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NURS 1015 EXAM 1 Questions with Complete Solutions.
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NURS 1015 EXAM 1 Questions with Complete SolutionsAgeism Correct Answer-prejudice and discrimination against older people
nurses attitude toward older adults Correct Answer-nurses need to recognize and address ageism by questioning prevailing negative attitudes and stereotypes and reinforcing the realities of gaining as they care for older adults in all care settings
it is critical for you to learn to ______ older adults and _______ ________ them in care decisions and activities Correct Answer-respect, actively involve
developmental tasks for older adults Correct Answer-death of friends and significant others, retirement and reduced/fixed income, changes in quality of lift, failing/diminishing health and physical strength, self acceptance
cultural competency with older adults Correct Answer--use interpreters when available
-perform cultural assessments, never assume
-LGBT adults are often "invisible", sexuality in general is not what older
people talk about community/institutional care services Correct Answer--nurses encounter
older adult patients in a variety of settings: private homes, apartments retirement communities, adult day centers, assisted living facilities
-older adults need to help with decisions regarding which type of health care services is appropriate for them
PACE Correct Answer-Program for All-Inclusive Care for the Elderly- helps people meet their health care needs in the community instead of going to a nursing home or other care facility
assessing the needs of older adults Correct Answer--interrelation between physical and psychological aspects of aging
-effects of disease and disability on functional status
-decreased efficiency of homeostatic mechanisms
-lack of standards for defining health/illness norms (i.e. elderly rarely present with fever)
-altered presentation and response to specific diseases
Older Adult Interview Techniques Correct Answer--sit or stand at eye level, in front of the patient in full view
-face the older adult while speaking; do not cover your mouth and speak clearly
-provide diffuse, bright, nonglare lighting -encourage the older adult to use his or her familiar assistive devices such as glasses or magnifiers
-do not make it seem like an imbalance of power -elderly usually need 3x the amount of lighting younger adults do
assessment for elderly Correct Answer--use caution when interpreting signs and symptoms of disease and lab values
-it is important to recognize early indicators of an acute illness in older adults
-some mental changes are often drug related, caused by drug toxicity or adverse drug events
-many conditions are common causes of functional decline; thus nurses are essential in early identification, referral, and treatment of health problems in older adults
physiological changes in older adults Correct Answer--perception of well being defines quality of life
-older patients' concept of health revolves around how they perceive their ability to function
-nurses need to be cognizant of normal age related changes
-not all physiological changes are pathological
Functional changes in older adults Correct Answer-Functional status in older adults includes the day-to-day activities of daily living (ADLs) involving activities within physical, psychological, cognitive, and social domains.
-Changes are usually linked to illness or to disease and degree of chronicity.
-Performance of ADLs is a sensitive indicator of health or illness. -Occupational and physical therapists are your best resources for a comprehensive assessment.
Psychosocial changes in older adults Correct Answer-Life transitions such as retirement, social isolation, sexuality, environment, and death
Older Adults and the Acute Care Setting Correct Answer-Acute care settings pose risks for adverse events:
Delirium
Dehydration
Malnutrition
Health care-associated infections
Urinary incontinence
Falls
Older Adults and Restorative Care Correct Answer-Types of ongoing care:
-Continues recovery from acute illness
-Addresses chronic conditions that affect daily functioning
Goal
-To regain or improve prior level of independence, ADLs, instrumental activities of daily living (IADLs)
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