Exam 1

Patient education: advanced directives, end-of-life care

Advanced directives dictate healthcare instructions

Selye's General Adaptation Syndrome (GAS)

Alarm Resistance Exhaustion

Polypharmacy assessment

Assess OTC and herbal supplements being used by the client.

Clinical Nurse Specialist

influences the patient, the nurse, and the health care system

Most often first sign of aging

Failing eyesight, especially close vision

young/middle-aged adults

Focus on healthy behaviors (general wellness, smoking cessation, exercise, physical conditioning, weight control, conflict resolution, and stress management)

Dietary Interview

Individuals' ethnicity or their personal beliefs include which foods are eaten and how they are prepared and served

Decrease in mortality from acute conditions:

The result of improved nutrition

The nurse is caring for a client that has a language barrier. Which is the most appropriate way for the nurse to communicate with this patient in order to help overcome the language barrier?

Use a short, simple sentence structure, and speak in an active voice

Which nutrient is responsible for collagen synthesis?

Vitamin C

Middle-aged adults are part of an age group that is known to be interested in health promotion and the nurse is planning health promotion activities accordingly. To what suggestions do members of this age group usually respond with enthusiasm? Select all that apply a. How lifestyle practices can improve health b. how to eat healthier c. exercise can improve your life d. adhering to prescribe therapy e. for the aging

a. How lifestyle practices can improve health b. how to eat healthier c. exercise can improve your life

a hospital's written policies and procedures are being reviewed as part of an accreditation process. Which policies are congruent with the principles of culturally competent nursing care? Select all that apply a. a policy that outlines the appropriate use of translation services b. a policy guiding staff in the care of clients with different values c. a policy that requires staff from different cultures on each unit d. a policy that establishes flexible regulations pertaining to visitors e. a policy that gives priority to clients who are immigrants

a. a policy that outlines the appropriate use of translation services b. a policy guiding staff in the care of clients with different values d. a policy that establishes flexible regulations pertaining to visitors

a nurse will conduct an influenza vaccination campaign at an extended care facility. The nurse will be administering IM doses of the vaccine. Of what age-related change should the nurse be aware when planning the appropriate administration of this drug? a. an older client has less subcutaneous tissue and less muscle mass than a younger client b. an older client has more subcutaneous tissue and less durable skin than a younger client c. an older client has more superficial and tortuous nerve distribution than a younger client d. an older client has a higher risk of bleeding after an IM injection than a younger client

a. an older client has less subcutaneous tissue and less muscle mass than a younger client

the nurse is caring for a client who is native american who arrives at the clinic treatment related to type 2 diabetes. Which question would best provide information about the role of food in the client's cultural practices and identify how the client's food preferences could be related to his problem?

a. do you feel any of your cultural practices have a negative impact on your disease process c. as a nonnative, i am unaware of your cultural practices. Could you teach me a few practices that may affect your care e. tell me about foods that are important in your culture and how they influence your diabetes

a home care nurse is making an initial visit to a 68-year-old man. The nurse finds the man tearful and emotionally withdrawn. Even though the man lives alone and has no family, he has been managing well at home until now. What would be the most appropriate action for the nurse to take? a. reassess the client's psychosocial status and make the necessary referrals b. have the client's volunteer in the community for social content c. arrange for the client to be reassessed by his social worker d. encourage the client to focus on the positive aspects for his life

a. reassess the client's psychosocial status and make the necessary referrals

single most important factor for determining health status

social class

Loss of resiliency with wrinkling and sagging of the skin

-Dry skin may crack and shear -Recommend showers over baths

Factors contributing to increased rates of chronic illness:

-Need to simultaneously address emerging infectious diseases -Lack of infrastructure to prevent chronic illnesses

Agency policies that promote culturally competent care

-Visitation regulations -Translation services for non-English-speaking patients -Dietary practices

A case manager is responsible for ensuring that clients meet the criteria for diagnoses of chronic conditions in order to ensure their eligibility for federal programs. Which of these definitions may not apply for legal purposes?

A person who is temporarily disabled but later return to full functioning

What has been cited as a reason for health disparities among certain ethnic/racial minorities? (Select all that apply)

A. Low socioeconomic status C. Insufficient transportation E. Lack of insurance

fight or flight response

Blood glucose is increased cold extremities

first home visit?

D. assess home safety

What is an age-related change in the body system of the older adult?

Decreased cardiac output

the nurse is admitting a client to the medical-surgical unit after a diagnosis of cellulitis of the calf. What factors does the the nurse know impact the processes of inflammation, repair, and replacement? select all that apply

Nature of the injury Severity of the injury Condition of the host

Older clients may express anxiety

Not wanting to become a burden to loved ones

the key for the patient to reenter the community

Promoting ADLs

Heart disease is the leading cause of death

Results from heart muscle and arteries losing their elasticity

Resistance

adaptation occurs to stressor; cortisol activity still increased. i.e. VS elevate then return closer to normal range

Physical assessment examples

assessment-Neurofibromatosis/Café-au-lait spots

Achieving adequate pain management for a postoperative patient will require sophisticated critical thinking skills by the nurse. What are the potential benefits of critical thinking in nursing? Select all that apply. a. enhancing the nurse's clinical decision making b. identifying the client's individual preferences c. planning the best nursing actions to d. increasing the accuracy of the e. helping identify the client's

b. identifying the client's individual preferences

a nurse on a medical-surgical unit has asked to represent the unit on the hospital's quality committee. When describing quality improvement programs to nursing colleagues and members of other health disciplines, what characteristic should the nurse cite? a. these programs establish consequences for health care professionals' actions b. these programs emphasize the need for evidence-based practice c. these programs identify specific incidents related to quality d. these programs seek to justify health care costs and systemic

b. these programs emphasize the need for evidence-based practice

a prenatal nurse is providing care for primiparous woman who gave birth to a healthy infant yesterday. The nurse's best rationale for this? a. genetic screening is a way to determine the rate of infectious disease in babies during this vulnerable time in their lives b. is it important to screen newborns to determine their future cancer risk and appraise the quality of prenatal care they received c. this is a way to assess your infant's risk for illnesses called phenylketonuria (PKU), congenital hypothyroidism, and galactosemia d. This testing is required and you will not be able to refuse it. It usually is free so there is no reason to refuse it

c. this is a way to assess your infant's risk for illnesses called phenylketonuria (PKU), congenital hypothyroidism, and galactosemia

BMI of 30 or more

considered obese

the nurse is providing care for a client who has limited mobility after a stroke. In order to assess the client for contractures, the nurse should assess the client's a. deep tendon reflexes (DTRs) b. muscle size c. level of joint pain d. range of motion

d. range of motion

preventive care

encourage vaccination

hospice centers

final 6 months of life

Life expectancy has risen dramatically in the past 100 years and

is higher than it has ever been

Asian touch

it is impolite to touch a person's head because the spirit is believed to reside there

Well being

long-established credibility with the public

assessment of psychosocial status

make referrals if needed

Hispanic & Arab touch

male health care providers may be prohibited from touching or examining certain parts of the female body

Increase risk for falls

most commonly leading to hip fracture

power of attorney

one person identifies another person to make health care decisions on their behalf

Health promotion

promote disease prevention

Offered carrier screening for cystic fibrosis

those of northern European (Norway) and Ashkenazi Jewish ancestry

living will

will-wishes before hospitalization and provide valuable information that may assist health care providers in decision making