OAH test 3

Which of the older adult patients with the nurse prioritize for being risk for stress incontinence?

A 42-year-old woman comes into the clinic, complaining of intermetal urinary incontinence when she sneezes

When working with a bereaved individual, the goal of nursing intervention is to

Assist individual to attain a healthy adjustment to the loss experience

Which of the following older adult patient does the nurse identify as at risk for developing fungal infections?

Diabetes, obese, malnourished, receiving antibiotic or steroid therapy, immunocompromise patients with feet who aren't kept dry or clean bedridden patients who don't get enough sun exposure

Palliative care can be described as all the following, except which focuses on

Disease treatment

Which behavior is characteristic of grief by a disenfranchised adult child in response to a child's death following a lengthy painful illness

Doing a drinking binge instead of attending a funeral

The nurse suspects at the spouse of a terminally ill. Client is experiencing anticipatory grief when he.

Dramatically reduces the time he spends attending to the client

A 78-year-old patient who is dying of colon cancer with metastases to the liver is refusing to eat or drink. He is alert and oriented and states that he has no desire to eat which is causing the family great distress in order to best describe the client and family. The nurse should.

Educate the family that this is a normal behavior in this situation

The son of an older adult couple end, his life suddenly and violently the husband proceeds with living. As usual after one year, the wife remains in seclusion and is hospitalized for dehydration, which step should the nurse implement to prove the wife's mental health and wellness.

Establish a trusting, caring relationship with her

A patient loses her husband because of a sudden myocardial infarction, and she blames herself for not recognizing the warning signs which patient outcomes associated with her loss. Should the nurse plan care.

Expressive feelings of guilt, fear, anger, or sadness

The nurse notes that an older adult client has developed purpura on the floor, arms and hands identify the intervention if the skin tear occurs

Extra vicious of the blood into the surrounding tissues, commonly used on a door so forearm and hands

The healthcare provider believes an older woman has approximately six weeks to live after two months the family remains at the bedside, but in the last few days are becoming increasingly impatient and irritable. This pattern is at least indicative of which of the following statements.

Family desires that the patient can be relieved of her misery

You're older adult client lost his wife 65 years and is approaching 366 wedding anniversary. You anticipate that he will go through shadow grief, which can be defined as which of the following.

Grief that is often exacerbated on special dates

Which principal regarding grief crisis, interventions is the basis for intervention planning

Grief work is most effective, when, addressing during the acute phase of grief

The daughter of a patient who has a chronic illness that has reached the terminal phase talks about the palliative care referral that the primary care physician made for her mother. Which of the following statements indicates that the daughter needs additional education about palliative care.

I know the palliative care is only available to people who have six months or less to live. This is really hard to cope with. My mom will have to be transferred to a special unit in the hospital in order to receive palliative care

A patient tells the nurse that she has prepared a living will. The nurse understands at a living will

Is an advance directive that is used in a situation of a person who is unable to speak for himself or herself Appoints a proxy to uphold the patient's wishes Can be revoked by a patient at any time in either writing or verbally

Those who co-plus effectively may exhibit which of the following

Is demanding Is rigid

An older woman tells the nurse, so she has been experiencing increased fatigue and shortness of breath over the last two days. What is the nurses initial priority?

Listen to the lungs

The older adult patient is admitted for fecal impaction, confirmed by abdominal x-ray, which intervention with the nurse years prior to manual disimpaction

Mineral oil Cleansing edema

Which of the following signs are consistent with cardiovascular changes in the aging adults

Myocardial and blood vessels stiffen and decrease responsiveness to sudden changes in demand changes are progressive and cumulative

Is older adult patient and the family ask the nurse about the phrase terminal sedation, which is the correct response by the nurse

Patients who are very ill, do not respond to pain, medications, or maybe suffering, in other ways that make comfort impossible They will be given medication's that induce sleep, or unconsciousness until such time as death occurs as a result of underlying illness or disease The purpose is to relieve suffering, only not to cause death

After the loss and burial of a beloved pet, an older man, loses weight because he eats very little three months later, he starts to paint pictures of the pet and his appetite slowly improves describe this individuals morning for his pet

Pets, burial and painting pictures of his pet

Which type of pain tends to occur persistently along a well-defined path in a region of the body

Post therapeutic pain

Which of the following characteristics are associated with acute grief?

