STUDY GUIDE NUR 208-FINAL EXAM Understand the various roles of the nurse (teacher, counselor, change agent,

and leader). 2. Be able to identify expanded nursing roles (advanced practice nurses). 3. Know the primary purpose of the nurse practice act -protect patients 4. Know the primary purpose (benefit) of continuing education for nurses. -compitency -stay up to date with new tech 5. Know the most significant aspects of nursing research -nursing research can be applied to practice 6. What is the leading cause of death among young adults? -unintentional accidents, MOV, drowning 7. Know the priorities when discharging a patient from an inpatient facility who is going home and will need home care services. 8. Know the most important cancer screening for young adult males. -testicular cancer 9. Know the most common illness that is likely to occur in African American males. -hypertension 10. Why are middle-aged adults at risk for obesity? -less muscle tone, sedentary lifestyle 11. What is the relationship between health problems in older adults and polypharmacy? -polypharmacy: many drugs -as patients get older they have more problems (more drugs) and they are more likely to mix up or not take the drugs correctly 12. Why is it common for older adults to complain of feeling cold? -body weight decreasing -not enough SUBQ fat -slow metabolism -hard time regulating body temp
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-menopause- loss ing SUBQ fat 13. Describe osteoporosis and nursing interventions -loss in calcium and bone density -menopause: loss calcium and estrogen -add exercise and calcium in diet 14. What are the normal changes in vision that are associated with aging? -myopia: near sighted -Hyperopia: far sighted 15. What are the most helpful nursing interventions in caring for the older adult with hearing impairment? 16. What are positive indicators that an older adult is experiencing a healthy adjustment to retirement? 17. Identify the most common type of senior abuse Physical Abuse: This is one of the most common elder abuses. Here brute force is used against a helpless senior citizen to get him or her to do what the caregiver wants them to do. Physical abuse can be in the form of pushing, hitting, restraining or confining the elderly person. Emotional Abuse: The sole idea behind this is to cause emotional stress and pain to the elderly person. Emotional abuse can be in the form of yelling, threatening, humiliating or blaming the person for all things that are going wrong in the caregiver's life. A caregiver can also resort to emotional abuse by not talking to the person or isolating the elderly person from his friends and rest of the family. Sexual Abuse: As heinous as it sounds, this form of elder abuse is present in our society. Sexual abuse can be forcing the elder to take part in sex acts, showing him or her pornographic material, making the person watch others having sex or forcing the person to undress. Abandoning: Most of the elder abuse fall in this category in the US where the caregiver does not want to take care of the elderly person. This can be in the form of leaving the person in a shopping mall without any identification or not giving the elder the care and support he or she requires. Financial Abuse: This sort of abuse happens when the caregiver resorts to using the elderly person's money or assets without authorization.

18. Know

the common characteristics of development in late adulthood? -Eriksons integrity vs. despair 19. What are some appropriate teaching strategies that the nurse could use when teaching a patient who has recently quit smoking how to cope with feelings of tension and anxiety during the withdrawal period? 20. Review NANDA terms for appropriate nursing diagnoses related to caregiver stress and coping issues. 21. Define self-help group, teaching group, task group, selfawareness group 22. Identify examples of nursing interventions that would provide physical comfort? 23. Review NANDA terms for appropriate nursing diagnoses related to visual changes experienced by the normally aging elder. 24. Identify appropriate nursing measures when providing care for the patient who is experiencing visual acuity loss. 25. What are the signs that a client is experiencing safe adaptation to the home environment? 26. What would be the expected outcome for a nursing home patient who has been identified as experiencing social isolation related to decreased visual acuity? 27. What actions by a nurse will provide the elderly patient with an improved sense of empowerment and control? 28. Identify the appropriate nursing interventions for the client experiencing Situational Low Self-Esteem. 29. What are the signs that a burn patient is resolving negative body image issues following skin grafting procedures? 30. What are the goals for clients experiencing stress related responses? 31. What strategies could the nursing design to assist the client who has just moved to this country and has no family support? 32. What is the first step for a nurse to reduce a patients anxiety? 33. Know the differences between objective and subjective data. -objective: signs (can see) -subjective: symptoms (cannot see)

34. Why is it important to assess a clients health care beliefs? 35. What should the nurse do if a client has failed to meet a goal

or desired outcome? What is the next step? 36. Define quality assurance in nursing. -Programs of regular assessment of medical and nursing activities to evaluate the quality of medical care. 37. Define authority, accountability, delegation, democratic leadership. 38. How can the nurse help staff cope with change? 39. There are many questions that ask for you to choose the appropriate nursing diagnosis, please review Nugent for those questions. 40. Review the purpose of the Uniform Determination Act 41. Define the differences between judgment, inference, opinion, and evaluation 42. Define kinesthetic sensation 43. Who are the old-old?