| abnormal state of motor and phychic hyperactivity | akinesia |
| a loss that's over looked or misunderstood | perceived loss |
| a loos identified quickly | actual loss |
| what is seen in lower extremities then to upper | diminished sensory & motor functions |
| death becomes imminent pupils become ___ & ____ | dilated and fixed |
| what are the respirations called when death is imminent | cheyne-strokes resp |
| when death is imminent the skin turns | cool & clammy, profuse diaphoresis may occur |
| the state of mental and physical deterioration associated with aging | senility |
| what is a reversible condition | delirium |
| a progressive impairment of intellectual (cognitive) function | dementia |
| affects short-term, intermediate, and long-term memory | dementia |
| these have difficulty with identifying objects or choosing words to use in conversation | dementia/alzheimer |
| inability to understand words | aphasia |
| inability to recognize familiar objects | agnosia |
| problems manipulating things | apraxia |
| Difficulty writing and drawing | agraphia |
| onset: delirium is | sudden |
| onset: dementia is | insidious, relentless |
| onset: depression is | sudden, insidious |
| cognitive impairment: delirium | memory, attentiveness, consciousness, numerous errors in task |
| cognitive impairment: dementia | Cognitive impairment initially, bad thinking; judgement, memory, thought patterns, calculations, agnosia |
| cognitive impairment: depression | reduced attention span, slower thought process, impaired short & long term memory |
| reversibility: delirium has | potential |
| reversibility: dementia | no, very progressive |
| reversibility: depression | can be treated |
| another word for vascular dementia | Multi-infarct dementia |
| what is the second most common cause of dementia in older adults | Vascular dementia/Multi-infarct dementia (MID) |
| abnormal state of motor and phychic hyperactivity | akinesia |
| what affects short-term, long-term, and intermediate memory | dementia |
| symptoms of Alzheimer's | confusion, memory, wandering, getting lost in known places, moving with rapid steps, loss of bladder or bowel control, emotions, hard time following instructions |
| other dementia related | things must be brother down into smaller steps, etch step explained specifically and in simple terms |
| dementia pt when eating | better to give finger food or only one item at a time |
| care of a dementia/ Alzheimer's pt requires | patience , routine is very important. changes should be introduced slowly |
| dementia / Alzheimer's pt environment should be | calm and eliminate distracting stimuli |
| when the communication/ understating of a dementia pt becomes impaired what communication is important...? | nonverbal |
| characterized by uncontroble writhing movement and mental deterioration that terminates in severe dementia. slurred speech. age 5-70 years | huntington disease |
| rare; rapidly progressive, associated with viral etiology. specific virus. average age 50-60. terminal 6-12 months | creutzfeldt- Jacob disease |
| characterized by forgetfulness, slowness, poor communication, and difficulties in problem solving. rapidly progressive. | HIV associated dementia |
| the second most common disorder that affects the nervous system in old adults | Parkinson disease |
| ____ is a progressive, degernative disease whose defining characteristics are muscle rigidity tremors and akinesia | Parkinson disease |
| what disease has a masklike appearance, drooling, shuffling gait and emotional instability | Parkinson disease |
| parkinson diseuse includes observing what? | the response ro medication therapy, and maintaining mobility through exercise and activity |
| A young nurse caring for a dying patient hastens through the care and leaves the room as
quickly as possible. What common reaction to the care of the dying is the nurse exhibiting? | Withdrawal |
| Changes in health care reimbursement measures have resulted in which of the following
changes regarding care of the terminally ill? | More patients die at home. |
| How does a perceived loss differ from an actual loss? | A perceived loss is easily overlooked. |
| Upon being told of her father's death, the daughter cries out, "No! Oh, God, no!" What stage
of grief is the daughter in? | Denial |
| What should the nurse do before approaching a grieving family member? | Assess level of resolution |
| What is the first thing the nurse should do before involving the family in the care of a dying
patient? | Ask family members if they want to assist with care. |
| When the nurse is developing a care plan for a terminally ill patient, what might be a realistic
goal? | The patient will function optimally |
| How is a durable power of attorney helpful to an incapacitated patient? | It directs an agent to make health care decisions. |
| When a nurse informs a patient's spouse that the patient has died, the spouse states, "You must
be mistaken." Which of Kübler-Ross's stages of dying is the spouse demonstrating? | Denial |
| A patient whose spouse died 1 year earlier complains of feeling overwhelmingly lonely and
has withdrawn from interpersonal interactions. The patient is demonstrating what stage of
dying according to Kübler-Ross's stages of dying theory? | Depression |
| The home health nurse assesses that the goal of grief resolution has been accomplished when
the nurse observes that a widow has performed which activities? (Select all that apply.) | Adjusted to an environment without the spouse
. Sought new relationships |
| Which of the five aspects of human functioning must a nurse address when dealing with a
grieving person? (Select all that apply.) | a. Physical
b. Emotional
c. Intellectual
d. sociocultural
e. Spiritual |
| What is the most common cause of dementia? | Alzheimer's disease |
| What is one positive aspect of Parkinson disease? | Intellectual function is not impaired |
| mental disorder marked by confusion; uncontrolled excitement; ADJ. delirious
Not a disease but a syndrome. | delirium |
| a slowly progressive decline in mental abilities, including memory, thinking, and judgment, that is often accompanied by personality changes | Dementia |
| a progressive and irreversible brain disorder characterized by gradual deterioration of memory, reasoning, language, and, finally, physical functioning | Alzheimer's disease |
| impairment of memory, attentiveness, consciousness, calculations | delirium cognitive impairment |
| abstract thinking, judgment, memory, thought patterns, calculations, agnosia; permanent and progressive. Minimal cognitive impairment initially | Dementia and cognitive impairment |
| Sporadic and progressive loss of intellectual functioning caused by repeated temporary obstruction of blood flow in cerebral arteries. | multi-infarct dementia |
| Care for older adults with dementia or alzheimer Require? | Patients, routine is importin and changes should be introduces slow |
| Minor stroke; where neurological function is regained quickly with time | Transient Ischemic Attack (TIA) |
| nursing intervention for parkinson disease | ROM
ADL |
| a hereditary disease marked by degeneration of the brain cells and causing chorea and progressive dementia. | Huntington's disease |
| Chronic, progressive, fatal disease of the central nervous system caused by a prion. Terminal within 6-12 months. No known treatment | Creutzfeldt-Jakob disease |
| Characterized by forgetfulness, slowness, poor concentration, and difficulties in problem solving. Rapidly Progressive. | HIV associated dementia |
| Which of the following would lead the home health nurse to make a patient problem of
unresolved grief for a patient who was widowed 5 months ago? | The patient said tearfully, "I can't believe he is gone." |
| The nurse explains to a grieving husband that the process of the resolution of the hurt and the
reestablishment of his life is called the process. | grief |
