Nur 163- Final Exam 2024
If a female is in menopause has sudden onset vaginal bleeding what do you do?
report it
when would a uterine prolapse be most likely to occur?
after multiple vaginal births
or when anything weakens the muscular tissues of the uterus
TX: hysterectomy
or can sling it back up
What are the signs and symptoms of an enlarged prostate?
decreased urine (stream)
painful urination
Nocturia
frequent urination
(you should also schedule an exam if any of these things should occur)
What does it mean if you see scattered bruises on the forearms of an older adult?
It is a normal sign of aging, as we age our capillaries become more fragile.
(we bruise easier forearms especially, called Senile purpura)
What common circulation decreasing disease process in the older male population can cause erectile
dysfunction?
Diabetes
If you are working in a LTCF and an older married couple are roomed together and you walk in on
them having sex, what should you do?
Provide Privacy
Put a Do Not Disturb sign on door
Do older adults get sexually transmitted diseases easier than younger adults/teenagers?
Yes, older adults are at a higher risk because of their weakened immune systems.
Can normal age related changes contribute to sexual dysfunction?
yes, due to weakened circulation.
Besides abstinence what is the best way to avoid getting an STI?
Condoms (safe sex practices)
When an older adult female (menopausal) has painful(dryness) during sexual intercourse, what could
possibly alleviate this issue?
, water soluble lubricant
Pain medications 30 minutes prior to sexual experience
Why do older adults procrastinate going to the doctor?
Fear
No motivation
Transportation
Financially unstable
What would you question if an older adult is not adhering to a medication or TX regimen?
Ask them why?
Are they in denial?
Can you afford your tx?
Do you need transportation?
Do you understand why you need these TX?
What type of questioning would you use in the heat of a emergency situation?
Direct questioning (for rapid-blunt responses)
Why shouldn't you use medical jargon when speaking to a client/resident or patient?
Not everyone is understanding of medical jargon, could be a communication barrier.
If someone is not making eye contact, should you form the preconceived notion that they are not
listening?
No, in some cultures eye contact is considered offensive, it is imperative that nurses are culturally
sensitive and that we do not judge others.
If a patient has been waiting for a long period of time for a procedure to take place (EX: XRAY) what
can you do to help them?
you could call down to x-ray to see what the hold up is and see when they will be available for this
patient?
This is advocating for this patient.
What is evidence of good self image?
good hygiene
socialization (going to gatherings)
What are the feelings/concept associated with ageism?
helplessness
elders are handicapped
elders are unproductive
What are the S/S of ineffective coping?
If a female is in menopause has sudden onset vaginal bleeding what do you do?
report it
when would a uterine prolapse be most likely to occur?
after multiple vaginal births
or when anything weakens the muscular tissues of the uterus
TX: hysterectomy
or can sling it back up
What are the signs and symptoms of an enlarged prostate?
decreased urine (stream)
painful urination
Nocturia
frequent urination
(you should also schedule an exam if any of these things should occur)
What does it mean if you see scattered bruises on the forearms of an older adult?
It is a normal sign of aging, as we age our capillaries become more fragile.
(we bruise easier forearms especially, called Senile purpura)
What common circulation decreasing disease process in the older male population can cause erectile
dysfunction?
Diabetes
If you are working in a LTCF and an older married couple are roomed together and you walk in on
them having sex, what should you do?
Provide Privacy
Put a Do Not Disturb sign on door
Do older adults get sexually transmitted diseases easier than younger adults/teenagers?
Yes, older adults are at a higher risk because of their weakened immune systems.
Can normal age related changes contribute to sexual dysfunction?
yes, due to weakened circulation.
Besides abstinence what is the best way to avoid getting an STI?
Condoms (safe sex practices)
When an older adult female (menopausal) has painful(dryness) during sexual intercourse, what could
possibly alleviate this issue?
, water soluble lubricant
Pain medications 30 minutes prior to sexual experience
Why do older adults procrastinate going to the doctor?
Fear
No motivation
Transportation
Financially unstable
What would you question if an older adult is not adhering to a medication or TX regimen?
Ask them why?
Are they in denial?
Can you afford your tx?
Do you need transportation?
Do you understand why you need these TX?
What type of questioning would you use in the heat of a emergency situation?
Direct questioning (for rapid-blunt responses)
Why shouldn't you use medical jargon when speaking to a client/resident or patient?
Not everyone is understanding of medical jargon, could be a communication barrier.
If someone is not making eye contact, should you form the preconceived notion that they are not
listening?
No, in some cultures eye contact is considered offensive, it is imperative that nurses are culturally
sensitive and that we do not judge others.
If a patient has been waiting for a long period of time for a procedure to take place (EX: XRAY) what
can you do to help them?
you could call down to x-ray to see what the hold up is and see when they will be available for this
patient?
This is advocating for this patient.
What is evidence of good self image?
good hygiene
socialization (going to gatherings)
What are the feelings/concept associated with ageism?
helplessness
elders are handicapped
elders are unproductive
What are the S/S of ineffective coping?
