Gerontological Nursing Ch 1-3 2021/2022

hapter 1: Introduction to Healthy Aging Concept: Health Promotion 1. Factors that influence aging experience 2. Define health and wellness within the context of aging and chronic illness 3. Trends in global aging today 4. Maslow's Hierarchy of Human Needs in gerontological nursing Terms in this set (64) Original Aging is determined by: Society and Culture - What age was considered "old" in 1935, when Social Security was created? - What age was considered "old" in 2000? - 65 - 70 - Young old: - Middle old: - Old old: - Young old: 65 to 70 - Middle old: 75 to 84 - Old old: 85 and above The ratio of women to men is 50/50, up until what age? 60 Aging was devalued in what time period? Late 1800s Supercentenarian 110+ What are the four major factors of aging? 1. Decade born. 2. Gender. 3. Ethnicity. 4. Health. Are disparities increasing or decreasing? Increasing What is essential to meet the needs of the rapidly growing, ethnically diverse elderly population? - Increasing numbers of health care providers from different cultures - Ensuring cultural competence of all providers Why are changes in global aging making it more challenging to meet the needs of the aging global community? The number of younger adults providing care and financial support are decreasing. By 2050, the number of people 60 years and older is likely to exceed the number of people... 15 years and younger Health is influenced by: Culture and Age Upgrade to remove ads Only $35.99/year Wellness: One's whole being: physical, emotional, mental, and spiritual. Functional abilities: The ability to live independently, to enjoy family and life. Maslow's 5 levels of Needs: 1. Self-Actualization: morality, creativity, acceptance, lack of prejudice. 2. Self-Esteem/Self-Efficacy: confidence, achievement, respect of others. 3. Belonging: friends, family, sexual intimacy. 4. Safety/Security: family, health, morality, employment. 5. Basic Needs: air, food, water, homeostasis, sleep. Which level is considered the highest level of wellness? Self-actualization; it is seen as people reaching out beyond themselves and finding meaning and a sense of fulfillment. Healthy People 2020: 1. Achieve health equity, eliminate disparities, and improve health in all groups. 2. Attain high-quality, longer lives free of preventable disease, disability, injury, and premature death. 3. Create social and physical environments that promote good health for all. 4. Promote quality of life, healthy development, and healthy behaviors across all life stages. 4 Self-Care requirements: 1. Maintaining sufficient intake of air, water, and food. 2. Maintaining satisfactory elimination function. 3. Maintaining a balance between activity and rest. 4. Maintaining a balance between solitude and social interaction. The 3 goals of the nurse: 1. Always care and comfort. 2. Sometimes cure. 3. Prevent that which can be prevented. What do ageist attitudes and behaviors undermine? The self-esteem of the individual, and society's acknowledgment of the value of the contributions of older adults. MULTIPLE CHOICE 1. Identify the best statement about gerontological nursing. a. Nurses have only recently become involved in the care of the older adult. b. Gerontological care was the second specialty in which the American Nurses Association (ANA) offered a certification program. c. Purposes of gerontological nursing include the promotion of health and support for maximal independence. d. ANA certification is available only for gerontological nurses in research positions. ANS: C Promoting health and fostering independence are purposes of the practice, as reflected, for example, in the ANA Scope and Standards. Nurses have always cared for older patients. The ANA's gerontological nursing certification program was the organization's first and includes a variety of positions, such as nurse practitioners, clinical specialists, researchers, and administrators. 2. Which gerontological nursing organization welcomes nurses from all educational backgrounds? a. The National Gerontological Nursing Association (NGNA) b. The National Conference of Gerontological Nurse Practitioners (NCGNP) c. The National Association of Directors of Nursing Administration in Long-Term Care (NADONA/LTC) d. The American Society on Aging (ASA) ANS: A The NGNA was formed specifically for all levels of nursing personnel: registered nurses (RNs), licensed practical nurses (LPNs), licensed vocational nurses (LVNs), and certified nursing assistants (CNAs). The NCGNP is, as its name implies, limited to nurse practitioners. The NADONA/LTC is, as its name implies, limited to directors and assistant directors of nursing. The ASA is an interdisciplinary organization not limited to nurses. Upgrade to remove ads Only $35.99/year 3. Which is an accurate statement regarding gerontological nursing education? a. Gerontological nursing content has long been integrated into the curriculum of the typical school of nursing. b. Undergraduate nursing programs extensively cover gerontological nursing in dedicated courses, comparable with the coverage of psychiatric nursing. c. When content is integrated throughout a curriculum, less than 25% is devoted to geriatric care. d. Accreditation of a nursing program guarantees that appropriate amounts of gerontological nursing content are included in the curriculum. ANS: C When content is integrated throughout the curriculum, less than 25% of the content is devoted to geriatric care. Only recently has gerontological nursing content begun to appear in nursing school curricula. Most nursing schools still do not have such courses. At present, no minimum requirements exist for the coverage of care of older adults. 4. Based on current demographic data, which of the following statements identifies a predictive trend regarding the health care needs of society? a. Most nurses will not need to care for older persons. b. More nursing services will be required to serve the needs of the population older than 85 years of age. c. Fewer nurses will be needed to care for older adults. d. Older adults expect their quality of life to be less than that of earlier generations at their ages. ANS: B Projections are that 20% of the American population will be older than 65 years of age by 2050, with those older than 85 years showing the greatest increase in numbers. Most nurses can expect to care for older people during the course of their careers. By 2050, the United Nations predicts that more Americans will be over the age of 60 years than those under the age of 15 years. Older people are better educated and more affluent and expect a higher quality of life than their elders had at their age. 5. A case manager is likely to have how many years of nursing education? a. 1 to 1.5 b. 2 c. 4 to 6 d. 8 or more ANS: C A case manager typically has a bachelor's or master's degree. This amount of training is typical for an LPN, who typically practices at a nursing home or on a home nursing staff. This amount of training, resulting in an Associate's Degree in Nursing (ADN), is typical for an associate RN, who is typically found on hospital, home, and nursing home staffs. A nurse with 8 or more years of education, as well as a doctorate, is typically involved in research and teaching. 6. Which was the first formal action the ANA took in relation to gerontological nursing? a. Established a national geriatric nursing group b. Defined educational standards for gerontology c. Created the ANA Division of Geriatric Nursing d. Formed the Council of Long Term Care Nurses ANS: A The first formal act of the ANA to promote gerontological nursing was to form a national geriatric nursing group in 1962. In 1973, the ANA defined educational standards for geriatric nursing. The ANA Division of Geriatric Nursing was begun in 1966. In 1979, the ANA formed the Council of Long Term Care Nurses. 7. A older man is transferred to a hospice facility with end-stage disease. Which is a suitable nursing intervention for this older adult and his family according to the goals of long-term care? a. Decrease the analgesic dose to prevent sedation. b. Provide a basin and towels for morning self-care. c. Inform family members about strict visiting hours. d. Facilitate family rituals related to death and dying. ANS: D To promote comfort and dignity, the nurse facilitates the enactment of family wishes, rituals, or religious practices related to death and dying. To promote comfort, the gerontological nurse administers medications as prescribed and avoids restricting analgesic agents to patients, regardless of the setting or the nurse's personal views. Although fostering independence is within the scope of the gerontological nursing practice, the nurse should assess the older adult and family before assuming that he will want or be able to perform self-care. Although hospice can have regular visiting hours, the older adult may need his family at the bedside for comfort, strength, or companionship. Thus to provide comfort and promote dignity, the gerontological nurse adapts visiting hours to suit the older adult's needs.