NURS 1016 MIDTERM EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
What are some strengths of older adults
wisdom, peaceful, experienced (has knowledge and practical life skills), and have
healthier past times
Why is the proportion of population 65 or older steadily increasing?
Low fertility rates and increased life expectancy
Groups of old people
young old 65-74
middle old 75-84
old old 85+
Centenarians 100+
Supercentenarian 110+
Quality of Care
the degree to which health services for individuals and populations increase the
likelihood of desired health outcomes and are consistent with current professional
knowledge
What are the attributes of health care quality
safe, timely, effective, efficient, equitable, patient centered.
Why is evidence important to nursing?
,it supports or disputes any number of situations related to nursing practice such as
approving or disputing the efficacy of a treatment, using diagnostic tools, transmission
of diseases, or any other scenario related to health care.
Canadian Gerontological Nursing Association Standards of Practice (2020)
Standard I: Relational care
Standard II: Ethical care
Standard III: Evidence informed care
Standard IV: Aesthetic/ artful care
Standard V: Safe care
Standard VI: Socio-politically engaged care
*See page 21 of first slideshow for details on each.
Roles in Gerontological nursing are
Generalist, specialist....
Implications for Gerontological Nursing and Healthy Aging
-Expertise in caring for older people can make the difference in their quality of life. This
type of nursing is intellectually challenging as you are often caring for individuals with
complex needs and health care issues.
Nutrition Goals
Safe, adequate nutrition for residents.
Well-being comfort and quality of life.
Respect choice and autonomy.
What are some common nutrition concerns in the elderly?
,As we age there is a natural decline in:
How well nutrients are absorbed, our sense of taste, smell and vision, we have a
reduced thirst sensation, reduced saliva production which creates dry mouth and
possible tooth loss, poor appetite and malnutrition, and cognitive issues and loss of
independence.
All of these things can lead to:
Weight loss and general malnutrition, dehydration, bowel problems, disease
complications, dysphagia, wounds or pressure ulcers, and vitamin and mineral
deficiencies.
Philosophy of Care when feeding elderly
food first, medication pass nutrition supplementation program then additional oral
supplements.
Diet Order
diet orders of clients may vary and could include therapeutic diets, texture orders, fluid
orders or other comments.
Therapeutic diets in LTC
Regular, diabetic, renal, renal diabetic, gluten free, full fluids, clear fluids, NPO, tube
feeding (tube feeding is not common)
Texture order
the texture order may include:
no modification, diced, minced, minced mashed, pureed.
Other comments or considerations for a diet order may include:
allergies or intolerances, no added salt, low potassium, or any food preferences.
, Fluids order
Fluid order may include:
No modification, nectar thick fluids, honey thick fluids.
Dysphagia
chewing and swallowing problems.
possible causes may be MS, parkinsons, alzheimers, ALS, dementia, stroke, aging, or
medications.
This can lead to: social isolation, withdrawal, lack of dignity, and fear of choking.
Symptoms of Dysphagia
holding food in mouth aka pocketing, inability to hold food or fluid in mouth, wet or
gurgle voice, excessive chewing, coughing during or after eating or drinking, choking
incident, resident complains of swallowing difficulty. (These are symptoms of....)
Health risks of Dysphagia
food and liquid entering the lung (aspiration), pneumonia as a result of aspiration,
obstruction of airway (choking), weight loss, malnutrition, reduced quality of life. (Health
risks of....)
Guidelines for eating or feeding a person with dysphagia (and feeding in general)
before meal:
make sure you are familiar with the residents feeding plan (positioning instructions,
feeding aids, feeding methods, modifications and level of supervision), make sure their
mouth is clean and clear of oral residue, excess saliva and mucous, insure the resident
has their dentures, glasses or hearing aids if needed, and wash your hands as well as
the residents.
COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
What are some strengths of older adults
wisdom, peaceful, experienced (has knowledge and practical life skills), and have
healthier past times
Why is the proportion of population 65 or older steadily increasing?
Low fertility rates and increased life expectancy
Groups of old people
young old 65-74
middle old 75-84
old old 85+
Centenarians 100+
Supercentenarian 110+
Quality of Care
the degree to which health services for individuals and populations increase the
likelihood of desired health outcomes and are consistent with current professional
knowledge
What are the attributes of health care quality
safe, timely, effective, efficient, equitable, patient centered.
Why is evidence important to nursing?
,it supports or disputes any number of situations related to nursing practice such as
approving or disputing the efficacy of a treatment, using diagnostic tools, transmission
of diseases, or any other scenario related to health care.
Canadian Gerontological Nursing Association Standards of Practice (2020)
Standard I: Relational care
Standard II: Ethical care
Standard III: Evidence informed care
Standard IV: Aesthetic/ artful care
Standard V: Safe care
Standard VI: Socio-politically engaged care
*See page 21 of first slideshow for details on each.
Roles in Gerontological nursing are
Generalist, specialist....
Implications for Gerontological Nursing and Healthy Aging
-Expertise in caring for older people can make the difference in their quality of life. This
type of nursing is intellectually challenging as you are often caring for individuals with
complex needs and health care issues.
Nutrition Goals
Safe, adequate nutrition for residents.
Well-being comfort and quality of life.
Respect choice and autonomy.
What are some common nutrition concerns in the elderly?
,As we age there is a natural decline in:
How well nutrients are absorbed, our sense of taste, smell and vision, we have a
reduced thirst sensation, reduced saliva production which creates dry mouth and
possible tooth loss, poor appetite and malnutrition, and cognitive issues and loss of
independence.
All of these things can lead to:
Weight loss and general malnutrition, dehydration, bowel problems, disease
complications, dysphagia, wounds or pressure ulcers, and vitamin and mineral
deficiencies.
Philosophy of Care when feeding elderly
food first, medication pass nutrition supplementation program then additional oral
supplements.
Diet Order
diet orders of clients may vary and could include therapeutic diets, texture orders, fluid
orders or other comments.
Therapeutic diets in LTC
Regular, diabetic, renal, renal diabetic, gluten free, full fluids, clear fluids, NPO, tube
feeding (tube feeding is not common)
Texture order
the texture order may include:
no modification, diced, minced, minced mashed, pureed.
Other comments or considerations for a diet order may include:
allergies or intolerances, no added salt, low potassium, or any food preferences.
, Fluids order
Fluid order may include:
No modification, nectar thick fluids, honey thick fluids.
Dysphagia
chewing and swallowing problems.
possible causes may be MS, parkinsons, alzheimers, ALS, dementia, stroke, aging, or
medications.
This can lead to: social isolation, withdrawal, lack of dignity, and fear of choking.
Symptoms of Dysphagia
holding food in mouth aka pocketing, inability to hold food or fluid in mouth, wet or
gurgle voice, excessive chewing, coughing during or after eating or drinking, choking
incident, resident complains of swallowing difficulty. (These are symptoms of....)
Health risks of Dysphagia
food and liquid entering the lung (aspiration), pneumonia as a result of aspiration,
obstruction of airway (choking), weight loss, malnutrition, reduced quality of life. (Health
risks of....)
Guidelines for eating or feeding a person with dysphagia (and feeding in general)
before meal:
make sure you are familiar with the residents feeding plan (positioning instructions,
feeding aids, feeding methods, modifications and level of supervision), make sure their
mouth is clean and clear of oral residue, excess saliva and mucous, insure the resident
has their dentures, glasses or hearing aids if needed, and wash your hands as well as
the residents.
