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49 Cards in this Set

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What does a nursing home/long-term care facility offer?
-24-hour intermediate & custodial care
-majority of clients are older adults
-stay may be private, insurance or government funded
-need to adhere to regulations of th nursing home industry
-client satisfaction is a priority
What is the philosophy of the nursing home/long-term care facility?
-not an end for the older adult
-life continues w/meaning & value
-nurse is important person in client's life
-nurse can help client move in positive direction to attain or retain meaning and value
What does a hospital provide?
-ER
-diagonostic
-surgery
-ICU
-inpatient care
-rehab
-social services
-resp. therapy/cardiopulmonary
-PT, OT, SPEECH THERAPY, DIETARY THERAPY
What is the focus of the hospital?
to provided the highest uqality of care possible so clients can be dishcharged as early as possible but safely to home or long-term facility
What is the highest priority in the hospital?
client satifaction. employees need to strive for poisitve customer service.
T/F
hospitals can be public or private owned
true
What are some of the opportunities for nurses?
oncology, orthopedic, obstetric, pediatric, surgery, ER, client education, staff education, nurse manager, clinical nurse specialist, infection control coordinator, quality assurance nurse, nursing instructor
What is a nursing function for long-term care? 1
-provide a milieu for living rather than illness for dying.
-learn about & use community resources, advise family and client of same
What is a nursing function for long term care? 2
-teach clients and families
-counsel clients and families
-plan and coordinate care
-teach ancillary personnel
What is a nursing function for long term care? 3
-establish short-term and long-term goals; evaluate progress toward both periodically
What is a nursing function for long term care? 4
-secure & maintain health, recreation, & social history
-communicate client's need in written & verbal form
What is a nursing function for long-term care? 5
-give treatments, medications, and rehab exercises
-observe & evaluate client responses to treatment, meds & care plan
What is a nursing funtions for long term care? 6
-teach health care maintenance to staff & clients
-keep physician aware of changes in client's condition
What is a nursing funtion for long term care? 7
-institute life-saving measures in the absence of a physician
-perform physical assessments on clients
What is a nursing function for long term care? 8
-ensure adequate medical, dental, & podiatric care for clients
-maintain hydration, nutrition, aeration & comfort of clients
What are nursing functions for acute care? 1
-support client in achieveing highest level of autonomy as possible in the situation
What are nursing functions for acute care? 2
-provide appropriate information to client & family about treatment plan, meds, and diagnosis in collabortaion w/physician
What are nursing functions for acute care? 3
-collaborate w/multi-professionals, client & family to develop a comprehensive care plan
What are nursing funtions for acute care? 4
supervise ancillary personnel
What are nursing functions for acute care? 5
recognize implication of diseases for client care (renal failure, coronary disease, emphysema)
What are nursing functions for acute care? 6
protect clients from injury of iatrogenic disease(complications form surgery/medical diseases)
What are nursing funcitons for acute care? 7
perform physical & psychosocial assessments & integrate in nursing care plan
What are nursing functions for acute care? 8
initiate actions as outlined in nursing protocols regarding various conditions
What are nursing functions for acute care? 9
provide emergency treatment as needed
What are nursing functions for acute care? 10
alert physician to changes in client status & abnormal findings of tests
What are nursing funtions for acute care? 11
maintains hydration, nutrition, aeration, & comfort of the client
What are nursing functions for acute care? 12
give treatments & meds to clients
What are nursing functions for acute care? 13
observe & evaluate client responses to treatment, meds, & care plan
What are some differences in the hospital? 1-5
-increased acuity
-decreased # of clients/nurse
-increased interaciton between nurses, physicians, & other departments
-much quicker pace
-increased access to other department expertise
What are some differences in the hospital? 6-10
-incrased professional staff
-increased access to supplies
-increased cost of care
-documentation in a timely manner is essential
What is the differences in the hospital? 11-12
-assessment needs to be done thoroughly, quickly in an organized manner, and frequently
-increased exposure to nursing procedures
What is the differences in the hospital? 13-14
-must communicate even subtle changes ASAP
-hospital guidelines & completing procedures is usually delineated & is strict
What is the differences in the hospital? 15-16
-continued need for good communication
-need to complete all tasks/assignments on time--need to be ready for whatever
At 7:45 a.m., you go to your patient's room to do VS & assessment & find that the pt has been incontinent of stool but has on an Attends brief. What do you do? (remember that VS are to be done by 8:00 a.m. & assessments are to be completed by 8:30 a.m.)
-clean up first
-wash hands
-VS, document
-make pt safe & comfortable
-finish assessments
(all can be don in 15 min)
The following pt:
58 yom diabetic w/L BKA
Prioritize treatments and care for this pt
1. FSBS ac & hs w/insulin coverage.
2. 1800 calorie ADA diet--needs help
3. VS/Assessment
4. Assist w/bath & a.m. care
5. dressing change of L stump site
6. scheduled for MRI of L leg @ 8:30 a.m.
You go to do your morning assessment & your pt roomate is sitting @ the side of the bed c/o nausea. What do you do?
give basin, make sure safe & secure, call for help
You are in the middle of your morning VS & assessment & you hear that a physician is going to do a thoracentesis on another pt STAT. What would you do?
-have another student/staff member to watch your pt.
-watch procedure
-finish assessment
The staff nurse who you are reporting to keeps asking you to assist w/the care that she is responsible for. You are managing your own assignment but have been somewhat rushed to also assist this nurse. How should you handle this scenario?
finish your patient, then help w/nurse
You & a fellow student have pt in the same room. you are able to go in & complete your assessment w/VS & set up your pt bath by 8:15 a.m. after charting, you assist your pt in finishing their bath, transfer the pt to a chair so he/she is ready for breakfast by 8:40 a.m.. your fellow student seems to be disorganized during the assessment & is not even in the room to assist w/breakfast trays when they arrive. What do you do in this situation?
-give pt tray
-talk to other student; help out...don't do care for them
-instruct them on organization and managing care
Two factors contribute to the projected increase in the number of older adults; they are?
the aging of the "baby boom" generation & the growth of the population segment over age 85
Which of the following is true about the theories of aging?
1. genetic changes are solely responsible.
2. environment is the main factor
3. there is no single theory that explains aging
4. disease causes a decline in function
3-there is no single theory that explains aging
The three common conditions affecting cognition in the elderly are:
delirium, depression, and dementia
Sexuality is recognized as a factor in the care of older adults, thus,
1. any expression of sexuality should be discouraged.
2. all older adults, whether healthy or frail, need to express exual feelings.
3. a decrease in an older adult's libido does occur
4. the need to touch & be touched is decreased
all older adults, whether healthy or frail, need to express sexual feelings
the older adult's libido does not decrease; however:
frequency of sexual activity may decline
visual acuity declines w/age. presbyopia, is a progressive delcine in:
the ability of the eyes to accomodate for close, detailed work.
A common age-related change in auditory acuity is called:
presbycusis
Taste buda atrophy & lose sensitivity. the older adult is less able to discern:
salty, sweets, sour, and bitter tastes
changes in the musculoskeletal system lead to changes in the configuration of the thorax. this is known as:
kyphosis
frontal-termperal dementia has an insidious onset & progresses slowly. early symptoms include:
poor hygiene, lack of social tact, and sexual disinhibition