Fundamentals Exam 4
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1. What is the SPICES test for older adults?: S- sleep disorders
P- problems w/ eating or feeding
I- incontinence
C- confusion
E- evidence of falls
S- skin breakdown
2. an acute change in attention and awareness that develops over a relatively
short time interval: delirium
3. a generalized impairment of intellectual functioning that interferes w/ social
and occupational functioning: dementia
4. a new onset of delirium should trigger a nurse to assess for signs of infections
like: UTI's and pneumonia
5. What are the 3 recommendations for staffing when it comes to dementia
care?: 1. provide a thorough orientation focusing on care for dementia pts
2. provide consistent staffing
3. encourage patients, families, and staff to develop a relationship
6. What are some things the bathroom (environment) should have for older
adults?: - grab bars
- non-slip surfaces (floor and shower)
-easy reach for supplies
-minimal obstacles
-adequate lighting
7. a communication technique that makes an older adult more aware of person,
place, and time: reality orientation
8. an alternative approach to communication with an older adult who is con-
fused: validation therapy
9. What are some reasons that the risk for delirium increases when older adults
are hospitalized?: immobilization, sleep deprivation, infection, pain, dehydration, sensory impairment, drug
interactions, anesthesia, and hypoxia
10. What are some adverse events that the acute care setting poses a risk
for?: malnutrition, healthcare associated infections, falls, urinary incontinence, sleep deprivation, immobilization,
infection, dehydration
1/5
, Fundamentals Exam 4
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11. What are some non-medical causes of delirium?: unfamiliar surroundings, unfamiliar staff,
bed rest, stress, and separation from support systems
12. What is the purpose of The Joint Comissions Speak Up Campaign?: to help patients
understand their rights when receiving medical care and to support them to become more active by asking questions
13. What does Speak Up stand for? (The Joint Comission): S- speak up if you have questions
P- pay attention to the care you get
E- educate yourself about your illness
A- ask a trusted family member or friend to be your advocate
K- know about your medications
U- use health care organizations that you've researched
P- participate in all decisions about your care
14. What are the 3 domains of learning in nursing?: 1. Cognitive (educating about hyperten-
sion)
2. Effective (helping pt cope)
3. Psycho motor (demonstration)
15. disease that can be transmitted directly from one person to another: commu-
nicable disease
16. ability to produce disease: virulence
17. bacteria that require oxygen for survival: aerobic
18. bacteria that thrive where there is little or no oxygen: anaerobic
19. What is the ideal temperature for most pathogens?: 20-30 degrees Celcius/ 68-109
degrees Fahrenheit
20. What pH do most microorganisms prefer?: 5.0-7.0
21. What are the four main symptoms for infection?: 1. Pain
2. Tenderness
3. Warmth
4. Redness
22. What are the six modes of transmission?: 1. Direct
2. Indirect
3. Droplet
4. Airborne
2/5
Study online at https://quizlet.com/_iywtk6
1. What is the SPICES test for older adults?: S- sleep disorders
P- problems w/ eating or feeding
I- incontinence
C- confusion
E- evidence of falls
S- skin breakdown
2. an acute change in attention and awareness that develops over a relatively
short time interval: delirium
3. a generalized impairment of intellectual functioning that interferes w/ social
and occupational functioning: dementia
4. a new onset of delirium should trigger a nurse to assess for signs of infections
like: UTI's and pneumonia
5. What are the 3 recommendations for staffing when it comes to dementia
care?: 1. provide a thorough orientation focusing on care for dementia pts
2. provide consistent staffing
3. encourage patients, families, and staff to develop a relationship
6. What are some things the bathroom (environment) should have for older
adults?: - grab bars
- non-slip surfaces (floor and shower)
-easy reach for supplies
-minimal obstacles
-adequate lighting
7. a communication technique that makes an older adult more aware of person,
place, and time: reality orientation
8. an alternative approach to communication with an older adult who is con-
fused: validation therapy
9. What are some reasons that the risk for delirium increases when older adults
are hospitalized?: immobilization, sleep deprivation, infection, pain, dehydration, sensory impairment, drug
interactions, anesthesia, and hypoxia
10. What are some adverse events that the acute care setting poses a risk
for?: malnutrition, healthcare associated infections, falls, urinary incontinence, sleep deprivation, immobilization,
infection, dehydration
1/5
, Fundamentals Exam 4
Study online at https://quizlet.com/_iywtk6
11. What are some non-medical causes of delirium?: unfamiliar surroundings, unfamiliar staff,
bed rest, stress, and separation from support systems
12. What is the purpose of The Joint Comissions Speak Up Campaign?: to help patients
understand their rights when receiving medical care and to support them to become more active by asking questions
13. What does Speak Up stand for? (The Joint Comission): S- speak up if you have questions
P- pay attention to the care you get
E- educate yourself about your illness
A- ask a trusted family member or friend to be your advocate
K- know about your medications
U- use health care organizations that you've researched
P- participate in all decisions about your care
14. What are the 3 domains of learning in nursing?: 1. Cognitive (educating about hyperten-
sion)
2. Effective (helping pt cope)
3. Psycho motor (demonstration)
15. disease that can be transmitted directly from one person to another: commu-
nicable disease
16. ability to produce disease: virulence
17. bacteria that require oxygen for survival: aerobic
18. bacteria that thrive where there is little or no oxygen: anaerobic
19. What is the ideal temperature for most pathogens?: 20-30 degrees Celcius/ 68-109
degrees Fahrenheit
20. What pH do most microorganisms prefer?: 5.0-7.0
21. What are the four main symptoms for infection?: 1. Pain
2. Tenderness
3. Warmth
4. Redness
22. What are the six modes of transmission?: 1. Direct
2. Indirect
3. Droplet
4. Airborne
2/5
