Scheduled maintenance: 25 March 2026 from 05:00 to 06:00
Nurs 308 Exam 1 – Accurate Answers To All
Questions
Save
Terms in this set (362)
chronic illness prolonged illness with no cure, results in irreversible
changes, requires rehab or long-term medical
management
acute illness Rapid onset, short duration, no lasting disabilities
Tasks of Persons with Chronic Illness 1. Prevent and manage a crisis
2. Carry out prescribed treatment regimen
3. Controlling symptoms
4. Reordering time
5. Adjusting to changes in course of disease
6. Preventing social isolation
7. Attempting to normalize interactions with others
Prevention of chronic illness Primary—diet, exercise, immunizations
Secondary—early detection/screening
Tertiary—rehabilitation; treatment
Nursing management of chronic ilness comprehensive H&P, plan of care, patient and
caregiver education, symptom management,
evaluating outcomes
demographics of aging They are living longer with chronic illnesses, surviving
acute illnesses, more educated and resourceful, and
are more ethically diverse
,Ageism negative attitude based on age; leads to
discrimination and disparities
Frail OA; must have 3 of these to be unintentional weight loss, self reported exhaustion,
considered frail: weakness (measured by grip strength), slow walking
speed
Special OA populations chronically ill, cognitively impaired, rural, homeless,
frail, LQBTQ+
Social support for OA Family caregivers, semiformal (religious
organizations), formal (nursing homes)
Government agencies for OA Federal (department of health and hospitals), state
(office of aging an adult services), local (agency on
aging)
Elder mistreatment (EM) Abuse, neglect, exploitation (for every reported case
more than five cases go unreported)
Victims of elder mistreatment have a __ 3X
higher mortality risk due to stress
Healthcare workers are mandatory Adult protective service (APS)
reporters of EM; who do they report
to?
Self neglect of older adults Unable to meet basic needs, refuse help, live alone
EM (abandonment) Being left unattended; caregiver who works and
leaves them alone all day
EM (financial) Sudden change in personal finances; unable to
maintain previous standards of living
EM (neglect) Untreated pressure injuries, malnutrition, poor
hygiene, etc
,EM (Physical abuse) Unexplained injuries; visits to multiple ERs
EM (psychological abuse) Depression, withdrawal, agitation
EM (sexual abuse) Genital infections, vaginal or anal bleeding, bruising
of genitals
EM (violation of personal rights) Unable to maintain control over personal decisions;
not allowed to make decisions about healthcare
Medicare For ages 65 and older, federal agency
Medicaid State administered for low income citizens
Home healthcare for OA Intermittent care, not 24/7. Requires need for skilled
care and a providers order.
Adult daycare/adult day healthcare Socialization, meals, transportation, hygiene, care
for OA and medical treatment. (Health care or for those who
need extensive help where is the daycare is more for
socialization)
Assisted living for OA Must be mostly independent with ADLs, provides
meals, socialization, transportation, and house
keeping,
Long-term care facilities for OA Frail, can not care for themselves
Programs for All-inclusive Care for the Provides 24/7 skilled care in the home, alternative for
Elderly (PACE) a nursing home, you must qualify
Gerontological Nursing The care of older adults based on the specialty body
of knowledge of gerontology and nursing; holistic
care for OA
What do you want to focus on when Focus on determining interventions needed to
giving an assessment on an older support and enhance the health, quality of life,
adult?? function, and independence
, Things to consider when giving an Attend to primary needs first, allow plenty of time,
assessment of older adults may interview family or caregiver separately,
interprofessional approach
Assessment of older adult Medical history, functional assessment, medication
review, cognitive and mood evaluation, social
resources, physical examination
Diagnosis of order adults Based on assessment, be alert for special needs
related to aging, chronic disease, etc.
Planning of older adults Identify strengths and abilities (we want to maintain
as much independence as possible), priority goals
(safety, reduce stress, sense of control)
Implementation of older adult Modify approach based on the older adults, physical,
functional and mental status; safety first!
