BASIC GERIATRIC NURSING 8TH EDITION
EXAM PREP STUDY SHEET VERIFIED
QUESTIONS WITH COMPLETE SOLUTIONS
⩥ Hearing Impairment.
Answer: If the person wears a hearing aid, make sure it is clean, that the
batteries are working, and that the device is in the correct ear
Many people who are hearing-impaired spontaneously begin to read lips
Low tones, slightly louder bending closer to the patient.
⩥ Aphasia.
Answer: A partial or total loss of the ability to use or understand words.
Using gestures helpful It affects the ability to understand and express
oneself through words, gestures, and writing but does not necessarily
affect intellectual function
⩥ Dementia.
Answer: Causes both cognitive and language deficits. Depending on the
severity of the dementia, the individual may demonstrate different levels
of function. Some characteristics of dementia include a limited attention
span, inability to focus on more than one thought at a time, confusion of
fact and fantasy, and inability to follow complex instruction
⩥ Cultural Differences.
,Answer: A growing wave of immigration from many European, Central
American, African, and Asian countries, bringing immigrants with
varied levels of English proficiency, presents increased challenges to
health care providers. It is most advantageous if caregivers from similar
cultural and ethnic background are available to act as translators. In
addition to making adaptations for language, the nurse should pay close
attention to nonverbal communications
⩥ Dementia.
Answer: Causes both cognitive and language deficits
Depending on the severity of the dementia, the individual may
demonstrate different levels of function
Some characteristics of dementia include a limited attention span,
inability to focus on more than one thought at a time, confusion of fact
and fantasy, and inability to follow complex instruction
⩥ Communication with Physicians.
Answer: Mutual respect and a willingness to collaborate for the good of
the older patient can form a strong basis for good nurse-physician
interactions
The nurse can use a number of strategies to decrease frustrations and
optimize the efficiency and effectiveness of communication. When you
call a physician:
Start by identifying who you are (name and title), the patient(s) you are
calling about, and the specific reason for the contact
Plan ahead and have a focus for the communication
,Know what you want to report or find out
Be organized, clear, precise, and complete
Communication with Physicians
When you call a physician (cont'd.):
Provide background information
Provide all necessary and relevant information that the physician might
need
Identify the patient by name, major diagnoses, and any medications
related to currently presenting symptoms or concerns
Be prepared to clarify any data or information that the physician may
request
Communicating with Physician
Identify yourself and where from( unit, hospital, home care, nursing
home)
⩥ SBAR.
Answer: Situation: patient
Background: concern
Assessments: data
Recommendations: what you might need
⩥ Simple Carbohydrates.
, Answer: Used most readily by the body because their simple bonds are
easily broken, sugar, honey, candy
⩥ Complex Carbohydrates.
Answer: Must be broken down into simple sugars before they can be
used by the body, Vegetables, whole grains, and fruits, 60% of
carbohydrates should be complex, Complex better for the diabetic
patient
⩥ Protein:.
Answer: essential for tissue repair and healing, Lean proteins
⩥ Factors effecting decrease in the older person diet.
Answer: Repetitive nature of meals
Lack of culturally significant foods
Environmental odors
Reactions to being feed by other
Family and social nature of meals
Social and Cultural Aspects of Nutrition
Food is more than a means of meeting nutritional needs
Food is also used as part of religious ceremonies, in social interactions,
and as a means of cultural expression
Many major religions, such as Islam, Judaism, and Catholicism, include
some dietary restrictions. Will see this in clinical.
EXAM PREP STUDY SHEET VERIFIED
QUESTIONS WITH COMPLETE SOLUTIONS
⩥ Hearing Impairment.
Answer: If the person wears a hearing aid, make sure it is clean, that the
batteries are working, and that the device is in the correct ear
Many people who are hearing-impaired spontaneously begin to read lips
Low tones, slightly louder bending closer to the patient.
⩥ Aphasia.
Answer: A partial or total loss of the ability to use or understand words.
Using gestures helpful It affects the ability to understand and express
oneself through words, gestures, and writing but does not necessarily
affect intellectual function
⩥ Dementia.
Answer: Causes both cognitive and language deficits. Depending on the
severity of the dementia, the individual may demonstrate different levels
of function. Some characteristics of dementia include a limited attention
span, inability to focus on more than one thought at a time, confusion of
fact and fantasy, and inability to follow complex instruction
⩥ Cultural Differences.
,Answer: A growing wave of immigration from many European, Central
American, African, and Asian countries, bringing immigrants with
varied levels of English proficiency, presents increased challenges to
health care providers. It is most advantageous if caregivers from similar
cultural and ethnic background are available to act as translators. In
addition to making adaptations for language, the nurse should pay close
attention to nonverbal communications
⩥ Dementia.
Answer: Causes both cognitive and language deficits
Depending on the severity of the dementia, the individual may
demonstrate different levels of function
Some characteristics of dementia include a limited attention span,
inability to focus on more than one thought at a time, confusion of fact
and fantasy, and inability to follow complex instruction
⩥ Communication with Physicians.
Answer: Mutual respect and a willingness to collaborate for the good of
the older patient can form a strong basis for good nurse-physician
interactions
The nurse can use a number of strategies to decrease frustrations and
optimize the efficiency and effectiveness of communication. When you
call a physician:
Start by identifying who you are (name and title), the patient(s) you are
calling about, and the specific reason for the contact
Plan ahead and have a focus for the communication
,Know what you want to report or find out
Be organized, clear, precise, and complete
Communication with Physicians
When you call a physician (cont'd.):
Provide background information
Provide all necessary and relevant information that the physician might
need
Identify the patient by name, major diagnoses, and any medications
related to currently presenting symptoms or concerns
Be prepared to clarify any data or information that the physician may
request
Communicating with Physician
Identify yourself and where from( unit, hospital, home care, nursing
home)
⩥ SBAR.
Answer: Situation: patient
Background: concern
Assessments: data
Recommendations: what you might need
⩥ Simple Carbohydrates.
, Answer: Used most readily by the body because their simple bonds are
easily broken, sugar, honey, candy
⩥ Complex Carbohydrates.
Answer: Must be broken down into simple sugars before they can be
used by the body, Vegetables, whole grains, and fruits, 60% of
carbohydrates should be complex, Complex better for the diabetic
patient
⩥ Protein:.
Answer: essential for tissue repair and healing, Lean proteins
⩥ Factors effecting decrease in the older person diet.
Answer: Repetitive nature of meals
Lack of culturally significant foods
Environmental odors
Reactions to being feed by other
Family and social nature of meals
Social and Cultural Aspects of Nutrition
Food is more than a means of meeting nutritional needs
Food is also used as part of religious ceremonies, in social interactions,
and as a means of cultural expression
Many major religions, such as Islam, Judaism, and Catholicism, include
some dietary restrictions. Will see this in clinical.
