STUDY GUIDE for C475 Care of Older Adult Objective Assessment
Exam questions are taken from the Learning Objectives under the 9 Competencies:
#1 Competency 742.1.1: Compassionate and Respectful Care of Older Adults
The graduate integrates principles of compassion and respect for patients and
their families into the planning and delivery of care to a diverse population of older
adults and into advocacy for vulnerable older adults.
This topic addresses the following learning objectives:
• Recognize the impact of attitudes, values, and expectations about aging.
• Describe how the RN’s personal beliefs and values may impact the care of
older adults.
• Articulate the concept of individualized care as the standard of practice
with older adults, considering the right care, at the right time, in the
right place and by the right provider of care.
➢ Define Baby Boomers
▪ Those born between 1946-1964; that are now reaching
retirement age
➢ What are the five racial groups listed in your text?
▪ European Americans, African Americans, Hispanic
Americans, Asian Americans, and Native Americans
➢ How would you perform discharge teaching to an Hispanic patient
▪ Whittemore (2007) conducted a systematic review of the
literature to identify culturally competent interventions for
Hispanic adults with type 2 diabetes. In reviewing 11 studies,
Whittemore found that providing educational sessions and
NURS C475 Study Guide (7)-1 STUDY GUIDE for
C475 Care of Older Adult Objective Assessment LATEST
, written materials, in both English and Spanish; employing
bilingual Hispanic staff; including family members in an
informal atmosphere in health care encounters; incorporating
cultural traditions in interventions; developing culturally
relevant program literature; and providing fact sheets about
risk and potential poor outcomes of chronic conditions such as
diabetes will increase the effectiveness of interventions.
• Apply effective and respectful communication strategies in the care of
older adults and their families.
➢ List some of the changes of aging that could affect therapeutic
communication
NURS C475 Study Guide (7)-1 STUDY GUIDE for
C475 Care of Older Adult Objective Assessment LATEST
, ▪ Physical: like aphasia (difficulty finding words, writing,
expression), dysarthria (difficult speaking)
▪ Psychological: Dementia, Mental disease, schizophrenia,
depression,
embarrassment (hearing loss, vision loss), English as a second
language (cannot understand or relay message) , fear of being
labeled as a complainer
▪ Eyes: Senile miosis, difficulty adjusting to bright lights,
presbyopia
(accomodating near to far), decrease in acuity or depth
perception, dry eyes
▪ Ears: conduction problems, tumors, infections, foreign objects,
noise
pollution (hx playing in band), otoxic substances, freq,
presbycuspis most common **
➢ Note the ways to communicate or assist a patient with disabilities
such as
hearing deficits, vision impairments, or aphasia and dysarthria. How
should you address the older adult during therapeutic
communication?
▪ Disabilities in general: Slow down, allow time for reaction, set
up
environment, gather supplies ahead of time, tell family
members to answer only when directed, introduce your name
and role, eliminate background noise (turn off tv if too loud),
determine how the pt likes to be addressed (never use honey
or dear), extend your hand and shake and smile, maintain eye
contact, do not talk down, avoid crossing arms, do not
minimize their concerns
▪ Hearing loss: Do not use a high pitch voice or shout, stand in
NURS C475 Study Guide (7)-1 STUDY GUIDE for
C475 Care of Older Adult Objective Assessment LATEST
, front of
them, Sit at the side they hear best, Do not cover your face,
Eliminate background noise
▪ Visual loss: Do not startle, position yourself, provide ample
lighting, be
prepared if the patient states they see objects that you do not.
▪ Language impairment: use short, uncomplicated sentences,
maintain eye contact, provide an environment low in
distractions, observe facial cues, paper and pen, do not
correct what they say.
➢ Know the abbreviations or acronyms, such as AAC. Know which
hearing aids
cover the widest range of hearing loss. See the box on Types of
Hearing Aids in chapter 5. Both hearing aids and AAC will be
mentioned again in Chapter 16.
-AAC ‘augmented and alternative communication’, is an
integrated group
of components, including symbols, aids, strategies and techniques
used by individuals to enhance communication.
-BTE (behind the ear) is the most common and covers the
widest range of
hearing loss assistive device.
