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45 Cards in this Set
- Front
- Back
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What is the major goal of care of older adults?
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To promote independence
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What is the age that you're considered "old"?
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65
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What focuses on the diagnosis and treatment of diseases in the elderly?
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Geriatrics
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What is the study of all aspects of the aging process and its consequences?
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Genrontology
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What is the assessment of health and functional status in the elderly?
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Gerontological nursing
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What emphasizes nurturing, caring, and comforting more than treatment of disease?
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Gerontic nursing
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Myth or fact:
Older adults are not interested in sex or sexual activities. |
Fact.
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When speaking with an older adult, make sure to speak ______ with a ____ tone of voice.
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Slowly, low
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When speaking with an older adult, focus on how many ideas?
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One, and give them time to react to it
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True/False.
When caring for older adults, we need to be aware of their wishes, give them the opportunity to participate in their own care, and treat them with dignity. |
True
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What are the two biological theories of aging?
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Stochastic and nonstochastic
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What theory views aging as a result of random cellular damage that occurs over time and accumulated damage leads to the physical changes that we see in the aging process?
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Stochastic
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What theory states that the body has genetically programmed physiological mechanisms within the body that control the aging process?
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Non-stochastic
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What theories attempt to explain the changes in behavior roles and relationships that result from aging?
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Psychosocial
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What are the three psychosocial theories?
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Disengagement theory, activity theory, continuity theory (developmental theory)
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Which theory states the the aging individual withdraws from roles and engages more in introspective, self-focused activities?
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Disengagement theory
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Which theory considers the continuation of activities performed during middle age as necessary for successful saving?
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Activity theory
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Which theory states that personality remains the same and behavior becomes more predictable as we age?
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Continuity theory
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What are some common developmental tasks faced by older adults?
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Adjusting to decreasing health and physical strength
Adjusting to retirement and a fixed income Adjusting to death of a spouse Accepting self as an aging person Maintaining satisfactory living conditions Redefining relationships with adult children Finding ways to maintain quality of life |
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What are 6 aspects to consider when selecting a nursing home?
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Home configuration
Care provided Family involvement Overall environment Communication Number and quality of staff |
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Is there an interrelation between physical and psychosocial aspects of aging?
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Yes. Physical changes have psychosocial effects
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True/False.
Effects of disease and disability affect functional status. |
True
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True or false.
Homeostatic mechanisms may decrease in efficiency in the older adult |
True
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True/False
Some older adults have lack of standards for defining health/illness norms |
true
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True/False
Altered presentation and response to specific disease. Ex. An elderly patient with infection may present with different symptoms like confusion. |
True
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What are some illness indicators of older adults?
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Change in mental status
Falls Dehydration Decrease in appetite Loss of function Dizziness Incontinence |
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True/False.
Dehydration is common for older adults. |
True. Older adults do not drink because they do not want to get up to urinate
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True/False
Older clients' concept of health revolves around how they perceive their ability to function. |
True
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Which of the following is not a normal age-related change?
Muscles weaker Breaking bones easier Chest muscles more rigid Muscle of heart gets weaker (Heart disease) Decreased CO - leading to confusion Decreased circulation to LE Constipation Forgetfulness Diminished senses, hearing, visual acuity Pneumonia Chronic Bronchitis |
Chronic Bronchitis
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Which symptoms may indicate a change in function?
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Pneumonia, UTI, dehydration, electrolyte disturbances, delirium
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Which diseases could influence a functional change?
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Cardiac, respiratory, vascular, neurologic
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What is a good indicator of health or illness?
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Ability to perform ADLs
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What is an acute confusional state? Is it reversible?
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Delirium. Yes
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What is a chronic confusional state? Is it reversible?
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Dementia. No.
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What is a mood disturbance characterized by feelings of sadness and despair that is often related to decline in health and functioning?
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Depression
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Is confusion an expected sign of aging?
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NO.
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Does libido decrease with age?
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No. Only physical sexual function
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What are 3 common causes of death for older adults?
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Heart disease, Cancer, CV disease
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What is my role as a nurse with older adults?
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To promote and maintain functioning.
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Approximately how many adults over 65 have at least one type of chronic illness?
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80%
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You are instructing an older patient on how to take their medications correctly. In your teaching guidelines, you would include which of the following:
A) Pill organizer B) Explain to them drug/food, drug/drug interactions. C) Just tell them everything, no need to write it down. D) To get their medications from the same pharmacy if possible. |
A, B, D
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What is the communication technique that makes an older adult more aware of person, place, and time.
Purpose: To restore a sense of reality, improve level of awareness, promote socialization, elevate independent functioning, minimize confusion, disorientation, and physical regression |
Reality orientation
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What accepts the description of time and place as stated by the confused older adult.
Not challenging or arguing with statements and behaviors of the confused older adult. |
Validation therapy
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What uses recollection of the past to bring meaning and understanding to the present and to resolve current conflicts?
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Reminiscence
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What is the aim of care for older adults?
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To regain or improve prior level of independence, ADLs
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