COMPLETE QUESTIONS AND ANSWERS
GRADED A+
◉nurses attitude toward older adults. 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. Answer: respect, actively
involve
◉developmental tasks for older adults. 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. 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. 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. 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. 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. 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. 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. 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. 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. Answer: Life transitions such
as retirement, social isolation, sexuality, environment, and death
◉Older Adults and the Acute Care Setting. Answer: Acute care
settings pose risks for adverse events:
Delirium
Dehydration
Malnutrition
Health care-associated infections
Urinary incontinence
Falls
◉Older Adults and Restorative Care. Answer: Types of ongoing care: