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Nursing Exam 2: Comprehensive Review of Aging, Cognition, and Healthcare - Prof. PURDUL, Exams of Nursing

Essex County CollegeNursing

A comprehensive review of key topics related to nursing care for older adults, including the clinical manifestations of alzheimer's disease, healthcare issues associated with aging, the general adaptation syndrome, sensory deprivation, pharmacologic changes in older adults, the effects of insufficient sleep, teaching strategies for adult learners, the domains of learning, documentation methods, and health promotion strategies for older adults. A wide range of subjects, such as the physiology of sleep, cognitive changes in older adults, stress management, and the differences between depression, delirium, and dementia. It also addresses communication techniques for confused and unconscious patients, as well as the assessment and nursing interventions focused on rest, sleep, and stress. This resource could be valuable for nursing students, healthcare professionals, and lifelong learners interested in geriatric care and the aging process.

Typology: Exams

2024/2025

Available from 09/27/2024

Purdul
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NURSING I (NRS 104) EXAM 2 QUESTIONS AND ANSWERS
2024 UPDATE
1. Memory loss, language difficulties, orientation problems,
personality changes, ADL impairments
Answer: Clinical manifestations of Alzheimer's Disease
2. Elder abuse, social services, health cost, hospice, palliative care,
home health care, ethical issues
Answer: Healthcare issues associated with aging
3. 1st stage: ALARM stage (Fight or flight), 2nd stage: RESISTANCE
stage (Body becomes stable), 3rd stage: EXHAUSTION stage
(Body is overwhelmed)
Answer: General Adaptation Syndrome
4. Lack of sensory stimuli
Answer: Sensory deprivation
5. Polypharmacy, BEERS list criteria
Answer: Pharmacologic changes in older adults
6. Neurological effects, endocrine effects, immune effects, pain
intensity, gastrointestinal effects
Answer: Effects of insufficient sleep
7. Assess willingness to learn, incorporate more time for
instruction, short teaching sessions, relate new information to
familiar information
Answer: Teaching an adult learner
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NURSING I (NRS 104) EXAM 2 QUESTIONS AND ANSWERS

2024 UPDATE

  1. Memory loss, language difficulties, orientation problems, personality changes, ADL impairments Answer: Clinical manifestations of Alzheimer's Disease
  2. Elder abuse, social services, health cost, hospice, palliative care, home health care, ethical issues Answer: Healthcare issues associated with aging
  3. 1st stage: ALARM stage (Fight or flight), 2nd stage: RESISTANCE stage (Body becomes stable), 3rd stage: EXHAUSTION stage (Body is overwhelmed) Answer: General Adaptation Syndrome
  4. Lack of sensory stimuli Answer: Sensory deprivation
  5. Polypharmacy, BEERS list criteria Answer: Pharmacologic changes in older adults
  6. Neurological effects, endocrine effects, immune effects, pain intensity, gastrointestinal effects Answer: Effects of insufficient sleep
  7. Assess willingness to learn, incorporate more time for instruction, short teaching sessions, relate new information to familiar information Answer: Teaching an adult learner
  1. Assess emotional strengths, collaborate with caregiver, be flexible Answer: Teaching an adult learner
  2. Holistic approach to aging Answer: Gerontology
  3. Instant relief needed (Impaired learning, easily distracted, emotional instability, fear) Answer: Severe anxiety
  4. Survival mode Answer: Limbic brain
  5. Age, environment, diet, head injury, genetics Answer: Risk factors for Alzheimer's Disease
  6. Introductory, situation, background, assessment, recommendation, readback Answer: ISBARR report
  7. Visual, auditory, gustatory and olfactory, tactile, cognitive, emotional Answer: Sensory alterations
  8. State who you are, speak in a normal tone, explain before touching, keep call light within reach, orient to person/place/time/situation, clear pathways, state when leaving the room Answer: Communication techniques for confused patients
  1. Complete physical assessment, access ability to perform ADLs, eye exams Answer: Types of health assessment
  2. MRI to assess brain ventricles, autopsy to locate tau proteins Answer: Diagnostic results for Alzheimer's Disease
  3. Negative effects due to lack of sensory stimuli, chronic disease, and change in environment Answer: Cognitive changes in older adults
  4. Higher order of thinking Answer: Neocortex
  5. Clears the mind by focusing on breathing and eliminating thoughts for a short period of time Answer: Meditation
  6. Lose control of everything (irrational thoughts, leads to death) Answer: Panic
  7. Increased alertness/questioning/problem solving Answer: Moderate anxiety
  8. Depends on age, health, support, and a plan to maintain stress Answer: Adaptation to stress
  9. A change in internal or external environment causing issues Answer: Stress
  1. Using emotions like crying or anger to overcome stress Answer: Emotion Oriented coping mechanism
  2. Maintain cognition, promote safety, promote independence, reduce anxiety, improve communication, provide social/intimacy needs, promote nutrition, promote activity/rest, home care Answer: Management of Alzheimer's Disease
  3. A neurological disease that is irreversible and progressive Answer: Alzheimer's Disease
  4. Impaired mobility, dizziness, falls, urinary incontinence, increased chance of infection, atypical responses, altered emotional impact, altered systemic response Answer: Geriatric syndromes
  5. Invasive or health-related tests, surgical procedures, diagnosis of chronic illness, declining mental/physical abilities, retirement, loss of spouse, increased social isolation, chronic pain, alcohol abuse, loss of independence/driving or ADLs Answer: Sources of stress among older adults
  6. Insomnia, Circadian Rhythm disorders, Parasomnia, Obstructive sleep apnea Answer: Common sleep disorders
  7. Cognitive behavioral therapy, side lying position, CPAP, BIPAP Answer: Assessment techniques and nursing interventions focused on rest and sleep
  1. Impaired sensory function Answer: Sensory deficits
  2. Dementia is a chronic cognitive decline, delirium is temporary confusion, depression is extreme sadness Answer: Difference between depression, delirium, and dementia
  3. Too much stimuli for the brain to handle Answer: Sensory overload
  4. Nursing exam, presentation, interview Answer: Psychosocial stressor
  5. Relationship with peers (school age), trust (toddlers) Answer: Developmental stress
  6. Face-to-face contact, touch, low noise level, normal tone, keep busy, explain before procedure, orient to person/place/time/situation, use Glasgow Coma Scale Answer: Communication techniques for confused and unconscious patients
  7. Difficulty recognizing familiar faces and places, impaired judgment, and problems with abstract thinking Answer: Clinical manifestations of Alzheimer's Disease
  8. Adjusting teaching methods based on the learner's age, cognitive ability, and individual preferences Answer: Teaching and learning process
  9. Use of supportive services, such as meal delivery, transportation, and social engagement programs for older

adults Answer: Healthcare issues associated with aging