Exam 1: NUR163/ NUR 163 (Latest 2025/ 2026 Update) Concepts of Practical Nursing in the Care of Elderly Patients Guide| Questions & Answers| Grade A| 100% Correct (Verified Solutions)- Hondros

Exam 1: NUR163/ NUR 163 (Latest 2025/ 2026 Update) Concepts of Practical Nursing in the Care of Elderly Patients Guide| Questions & Answers| Grade A| 100% Correct (Verified Solutions)- Hondros QUESTION SPICES scale S- Sleep Disorders P- Problems with Eating or Feeding I-Incontinence (Urinary & or bowel movements) C-Confusion E-Evidence of Falls (usually in last 6 months) S-Skin breakdown (skin ulcers, sores) QUESTION Morris Fall Scale Answer: • History of falling • Secondary Diagnosis • Ambulatory Aid (Furniture, Crutches, Can, Walker) • IV/Heparin Lock • Gait/Transferring • Mental Status QUESTION Mini Cog Screening Answer: • Need for increased early identification of cognitive impairments and are in need of a more thorough evaluation. • Three Item recall task (Instruct patient to remember 3 words you tell them and later ask patient to repeat 3 words again) • Clock drawing task (Have patient draw face of clock on paper and ask patient to draw hands and clock at a certain time) QUESTION Glascow Coma Scale- The lower the number on the scale, the more serious the coma may be. Answer: • Eye Opening • Verbal • Motor Movement QUESTION Braden Scale Answer: Used to identify pressure sore risks. QUESTION Katz Index Answer: - High score = independence - Low score = Very dependent QUESTION Functional assessment of Normal ADL's Answer: • Bathing • Dressing • Toileting • Transferring • Continence • Feeding QUESTION Montreal Cognitive Assessment Answer: • Early Alzheimer's /Dementia Assessment • Domains of attention and concentration • Executive Functions • Memory • Language • Visual • Constructional Skills • Conceptual thinking • Calculations and orientation QUESTION It will give us a medical diagnosis, such as a stroke. Which assessment tools will we use as nurse? Answer: Morse Fall Scale, Mini Cog, Montreal, Katz QUESTION What is The Joint Commission and what is their role? Answer: seeks to continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value. QUESTION Absorption (Altered) Answer: Decreased gastric acidity, peristalsis and blood flow. QUESTION Distribution (Altered) Answer: Storing of fat-soluble drugs in fatty tissue; decreased serum albumin for binding of drugs. QUESTION Metabolism (Decreased) Answer: Decreased enzyme activity and blood flow in liver; decreased capacity of liver. QUESTION Excretion (Decreased) Answer: Decreased renal blood flow and glomerular filtration rate; decreased number of functional renal tubules. QUESTION Factors that negatively affect health maintenance Answer: Healthcare team can tell a patient that this is what your diagnosis is and this is what you should do to help with this diagnosis. Know though, how the patient will be noncompliant to negatively affect their care. Failure or refusal to comply Patient does not take prescribed medication as directed. Patient fails to adhere to prescribed treatment plan. Patient does not follow lifestyle modifications as directed. Low Literacy Language Barriers Angry, disruptive patients