NURSING CARE OF OLDER ADULT
EXAM #1 REVIEW QUESTIONS AND
ANSWERS
Chronologic Age - Answer-Length of time since birth
Perceived age - Answer-Peoples estimation of someone’s age
Subjective age - Answer-Persons perception of their age
Functional age - Answer-Reflects cumulative effect of medical and psychosocial
stressors on the aging process
Ageism - Answer-Stereotypes or generalizations (usually negative) applied to older
adults grounded on the basis of age
Aging anxiety - Answer-Fears and worries regarding detrimental effects associated with
aging
Age attribution - Answer-Tendency to automatically attribute problems to aging process
instead of pathologic treatable conditions.
Debunk myths to reality - Answer-By 75 yrs, people are quite homogeneous as a group
--> Older adults are diverse with different values and lifestyles just like young people
Families no longer care for older people --> In the US, 80% of older adults' care is
provided by their families
By age 70 yrs, psychological growth is complete --> Some brain functions decline but
others continue to develop
Increased disability is due to age-related changes --> Many problems attributed to old
age are pathological and respond to treatment
Most older adults are constipated primarily due to age-related changes --> Constipation
is prevalent among older adults primarily due to risk factors and pathological changes
Do men or women live longer - Answer-Women
At age 65 or older - Answer-- 23 million women (57%)
- 7.5 million men (43%)
Age 85 or older - Answer-70% are women
, Cultural competence - Answer-Entails "the ability to deliver health care with knowledge
of & sensitivity to cultural factors that influence the health behavior & the curing, healing,
dying, & grieving process of the person"
Cultural humility - Answer-Humble and respectful attitude toward individuals of other
cultures that pushes one to challenge their own cultural biases.
Cultural self-assessment - Answer-An awareness-raising tool for gaining insight into the
health-related values, beliefs, attitudes, and practices that have shaped and informed
the person the nurse has become when providing care
Health disparities - Answer-Measurable differences that are expected and common but
not necessarily preventable
Health equity - Answer-When all people have the opportunity to attain their full health
potential and no one is disadvantaged from achieving this potential because of their
social position or other socially determined circumstance
Health inequities - Answer-Preventable differences regarding the rates of disease
incidence, prevalence, morbidity, mortality, or life expectancy between one population &
another
Health literacy - Answer-A person's capacity to learn about and understand basic health
information and services, and to use these resources to promote one's health and
wellness
Linguistic competence - Answer-Health care services that are respectful of and
responsive to a person's linguistic needs, is one small part of providing culturally
appropriate care
Social determinants of health - Answer-Conditions that strongly influence life
expectancy, health and functional status, health-related quality of life, and susceptibility
to disease and disability
Changes in cultural groups in population of older adults in the US - Answer-- Whites
currently live longer
- But in projected 2060, African Americans, Asian Americans, and Hispanics will start to
live longer than they do now
Common beliefs of African Americans - Answer-- Heterogeneous, have a wide range of
socioeconomic conditions
- Less likely to live alone, may have multi-generational household
- Consequences of racism are still present and linked to health disparities
- Factors contributing to poor health outcomes include discrimination, cultural barriers,
and lack of access to health care
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