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40 Cards in this Set
- Front
- Back
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What ages are categorized as "Young Old"?
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65 to 74 years of age
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What age range is categorized as "Old Old"?
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75-84 years
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What age marks the beginning of the "Oldest Old"?
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85 years
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What is another name for the "Oldest Old"?
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Frail elderly
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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?
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70 million
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What is ageism?
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The prejudice, stereotyping, and scapegoating of people based solely on their age.
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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."
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What is spirituality?
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Belief in a higher being. It differs from religion in that religion is organized.
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True or False: The classic signs and symptoms of diseases are sometimes absent, blunted, or atypical in older adults.
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TRUE
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What is presbyopia?
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Inability of the eyes to adjust from near to far (Prof. Pyron)
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What is presbycusis?
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(Prof. Pyron) This condition changes tones and frequencies heard. Makes it difficult to distinguish between certain sounds (ie sh, ch, etc).
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What are three common conditions affecting cognition?
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Delirium, Dementia, Depression
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True or False: Delirium is defined as an acute confusional state, commonly caused by fever, injury, or UTI.
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TRUE
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What is defined as generalized impairment of intellectual functioning?
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Dementia (which is usually chronic)
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What is considered a treatable medical illness that is not part of the normal aging process? This common condition affects cognition...
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Depression
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What are common psychosocial changes older adults experience?
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Retirement, social isolation (withdrawl), sexuality, housing and environment, death (of spouse is #1 loss older adults experience)
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What are the three most common causes of death in adults over age 65?
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Heart disease, cancer, Cerebrovascular Accident (Stroke)
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True or False: Chronic conditions do not affect the independence of older adults?
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FALSE: Chronic conditions diminish the well-being and threaten the independence of older adults.
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True or False: Complications from falls are a leading cause of death among older adults?
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TRUE: For example, a 70 yo falls, is bedfast, gets pneumonia
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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 |
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What are drugs most commonly used by community dwelling elders?
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Analgesics, diuretics, CV drugs, and sedative-hypnotics
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What are drugs most commonly used by nursing home residents?
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Antipsychotics and sedative-hypnotics, diuretics, antihypertensives, analgesics, CV drugs, and antibiotics.
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T or F: Reality orientation is a therapeutic technique that involves agreeing with the client's perceptions.
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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.
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Which nursing intervention involves recalling the past in order to understand past events from a different perspective?
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Reminiscence
May be used to assess or improve self-esteem or assess coping skills. |
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What are examples of body image interventions?
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Assisting with grooming, hygiene
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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."
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Which restorative care aims to improve or regain prior levels of independence in ADLs?
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Acute care
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Which restorative care stabilizes chronic conditions?
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Chronic care
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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
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What is often the first sign of osteoporosis (porous bone)?
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Fracture
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How many elderly citizens are abused or neglected each year?
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2 million
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What are consequences of abuse?
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Sense of isolation leading to gloom and depression, affecting health.
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What are some risk factors for abuse?
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Caregivers under stress, alcohol or drug problems, job dissatisfaction
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Name some risk factors that elders may cause themselves.
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Behavioral problems, verbal abuse
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What are some examples of physical abuse?
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Slapping, shaking, force feeding, improper restraints
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What are some signs of psychological or emotional abuse?
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Verbal insults, isolation, emotionally upset, agitation, withdrawal
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What are some signs of neglect?
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Malnutrition, dehydration, pressure sores, untouched meals, poor hygiene
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What are some types of financial abuse?
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Medicaid fraud, missing belongings or money, residents hiding belongings
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What is the nurse's response if abuse is suspected?
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Ask the client questions, follow facility policy, report suspicions to supervisor, call the elder abuse hotline
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What is documented for suspected abuse?
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Objective observations: identical bruises on forearms; quote statement from resident
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