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Basic ADLS:
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352 Final Exam
| Question | Answer |
|---|---|
| Basic ADLS: | relate to personal care and mobiltiy |
| Instrumental ADLS: | related to more complex skills that are essential to living in a community |
| examples of basic ADLS: | bathing, brushing teeth, dressing |
| examples of instrumental ADLS: | paying the electric bill, grocery shopping, laundry |
| Functional Ability is: | cognitive, social, physical, and emotional ability to carry out the normal activities of life required to meet basic needs |
| Factors to the scope of functional ability include: | developmental and biological, current state of health, social cultural, environment, psychological |
| lifespan considerations for an older adult are | functional status refers to safe effective performance of daily living |
| risk recognition is important for | early identification of functional deficit related to health |
| situations that increase the risk for functional impairment include??? | -trauma, disease, mental health, advanced age, preclinical disabilties |
| Dependency is the | amount of assistance needed to function |
| nursing interventions to prolong functional ability include | balanced nutrition, routine checkups, daily activity, fall prevention, self care assistance, stress management, |
| Self management is | the ability of a patient to control their health conditions and adhere to healthcare plans |
| a nurse should assess a patient for what prior to teaching? | any barriers to learning and if the patient is ready to learn |
| social cognitive theory is- | the idea that an individuals expectations influence their behaviors |
| high self efficacy falls under what theory | social cognitive theory |
| cognitive behavioral theory is | theory that thoughts affect behavior |
| nursing considerations to promote self-management are | -health enhancement and wellness -pre disease/disease prevention -disease/new diagnosis -actue event management |
| patient centered plan of care focuses on the wishes of the___? | patient |
| adherence has a ____ connotation | positive |
| non-adherence is _____ omission | complete |
| partial adherence-intentional refer to: | a patient who makes changes knowingly |
| am example of partial adherence is? | when a patient adjusts their medication dosage just becuase |
| partial adherence-unintentional refers to | a patient who forgets or misses things they are supposed to do to manage their disease |
| total adherence: | a patient that follows their plan and orders perfectly |
| consequences of non-adherence can include: | death, conflict, embarrassment, changes in quality of life |
| the two supportive theories of adherence are | -theory of planned behavior -health belief model |
| nursing considerations to promote adherence would be targeted at what three areas? | -mental health -medicine -pharmacy |
| how to test for CN 1? | have patient close eyes and gently inhale a scent |
| how to test for CN 2? | test peripheral vision one eye at a time. cover one eye and instruct pt to look at nose. move index finger to check superior and inferior fields |
| how to test for CN 3? | To test the patient’s pupils, dim the lights, bring the light of the penlight from the outside periphery |
| how to test for CN 4? | instruct patient to follow your finger while you move it up and downward toward his nose |
| how to test for CN 5? | test motor function of the temporal and maester muscles by assessing jaw opening strength, check with a cotton wish to check the corneal reflex |
| how to test for CN 6? | ask pt to look toward each ear, then have him follow your finger through the six cardinal fields of gaze |
| how to test for CN 7? | have pt make facial expressions, smile, puff cheeks etc |
| how to test for CN 8? | Check hearing by rubbing your fingers together by each ear. |
| how to test for CN 9&10? | Assess the sense of taste on the back of the tongue. Ob- serve the patient’s ability to swallow by noting how he handles secretions. |
| how to test for CN 11? | Ask the patient to raise his shoulders against your hands to assess the trapezius muscle. |
| how to test for CN 12? | Ask the patient to stick out his tongue. It should be in the midline. |
| obtunded | patient responds to light shaking, but can be confused and slow to respond |
| stuporous | pt responds to stimuli may not respond verbally |
| comatose | no response to repeated painful stimuli, abnormal posturing |
| assess reflexes on a scale of _______? | 0-5 0=absent reflex 1=weal 2=normal 3=brisk 4=hyperreflexia w non-sustained clonus 5=hyperreflexia w sustained clonus |
| if preforming a Romberg test you would have a patient | have patient close eyes with arms held straight at side and stand on one foot then the other, walk heel to toe to heel |
| a Romberg test is used to test? | balance |
Created by:
Savschlag
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