NUR 257 Exam 4 | ACTUAL PROCTORED EXAM
|(ACTUAL EXAM PROCTORED THROUGH EXAMLIFY) |
100 QUESTIONS AND ANSWERS (SCREENSHOTS) |
SCORED 100% | PASS GUARANTEED
Dying phase of chronic illness
Active decline in physical/mental status characterized by increasing
disability/symptoms
- immediate weeks, days, hours preceding death
Key Points in the Chronic Illness Trajectory Framework
• The majority of health problems in late life are chronic.
• Chronic illness and its management often profoundly affect the lives
and identities of both the individual and the family members or
significant others.
• The acute phase of illness management is designed to stabilize
physiological processes and return to a state of stability.
• Maintaining stable phases is central in the work of managing chronic
illness.
• A primary care nurse often has the role of coordinator of the multiple
resources that may be needed to promote quality of life at any point
along the trajectory.
,Anticipatory grief
emotional response to loss before death
Ex: selling of a home, moving into a nursing home, mastectomy,
anticipating the loss of someone
Disenfranchised grief
relationship to the deceased person is not socially sanctioned, cannot
be shared openly, or seems of lesser significance
Ex: side piece can't grieve openly
Complicated grief
Issues of guilt, anger and ambivalence toward the person that died
impede the grieving process until these issues are resolved
Shadow grief
grief that is never totally resolved
Intense pain of the acute period of impact lessens as memories are
reframed, but the old memories never go away. May be triggered by
holidays or anniversaries
,IADLs (instrumental activities of daily living)
more complex activities.
- Laundry, shopping for groceries, using a telephone, cooking/preparing
meals, shopping, housekeeping, finances/managing money, taking
medications, preparing meals, fixing things around the
house/housework, lawn care.
ADLs (activities of daily living)
basic self-care activities
- bathing, dressing, toileting, eating, walking, getting around the house
Factors affecting the responsibility of nurses in obtaining informed
consent
1. Impaired sensory functioning
2. Low educational level
3. Low or limited health literacy
4. Low literacy of any kind
5. Questionable cognitive status
6. Complexity of procedure (e.g., surgery of any kind)
7. Participation in research
, Subacute care
Skilled nursing care
Pt discharged home or to less intensive setting in less than 1 month
Assisted living facility
a residence complex that provides personal and medical services for
the elderly
They get to choose services that they want.
PACE (Program of All-Inclusive Care for the Elderly)
nursing home level of care part of medicare
Covers cost of primary care, hospitalization, ED visits, home care,
rehabilitation
Fluid Intelligence vs. Crystallized Intelligence
FLUID - ability to reason quickly and abstractly (think of one's feet);
decreases as we move into older adulthood. "Street smarts"
Crystallized - increases or stays the same as we age; ability to retrieve
and acquire knowledge. "Book Smart", old people know a lot of fast
facts
|(ACTUAL EXAM PROCTORED THROUGH EXAMLIFY) |
100 QUESTIONS AND ANSWERS (SCREENSHOTS) |
SCORED 100% | PASS GUARANTEED
Dying phase of chronic illness
Active decline in physical/mental status characterized by increasing
disability/symptoms
- immediate weeks, days, hours preceding death
Key Points in the Chronic Illness Trajectory Framework
• The majority of health problems in late life are chronic.
• Chronic illness and its management often profoundly affect the lives
and identities of both the individual and the family members or
significant others.
• The acute phase of illness management is designed to stabilize
physiological processes and return to a state of stability.
• Maintaining stable phases is central in the work of managing chronic
illness.
• A primary care nurse often has the role of coordinator of the multiple
resources that may be needed to promote quality of life at any point
along the trajectory.
,Anticipatory grief
emotional response to loss before death
Ex: selling of a home, moving into a nursing home, mastectomy,
anticipating the loss of someone
Disenfranchised grief
relationship to the deceased person is not socially sanctioned, cannot
be shared openly, or seems of lesser significance
Ex: side piece can't grieve openly
Complicated grief
Issues of guilt, anger and ambivalence toward the person that died
impede the grieving process until these issues are resolved
Shadow grief
grief that is never totally resolved
Intense pain of the acute period of impact lessens as memories are
reframed, but the old memories never go away. May be triggered by
holidays or anniversaries
,IADLs (instrumental activities of daily living)
more complex activities.
- Laundry, shopping for groceries, using a telephone, cooking/preparing
meals, shopping, housekeeping, finances/managing money, taking
medications, preparing meals, fixing things around the
house/housework, lawn care.
ADLs (activities of daily living)
basic self-care activities
- bathing, dressing, toileting, eating, walking, getting around the house
Factors affecting the responsibility of nurses in obtaining informed
consent
1. Impaired sensory functioning
2. Low educational level
3. Low or limited health literacy
4. Low literacy of any kind
5. Questionable cognitive status
6. Complexity of procedure (e.g., surgery of any kind)
7. Participation in research
, Subacute care
Skilled nursing care
Pt discharged home or to less intensive setting in less than 1 month
Assisted living facility
a residence complex that provides personal and medical services for
the elderly
They get to choose services that they want.
PACE (Program of All-Inclusive Care for the Elderly)
nursing home level of care part of medicare
Covers cost of primary care, hospitalization, ED visits, home care,
rehabilitation
Fluid Intelligence vs. Crystallized Intelligence
FLUID - ability to reason quickly and abstractly (think of one's feet);
decreases as we move into older adulthood. "Street smarts"
Crystallized - increases or stays the same as we age; ability to retrieve
and acquire knowledge. "Book Smart", old people know a lot of fast
facts
