Ch1 Older Adults And Wellness

Front 1

____________is defined as the weakness or mental infirmity of old age, and is associated with the deterioration of the body and mind in the elderly. It is commonly referred to as dementia.

Back 1

Senility

Front 2

True or false

Most older adults function well with little or no assistance and report being satisfied with their health and quality o life despite chronic conditions.

Back 2

True

Front 3

When educating what can we do as nurses to promote wellness in older adults?

Back 3

a. If your patient normally uses glasses, make sure that
he or she wears them and that they’re clean before you
start a teaching session.

b. If a patient wears a hearing aid, make sure that it’s turned on. Ask if they can hear you before you start.

Front 4

What are some barriers that arise from myths and misconceptions about older adults?

Back 4

a. Older adults may be pessimistic about being able to improve their health and functioning.

b. Survival needs and several health problems my take precedence over being able to focus on wellness and quality of life.

c. Despite the emphasis on wellness and health promotion health care environments focus more on treatment of disease than on preventing illness and addressing whole person needs.

d. Older adults and health care providers often mistakenly attribute symptoms to aging rather than identifying and addressing reversible and treatable contributing factors.

e. Health care providers may not believe that older adults are capable of learning and implementing health promoting behaviors that are inherent in wellness oriented care.

Front 5

How can nurses promote wellness for older adults?

Back 5

a. Addressing the body mind and spirit interrelatedness of each older adult

b. Identifying and challenging ageist attitues.

c. Assessing each older adult from a whole person perspective.

d. Incorporating wellness nursing diagnoses as a routine part of care.

e. Planning for wellness outcomes which are directed toward improved health functioning and quality of life.

f. Use nursing interventions to address the factors that interfere with optimal functioning.

g. Reconize each others potential for psychological and spiritual growth during all phases of physical health and functioning.

h. Teaching about self care behaviors to improve health and functioning.

i. Promoting wellness for caregiver and other people who care for older adults.

Front 6

Which nursing actions would help maintain safety in the older adult?

a. Treat each patient as a unique individual.

b. orient the patient to new surroundings.

c. Encourage independence.

d. Provide planned rest and activity times.

Back 6

b.

Front 7

As defined by Erickson in what stage of human development is the older adult?

a. Intimacy versus isolation

b. Identity versus role diffusion

c. Ego integrity versus despair

d. Generativity versus stagnation

Back 7

c.

Front 8

____________ is the scientific and behavioral study of all aspects of aging and its consequences

Back 8

Gerontology

Front 9

____________ as an "integrated method of functioning that is oriented toward maximizing an individuals potential.

Back 9

High Level Wellness

Front 10

_______ is a universal process that begins at birth and applies equally to young and old.

Back 10

Aging

Front 11

Gerontologists define ____________ from various perspectives; feel age, subjective age, cognitive age , stereotype age comparative age and perceived or self perceived age.

Back 11

Age Identity

Front 12

___________ is defined as the length of time that has passed since birth.

Back 12

Chronologic age

Front 13

What is functional aging?

Back 13

For gerontologists practitioners as well as most older adults the important indicators of age are physiologic health, psychological well being, socioeconomic factors and the ability to function and participate in desirable activities.

Front 14

What are the identifying components of successful aging?

Back 14

1. Active engagement with life.

2. High cognitive and physical function.

3. Low probability of disease and disability.

Front 15

____________ is a social organization in which a group of old men or a council of elders dominates or exercises control

Back 15

Gerontocratic

Front 16

___________ is characterized by a fear of aging and an idealization of youth.

Back 16

Gerontophobia

Front 17

____________ is the prejudices and stereotypes that are applied to older people sheerly on the basis of their age.

Back 17

ageism

Front 18

____________ describes older adults who are likely to experience added discrimination because of their race or gender.

Back 18

Multiple jeopardy

Front 19

_______________ is defined as the thoughts feelings and behaviors toward elderly people that exists and operate without conscious awareness or control.

Back 19

Implicit ageism

Front 20

True or false?

Older adult hood is something to anticipate with dread; it is essentially the end of life.

Back 20

False

Rationale: Demographics show that the older adult population is growing and life expectancy is increasing. Emphasis is being placed on the living long and living well.

Front 21

True of false?

People consider themselves to be old at the age of 65.

Back 21

False

Rationale: People usually feel old based on their health and functioning rather than on their chronological age.

Front 22

True or false?

Ageism is endemic in all societies.

Back 22

False

Rationale: Ageism is much more common in industrialized societies and is highly influenced by stereotypes and cultural values.

Front 23

True or false?

Gerontologists has recently discovered a theory that explains biologic aging.

Back 23

False:

Rationale:

Theories about biologic aging continue to evolve and there is little agreement on any one theory.

Front 24

True or false?

In today's society families no longer care for older people

Back 24

False

Rationale: In the US 80% of the care for older adults is provided by their families.

Front 25

True or false?

In the US there is an increasing trend toward fewer multi - generational families in which people age 65 yrs and older live in households with younger generations.

Back 25

False

Rationale: There is and increasing trend toward downward extension of households in which older generations live with and provide care for grandchildren.

Front 26

True or false?

As people grow older it is natural for them to want to withdraw from society.

Back 26

False

Rationale: Because older people are unique individuals each of them responds differently to society.

