, laundry and taking medications ◍ Dimensions of sexuality. Answer: Social: cultural factors Psychological : attitudes, feelings Biological: physiological responses Moral: belief system ◍ Types of grief. Answer: anticipatory, acute, shadow, complicated, disenfranchised ◍ signs and symptoms of neglect. Answer: dehydration, malnutrition, skin breakdown and poor personal hygiene ◍ Risk factors for chronic diseases. Answer: diabetes, lack of exercise, smoking males are more likely ◍ If a pt is dying and the family & pt wants a intervention done, what do you do?. Answer: Do it ◍ If a pt is dying and the family wants a intervention done but the pt doesn't, what do you do?. Answer: Don't do it
◍ Grief support. Answer: promote self care help with ADLs active listening ◍ Priority for dying pt. Answer: keep pt comfortable ◍ What are some sexual interventions to educate elders?. Answer: change positions do it at a time of day when in least pain pre-medicate warm compresses/hot showers for arthritis ◍ What do we do if we suspect elderly has HIV?. Answer: Ask what their s/s are ◍ Acute illness. Answer: short duration and severe ◍ Chronic illness. Answer: an on-going illness, slow or gradual in onset; it has no known cure; it can be controlled and complications prevented with proper treatment ◍ Geriatric Syndromes. Answer: Falls and gait abnormalities Frailty Delirium Urinary incontinence