NURS C475 Study Guide (7)-1 STUDY GUIDE for
C475 Care of Older Adult Objective Assessment LATEST
Exam questions are taken from the Learning Objectives under the 9 Competencies:
#1 Competency 742.1.1: Compassionate and Respectful Care of Older Adults
The graduate integrates principles of compassion and respect for patients and
their families into the planning and delivery of care to a diverse population of older
adults and into advocacy for vulnerable older adults.
This topic addresses the following learning objectives:
• Recognize the impact of attitudes, values, and expectations about aging.
• Describe how the RN’s personal beliefs and values may impact the care of
older adults.
• Articulate the concept of individualized care as the standard of practice
with older adults, considering the right care, at the right time, in the
right place and by the right provider of care.
➢ Define Baby Boomers
▪ Those born between 1946-1964; that are now reaching
retirement age
➢ What are the five racial groups listed in your text?
▪ European Americans, African Americans, Hispanic
Americans, Asian Americans, and Native Americans
➢ How would you perform discharge teaching to an Hispanic patient
▪ Whittemore (2007) conducted a systematic review of the
literature to identify culturally competent interventions for
Hispanic adults with type 2 diabetes. In reviewing 11 studies,
Whittemore found that providing educational sessions and
NURS C475 Study Guide (7)-1 STUDY GUIDE for
C475 Care of Older Adult Objective Assessment LATEST
, written materials, in both English and Spanish; employing
bilingual Hispanic staff; including family members in an
informal atmosphere in health care encounters; incorporating
cultural traditions in interventions; developing culturally
relevant program literature; and providing fact sheets about
risk and potential poor outcomes of chronic conditions such as
diabetes will increase the effectiveness of interventions.
• Apply effective and respectful communication strategies in the care of
older adults and their families.
➢ List some of the changes of aging that could affect therapeutic
communication
NURS C475 Study Guide (7)-1 STUDY GUIDE for
C475 Care of Older Adult Objective Assessment LATEST
, ▪ Physical: like aphasia (difficulty finding words, writing,
expression), dysarthria (difficult speaking)
▪ Psychological: Dementia, Mental disease, schizophrenia,
depression,
embarrassment (hearing loss, vision loss), English as a second
language (cannot understand or relay message) , fear of being
labeled as a complainer
▪ Eyes: Senile miosis, difficulty adjusting to bright lights,
presbyopia
(accomodating near to far), decrease in acuity or depth
perception, dry eyes
▪ Ears: conduction problems, tumors, infections, foreign objects,
noise
pollution (hx playing in band), otoxic substances, freq,
presbycuspis most common **
➢ Note the ways to communicate or assist a patient with disabilities
such as
hearing deficits, vision impairments, or aphasia and dysarthria. How
should you address the older adult during therapeutic
communication?
▪ Disabilities in general: Slow down, allow time for reaction, set
up
environment, gather supplies ahead of time, tell family
members to answer only when directed, introduce your name
and role, eliminate background noise (turn off tv if too loud),
determine how the pt likes to be addressed (never use honey
or dear), extend your hand and shake and smile, maintain eye
contact, do not talk down, avoid crossing arms, do not
minimize their concerns
▪ Hearing loss: Do not use a high pitch voice or shout, stand in
NURS C475 Study Guide (7)-1 STUDY GUIDE for
C475 Care of Older Adult Objective Assessment LATEST
, front of
them, Sit at the side they hear best, Do not cover your face,
Eliminate background noise
▪ Visual loss: Do not startle, position yourself, provide ample
lighting, be
prepared if the patient states they see objects that you do not.
▪ Language impairment: use short, uncomplicated sentences,
maintain eye contact, provide an environment low in
distractions, observe facial cues, paper and pen, do not
correct what they say.
➢ Know the abbreviations or acronyms, such as AAC. Know which
hearing aids
cover the widest range of hearing loss. See the box on Types of
Hearing Aids in chapter 5. Both hearing aids and AAC will be
mentioned again in Chapter 16.
-AAC ‘augmented and alternative communication’, is an
integrated group
of components, including symbols, aids, strategies and techniques
used by individuals to enhance communication.
-BTE (behind the ear) is the most common and covers the
widest range of
hearing loss assistive device.
NURS C475 Study Guide (7)-1 STUDY GUIDE for
C475 Care of Older Adult Objective Assessment LATEST
