Exam 4: NUR257/ NUR 257 (Latest 2023/ 2024 Update) Aging and Chronic Illness in Nursing Exam Review| 100% Correct| Grade A - Galen

Exam 4: NUR257/ NUR 257 (Latest 2023/

2024 Update) Aging and Chronic Illness in

Nursing Exam Review| 100% Correct| Grade

A - Galen

Q: marked gait disorders are not normally a consequence of aging alone but more likely

indicative of?

Answer:

underlying medical condition

Q: gait disorders:

arthritis of the knee may result in?

Answer:

ligamentous weakness & instability causing legs to give way or collapse

Q: gait disorders:

what disease may cause neuro damage & result in gait problems?

Answer:

Q: diabetes, dementia, parkinson's

2.stroke, alcoholism

3.vitamin B deficiency

Q: gait disorders:

vitamin B12 deficiency has potentially serious & sometimes irreversible com- plications if

undiagnosed & untreated, these include?

Answer:

Q: dementia, disorienta- tion, anemia

2.neuro damage, gait disturbance

Q: fall risk reduction programs:

interventions should include what?

Answer:

Q: risk/footwear assessment, pt/staff educa- tion

2.bedside signs, wristband alert

3.supervised toileting programs, med reviews

Q: suggested components of fall risk reduction interventions

Answer:

Q: adapt/modify home

2.withdraw/minimize psychoactive/other meds

3.manage orthostatic hypotn,

4.foot problems & footwear

5.cont programs (prompted voiding)

6.exercise, balance, strength, gait training

7.staff/pt education

Q: describe the following as they related to fall-risk reduction:

environmental modifications?

Answer:

this alone won't reduce falls but when included in multifactorial program they may be of benefit

in risk reduction

Q: pt activities that contribute to falls include?

Answer:

walking, transferring, elimination needs

Q: assistive devices?

Answer:

Q: canes, walkers, wheelchairs,

2.new tech (canes that "talk, provide feedback to user)

3.sensors that detect when falls have occurred

4.alert when risk of falling increased

Q: safe pt handling:

what measures are recommended?

Answer:

Q: pt handling equipment/devices

2.pt-care ergonomic assessment protocols

3.no lift policies/lift teams

4.train on proper use of equipment/devices

Q: consequences of restraints:

side rails?

Answer:

restrains or restrictive devices when used to impede person's ability to voluntarily get OOB &

person can't lower them

Q: consequences of restraints:

restrictive side rail use?

Answer:

two full length or four half-length raised side rails

Q: consequences of restraints:

half or quarter length upper side rail use?

Answer:

if pt uses these to assist in getting in/out if bed it's not considered restraint

Q: chemical restraint

Answer:

med used as restriction to manage pt's behavior or restrict pt's freedom of movement, not

standard tx or dosage for pt's condition

Q: subjective sensation of physical, psychological, or spiritual distress

Answer:

pain

Q: examples of possible effect of culture on expressions of pain:

stoic and unemotive?

Answer: