NUR 257 EXAM 1 UNIT 2 UPDATED ACTUAL QUESTIONS
AND CORRECT ANSWERS
Question:
Most common "Geriatric syndrome" conditions
Answer:
- falls and gait abnormalities
- frailty
- delirium
- urinary incontinence
- sleep disorders
- pressure injuries
- malnutrition
- sarcopenia- loss of muscle strength that can happen when someone gets older and
does less activity
Question:
The chronic illness trajectory and nursing responses
Answer:
1. pretrajectory- before the illness course begins, the preventative phase, no
signs/symptoms present
2. trajectory onset- s/s present, includes diagnostic period
3. crisis- life threatening situation
4. acute- active illness/complications that require hospitalization for optimal
management
5. stable- controlled illness course/symptoms
6. unstable- illness course-symptoms not completly controlled by regimen but not
requiring/desiring hospitalization
7. downward- progressive decline in physical/mental status characterized by increasing
disability/symptoms
8. dying- active decline in physical/mental status characterized by increasing
disability/symptoms Immediate weeks, days, hours preceding death
Question:
Characteristics of successful chronic illness management models
Answer:
- interdisciplinary team of health care professionals, often led by a nurse
- ability to conduct initial and intermitten comprehensive assessments
- skill in the development of a comprehensive care plan that is individualized,
incorporates evidence based protocols, and is culturally appropriate
- adequate funding to implement the plan over time
- actively engages the patient and family caregivers in care
- proactive monitoring of the pt's clinical status and ability and willingness to modify
the care plan as needed
- success in facilitating transitions across settings
- facilitation of the pt's access to community resources
, Question:
Reducing caregiver stress
Answer:
- educate yourself about the disease/med condition
- contact appropriate disease-related organization to learn about resources and edu and
support groups to help you adapt to the challenges you encounter
- find a health care professional who understands the disease
- consult w/ other experts to help plan for the future (legal, financial)
- tap your social resources for assistance
- take time for relaxation and exercise
- use community resources
- maitain your sense of humor
- explore religious beliefs and spiritual values
- participate in pleasant, nurturing activites such as reading a good book, taking a warm
bath
- seek supportive counseling when you need it
- identify and acknowledge your feelings; you have a right to all of them
- set realistic goals
- attend to your own health care needs
Question:
Prevention of elder mistreatment
Answer:
- make professionals aware of potentially abusive situations.
- help families develop and nurture informal support systems.
- link families with support groups.
- teach families stress management techniques.
- arrange comprehensive care resources.
- provide counseling for troubled families.
- encourage the use of respite care and day care.
- obtain necessary home health care services.
- inform families of resources for meals and transportation.
- encourage caregivers to pursue their individual interests.
Question:
Examples of IADL's (Instrumental Activities of Daily Living)
Answer:
- ability to use the phone (look up #s, make phone calls)
- ability to travel (alone ex. drive, w/ another, unable)
- ability to shop for necessities (alone even if needs someone to provide transportation,
cannot do w/out help, unable)
- ability to prepare meals (plan & prepare full meals safely, can prepare light meals but
cannot cook full meals, unable)
- ability to do housework (heavy housework, limited to light house-work, unable)
- ability to self- admin med (independently take meds in right dose @ right times, able
to take meds but needs reminding/someone to prepare them, unable)
- ability to manage $ (independently manage $ [ex. write checks, pay bills], needs some
help, unable)
AND CORRECT ANSWERS
Question:
Most common "Geriatric syndrome" conditions
Answer:
- falls and gait abnormalities
- frailty
- delirium
- urinary incontinence
- sleep disorders
- pressure injuries
- malnutrition
- sarcopenia- loss of muscle strength that can happen when someone gets older and
does less activity
Question:
The chronic illness trajectory and nursing responses
Answer:
1. pretrajectory- before the illness course begins, the preventative phase, no
signs/symptoms present
2. trajectory onset- s/s present, includes diagnostic period
3. crisis- life threatening situation
4. acute- active illness/complications that require hospitalization for optimal
management
5. stable- controlled illness course/symptoms
6. unstable- illness course-symptoms not completly controlled by regimen but not
requiring/desiring hospitalization
7. downward- progressive decline in physical/mental status characterized by increasing
disability/symptoms
8. dying- active decline in physical/mental status characterized by increasing
disability/symptoms Immediate weeks, days, hours preceding death
Question:
Characteristics of successful chronic illness management models
Answer:
- interdisciplinary team of health care professionals, often led by a nurse
- ability to conduct initial and intermitten comprehensive assessments
- skill in the development of a comprehensive care plan that is individualized,
incorporates evidence based protocols, and is culturally appropriate
- adequate funding to implement the plan over time
- actively engages the patient and family caregivers in care
- proactive monitoring of the pt's clinical status and ability and willingness to modify
the care plan as needed
- success in facilitating transitions across settings
- facilitation of the pt's access to community resources
, Question:
Reducing caregiver stress
Answer:
- educate yourself about the disease/med condition
- contact appropriate disease-related organization to learn about resources and edu and
support groups to help you adapt to the challenges you encounter
- find a health care professional who understands the disease
- consult w/ other experts to help plan for the future (legal, financial)
- tap your social resources for assistance
- take time for relaxation and exercise
- use community resources
- maitain your sense of humor
- explore religious beliefs and spiritual values
- participate in pleasant, nurturing activites such as reading a good book, taking a warm
bath
- seek supportive counseling when you need it
- identify and acknowledge your feelings; you have a right to all of them
- set realistic goals
- attend to your own health care needs
Question:
Prevention of elder mistreatment
Answer:
- make professionals aware of potentially abusive situations.
- help families develop and nurture informal support systems.
- link families with support groups.
- teach families stress management techniques.
- arrange comprehensive care resources.
- provide counseling for troubled families.
- encourage the use of respite care and day care.
- obtain necessary home health care services.
- inform families of resources for meals and transportation.
- encourage caregivers to pursue their individual interests.
Question:
Examples of IADL's (Instrumental Activities of Daily Living)
Answer:
- ability to use the phone (look up #s, make phone calls)
- ability to travel (alone ex. drive, w/ another, unable)
- ability to shop for necessities (alone even if needs someone to provide transportation,
cannot do w/out help, unable)
- ability to prepare meals (plan & prepare full meals safely, can prepare light meals but
cannot cook full meals, unable)
- ability to do housework (heavy housework, limited to light house-work, unable)
- ability to self- admin med (independently take meds in right dose @ right times, able
to take meds but needs reminding/someone to prepare them, unable)
- ability to manage $ (independently manage $ [ex. write checks, pay bills], needs some
help, unable)
