Nursing Concepts and Practices for Older Adults, Exams of Health sciences

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Nurs 163 Questions And Answers Patient/ Community Centered - correctly answered Personal motivation is needed to incorporate the stratet Adherence Behavior - correctly answered self initiated action taken to promote wellness recovery and rehabilitation Attributes To Adherence - correctly answered Decisional Conflict Predictability Personal Experience Power Conflict Agreement Alignment Theory Of planned Behavior - correctly answered How Human Action is guided or predicted TPB - correctly answered Theory of planned behavior Factors of TPB - correctly answered Attitudes Subjective norms (beliefs and motivations to adhere) Perceived behavioral control HBM - correctly answered Health Belief Model Health Belief Model - correctly answered Individuals adherence based on perception on susceptibility Risk Benefits Barrie's 3 dimensions of adherence - correctly answered Compliance Persistence Concordance compliance adherence - correctly answered Patients agreement to prescribed recommendations Persistence adherence - correctly answered a patients persistence in continuing doctors orders Concordance Adherence - correctly answered Patient and Health Care professionals coming to a mutual agreement Interdisciplinary Lens of Adherence - correctly answered Understanding the perspective and use of adherence from each discipline of Adherence Nursing Mental health Medicine Pharmacy Adherence and Interrelated Concepts - correctly answered Adherence >>> Development , Functional Ability , Culture , Spirituality , family dynamics , cognition Health Promotion - correctly answered Behaviors token to improve health conditions Primary Prevention , Secondary Prevention , Tertiary prevention Categories of Communication - correctly answered Linguistic Paralinguistic Metacommunication What percent of older adults live with a chronic condition ? - correctly answered According to Centers of Disease control 80% What percent of older adults live with 3 or more coexisting chronic conditions ? - correctly answered According to Centers of Disease 50% Common Chronic Problems in Older Adults - correctly answered Arthritis hypertension diabetes heart disease vision or hearing disorders Factors Affecting Health Promotion and Maintenance - correctly answered Religious Beliefs "Cultural Beliefs Knowledge and Motivation Mobility Perceptions of Aging Impact of Cognitive and sensory Changes Nursing processes for ineffective health maintenance health management in hospital - correctly answered 1. Assess ability to resume normal health maintenance 2 Teach skills to monitor health statues at home 3 Consult with social worker that can assist with health maintenance Nursing process for ineffective health maintenance and health management in patients home - correctly answered 1 assess the existing health maintenance 2 explain positive health maintenance behaviors 3 assist in identifying family or community resources that promote health maintenance 4 use any appropriate interventions that are used in institutional setting Nursing process for ineffective health maintenance and health management - correctly answered Assessment nursing diagnosis patient goal / out comes Identification nursing interventions / Implementation Health promotion interventions - correctly answered Education Vaccinations Screening Nutritional health Physical Activity Pharmacologic agents Blood Pressure Screening Recommendation - correctly answered Every clinical examination (USPSTF) Clinical Breast Examination Screening Recommendation - correctly answered Annually after age of 40 (ACS) Mammogram Screening Recommendation - correctly answered Every 2 years between ages 50 and 74; yearly as long as woman is in good health Cholesterol Screening Recommendation - correctly answered Every 5 years (NCEP, USPSTF) Screening for Colorectal Caner and Polyps Recommendation - correctly answered After age 50 yearly fecal occult blood testing Screening for Obesity Recommendation - correctly answered at regular intervals (USPSTF) Bone Mineral Density (BMD) Screening Recommendation - correctly answered women 65 and older men over 70 Prostate Examination/ PSA Recommendation - correctly answered 50 or age 45 for african americans Hearing Screening Test Recommendation - correctly answered every 10 years Comprehensive Eye Examination Recommendation - correctly answered Every 1 to 2 years yearly if person has diabetes (AAO) Abdominal Ultrasound - correctly answered once between ages 65 and 75 in men who have ever smoked (USPSTF) Hepatitis C Screening Recommendation - correctly answered People at high risk for infection one time for people born between 1945 and 1956 Human Immunodeficiency Virus (HIV) Screening Recommendation - correctly answered People at high risk for infection (USPSTF) Type 2 diabetes Screenin\g Recommendation - correctly answered every 3 years for people with sustained BP of 135/80 mmHg Adults over wheight Health History Data - correctly answered Identifying Data Past History Present Medical History Family and Psychosocial History Interviewing older adults - correctly answered Prepare physical settings Minimize distractions establish rapport Use formal name exsplain what you are doing Structuring interview plan sufficient time When preforming physical assement on older adults - correctly answered inception palpation auscultation percussion Infectious Diseases Presentation - correctly answered absense of fever WBC within normal limits Decreased appetite or fluid intake behavioral changes confusion Acute abdomen presentation - correctly answered mild abdominal discomfort constipation vague respiratory symptoms Cardiac Problems presentation - correctly answered no complaint of chest pains vague symptoms of fatigue or nausea decreased functional statue Health screening for elderly - correctly answered to identify individuals who are in need of futehr more in-depth assessment screening for high blood pressure , hearing loss, foot problems, challenges with activities Health assessments - correctly answered collection of all the important health related data using a varity of techniuges Obtaining health history from elder - correctly answered nurse will use interviewing techniques and obtain basic identity past history and current history Physical assessment of elder - correctly answered objective and subjective info obtained pay close attention to physiologic and mood or behavior changes Inspection Physical assessment - correctly answered Vision hearing and smell techniques are used general and specific used for looking at the overall level of function and specific areas Palpation - correctly answered obtaining data through touch palse skin texture Ausculation - correctly answered hearing quality crackling whistling pitch low or high tone intensity loudness or softness duration length of sound frequency Percussion - correctly answered size position and density of structures under the skin are assessed taping the area and listening to resonance of the sound Measuring Vital signs with in older adults - correctly answered activity level medications eating stress disease process and enviorment affect elders vital signs Normal body temperature on an adult older oral than 75 years - correctly answered 97.2 F (36 C) Normal Oral temperature for adults - correctly answered 98.6 F 37 C Normal Resting Pulse Rate in Older Adults - correctly answered 50 to 90 beats per minute normal respiratory rate in older adults - correctly answered 12 to 20 breaths per min blood pressure on older adults - correctly answered position patient so upper arm is at the same level of the heart orthostatic hypotension - correctly answered sudden drop in blood pressure when a person gose from lying down to sitting up to determine must do several blood pressurs Pulse Deficit - correctly answered When two pulse readings done at the same time come to a different result Normal Respiration changes in older adults - correctly answered Decrease in resting respiration (may show sign for infection) Depth of Respiration decrease irregular breathing rythems Pulse Readings on older adults - correctly answered When checking Radial pulse be gentle pressure could occlude vein elders veins feel lumpy do to loose of elasticity Assessing Respiration - correctly answered asses the Rate Depth Ease of breathing SAMP - correctly answered SPICES - correctly answered Sleep disorders Problems with Eating Or feeding