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40 Cards in this Set

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What ages are categorized as "Young Old"?
65 to 74 years of age
What age range is categorized as "Old Old"?
75-84 years
What age marks the beginning of the "Oldest Old"?
85 years
What is another name for the "Oldest Old"?
Frail elderly
Currently there are 35 million older adults in the US. The Administration of Aging predicts there will be how many older adults in the US by the year 2030?
70 million
What is ageism?
The prejudice, stereotyping, and scapegoating of people based solely on their age.
Which statement best demonstrates the nurse avoiding ageism?
A. "It's normal for older people to be forgetful."
B. "Glasses and hearing aides are important."
C. "It takes a long time to give older people their medications."
B. "Glasses and hearing aides are important."
What is spirituality?
Belief in a higher being. It differs from religion in that religion is organized.
True or False: The classic signs and symptoms of diseases are sometimes absent, blunted, or atypical in older adults.
TRUE
What is presbyopia?
Inability of the eyes to adjust from near to far (Prof. Pyron)
What is presbycusis?
(Prof. Pyron) This condition changes tones and frequencies heard. Makes it difficult to distinguish between certain sounds (ie sh, ch, etc).
What are three common conditions affecting cognition?
Delirium, Dementia, Depression
True or False: Delirium is defined as an acute confusional state, commonly caused by fever, injury, or UTI.
TRUE
What is defined as generalized impairment of intellectual functioning?
Dementia (which is usually chronic)
What is considered a treatable medical illness that is not part of the normal aging process? This common condition affects cognition...
Depression
What are common psychosocial changes older adults experience?
Retirement, social isolation (withdrawl), sexuality, housing and environment, death (of spouse is #1 loss older adults experience)
What are the three most common causes of death in adults over age 65?
Heart disease, cancer, Cerebrovascular Accident (Stroke)
True or False: Chronic conditions do not affect the independence of older adults?
FALSE: Chronic conditions diminish the well-being and threaten the independence of older adults.
True or False: Complications from falls are a leading cause of death among older adults?
TRUE: For example, a 70 yo falls, is bedfast, gets pneumonia
The nurse admits a 72 yo man to the ER. Which assessment data would the nurse expect to see most often?
A. Rectal bleeding
B. Back pain
C. Hypertension
D. Difficulty urinating
C. Hypertension
Choices A, B, and D are acute conditions
What are drugs most commonly used by community dwelling elders?
Analgesics, diuretics, CV drugs, and sedative-hypnotics
What are drugs most commonly used by nursing home residents?
Antipsychotics and sedative-hypnotics, diuretics, antihypertensives, analgesics, CV drugs, and antibiotics.
T or F: Reality orientation is a therapeutic technique that involves agreeing with the client's perceptions.
FALSE: Reality orientation involves the use of calendars, clocks, etc. to orient the client to person, place, time. Validation therapy involves agreeing with the client's perceptions.
Which nursing intervention involves recalling the past in order to understand past events from a different perspective?
Reminiscence
May be used to assess or improve self-esteem or assess coping skills.
What are examples of body image interventions?
Assisting with grooming, hygiene
An elderly client expresses concerns about going to a nursing center. Which is the best response by the nurse?
A. "It'll be ok. Most centers are very good."
B. Your family has taken care of everything, don't worry."
C. Let's discuss some options available in the different centers.
C. "Let's discuss some options available in the different centers."
Which restorative care aims to improve or regain prior levels of independence in ADLs?
Acute care
Which restorative care stabilizes chronic conditions?
Chronic care
An elderly client is admitted with mental confusion, sudden onset of dyspnea and anxiety. Which condition does the nurse most likely suspect?
A. Kidney infection
B. Dehydration
C. MI (Myocardial infarction)
D. Low blood sugar
C. MI
What is often the first sign of osteoporosis (porous bone)?
Fracture
How many elderly citizens are abused or neglected each year?
2 million
What are consequences of abuse?
Sense of isolation leading to gloom and depression, affecting health.
What are some risk factors for abuse?
Caregivers under stress, alcohol or drug problems, job dissatisfaction
Name some risk factors that elders may cause themselves.
Behavioral problems, verbal abuse
What are some examples of physical abuse?
Slapping, shaking, force feeding, improper restraints
What are some signs of psychological or emotional abuse?
Verbal insults, isolation, emotionally upset, agitation, withdrawal
What are some signs of neglect?
Malnutrition, dehydration, pressure sores, untouched meals, poor hygiene
What are some types of financial abuse?
Medicaid fraud, missing belongings or money, residents hiding belongings
What is the nurse's response if abuse is suspected?
Ask the client questions, follow facility policy, report suspicions to supervisor, call the elder abuse hotline
What is documented for suspected abuse?
Objective observations: identical bruises on forearms; quote statement from resident