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NURS 1016 MIDTERM EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE

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NURS 1016 MIDTERM EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE What are some strengths of older adults wisdom, peaceful, experienced (has knowledge and practical life skills), and have healthier past times Why is the proportion of population 65 or older steadily incr...

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  • November 19, 2024
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  • 2024/2025
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NURS 1016 MIDTERM EXAM QUESTIONS AND ANSWERS WITH

COMPLETE SOLUTIONS VERIFIED LATEST UPDATE

What are some strengths of older adults

wisdom, peaceful, experienced (has knowledge and practical life skills), and have

healthier past times

Why is the proportion of population 65 or older steadily increasing?

Low fertility rates and increased life expectancy

Groups of old people

young old 65-74

middle old 75-84

old old 85+

Centenarians 100+

Supercentenarian 110+

Quality of Care

the degree to which health services for individuals and populations increase the

likelihood of desired health outcomes and are consistent with current professional

knowledge

What are the attributes of health care quality

safe, timely, effective, efficient, equitable, patient centered.

Why is evidence important to nursing?

,it supports or disputes any number of situations related to nursing practice such as

approving or disputing the efficacy of a treatment, using diagnostic tools, transmission

of diseases, or any other scenario related to health care.

Canadian Gerontological Nursing Association Standards of Practice (2020)

Standard I: Relational care

Standard II: Ethical care

Standard III: Evidence informed care

Standard IV: Aesthetic/ artful care

Standard V: Safe care

Standard VI: Socio-politically engaged care



*See page 21 of first slideshow for details on each.

Roles in Gerontological nursing are

Generalist, specialist....

Implications for Gerontological Nursing and Healthy Aging

-Expertise in caring for older people can make the difference in their quality of life. This

type of nursing is intellectually challenging as you are often caring for individuals with

complex needs and health care issues.

Nutrition Goals

Safe, adequate nutrition for residents.

Well-being comfort and quality of life.

Respect choice and autonomy.

What are some common nutrition concerns in the elderly?

,As we age there is a natural decline in:

How well nutrients are absorbed, our sense of taste, smell and vision, we have a

reduced thirst sensation, reduced saliva production which creates dry mouth and

possible tooth loss, poor appetite and malnutrition, and cognitive issues and loss of

independence.

All of these things can lead to:

Weight loss and general malnutrition, dehydration, bowel problems, disease

complications, dysphagia, wounds or pressure ulcers, and vitamin and mineral

deficiencies.

Philosophy of Care when feeding elderly

food first, medication pass nutrition supplementation program then additional oral

supplements.

Diet Order

diet orders of clients may vary and could include therapeutic diets, texture orders, fluid

orders or other comments.

Therapeutic diets in LTC

Regular, diabetic, renal, renal diabetic, gluten free, full fluids, clear fluids, NPO, tube

feeding (tube feeding is not common)

Texture order

the texture order may include:

no modification, diced, minced, minced mashed, pureed.

Other comments or considerations for a diet order may include:

allergies or intolerances, no added salt, low potassium, or any food preferences.

, Fluids order

Fluid order may include:

No modification, nectar thick fluids, honey thick fluids.

Dysphagia

chewing and swallowing problems.

possible causes may be MS, parkinsons, alzheimers, ALS, dementia, stroke, aging, or

medications.

This can lead to: social isolation, withdrawal, lack of dignity, and fear of choking.

Symptoms of Dysphagia

holding food in mouth aka pocketing, inability to hold food or fluid in mouth, wet or

gurgle voice, excessive chewing, coughing during or after eating or drinking, choking

incident, resident complains of swallowing difficulty. (These are symptoms of....)

Health risks of Dysphagia

food and liquid entering the lung (aspiration), pneumonia as a result of aspiration,

obstruction of airway (choking), weight loss, malnutrition, reduced quality of life. (Health

risks of....)

Guidelines for eating or feeding a person with dysphagia (and feeding in general)

before meal:

make sure you are familiar with the residents feeding plan (positioning instructions,

feeding aids, feeding methods, modifications and level of supervision), make sure their

mouth is clean and clear of oral residue, excess saliva and mucous, insure the resident

has their dentures, glasses or hearing aids if needed, and wash your hands as well as

the residents.

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