Test 3

Question Answer
stages of grief in response to near death, based on personal, cultural and religious beliefs and experiences, according to Elizabeth Kubler-Ross Five Stages of Grief
health care agency or program for people who are dying (usually less than six months to live) that provides comfort measures and pain management, preserves dignity, respect and choice, and offers empathy and support for the resident and the family Hospice Care
changes in skin color (pale and bluish) of the hands, arms, feet, and legs when death is near Mottling
the final stage of grief (in response to near death) when person has worked through feelings and understands that death is imminent Acceptance
a living will written while resident is mentally competent or by resident’s legal representative which outlines choices about withdrawing or with holding life-sustaining procedures, if terminally ill Advance Directive
interventions used to restore heart beat or respiratory effort (cardiopulmonary resuscitation or CPR) Extraordinary Measures
the fourth stage of grief ( in response to near death) when person begins the process of mourning, cries, withdraws from others Depression
the first stage of grief (in response to near death) when a person is told of impending death Denial
the third stage of grief (in response to death) when person tries to arrange for more time to live to take care of unfinished business; Bargaining
when resident takes several shallow breaths followed by periods of not breathing for 5, 30, or even 60 second; does not cause the resident discomfort Cheyne-Stokes Breathing
the time when signs and symptoms of a disease begins Onset
increased agitation, confusion and hyperactivity that begins in the late afternoon and builds throughout the evening Sundowning
going back to past behavior Regression
blocking painful events Repression
redirecting feelings to constructive activity Sublimation
transferring feelings about the one person to another person Displacement
a physical restraint used to keep a limb immobilized soft limb ties
a physical restraint that limits arm movement wrist restraint
Residents who require restraints must be observed at least once every __________ and restraints must be removed at least every _______ for _________. 15 mins, 2 hours for 15 mins
vitamins B,C water soluble vitamins
amount of fluids eliminated each day output
nutrient that is needed by every cell to help grow new tissue and help with tissue repair – 4 calories proteins
nutrient that supplies energy and helps body use fats – 4 calories carbohydrates
a nutrient that is a good source of energy and gives flavor to food – 9 calories fats
medical order for person to drink more fluids force fluids
A, D, E,K fat soluble vitamins
How much water is needed daily? Needs eight 8 oz. glasses of water each day
What position should a resident with dysphagia be when feeding? 90 degrees
tissues will swell with water Edema
1 oz equals how many mL 240mL
resident positioned on left side lying position Sims Position
resident sitting up almost straight, at 60 to 90 degrees High Fowler’s Position
resident reclined in a sitting position, at 45 to 60 degrees Fowler’s Position
What are the ABCs for correct body mechanics? Alignment, Base of support, Coordination
How often should a patient be repositioned? In bed at least every 2 hours or more