Gerontological Nursing Exam Questions With 100% Verified Solutions

Gerontological Nursing Exam Questions With 100% Verified Solutions Types of Psychological Aging Theories - ANSWER- -Jung's Theory of individualism -Erikson's Developmental theory Jung's Theory of Individualism - ANSWER- As a person ages, the shift of focus goes from extroversion to introversion. Tend to stay at home more, instead of going out as much. Erikson's Developmental Theory - ANSWER- Eight stages of Life. The older adult is in the stage of integrity versus despair Types of Sociological Aging Theories - ANSWER- *They focus on roles and relationships that occur later in life* -Disengagement Theory -Activity theory -Continuity theory Disengagement Theory - ANSWER- Mutual withdrawal from society, not negative, just change the way they socialize Activity Theory - ANSWER- Stay active and engaged in older life Continuity Theory - ANSWER- Maintaining previous values and habits, does not change Medicare - ANSWER- -Federal program -Established for older people and younger disabled -Limited prescription drug benefits -May pay a limited amount of subacute care, rehabilitation, and home health care -People pay into it with their checks and they get it back with retirement Where can Gerontologic Nurses be Found - ANSWER- -Skilled nursing facilities -Retirement communities -Adult day care -Residential care facilities -Transitional care units -Rehabilitation hospitals -Community based home care Skilled Nursing Facilities - ANSWER- -Skilled care provided by nurses -May include subacute (come from a hospital and still need some help) and chronic -Helpful for the frail, older adult needing help with activities of daily living Retirement Communities - ANSWER- -Vary in size and scope in what they offer -Offerings range from independent living to nursing home care -May allow residents to move between levels -Amenities vary Adult day care - ANSWER- -Provides daytime supervision and activities -May offer transportation -Typically fees are paid privately -Meal services normally included -Planned activities are included -Additional health service availability varies Residential care facilities (assisted living) - ANSWER- -Previously called rest homes -Offer supervision and health monitoring Transitional care units - ANSWER- -Established by acute care hospitals -Provide subacute care, rehabilitation, and palliative care services -Most patients are recuperating from surgery, major illness, or injury. -Support services of the acute care facility are provided Rehabilitation hospitals or facilities - ANSWER- -Specialized facilities provide subacute care to patients with complex healthcare needs -Patients may have head injuries, be ventilator dependent, or require rehabilitation after an injury or surgery. Community nursing care - ANSWER- -Visiting nurse service -Provides skilled care in the home -Services may include vital signs, education, wound care, and medication administration Key Members of the Interdisciplinary Team - ANSWER- -Gerontological nurse -Social Worker -Geriatric physician -Other professional consultants -Physical therapists -Occupational therapists -Pharmacists -Psychiatrists -Podiatrists -Dentists When do you do a Geriatric Evaluation? - ANSWER- -Hospitalization for acute illness Change in living status -Abrupt change in physical, social, or psychological function (spouse just died, change in where they live, etc.) -Annual physical examination Benefits of Comprehensive Geriatric Evaluations - ANSWER- -Reduced hospital use -Reduced mortality rates -Improved mental status -Consumption of lower health care costs -Improved functional ability -Lower hospital admission rates Components of Comprehensive Geriatric Assessment - ANSWER- -Physical, psychological, and socioeconomic factors interact to influence the health and functioning of the older person. -Comprehensive evaluation of an older person's health requires an assessment in each domain. -Functional abilities should be a central focus of the evaluation to determine overall health, well-being, and the need for social services. Functional Health Pattern Assessment - ANSWER- -Health perception-health management -Nutritional-metabolic -Elimination -Activity-exercise -Sleep-rest -Cognitive-perceptual -Self-perception-self-concept -Roles-relationships -Sexuality-reproductive -Coping-stress tolerance -Values-beliefs Review of Symptoms for an Older Adults - ANSWER- -Hearing -Vision -Falls Fractures -Bowel and bladder function