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PN103 FINAL EXAM | Questions Solved 100% Correct| Verified Answers
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PN103 FINAL EXAM | Questions Solved 100% Correct| Verified Answers
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PN103 FINAL EXAM | Questions Solved 100%Correct| Verified Answers
Transitions are significant, universal human experiences. - ✔✔Transitions can evoke stress; It
is important to assist the older person to be successful in making the transition and managing
the stress; Health-illness transitions can result in a change in role relations, expectations, and
abilities.
Resolving Transitional Problems - ✔✔Assist older people to review their lives.
Life review - Allow older adults to tell their stories, even if it is a repeat.
Writing one's life story - Assist persons to record or write their story.
Organizing photos - Find family member or volunteers to assist.
Ethics - ✔✔Study of moral actions and values
The Law - ✔✔Rules and regulations that guide society; Possible legal approach to care may
conflict with your ethical value system
Nurse practice act - ✔✔State laws that identify requirements for licensure and limits of
nursing practice; Vary from state to state
Advance Directives - ✔✔Living will; Durable Power of Attorney
Restraint-free environment - ✔✔devices or actions will interfere with a person's ability to
make a decision or restrict their free movement.
Informed Consent - ✔✔Provide all information on treatment or procedures.; Form must be
signed.; Nurse acts as advocate.
,Providing for Intimacy Needs - ✔✔Nurses should provide appropriate opportunities for older
adults to express intimate and sexual needs by Providing privacy for Consenting partners
Health Insurance Portability and Accountability Act (HIPAA) - ✔✔Signed by Cliniton in 1996
and is United States legislation that provides data privacy and security provisions for
safeguarding medical information.
Medicare coverage - ✔✔For the older population aged of 65 or higher or a disabled person;
Medicare does not cover LTC
Medicaid - ✔✔Federally funded, but state managed; Low income, few assets.
Activity - ✔✔improves the functioning of the heart, lungs, musculoskeletal system, and
digestive system; improves feelings of self-satisfaction; Older adults must be encouraged to do
as much activity for themselves as possible; Plan activity specific for the older adult
Rest - ✔✔Older adults have special rest needs.; Rest may be affected by pain and stress
Pain - ✔✔Decreases rest and activity; Should be assessed
Sleep - ✔✔Sleep is important for quality of health.; Many older adults need more sleep than
they get; Circadian rhythm has impact on sleep cycle
Two types of sleep - ✔✔Rapid eye movement (REM); Non-rapid eye movement (NREM)
Insomnia in the older adult - ✔✔Difficulty falling asleep; Difficulty staying asleep; Feeling like
not getting enough sleep; Frequent urination, GERD, COPD, CHF; Restless legs syndrome;
, Dementia - ✔✔a disease that causes disruption in sleep
Contributions to poor-quality sleep - ✔✔Sedentary lifestyle; Alcohol and tobacco; Caffeine
intake in the evening; Noise and light
Interventions - ✔✔Work with the patient to determine sleep hygiene and needs; Encourage
the patient to replicate activities that normally help them rest, wind down and fall asleep;
Provide an environment conducive to sleep
Grief - ✔✔is the normal reaction to a catastrophic loss
Stages of grief include - ✔✔denial, anger, bargaining, depression, and acceptance
Denial - ✔✔Person is unable to accept loss; May show signs of shock, praying that it is not
true; may seem "dazed"
Anger - ✔✔Demonstrates awareness of loss and its consequences; Person needs be able to
vent anger in a safe environment
Bargaining - ✔✔Making bargains with God or a supernatural power; The thinking is that if
one trades something of value, then the person will get better; Family needs to be supportive
during this stage.
Depression - ✔✔The individual does not accept the loss but accepts the fact that nothing can
change it; Assess for suicidal thinking.
Acceptance - ✔✔Person accepts death and feels a sense of relief; Able to go on with life's
activities
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