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HONDROS NUR 163 FINAL EXAM GUIDE

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Fatigue - Subjective Measurement If someone is having trouble sleeping, what intervention could we use? - Encourage pt to go outside, because sunlight helps with melatonin levels What is a intervention for a older adult who is having trouble sleeping because of a constant need to go to the bathroom - Wear depends (adult diapers) A newley admitted patient is having multiple problems. What symptom do you report first? - Breathing What is a primary sexual right? - 2 consenting adults To be effective communicators, nurses must... - Develop awareness of their own values and beliefs and the way they influence their perception of patients' experiences Cultural Competence - A set of behaviors that includes understanding the impact of cultural values and beliefs on human experiences, while maintaining awareness of own cultural values and their effect on the perception of self and others. Circadian - From Latin word "about a day" What is the average amount of sleep needed for people ages 20 to 60 years? - 7.5 hours What body system controls sleep? - Central Nervous System What causes older adults to feel sleepy earlier in the evening and to wake earlier in the morning? Know as "phase advance" - Decreases in melatonin (which regulates the sleep-wake cycle) and growth hormone (which promotes sleep) lead to a shift in circadian rhythm Does sleep efficiency increase with age? - No, sleep efficiency decreases, older adults may complain that they do not feel refreshed after sleep. Does the risk for sleep disorders increase with age? - Yes Nocturnal Movement Disorders - Restless leg syndrome, which is an irresistible urge to move the lower extremities, or nocturnal myoclonus, which causes sudden repetitive jerking or kicking movements of the lower extremities. What is the most effective nonpharmacological therepy for insomnia? - Cognitive Behavioral Therapy

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HONDROS NUR 163


HONDROS NUR 163 FINAL EXAM GUIDE
Fatigue - Subjective Measurement


If someone is having trouble sleeping, what intervention could we use? -
Encourage pt to go outside, because sunlight helps with melatonin levels


What is a intervention for a older adult who is having trouble sleeping because of a
constant need to go to the bathroom - Wear depends (adult diapers)


A newley admitted patient is having multiple problems. What symptom do you
report first? - Breathing


What is a primary sexual right? - 2 consenting adults


To be effective communicators, nurses must... - Develop awareness of their own
values and beliefs and the way they influence their perception of patients'
experiences


Cultural Competence - A set of behaviors that includes understanding the impact of
cultural values and beliefs on human experiences, while maintaining awareness of
own cultural values and their effect on the perception of self and others.


Circadian - From Latin word "about a day"


What is the average amount of sleep needed for people ages 20 to 60 years? - 7.5
hours
HONDROS NUR 163

, HONDROS NUR 163




What body system controls sleep? - Central Nervous System


What causes older adults to feel sleepy earlier in the evening and to wake earlier in
the morning? Know as "phase advance" - Decreases in melatonin (which regulates
the sleep-wake cycle) and growth hormone (which promotes sleep) lead to a shift
in circadian rhythm


Does sleep efficiency increase with age? - No, sleep efficiency decreases, older
adults may complain that they do not feel refreshed after sleep.


Does the risk for sleep disorders increase with age? - Yes


Nocturnal Movement Disorders - Restless leg syndrome, which is an irresistible
urge to move the lower extremities, or nocturnal myoclonus, which causes sudden
repetitive jerking or kicking movements of the lower extremities.


What is the most effective nonpharmacological therepy for insomnia? - Cognitive
Behavioral Therapy


What do you teach a UAP who is feeding a patient with trouble swalowing? - Feed
them slow, with frequent rest breaks.


Lak of tendon reflexes/ deep muscle reflexes is a sign of what? (flaccid) -
Hypercalcemia


What are the normal calcium levels? - 8.5 to 10

HONDROS NUR 163

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