NUR 163 FINAL EXAM REVIEW WITH ANSWERS
Benefit of reminiscing with elderly patients? Diversion, brings back happy memories, it
reienforces that their life made a difference
What do elderly fear the least? Dying
If spouse passed 18 months ago what stage would they be in? renewed energy, acceptance
stage
Middle eastern pt that doesn’t drink milk or eat cheese, what can you use to give them calcium
instead? Yogurt
Chronic fatigue syndrome have lack of energy, we want them to still be able to function?
Frequent breaks, balance, work and rest.
What might help elderly patient sleep? Warm milk,
bathroom before bed, expose them to sunlight daily, bath (may not be warm)
Elderly should not nap throughout the day, but early in the afternoon for about 30
minutes When doing ROM assess pain first
Vaginal dryness and pain during intercourse- water soluble, over the counter, no
prescription Why do we keep religious items by our patients if they don’t recognize
them? comfort
Can family bring food to patients? Yes
Low bp, increased heart rate, sunken eyes, what interventions we do? Monitor fluid balance,
daily weights, labs, increased fluids
Plan of care for pt swallowing problems? Thickened liquids, feed them slowly, small bites, sips of
their drink, rest periods, position upright
Why are good coping skills when you are younger important when you get older? Use what
works and they may change due to situation
Electrolye imbalance causes muscle weakness, lethargy-
hypercalcemia Vitamin D what does it do? Helps absorb calcium
,NUR 163 FINAL EXAM REVIEW WITH ANSWERS
What level of prevention are vaccines? Primary
How to care for a hearing aid? Wipe with wet cloth, open
batter case Positive effect of mild stress? Mental alertness
What can reduce stress if pt is hospitalized or in a nursing home? Continuity of care, keeping the
same caregivers
Which normal complication of aging will lead to a decreased appetite? Decreased parastalysis
, NUR 163 FINAL EXAM REVIEW WITH ANSWERS
Low bone density, what do we teach them? weight bearing
exercises Does physical therapy assess for bone density? No
If you have a pt who is bed bound what would be a teritiary prevention? (teaching) ROM-
when pt doesn’t participate it is called passive
Glaucoma- stand in front of the patient, down on their level
If you are working in a nursing home that refuses to leave their room what can you say to help
them? validating them and encourage them to come out of their room. Ask how can I help you?
Osteoporosis do you want them to do strength training? No, they can swim, walk,
yoga, ti-chee If pt is on hospice care can they seek life saving treatment? No
What are s/s of BPH? Nocturia, uti, urinary retention, igniting urine and maintaining a urine
stream Lipid proten which is good? HCL
s/s of dvt- swelling of affected leg, redness, warm to touch
low fat foods to help you raise your HDL? Lentils, beans, fish, chicken,
whole grains if pt is high fall risk are you going to turn off all of the lights in
the room? No multiple physicians,what are they at risk for? Polypharmacy
what causes delirium?
uti Expressive ephasia?
Uti in elderly patients? Disorientation, dark urine,
strong odor Malordoris-bad odor
What foods are higher in sodium? Canned and processed
Do normal changes in again sometimes mimic alcohol? Yes, shaking, stumbling, unsteady, if you
notice pt has these signs what do you do? Don’t assume they are using alcohol and assess the
patient
What are s/s of ineffective coping? Alterations in sleep, lack of self care, changes in bowel and
bladder, anxiety
s/s of depression- isolation, poor appetite, irritable, loss of interest, alterations in
sleep, heart failure what do we want to teach them to do throughout the day?
Elevate their legs
Benefit of reminiscing with elderly patients? Diversion, brings back happy memories, it
reienforces that their life made a difference
What do elderly fear the least? Dying
If spouse passed 18 months ago what stage would they be in? renewed energy, acceptance
stage
Middle eastern pt that doesn’t drink milk or eat cheese, what can you use to give them calcium
instead? Yogurt
Chronic fatigue syndrome have lack of energy, we want them to still be able to function?
Frequent breaks, balance, work and rest.
What might help elderly patient sleep? Warm milk,
bathroom before bed, expose them to sunlight daily, bath (may not be warm)
Elderly should not nap throughout the day, but early in the afternoon for about 30
minutes When doing ROM assess pain first
Vaginal dryness and pain during intercourse- water soluble, over the counter, no
prescription Why do we keep religious items by our patients if they don’t recognize
them? comfort
Can family bring food to patients? Yes
Low bp, increased heart rate, sunken eyes, what interventions we do? Monitor fluid balance,
daily weights, labs, increased fluids
Plan of care for pt swallowing problems? Thickened liquids, feed them slowly, small bites, sips of
their drink, rest periods, position upright
Why are good coping skills when you are younger important when you get older? Use what
works and they may change due to situation
Electrolye imbalance causes muscle weakness, lethargy-
hypercalcemia Vitamin D what does it do? Helps absorb calcium
,NUR 163 FINAL EXAM REVIEW WITH ANSWERS
What level of prevention are vaccines? Primary
How to care for a hearing aid? Wipe with wet cloth, open
batter case Positive effect of mild stress? Mental alertness
What can reduce stress if pt is hospitalized or in a nursing home? Continuity of care, keeping the
same caregivers
Which normal complication of aging will lead to a decreased appetite? Decreased parastalysis
, NUR 163 FINAL EXAM REVIEW WITH ANSWERS
Low bone density, what do we teach them? weight bearing
exercises Does physical therapy assess for bone density? No
If you have a pt who is bed bound what would be a teritiary prevention? (teaching) ROM-
when pt doesn’t participate it is called passive
Glaucoma- stand in front of the patient, down on their level
If you are working in a nursing home that refuses to leave their room what can you say to help
them? validating them and encourage them to come out of their room. Ask how can I help you?
Osteoporosis do you want them to do strength training? No, they can swim, walk,
yoga, ti-chee If pt is on hospice care can they seek life saving treatment? No
What are s/s of BPH? Nocturia, uti, urinary retention, igniting urine and maintaining a urine
stream Lipid proten which is good? HCL
s/s of dvt- swelling of affected leg, redness, warm to touch
low fat foods to help you raise your HDL? Lentils, beans, fish, chicken,
whole grains if pt is high fall risk are you going to turn off all of the lights in
the room? No multiple physicians,what are they at risk for? Polypharmacy
what causes delirium?
uti Expressive ephasia?
Uti in elderly patients? Disorientation, dark urine,
strong odor Malordoris-bad odor
What foods are higher in sodium? Canned and processed
Do normal changes in again sometimes mimic alcohol? Yes, shaking, stumbling, unsteady, if you
notice pt has these signs what do you do? Don’t assume they are using alcohol and assess the
patient
What are s/s of ineffective coping? Alterations in sleep, lack of self care, changes in bowel and
bladder, anxiety
s/s of depression- isolation, poor appetite, irritable, loss of interest, alterations in
sleep, heart failure what do we want to teach them to do throughout the day?
Elevate their legs
