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12 Cards in this Set

  • Front
  • Back
What is an example of insturmental activity of daily living, or IADL?
a. Dressing
b. moving from one location to another
c. using the telephone
d. feeding self
C. Using the telephone, dressing and feeding are examples of ADLs. Moving from one location to another is an example of mobility.
Of the following, which would be considered when selecting a functional status measure for screening in clinical practice?
a. measure should be able to detect clinically important changes in functioning
b. meausre should be able to detect subtle changes in funtion
c. meausre shoudl differentiate individuals with and without functional comprimise, be brief, and be easy to store and interpert.
d. Measure should be based on a variety of sources of infomation, including self-report, preformance-based measures, and clinician evaluation of functioniong.
C. the purpose of functional status evaluation includes screening, assesment, and and monitoring for change. Should be breif and specific.
What is true about the risk factor for functional loss during and following cancer and its treatment
The relative contributions of polypharmacy, malnutirtion, inactivity, and comorbidity to functional loss during and following treatment are unknown.
Exercise tolerence testing, the 2-,6-,12-miute walk, and other tests such as grip strength and the timed "up-and-go" are examples of measures of what?
a. Functional capacity
b. IADLS
c. Functional performance
d. Participation restrictions
A. Functional capacity
performance-based measures of function are considered measures of functional capacity.
Which of the following statements is true about recent studies of function in older people with cancer?
a.cognitive and behavioral nursing interventions to manage cancer-related symptoms have little effect on functional status
b. comprehensive geriatric assessment (CGA) is often useful in evaluating older adults with cancer who have poor performance status
c. symptoms intensity and the presence of multiple concurrent symptoms is correlated with poorer physical functioning
d. comprehensive rehabilitation is unlikely to be effective in achieving functional improvements in debilitated older adults with cancer
C.Symptom intensity and the presence of multiple concurrent symptoms has been shown to be associated with poorer physical functioning.
Which of the following is true of exercise and/or activity and functional status in patients with cancer.
a. Benifits of regular exercise include improvements of cardiopulmonary capacity, and muscle strength and endurance, a reduction in fatifue and depression, and improved sense of well-being
b. Examples of low to moderate intensity exercises include brisk walking, slow jogging, and rowing.
c. To be of benefit in improving functioning , prevent muscle atrophy , and reverse deconditioning, exercise should be preformend continuously for 30-60 minutes
d. Bone metastses or osteopenia and/ or osteoporosis are contriandiction to aerobic excersise
A.
An idividual who is coping wiht a deline in functional status is assessed to be setting unrealistic plans, demonstrating nonadherance to recommendationsm and at the same time endlessly searching for solutions that offer more optimistic outlook. These would all be most charactaristic of which fo the following emotional reaction?
a. Anger
b. Resignation
c. Search for control
d. Denial and minimization
D. denial and minimization
Which of the following best describes the primary purpose of a functional status evaluation?
a. plan rehabilitation treatment/care and evaluate progress toward goals
b. assess rehabilitation potential and predict improvements in functional status
c. ensure a comprehensive evaluation of older adults with cancer
d. systematically assess neurologic status
A.
In assessing a patient's readiness to learn what should the nurse ask?
a. about the side effects associated with his previous chemotherapy
b. what coping skills he used previously in adapting to treatment
c. how willing he is to undergo a new chemotherapy regimen
d. what he wants to know about the new chemotherapy
D. ascertaing wht the patient wants to know about the new chemotherapy is one of the steps in a learning needs assessment.
What should the nurse do when they realize that a patient did not remember anything they said?
a. Repeat teaching
b. Talk louder
c. Give the patient print material
d. Respect the patient's right not to learn.
C. It's better to allow the patient time to read over print materials and come back to the teaching at another time.
If a patient does not want to learn what is the first thing a nurse should do?
a. explain why the topic is important
b. report it to the doctor
c. enlist the aid of the family
d.respect the patient's right not to learn
A. explaining why the topic is important might help the patient recognize what is at stake.
A nurse might use behaivoral learning theory to accomplish which of the following?
a. explain the side effects of a durg
b. discuss various smoking cessation aids
c. help prepare a patient for a painful procedure
d. counter a patient's frear of having an ostomy.
C. Helping to prepare a patient for a painful procedure is an are where behaivoral learning theory comes into play, because patients actually do somethign to cope with discomfort.