NUR 257 EXAM QUESTIONS WITH COMPLETE
SOLUTIONS
Transtheoretical model: Action
developed a program and intent to sustain the program
Maintenance
have had the program for some time and intend to continue
Transtheoretical model: Relapse
had a program but does not have one currently, intend to be
active with a program soon
Selection of treatment options
Encourage pt to take part in decision making
Chronic health problems lead to
a loss of independence
Patient retain the right
to use or not to use the acquired information or skills
Teaching-learning process
- You should support even the smallest efforts to changes
- Patients may be discharged before they are ready to change
- Referral to community and outpatient resources helps to ensure
support is available when readiness to change is experienced
Stages of change in transtheoretical model
,Precontemplation
Contemplation
Preparation
Action
Maintenance
Termination
What position promotes communication in teaching and learning
Open, relaxed positioning of patient, spouse, and nurse at eye
level
Caregiver burnout
Assist the caregiver in finding respite services
Caregiver burnout
Ie. find other help due to caregiver stress
Learning needs
What does the patient already know and what information does
the patient state they need at that time
Implementation
- Teach new skills, typically we use demonstration and return
demonstration
- Consider patient's physical, psychological, sociocultural, and
learned characteristics
Implementation example
Ie. patient who is hard of hearing should receive written material
also
,increases successful learning by the patient by
Teaching using discussion ("teach back") and
demonstration/return demonstration ("show back")
Windshield survey
subjective process, observation of a community while driving a
car or riding public transit to collect data for a community
assessment
When admitting an acutely ill patient
perform the physical assessment before interviewing the pt
Transportation is the
#1 barrier to compliance
Women have fewer ______ than men
financial resources
Refer the pt to social services for
assessment of resources is a priority to increase compliance
Frail elderly
- Unintentional weight loss ( >/= 10 lbs in a year)
- Ask the pt about dietary intake
Question the elderly pt about
his living situation and activities
Elder Long-term care
, - Rapid loss of function
- Inability or difficulty doing ADLs long term
Relocation stress syndrome is improved by
- Involvement in decisions
- Pictures
- Orientation by staff
- Partnering with a seasoned resident buddy
- Ask patient preferences
- Choice of LTC facility
SPICES tool for elders
- Sleep disorders, - Problems with eating or feeding,
- Incontinence,
- Confusion,
- Evidence of falls,
- Skin breakdown
- Tools such as these are used to gather the most complete
assessment of an older patient
Health promotion activity for older adults
water aerobics
Nonadherence to medication regimens is common. How to
improve in elders
Use a marked pillbox to set up the pts medications
Med errors in elders
SOLUTIONS
Transtheoretical model: Action
developed a program and intent to sustain the program
Maintenance
have had the program for some time and intend to continue
Transtheoretical model: Relapse
had a program but does not have one currently, intend to be
active with a program soon
Selection of treatment options
Encourage pt to take part in decision making
Chronic health problems lead to
a loss of independence
Patient retain the right
to use or not to use the acquired information or skills
Teaching-learning process
- You should support even the smallest efforts to changes
- Patients may be discharged before they are ready to change
- Referral to community and outpatient resources helps to ensure
support is available when readiness to change is experienced
Stages of change in transtheoretical model
,Precontemplation
Contemplation
Preparation
Action
Maintenance
Termination
What position promotes communication in teaching and learning
Open, relaxed positioning of patient, spouse, and nurse at eye
level
Caregiver burnout
Assist the caregiver in finding respite services
Caregiver burnout
Ie. find other help due to caregiver stress
Learning needs
What does the patient already know and what information does
the patient state they need at that time
Implementation
- Teach new skills, typically we use demonstration and return
demonstration
- Consider patient's physical, psychological, sociocultural, and
learned characteristics
Implementation example
Ie. patient who is hard of hearing should receive written material
also
,increases successful learning by the patient by
Teaching using discussion ("teach back") and
demonstration/return demonstration ("show back")
Windshield survey
subjective process, observation of a community while driving a
car or riding public transit to collect data for a community
assessment
When admitting an acutely ill patient
perform the physical assessment before interviewing the pt
Transportation is the
#1 barrier to compliance
Women have fewer ______ than men
financial resources
Refer the pt to social services for
assessment of resources is a priority to increase compliance
Frail elderly
- Unintentional weight loss ( >/= 10 lbs in a year)
- Ask the pt about dietary intake
Question the elderly pt about
his living situation and activities
Elder Long-term care
, - Rapid loss of function
- Inability or difficulty doing ADLs long term
Relocation stress syndrome is improved by
- Involvement in decisions
- Pictures
- Orientation by staff
- Partnering with a seasoned resident buddy
- Ask patient preferences
- Choice of LTC facility
SPICES tool for elders
- Sleep disorders, - Problems with eating or feeding,
- Incontinence,
- Confusion,
- Evidence of falls,
- Skin breakdown
- Tools such as these are used to gather the most complete
assessment of an older patient
Health promotion activity for older adults
water aerobics
Nonadherence to medication regimens is common. How to
improve in elders
Use a marked pillbox to set up the pts medications
Med errors in elders
