GERIATRIC NURSING CHAPTER 4 & 5 STUDY GUIDE 2023/2024

GERIATRIC NURSING CHAPTER 4 & 5 STUDY GUIDE 2023/2024 The nurse is aware that the best predictor of a hypertensive patient complying with a low-sodium diet would be the fact that the client has what? - CORRECT ANSWERadequate knowledge about the diet To assist a hypertensive client with grocery shopping and making good choices, the nurse encourage the client to take glasses or a magnifying glass to the store to assist with what? - CORRECT ANSWER-reading food labels Some older adults use alcohol as a........ - CORRECT ANSWER-sleep aid How often should a 75-year-old adult have hearing and vision exams? - CORRECT ANSWER-every 12 months An 80-year-old female client in a nursing home had a tetanus shot when she was 75. She injured her foot by stepping on a rusty nail. When should she have her next tetanus shot? - CORRECT ANSWER-immediately due to the injury, and then every 10 years after that date How many consecutive minutes should an older adult exercise in order to get the maximum benefit? - CORRECT ANSWER-30 minutes True or False: It is important for a client to wear a medical alert bracelet if they have a pacemaker. - CORRECT ANSWER-True What tasks does a primary caregiver do for the client? - CORRECT ANSWER-day to day needs and meals Nurses and other professionals need to be kind to unpaid caregivers, recognize their value, and........ - CORRECT ANSWER-provide positive feedback Clients should floss and brush their natural teeth daily using what type of toothpaste? - CORRECT ANSWER-fluoride toothpaste What do the recommended health practices for an older adult include? - CORRECT ANSWER-compliance with dietary restrictions, regular daily exercise, cessation of smoking, and regular medical exams What benefits do a small amount of daily exercise provide for older adults? - CORRECT ANSWER-control weight, retard bone loss, control blood glucose levels, and promote a sense of well-being What health evaluations should be completed on older adult females? - CORRECT ANSWER-height, weight, lipid study, rectal exam, and mammography What should the nurse assess in regard to ineffective health maintenance? - CORRECT ANSWER-willingness to follow health maintenance plans, possible conflict with the health maintenance plan and the client's culture, presence of prohibited items such as sweets/alcohol/tobacco, and the level of cognitive impairment What is the brief explanation of therapeutic communication? - CORRECT ANSWER-it has a specific intent and purpose What is the best method of communication for a client with receptive aphasia? - CORRECT ANSWER-gestures and other non-verbal communication What percent of communication is transmitted by way of verbal communication? - CORRECT ANSWER-7% What is empathetic listening and why is it used? - CORRECT ANSWER-Actively trying to understand the other person, not just knowing the facts about that person. To communicate effectively, we must first learn to listen actively and empathetically. When using an interpreter, what should the nurse focus on? - CORRECT ANSWERfocus on the patient and not the interpreter What is public space? - CORRECT ANSWER-12 feet or more What is social space? - CORRECT ANSWER-4 to 12 feet What is personal space? - CORRECT ANSWER-18 inches to 4 feet What is intimate space? - CORRECT ANSWER-within 18 inches What is successful communication dependent on? - CORRECT ANSWER-the need to share information with someone else, empathetic listening, assessing or correcting communication barriers, and the use of a variety of communication skills The nurse is sensitive to the use of nonverbal communication from patients, which includes the interpretation of what? - CORRECT ANSWER-voice tone, body language, gestures, and facial expressions The nurse uses touch as a form of communication to convey what? - CORRECT ANSWER-affection, understanding, concern, acknowledgement, and empathy What are the communication barriers when conversing with older adults? - CORRECT ANSWER-hearing impairment, language differences, dementia, pain, and aphasia How often are regular dental visits recommended for older adults - CORRECT ANSWER-on a yearly basis for all older adults, even those with dentures How often should older adults receive the Influenza vaccine? - CORRECT ANSWER-on a yearly basis What factors should the nurse assess when attempting to help an older adult improve his/her health maintenance practices? - CORRECT ANSWER-cultural beliefs, socioeconomic status, religious beliefs, and education level What actions are mostly likely to enhance the nurse's communication with an older adult? - CORRECT ANSWER-identify yourself, use pictures and gestures in addition to words, and be patient and avoid interrupting What is the most effective method to use when establishing an empathetic climate? - CORRECT ANSWER-open-ended responses The nurse should remember that older adults are most responsive to teaching when the information is what? - CORRECT ANSWER-relevant to their lives