Geriatric Nursing Chapter 4 & 5 Study Guide
Terms in this set (33)
The nurse is aware that the best predictor of a hypertensive patient complying with a low-sodium diet would be the fact that the client has what?
adequate knowledge about the diet
To assist a hypertensive client with grocery shopping and making good choices, the nurse encourage the client to take glasses or a magnifying glass to the store to assist with what?
reading food labels
Some older adults use alcohol as a........
How often should a 75-year-old adult have hearing and vision exams?
every 12 months
An 80-year-old female client in a nursing home had a tetanus shot when she was 75. She injured her foot by stepping on a rusty nail. When should she have her next tetanus shot?
immediately due to the injury, and then every 10 years after that date
How many consecutive minutes should an older adult exercise in order to get the maximum benefit?
True or False:
It is important for a client to wear a medical alert bracelet if they have a pacemaker.
What tasks does a primary caregiver do for the client?
day to day needs and meals
Nurses and other professionals need to be kind to unpaid caregivers, recognize their value, and........
provide positive feedback
Clients should floss and brush their natural teeth daily using what type of toothpaste?
What do the recommended health practices for an older adult include?
compliance with dietary restrictions, regular daily exercise, cessation of smoking, and regular medical exams
What benefits do a small amount of daily exercise provide for older adults?
control weight, retard bone loss, control blood glucose levels, and promote a sense of well-being
What health evaluations should be completed on older adult females?
height, weight, lipid study, rectal exam, and mammography
What should the nurse assess in regard to ineffective health maintenance?
willingness to follow health maintenance plans, possible conflict with the health maintenance plan and the client's culture, presence of prohibited items such as sweets/alcohol/tobacco, and the level of cognitive impairment
What is the brief explanation of therapeutic communication?
it has a specific intent and purpose
What is the best method of communication for a client with receptive aphasia?
gestures and other non-verbal communication
What percent of communication is transmitted by way of verbal communication?
What is empathetic listening and why is it used?
Actively trying to understand the other person, not just knowing the facts about that person. To communicate effectively, we must first learn to listen actively and empathetically.
When using an interpreter, what should the nurse focus on?
focus on the patient and not the interpreter
What is public space?
12 feet or more
What is social space?
4 to 12 feet
What is personal space?
18 inches to 4 feet
What is intimate space?
within 18 inches
What is successful communication dependent on?
the need to share information with someone else, empathetic listening, assessing or correcting communication barriers, and the use of a variety of communication skills
The nurse is sensitive to the use of nonverbal communication from patients, which includes the interpretation of what?
voice tone, body language, gestures, and facial expressions
The nurse uses touch as a form of communication to convey what?
affection, understanding, concern, acknowledgement, and empathy
What are the communication barriers when conversing with older adults?
hearing impairment, language differences, dementia, pain, and aphasia
How often are regular dental visits recommended for older adults
on a yearly basis for all older adults, even those with dentures
How often should older adults receive the Influenza vaccine?
on a yearly basis
What factors should the nurse assess when attempting to help an older adult improve his/her health maintenance practices?
cultural beliefs, socioeconomic status, religious beliefs, and education level
What actions are mostly likely to enhance the nurse's communication with an older adult?
identify yourself, use pictures and gestures in addition to words, and be patient and avoid interrupting
What is the most effective method to use when establishing an empathetic climate?
The nurse should remember that older adults are most responsive to teaching when the information is what?
relevant to their lives