Verified Answers |Latest Update| Already Graded A+
Late adulthood can be divided into four major subgroups: ✔Correct Answer-65 to 74 years of age:
the young old
75 to 84 years of age: the middle old
85 to 99 years of age: the old old
100 years of age or older: the elite old
are a major cause of accidents and death the older-adult population. among ✔Correct Answer-mo
Motor vehicle crashes
a broad term used for a syndrome that involves a slowly progressive cognitive decline, sometimes
referred to as chronic confusion. ✔Correct Answer-Dementia
There are many types of dementia, the most the common being ✔Correct Answer-Alzheimer's
disease. Multi-infarct dementia, the second most common dementia, results from a vascular disor-
der.
is characterized by the patient's inattentiveness, disorganized thinking, and altered level of
consciousness (either hypoalert or hyperalert). ✔Correct Answer-Delirium
Brief, serves a biologic purpose in that it acts as a warning signal by activating the sympathetic
nervous system and causing various physiologic responses. ✔Correct Answer-acute pain
(normal (also called persistent pain) is often defined as cessing) pain that lasts or recurs for an
indefinite period, usually for more than 3 months. The onset is gradual, and the character and quality
of the pain often change over time. ✔Correct Answer-Chronic pain
information that you obtain through use of the senses. ✔Correct Answer-cue
is your judgment or interpretation of these cues (Figure 16-3). For example, a patient crying is a cue
that possibly implies fear, pain, or sadness. You ask the patient about any concerns and make known
any nonverbal expressions that you notice in an effort to direct the patient to share his or her
feelings. ✔Correct Answer-inference
of assessment data is the comparison of data with another source to determine data accuracy.
✔Correct Answer-Validation
An initial patient-centered interview involves: ✔Correct Answer-(1) setting the stage
(2) gathering information about the patient's problems and setting an agenda
(3) collecting the assessment or a nursing health history, and
(4) terminating the interview.
includes active listening prompts such as "all right," "go on," or "uh-huh." These indicate that you
have heard what patient says, are interested in hearing the full story, and are encourag- ing the
patient to give more details. ✔Correct Answer-back channeling,
, As a patient tells his or her story, encourage a full description without trying to control the direction
the story takes. This requires you to probe with further open-ended statements such as "Is there
anything else you can tell me?" or "What else is bothering you?" ✔Correct Answer-Probing.
is the identification of a disease condition based on a specific evaluation of physical signs and
symptoms, a patient's medical history, and the results of diagnostic tests and procedures.
✔Correct Answer-medical diagnosis
a clinical judgment con- tian cerning a human response to health conditions/life processes, or
Vulnerability for that response by an individual, family, or community that is a nurse license and
competent to treat ✔Correct Answer-nursing diagnosis
is an actual or potential physiological complication that nurses monitor to detect the onset of
changes in a patient's health status ✔Correct Answer-collaborative problem
is a set of cues, the signs or symptoms gathered during assess- ment. Each cue is an objective or
subjective sign, symptom, or risk factor that, when analyzed with other cues, begins to lead to
diagnostic conclusions. ✔Correct Answer-Data clusters.
is the name of the nursing diagnosis as approved by NANDA-I (see Box 17-2). It describes the essence
of a patient's response to health conditions in as few words as possible. ✔Correct Answer-Nursing
Diagnosti/ diagnostic label
is a broad statement that describes a desired change in a patient's condition, perceptions, or
behavior. Mr. Lawson has the diag- nosis of Readiness for Enhanced Knowledge. A goal of care for
this diagnosis includes, "Patient will understand postoperative risks." ✔Correct Answer-goal
the measurable change (patient behavior, physical state, or perception) that must be achieved to
reach a goal. ✔Correct Answer-expected outcome
actions that a nurse initiates without supervision or direc- others. Examples include positioning
patients to prevent pressure ulcer formation, instructing patients in side effects of medica- tions, or
providing skin care to an ostomy site. ✔Correct Answer-Nurse-initiated interventions are the
independent nursing inter- ventions
actions that require an order from a health care provider. ✔Correct Answer-Health care provider-
initiated interventions are dependent nurs- ing interventions,
interventions are treatments performed through inter- actions with patients (Bulechek et al., 2013).
For example, a patient receives direct intervention in the form of medication administration,
insertion of a urinary catheter, discharge instruction, or counseling during a time of grief. ✔Correct
Answer-Direct care
interventions are treatments performed away from a patient but on behalf of the patient or group of
patients (e.g., managing a patient's environment [e.g., safety and infection control]), documentation,
and interdisciplinary collabora- tion (Bulechek et al., 2013). ✔Correct Answer-Indirect care
the inability to read above a fifth-grade level, ✔Correct Answer-Functional illiteracy,
as the cognitive and social skills that determine the motivation and ability of individuals to gain
access to, understand, that promote and maintain good health. ✔Correct Answer-health literacy