Implementation of OA: Health Increased participation in health promotion and
promotion disease prevention activities, reduction in diseases
and health related issues, increase use of services
that reduce health hazards
Implementation of OA: rehabilitation goal is to help OA adapt to or recover from disability
or an acute functional decline
Implementation of OA: assistive Potential to increase function, assist with
devices rehabilitation, maintain optimal independence,
improve safety
Implementation of OA: medication use Age related changes alter the pharmacodynamics
and pharmacokinetics of drugs, difficulty with
management, poly pharmacy
Evaluation of older adults Change in condition, client perception of improved
health, client perception of the plan, document
positive changes to support the plan
Nurs 308 Exam 1 – Accurate Answers To All
Questions
Save
Terms in this set (362)
chronic illness prolonged illness with no cure, results in irreversible
changes, requires rehab or long-term medical
management
acute illness Rapid onset, short duration, no lasting disabilities
Tasks of Persons with Chronic Illness 1. Prevent and manage a crisis
2. Carry out prescribed treatment regimen
3. Controlling symptoms
4. Reordering time
5. Adjusting to changes in course of disease
6. Preventing social isolation
7. Attempting to normalize interactions with others
Prevention of chronic illness Primary—diet, exercise, immunizations
Secondary—early detection/screening
Tertiary—rehabilitation; treatment
Nursing management of chronic ilness comprehensive H&P, plan of care, patient and
caregiver education, symptom management,
evaluating outcomes
demographics of aging They are living longer with chronic illnesses, surviving
acute illnesses, more educated and resourceful, and
are more ethically diverse
,Ageism negative attitude based on age; leads to
discrimination and disparities
Frail OA; must have 3 of these to be unintentional weight loss, self reported exhaustion,
considered frail: weakness (measured by grip strength), slow walking
speed
Special OA populations chronically ill, cognitively impaired, rural, homeless,
frail, LQBTQ+
Social support for OA Family caregivers, semiformal (religious
organizations), formal (nursing homes)
Government agencies for OA Federal (department of health and hospitals), state
(office of aging an adult services), local (agency on
aging)
Elder mistreatment (EM) Abuse, neglect, exploitation (for every reported case
more than five cases go unreported)
Victims of elder mistreatment have a __ 3X
higher mortality risk due to stress
Healthcare workers are mandatory Adult protective service (APS)
reporters of EM; who do they report
to?
Self neglect of older adults Unable to meet basic needs, refuse help, live alone
EM (abandonment) Being left unattended; caregiver who works and
leaves them alone all day
EM (financial) Sudden change in personal finances; unable to
maintain previous standards of living
EM (neglect) Untreated pressure injuries, malnutrition, poor
hygiene, etc
,EM (Physical abuse) Unexplained injuries; visits to multiple ERs
EM (psychological abuse) Depression, withdrawal, agitation
EM (sexual abuse) Genital infections, vaginal or anal bleeding, bruising
of genitals
EM (violation of personal rights) Unable to maintain control over personal decisions;
not allowed to make decisions about healthcare
Medicare For ages 65 and older, federal agency
Medicaid State administered for low income citizens
Home healthcare for OA Intermittent care, not 24/7. Requires need for skilled
care and a providers order.
Adult daycare/adult day healthcare Socialization, meals, transportation, hygiene, care
for OA and medical treatment. (Health care or for those who
need extensive help where is the daycare is more for
socialization)
Assisted living for OA Must be mostly independent with ADLs, provides
meals, socialization, transportation, and house
keeping,
Long-term care facilities for OA Frail, can not care for themselves
Programs for All-inclusive Care for the Provides 24/7 skilled care in the home, alternative for
Elderly (PACE) a nursing home, you must qualify
Gerontological Nursing The care of older adults based on the specialty body
of knowledge of gerontology and nursing; holistic
care for OA
What do you want to focus on when Focus on determining interventions needed to
giving an assessment on an older support and enhance the health, quality of life,
adult?? function, and independence
, Things to consider when giving an Attend to primary needs first, allow plenty of time,
assessment of older adults may interview family or caregiver separately,
interprofessional approach
Assessment of older adult Medical history, functional assessment, medication
review, cognitive and mood evaluation, social
resources, physical examination
Diagnosis of order adults Based on assessment, be alert for special needs
related to aging, chronic disease, etc.
Planning of older adults Identify strengths and abilities (we want to maintain
as much independence as possible), priority goals
(safety, reduce stress, sense of control)
Implementation of older adult Modify approach based on the older adults, physical,
functional and mental status; safety first!
Implementation of OA: Health Increased participation in health promotion and
promotion disease prevention activities, reduction in diseases
and health related issues, increase use of services
that reduce health hazards
Implementation of OA: rehabilitation goal is to help OA adapt to or recover from disability
or an acute functional decline
Implementation of OA: assistive Potential to increase function, assist with
devices rehabilitation, maintain optimal independence,
improve safety
Implementation of OA: medication use Age related changes alter the pharmacodynamics
and pharmacokinetics of drugs, difficulty with
management, poly pharmacy
Evaluation of older adults Change in condition, client perception of improved
health, client perception of the plan, document
positive changes to support the plan
