NCOA - Module 1 review Exam 24 Questions with Verified Answers,100% CORRECT

NCOA - Module 1 review Exam 24 Questions with Verified Answers Older adults - CORRECT ANSWER one of the largest group of patients in acute care, long term care facilities, and rehabilitation facilities. Baby boomers - CORRECT ANSWER As ___________ age and the number of people living longer increases, the need for those with an aging expertise grows The field of gerontological - CORRECT ANSWER this field of nursing has evolved over the past decades and its specialty is in greater demand more now than ever before history and evolution - CORRECT ANSWER The ______ and _______ of gerontological nursing encompasses major milestones from the day of primary care or private duty nursing to acute care and now a shift to community based care. The Nursing Competence in Aging - CORRECT ANSWER Which initiative advocated for all nurses to have greater knowledge, skills, and broader attitudes toward the older adult primarily due to the prevalence and incidence of chronic health and functional issues in older adult clientele. quality health care - CORRECT ANSWER The provision of _______ and the complexities of the older adult are ever growing challenges for the healthcare system. Gerontology - CORRECT ANSWER study of social, cultural, psychological, cognitive, economic and biological aspects of aging. Geriatrics - CORRECT ANSWER Specialty that focuses on healthcare of elderly people specific to disease and illness. Gerontological Nursing - CORRECT ANSWER Specialty that involves assessment, planning, implementing and evaluating care in older adult. When did gerontological nursing practice begin? - CORRECT ANSWER 1.Although nurses published articles about the care of older adults as early as 1904, the specialty of gerontological nursing really began to emerge beginning in the 1950s. 2.The 1960s and 1970s marked a notable recognition for the need of standards of practice in geriatric nursing, with the creation of the first Standards of Practice for Geriatric Nursing documents in 1969, an effort led by the American Nurses Association. 3.In the 1970s Medicare and Medicaid programs marked a significant growth within the healthcare industry for the older adult segment. Gerontological Nurse Roles - CORRECT ANSWER - Direct hands-on care to older adults in various settings. - Knowledge of disease processes, medical treatments, rehabilitation and end of life care. - The 21st century has provided a resurgence in interest in gerontological care. There are several types of nurses that work in this field. - Older adults often present with atypical symptoms that complicate diagnosis and their plan of care and treatments. 1.Older adults are high risk for falls. The nurse must assess if they have altered mobility, confusion, malnutrition, polypharmacy. 2.Skin breakdown - is associated with diagnoses of dementia, osteoporosis, osteomyelitis Skin breakdown - CORRECT ANSWER is associated with diagnoses of dementia, osteoporosis, osteomyelitis Falls - CORRECT ANSWER older adults are high risk for what Current American Nurses Credentialing Options: - CORRECT ANSWER 1.Gerontological Nurse(Registered Nurse Board Certified(RN-BC) 2. Adult Gerontology Acute Care Nurse Practitioner (AGACNP-BC) 3. Adult-Gerontology Primary Care Nurse Practitioner (AGAPCNP-BC) 4. Adult Gerontology Clinical Nurse Specialist Certification for Gerontological Clinical Nurse Specialist -became available in what year? - CORRECT ANSWER In the US, certification for Gerontological Clinical Nurse Specialist -became available in 1989 by the American Nurses Association 85% - CORRECT ANSWER Approximately what percent of older adults have at least one chronic health condition? What 2 diseases are most common for older adults to have? - CORRECT ANSWER 1.Arthritis and hypertension been claimed to be the most common. 2.Most deaths in the older adult population stem from heart disease, lung cancer, COPD, accidents, strokes, Alzheimer's disease, diabetes, influenza/pneumonia, kidney disease and suicide. 60% & two - CORRECT ANSWER Approximately ___ percent have at least ____ chronic conditions 1.Coping with multiple chronic conditions is a real challenge. Learning to manage a variety of treatments while maintaining quality of life can be problematic. 2.Clinicians play an important role in educating patients and families about chronic health conditions. 3.Connect clients with appropriate community resources and services. Baby boomers are born between years - CORRECT ANSWER Baby boomers are those individuals born between 1946 and 1964 and are the population most concerning within the healthcare arena. 1.Expected rises in average individual Medicare spending is relevant to the baby boomers using healthcare 2.By 2029, when all of the baby boomers will be 65 years and over, more than 20 percent of the total U.S. population will be over the age of 65. Although the number of baby boomers will decline through mortality, this shift toward an increasingly older population is expected to endure. 3.By 2056, the population 65 years and over is projected to become larger than the population under 18 years. Older Adults in the Community - CORRECT ANSWER - Older adults prefer to live in their own homes and communities. - Older adults are less likely to change residencies compared to other age groups. - Many older adults live alone or with family members or perhaps with a caregiver. - Older adults who live alone may require additional homecare and many live in assisted living communities, group homes, or long term care. Ageism - CORRECT ANSWER 1.A common term used associated with negative attitudes toward older adults. 2. The stereotyping and discrimination against individuals or groups on the basis of their age Nursing Skills - CORRECT ANSWER - The functional abilities of older adults classified as activities of daily living (ADLs) includes bathing, dressing, eating, transferring and toileting along with home management activities such as shopping, cooking, housekeeping, laundry and handling finances. - These should be assessed by the nurse under systematic assessment measurement tools... these tools are useful to indicate the older adults functional ability and overall degree of health. - Assessment of the effect of chronic disease and age related declines in functional abilities allow nurses to establish a plan of care more appropriately. It is critical as one is hospitalized to optimize functional ability and independence as much as possible. - Nurses must have effective assessment skills to recognize subtle cues. Nurses must have excellent communication skills when interacting with older adults especially with sensory deficits. Nursing Considerations - CORRECT ANSWER - To promote health and wellness of the older adult, Gerontological nurses must have effective teaching skills in order to educate the older adult, their family and/or caregivers about safe and effective health techniques, lifestyle changes, functional health, life transitions and as well as disease processes, community and service resources. - Psychological, social, environmental and economic needs of the older adult client must be given equal consideration to presenting physical needs as well - Gerontological nurses must strengthen their delegation skills as unlicensed Assistive Personnel (UAP) are used in select settings to assist with the high demands associated with older adult care. - The ideal environment for living is the older adults own home. Recent economic, governmental and technological advancements have enabled more acutely ill clients to be discharged sooner and monitored at home. - Fundamental knowledge and skills related to nursing older patients: 60% of older adults & 2 chronic conditions - CORRECT ANSWER Appx. ___% of older adults have at least ___ chronic conditions.