NUR 341 FINAL EXAM VERIFIED
QUESTIONS WITH CORRECT ANSWERS
Normal changes of aging v.s. Pathophysiology
Normal
- memory impairment; loss of short term/long term memory
Pathophysiology:
-Depression: distress expressed about memory loss
-Dementia: usually try to hide their memory loss
Confusion:
-Sunrise syndrome: hangover from night meds
-Sundowning syndrome: fatigue or tired from it being night time.
Defense mechanisms associated w/ impaired cognitive responses
-Denial: denies problem/ does not see an issue
-Confabulation: makes up details that they do not remember
-Perseveration: repeats phrase/words that they do know over and over
What is delirium
A medical emergency; it is reversible
-cause from underlying medical emergency (medication, infection, substance use,
CV/pulm. issues)
-comes on fast
-fluctuations in orientation, LOC, vitals
Caring for a pt. with delirium
identify the underlying cause!
, Factors of the therapeutic milieu for geropsychiatric pt.
-focuses on cognitive stimulation, promotes socialization
-physical environment is soothing (calm colors) and is consistent
-no moving furniture
-routine is consistent and scheduled
-focus on pt. strengths and preferences
Resilience
- ability to maintain well-being in stressful circumstances
awareness/acceptance of problems
Examples of resilience
Accepting a new chronic disease
Nursing intervention for geropsychiatric pt.
-psychotherapy: not used commonly before, but is changing bc stigma
-life review: write life story and share w group
-reminiscence: review of life events w/o structure or meaning
-validation therapy: instead of reorienting, go along w what pt. thinks is happening
-stimulation: engage the mind w games, puzzles, wordcross
-Medication: this age is more common for side effects so lower doses, watch for drug
interactions, eps, anticholin.
-education: teach ab normal aging process NOT NORMAL to be depressed
Mental Status Exam
- evaluation of patient's current status
- objective/nonjudgemental
- influenced by education/sociocultural factors
- assess communication
- monitor own feelings
General Description (MSE)
QUESTIONS WITH CORRECT ANSWERS
Normal changes of aging v.s. Pathophysiology
Normal
- memory impairment; loss of short term/long term memory
Pathophysiology:
-Depression: distress expressed about memory loss
-Dementia: usually try to hide their memory loss
Confusion:
-Sunrise syndrome: hangover from night meds
-Sundowning syndrome: fatigue or tired from it being night time.
Defense mechanisms associated w/ impaired cognitive responses
-Denial: denies problem/ does not see an issue
-Confabulation: makes up details that they do not remember
-Perseveration: repeats phrase/words that they do know over and over
What is delirium
A medical emergency; it is reversible
-cause from underlying medical emergency (medication, infection, substance use,
CV/pulm. issues)
-comes on fast
-fluctuations in orientation, LOC, vitals
Caring for a pt. with delirium
identify the underlying cause!
, Factors of the therapeutic milieu for geropsychiatric pt.
-focuses on cognitive stimulation, promotes socialization
-physical environment is soothing (calm colors) and is consistent
-no moving furniture
-routine is consistent and scheduled
-focus on pt. strengths and preferences
Resilience
- ability to maintain well-being in stressful circumstances
awareness/acceptance of problems
Examples of resilience
Accepting a new chronic disease
Nursing intervention for geropsychiatric pt.
-psychotherapy: not used commonly before, but is changing bc stigma
-life review: write life story and share w group
-reminiscence: review of life events w/o structure or meaning
-validation therapy: instead of reorienting, go along w what pt. thinks is happening
-stimulation: engage the mind w games, puzzles, wordcross
-Medication: this age is more common for side effects so lower doses, watch for drug
interactions, eps, anticholin.
-education: teach ab normal aging process NOT NORMAL to be depressed
Mental Status Exam
- evaluation of patient's current status
- objective/nonjudgemental
- influenced by education/sociocultural factors
- assess communication
- monitor own feelings
General Description (MSE)
