Exam 3 & Exam 4: NURS 623/ NURS623 (Latest 2024/
2025 Updates STUDY BUNDLE PACKAGE WITH
SOLUTIONS) Adult/ Gerontology Health Care II | Qs &
As| 100% Correct| Grade A (Verified Answers)-
Maryville
Gerontology, Geriatrics, Gerontologic Nursing - ANSWERGerontology =
multidisciplinary, scientific study of the aging process
Geriatrics = medical/nursing practice that focuses on the physiology, pathology,
diagnosis, & management of disorders & diseases of older adults
Gerontologic or geriatric nursing = specializes in the care of the elderly
Gero-Nursing Practice Places - ANSWER-Community
One's own home/apartment
Home of family or friends
-Retirement communities
Skilled nursing, assisted living, independent living, custodial
-Long-term care
Skilled care &/or custodial care
-Rehabilitation hospitals
Intense rehabilitation/therapy for limited LOS
May also include skilled nursing care
-Acute care hospitals
Goal of long term care - ANSWER-The goal of long-term care services is to attain &
maintain optimal wellness & functional independence
-Patients have at least 1 chronic illness
-Sensory impairment common
-80% remain in LTC
Residents in nursing facilities - ANSWER-Fewer elderly living in nursing homes
-70% female
-7.4% of those 75 yrs+ lived in nursing homes in 2006
What is aging? - ANSWERAging is the normal process of time-related change,
beginning with birth, continuing throughout one's lifespan
...informed by how a person feels & changes in one's physical or mental capabilities
5 Theories of aging* - ANSWER-Frameworks to understand aging from different
perspectives, lend insight into differences among elderly individuals
-Biologic
-Developmental
-Sociologic
-Functional consequences (nursing theory)
, *Effects of normal age-related changes + damage from disease, environmental or
behavior risk factors
*Design interventions to alter consequences/outcomes & enhance quality of life
Life expectancy - ANSWERaverage years a person is expected to live
Frail Elder - ANSWER-Most vulnerable d/t declining physical health & resources
-Frailty = presence of 3 or more of the following:
Unplanned wt loss, weakness, poor endurance, poor energy, slowness, low activity
levels
Not directly r/t age
-Risk factors for frailty:
Disability, multiple chronic diseases, dementia; smoking, hx of depression,
underweight; being old-old
-The frail elder:
Has difficulty coping with declining functional abilities & daily energy
Cannot handle additional stressors well
Has little physical reserve
At increased risk for malnutrition, dehydration
Older person with a disability - ANSWER-Increased life expectancy for those with
developmental &/or physical disabilities
Care often provided by one's family early in life, in early/mid adulthood...can be a
problem w/elder years
Concern re: care as they age
Increased need for support in/out of home
-Nurses can advocate for those with disabilities as they age
Cultural Diversity&Aging - ANSWER-Views of aging & the older adult vary per
cultural, ethnic/racial, religious background
-May have blended views, particularly with intermarriage or in a geographic area
that is not homogenous demographically
-Minority groups as well as those within the dominant culture of any society have
often unique views on aging
Transcultural Nursing - ANSWER-Respect cultural preferences in food, music,
religion, views on health & aging
-Teach with the education & attitude of the individual, family in mind
-Gather info about life-style preferences & incorporate into care plans
-Identify spiritual resources
-Include extended families, informal care-givers
-Find out if there is a family "gate-keeper"!
-Is there a cultural broker/interpreter?
-Ethnogeriatrics = specialty area: providing culturally competent care to ethnic elders
Life Transitions & Perceived Losses with Aging - ANSWER-Aging usually includes 1 or
more:
2025 Updates STUDY BUNDLE PACKAGE WITH
SOLUTIONS) Adult/ Gerontology Health Care II | Qs &
As| 100% Correct| Grade A (Verified Answers)-
Maryville
Gerontology, Geriatrics, Gerontologic Nursing - ANSWERGerontology =
multidisciplinary, scientific study of the aging process
Geriatrics = medical/nursing practice that focuses on the physiology, pathology,
diagnosis, & management of disorders & diseases of older adults
Gerontologic or geriatric nursing = specializes in the care of the elderly
Gero-Nursing Practice Places - ANSWER-Community
One's own home/apartment
Home of family or friends
-Retirement communities
Skilled nursing, assisted living, independent living, custodial
-Long-term care
Skilled care &/or custodial care
-Rehabilitation hospitals
Intense rehabilitation/therapy for limited LOS
May also include skilled nursing care
-Acute care hospitals
Goal of long term care - ANSWER-The goal of long-term care services is to attain &
maintain optimal wellness & functional independence
-Patients have at least 1 chronic illness
-Sensory impairment common
-80% remain in LTC
Residents in nursing facilities - ANSWER-Fewer elderly living in nursing homes
-70% female
-7.4% of those 75 yrs+ lived in nursing homes in 2006
What is aging? - ANSWERAging is the normal process of time-related change,
beginning with birth, continuing throughout one's lifespan
...informed by how a person feels & changes in one's physical or mental capabilities
5 Theories of aging* - ANSWER-Frameworks to understand aging from different
perspectives, lend insight into differences among elderly individuals
-Biologic
-Developmental
-Sociologic
-Functional consequences (nursing theory)
, *Effects of normal age-related changes + damage from disease, environmental or
behavior risk factors
*Design interventions to alter consequences/outcomes & enhance quality of life
Life expectancy - ANSWERaverage years a person is expected to live
Frail Elder - ANSWER-Most vulnerable d/t declining physical health & resources
-Frailty = presence of 3 or more of the following:
Unplanned wt loss, weakness, poor endurance, poor energy, slowness, low activity
levels
Not directly r/t age
-Risk factors for frailty:
Disability, multiple chronic diseases, dementia; smoking, hx of depression,
underweight; being old-old
-The frail elder:
Has difficulty coping with declining functional abilities & daily energy
Cannot handle additional stressors well
Has little physical reserve
At increased risk for malnutrition, dehydration
Older person with a disability - ANSWER-Increased life expectancy for those with
developmental &/or physical disabilities
Care often provided by one's family early in life, in early/mid adulthood...can be a
problem w/elder years
Concern re: care as they age
Increased need for support in/out of home
-Nurses can advocate for those with disabilities as they age
Cultural Diversity&Aging - ANSWER-Views of aging & the older adult vary per
cultural, ethnic/racial, religious background
-May have blended views, particularly with intermarriage or in a geographic area
that is not homogenous demographically
-Minority groups as well as those within the dominant culture of any society have
often unique views on aging
Transcultural Nursing - ANSWER-Respect cultural preferences in food, music,
religion, views on health & aging
-Teach with the education & attitude of the individual, family in mind
-Gather info about life-style preferences & incorporate into care plans
-Identify spiritual resources
-Include extended families, informal care-givers
-Find out if there is a family "gate-keeper"!
-Is there a cultural broker/interpreter?
-Ethnogeriatrics = specialty area: providing culturally competent care to ethnic elders
Life Transitions & Perceived Losses with Aging - ANSWER-Aging usually includes 1 or
more:
