Geriatrics Chapter 13
Terms in this set (29)
Identify and be able to write out 3 goals of tx for depression. (Fill in)
1. Decreased symptoms of depression
2. Improved quality of life
3. Improved medical health status
List and be able to write out 3 symptoms of depression as in DSM-IV-TR. (Fill in)
1. Disturbed sleep
2. Change in appetite and weight
3. Fatigue and loss of energy
The removal of anxiety-producing thoughts or experiences from conscious awareness
Refusing to acknowledge some painful aspect of external reality that is obvious to others
Creating an acceptable reason for unacceptable thoughts or actions
Making generalizations to avoid disturbing thoughts or feelings
Transferring emotions about one situation or person onto another
Avoiding thinking about distressing situations
Attributing one's own feeling to another
Channeling negative energy into socially acceptable behaviors
Keeping so busy with activities that there is no time to think about stressors
Word or sound is repeated over and over again
Focused manipulation of muscles reduces tension, decreases pain, and promotes a bond of caring, all reduce stress
If coping skills do not resolve the initial alarm response becomes depleted of its reserve and person enters this stage
Japanese technique for stress reduction and relaxation promotes healing. Low energy=stressed. High energy=happy and healthy
General adaptation syndrome
The collective responses of the body to stress.
What are the four benefits of geriatric massage for the patient? (SATA)
1. Improved circulation
2. Increased ROM
3. Improved mobility
4. Decrease of anxiety
What are the benefits of a new male resident being brought to his care planning meeting? (SATA)
1. Control of his care
2. Voice his preferences
3. Gain insight to overall goals of care
What are signs of depression in the older adult the nurse should assess for? (SATA)
1. Appetite changes
2. Weight loss
3. Sleep problems
4. Complain of minor physical ailments
What is emotional distancing?
Problem solving method to avoid stress and dependence on others
The nurse explains problem-focused coping strategies are based on the ability to?
Attempt to eliminate a stressful event
Drug most commonly used by older adults is ______.
An elderly person suffering from depression is most likely to have difficulty:
a) concentrating on an activity
b) Recalling past events
c) orienting to person
a) concentrating on an activity
Physical illness increases stress in many older adults because?
Physical illness takes away energy to cope with new stressors
The nurse is aware the use of a defense mechanisms is a normal response to stress and only becomes problematic when?
The patient uses the defense mechanism excessively
According to the GAS the first alarm reaction has been successfully resolved the following stage, when the body systems return to normal is ___________________.
State of resistance
Mild stress can cause a person to be excessively _____________.
What is a physical sign of stress related to the urinary system?
Decreased urine production but increased urinary frequency
What are the physical signs of stress related to the GI system?
Decreased peristalsis and increased intestinal gas
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