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40 Cards in this Set
- Front
- Back
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How do stress, crises and stressors impair physical health during time of loss? |
By developing an actual physical health problem due to declining of the immune system
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Why does an older grieving adult refer to the deceased in past tense? |
To make the death a reality |
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Many feelings can be caused by ________ _______ and why? |
-Anticipatory grieving - Because grievers tend to deal more easily with known losses at known times |
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What is disenfranchised grief? |
Is experienced by a person whose loss cannot be openly acknowledged or publicly mourned |
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What should nurse do when patient is in final stages of dying? |
Work to help the patient preserve energy-only minimal ADL's should be done |
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An adult patient the the right to _______ or_______ treatment |
Accept or refuse |
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What is primary difference between Loss Response Model and the Worden Model of Grief? |
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Anticipatory grief can be experienced by both the _______ and the _______. |
Survivor
Patient |
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What are signs a patient is experiencing anticipatory grief? |
They become withdrawn and want to spend limited time with loved ones |
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What is one of the most important things a nurse can do for those experiencing grief? |
Establish a trusting and caring relationship to help them improve their mental status and wellness |
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What is an important aspect of patient outcome when a patient who has lost someone and feels a sense of responsibility and blame |
Should have the opportunity to express feelings of guilt, fear, sadness |
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What is the best thing a nurse can do when chaos ensues in the family after death? |
The nurse can suggest the family call someone who can help from a moral neutral view and help make decisions |
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How can a nurse help a family member who is alone and makingdecisions without input from other family members?
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Help the survivor from making rash decisions by askingquestions and helping the survivor to eek out other sources to help in making decisions
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Whatis Weisman’s six needs for dying? |
-Care
-Control -Composure -Communication -Continuity -Closure |
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In deciding palliative care, the older adult will most likely benefit in which patient need of Weisman's 6 needs for the dying?
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Control
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. Grieving is not rigidly ____________
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Structured |
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Everyone finds their own pattern and needs in order to cope with what?
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Loss and to move forward
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Decreasedintestinal motility related to aging impacts what?
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Absorptionof many meds.
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If the meds are in stomach too long or not long enough what impacted then?
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Wherethe drug gets absorbed
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Whenis fibrinolytic activity highest?
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In the Morning |
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Whatcan help counteract potential hypotensive effects of anti-adrenergic blockers?
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Increased fluids |
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What is an example of anti-adrenergic blocker that can cause hypotensiveeffects?
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Hytrin |
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_________is a safer for older adults than benzodiazepines for chronic anxiety
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Buspar |
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When questioning and older adult about medication compliancewhat should you avoid? How should you ask?
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-Avoid making suggestions about what they are or are notdoing
- Ask them open-ended questions to try and elicit theirinformation |
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____________ is considered a relatively safe Anti-depressant for older adults
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Wellbutrin |
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What labs should be tested before administering the antibiotic vancomycin to older adults?
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Creatinine clearance
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If giving diltiazem to an older adult what is the optimal time for administration?
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When they go to bed
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What is an important part of patient education when Fosamax is ordered for an older adult?
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To take it in Morning on an empty stomach
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What should patients who are taking anticoagulant therapyavoid?
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Chamomile Supplements |
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If a patient istaking Abilify the patient should be routinely assessed for ___________ and__________ __________ in order to prevent and avoid onset of TD
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oral and facial dyskinesia should
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Whateducation should a patient on Thorazine receive?
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-avoid becoming dehydrated
-limit caffeine in diet |
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Fewer than ___ _______/week is abnormal |
3 stools |
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During bladder retraining program what is one action thatshould be included?
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Toiletingat bedtime
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Whatis stress incontinence a result of?
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Increased intraabdominal pressure
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Whatis one option as part of a program to address bowel incontinence?
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Ensurethat a toilet or commode is readily available for the patient
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Whatis the Nurse Standard Practice Protocol?
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Anevidenced-based resource for nurses to use when managing incontinence in acutecare
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What do healthy bladder behavior skills include?
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Schedulingpatients to void every 2-4 hours
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Whatis primary intervention for stress incontinence and why?
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Instruct the resident to practice abdominal exercisesbecause they can help strengthen the pelvic floor and help withstress incontinence
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When can a diagnosis of diabetes be made?
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Aftertwo fasting blood glucose test come back > 125mg/dL
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What can medications that contain estrogen interfere with?
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Antihyperglycemic agents
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