NURS 3000 Exam 4 – Questions With Objective
Solutions
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Terms in this set (78)
Physiological changes commonly Decreased metabolism (weight gain), vision changes
experienced by middle age adults (presbyopia), hearing loss (presbycusis), menopause
(40s-60s) (women), andropause (men), increased risk of chronic
diseases (HTN, DM, heart disease).
Psychological changes commonly Generativity vs. Stagnation; "sandwich generation"
experienced by middle age adults (caring for children and aging parents), career
(40s-60s) changes/stagnation, mid-life crisis, adjustment to
physical changes
Developmental Tasks of young adults Intimacy vs Isolation; establishing career, forming
(20s-30s) intimate relationships, starting a family, establishing a
home.
Developmental Tasks of older adults Ego Integrity vs Despair; reflecting on life with
satisfaction, adjusting to retirement, physical
changes, loss of loved ones
Nursing actions appropriate to clients Focus on health promotion, career/family balance,
based on developmental stage relationship support, encouraging healthy lifestyles
(Young Adults, 20s-30s)
Nursing actions appropriate to clients Encourage reminiscence, provide resources for
based on their developmental stage social engagement/support groups, fall prevention
(Older Adults, 65+) education, chronic disease management, respecting
their life experiences.
,Therapeutic communication/client + use a non-judgemental tone
teaching with client asking about risk + provide factual, evidence-based information
factors for a disease + Focus on modifiable risk factors (e.g., smoking
cessation, diet, exercise) vs non-modifiable (e.g.,
genetics, age, sex).
+ Collaborate with the client to develop a plan for
lifestyle modifications
Maslow's Hierarchy of Basic Human Physiological (most basic priority): Ensuring patient
Needs - Examples of basic nursing airway/oxygenation, providing food and fluids
actions to assist clients in meeting (hydration/nutrition), managing pain, and ensuring
physiological, safety/security, and adequate rest/sleep.
self-esteem needs Safety/Security: Implementing fall precautions,
ensuring medication administration is safe (checking
7 rights), explaining procedures to reduce anxiety,
and maintaining a clean, safe environment (e.g., call
light w/in reach).
Self-Esteem: Encouraging independence in self-care
(ADLs), respecting client privacy and dignity, and
providing positive reinforcement for
accomplishments.
Maslow's Hierarchy of Basic Human (most basic priority): Ensuring patient
Needs - Examples of basic nursing airway/oxygenation, providing food and fluids
actions to assist clients in meeting (hydration/nutrition), managing pain, and ensuring
physiological needs adequate rest/sleep.
Maslow's Hierarchy of Basic Human Implementing fall precautions, ensuring medication
Needs - Examples of basic nursing administration is safe (checking 7 rights), explaining
actions to assist clients in meeting procedures to reduce anxiety, and maintaining a
safety/security needs clean, safe environment (e.g., call light w/in reach).
Maslow's Hierarchy of Basic Human Encouraging independence in self-care (ADLs),
Needs - Examples of basic nursing respecting client privacy and dignity, and providing
actions to assist clients in meeting positive reinforcement for accomplishments.
self-esteem needs
, Presbyopoia The gradual loss of the eye's ability to focus on near
objects due to the natural aging of the lens, which
typically starts around age 40. Symptoms include
blurry near vision, needing to hold reading material
farther away, and eye strain or headaches from close
work. It is a normal part of aging and cannot be
reversed, but it can be managed with corrective
lenses like reading glasses, multifocal glasses, or
contact lenses
andropause Also known as age-related hypogonadism or late-
onset hypogonadism, is a gradual age-related
decline in testosterone levels in men that can cause
various symptoms like low libido, fatigue, mood
changes, and erectile dysfunction.
Therapeutic communication with client "Would you like to speak to a chaplain or clergy
regarding beliefs about prayer member?"
"Is prayer something that is important to you right
now?"
"How can i help you meet your spiritual needs during
this time?"
Therapeutic communication with Same as nursing actions for reminiscence - listen,
elderly client experiencing various encourage, and validate feelings
losses
Culturally sensitive care for a client of Importance of the Sabbath (Friday sundown to
the Jewish faith Saturday sundown) - avoid unnecessary procedures
during this time
Dietary laws (Kosher diet) - ensure appropriate meal
trays
Body should not be left alone after death (a
watchman, shomer, often stays with the body until
burial).
Quick burial is traditional; cremation is generally
avoided