Pre-occupational with the loss of a loved one Waves of grief or distressing emotion Inability to perform simple self-care tasks

Which statement is true about the patient self-determination act

Providers are under obligation to provide the same information

Nursing interventions design to assist, older adults, or family members is attaining a healthy adjustment to a lost would, include which of the following except

Rapidly establishing rapport

Which of the following statement is true about loss and older adulthood?

Referring to the decreased in the past tense can acknowledge the deaths reality

When the older woman who is close to death, ask the family to leave after short visit and acts withdrawal in their presents the family becomes distraught, which of the following does the nurse include in the family, teaching to explain the patient's behavior

She can be experiencing anticipatory grief

The actions of the family members of an older adult, who just died or chaotic, and they are unable to decide on a funeral home, which recommendation should the nurse implement

Suggest they call someone who can help

Which of the following interventions is recommended for an older adult in the final stages of dying?

Support the preservation of energy.

The primary difference between a loss response model, and the warden model of grief is which of the following

The LRM uses a systems approach that acts two and holds debility

Which of the following is a true statement about lost dying and death for older adults

The grieving process is not rigidly structured

The nurse sits at the bedside of a comatose, terminally ill older client reading the wishes expressed in the numerous cards the client has received. Which concept of grief work is the nurse addressing with this intervention?

The individual is living until he or she is dead.

A nurse is caring for a patient in Portland Oregon who has a terminal illness The patient tells the nurse that she has made a decision to end it all that she has suffered enough and is considering asking her physician to prescribe medication's to help her die. The nurse knows that the regulations for physician assisted suicide include which of the following.

The patient must be a prognosis of six months or less to live The patient must be informed of all treatments and alternatives

Which of the following statements is true about end of life care

The proxy appointed in a living will cannot speak for the testator in health care matters other than terminal illness

Which evidence base practice information should the nurse base decisions on regarding a signed ancillary staff to long-term care clients requiring feeding assistance

The staff should be allowed at least 20 minutes per patient to provide feeding assistance

Which of the following characteristics associated with a cute grief

Tightness in the throat Choking Shortness of breath Sighing An empty feeling in the stomach Lack of muscular strength Intense subjective distress, description as tension or pain

Which data would indicate effective hydration and he's 97-year-old patient

Urine specific gravity, test

Which truism will the nurse space spousal grief counseling upon?

Women are generally more likely to outlive their spouses

Which intervention is an example of counter coping for a client who has recently received a terminal diagnosis of cancer

Answering the clients questions regarding the tragedy of his or her illness Offering to pray with the client and family Scheduling a meeting with a client and family to identify alternative end of life plans Assessing a client frequently for depression, and risk of self harm Being Available to just listen to the client talk about dying

While awaiting the eminent death of her sister, an older woman makes arrangements to bury her sister in the survivors home state because she cannot reach the other family members which step should the nurse implement

Ask questions, including questions about the location of her sister's family

Which of the following indicated a person is effectively coping

Confronts realities Focuses on solutions Redefines problems

An older patient who has end-stage pulmonary disease, decides to accept care from a palliative care nurse. This older adult will most likely benefit from the palliative care nurse, in which patient needs of Welsman six needs of dying.

Control

Six needs are discussed below, which one of these is not a need of the dying

Control is need to remain in a collabtive rule

Which intervention can be used to improve intake for individuals with dementia?

Cut up foods being served Provide one utensil at a time

After the older adult dies, the brother, who has a history of alcohol abuse, upsets the family by going on a drinking binge, instead of attending the funeral, which of the following is the best description of the brothers behavior

disenfranchised grief

A woman is terminally ill. Although it has never been discussed in the family or stated outright by her physician, she is growing to believe that she will die because of her illness. Upon which concept will the nurse base therapeutic intervention on?

suspected awareness