Front 27

True or false?

By the age of 70yrs an individuals psychological growth is complete.

Back 27

False

Rationale: People never lose their capacity for psychological growth.

Front 28

True or false?

Increased disability in older people is attributable to age related changes alone.

Back 28

False

Rationale: Although age related changes increase ones vulnerability to functional impairments the disabilities are attributable to risk factors such as adverse medication effects.

Front 29

True or false?

Health promotion efforts are not beneficial to older adults who have two or more chronic conditions.

Back 29

False

Rationale: Research has debunked the myths that prevention is not effective after onset of chronic illness.

Front 30

True or false?

About 20% of people age 65 yrs and older live in nursing homes as long term residents.

Back 30

False

Rationale: Between 4 and 5% of older adults live in a nursing home at any time.

Front 31

True or false?

Widowhood and other specific life events have been found to have a consistently negative impact on older people.

Back 31

False

Rationale: No one life event affects all older people negatively. The most important consideration governing the impact of an event is its unique meaning for the individual.

Front 32

True or false?

In old age there is an inevitable decline in all intellectual abilities.

Back 32

False

Rationale: A few areas of cognitive ability decline in older adulthood but other areas show improvement.

Front 33

True or false?

Older adults cannot learn complex new skills.

Back 33

False

Rationale: Older adults are capable of learning new things but the speed with which they process information slows with age. (so that is what is wrong with me.... darn it)

Front 34

True or false?

Constipation develops primarily because of age related changes.

Back 34

False

Rationale: Constipation is attributable primarily to risk factors such as restricted activity and poor dietary habits.

Front 35

True or false?

Uninary incontinence is a normal consequence of aging that is best managed by using incontinence products.

Back 35

False

Rationale: In most cases underlying causes of urinary incontinence can be addressed and variety of self care methods can be initiated.

Front 36

True or false?

Skin wrinkles can be prevented by using oils and lotions.

Back 36

False

Rationale: The best way to prevent wrinkles is to avoid exposure to ultraviolet light.

Front 37

True or false?

Older people decrease the level of their sexual activity because they are less able to preform sexually.

Back 37

False

Rationale: If sexual activity in older people declines its because of social reasons or risk factors such as disease and adverse medication effects.

Front 38

True or false?

Health care professionals readily recognize adverse medication effects in older adults.

Back 38

False

Ratoinale: Adverse medication effects are often overlooked in older adults because they are mistakenly attributed to aging or pathological conditions.

Front 39

True or false?

Some degree of "senility" is normal in very old people.

Back 39

False

Rationale: "Senility" is an inaccurate term used to refer to dementing conditions which are always caused by pathological changes.

Front 40

True or false?

Most old people are depressed and should be allowed to withdraw from society.

Back 40

False

Rationale: About one third of older people exhibit depressive symptoms; However, depression is very treatable condition at any age.

Front 41

What percentage of the population is made up of baby boomers?

Back 41

30%

Front 42

____ % of older adults have at least one chronic condition and __ % have at least two.

Back 42

80% and 50%

Front 43

____ % of older women and ___ % of older men experience disability.

Back 43

43% and 40%

Front 44

The most prevalent chronic conditions that affect the daily function of older adults are?

Back 44

arthritis hypertension heart disease diabetes stroke cataracts hearing impairments sinusitis and orthopedic impairments

Front 45

Gerontologists describe relationships among several generations of family members in terms of __________________ Ex. older parents or grandparents reside with children or grandchildren for care.

Back 45

upward extension of households

Front 46

___________________ extension of households are described as relationships where the adult children live with and are dependent on the older parents.

Back 46

Downward extension of households

Front 47

Middle aged adults that care for older and younger generations are referred to as the ____________ generation

Back 47

Sandwich

Front 48

Responsibilities of middle aged adults with parents who depend on them for care are described demographically by the _________________ support ratio

Back 48

Parent support ratio

Front 49

What cultural group is this?

Elders are a source of wisdom and deserve respect. Grandparents are often involved with caring for grandchildren and may live in the same household.

Back 49

African Americans

Front 50

What cultural group is this?

Elder status is characterized by health status and roles as counselors teachers or grandparents. Grandparents are often care for grandchildren who then are expected to care for the elders; grandmother my be called "Mother"

Back 50

American Indians, Alaskan Natives

Front 51

What cultural group is this?

Traditional values place family and society above individual. Elders are highly respected and honored. Multi - Generational households are common.

Back 51

Chinese

Front 52

What cultural group is this?

Respect for elders is a cornerstone of values demonstrated by the deference in verbal and non verbal communication. Children especially the oldest daughter are expected to care for parents to repay their debt of gratitude.

Back 52

Filipinos

Front 53

What cultural group is this?

Close inter generational relationships are maintained by first and second generation but family mobility may affect this. Children are expected to help parents stay in their own homes as long as possible. Amish and Baptists view family relationships as reciprocal throughout life grandparents usually live with their children or move from child to child.

Back 53

Germans

Front 54

What cultural group is this?

Elderly women have higher status and more power within the family than younger women do and are expected to live with or near adult children especially daughters.

Back 54

Greek

Front 55

What cultural group is this?

Elders assume roles as family advisers, babysitters, historian and consultants. Children are expected to care for elders at home.

Back 55

Haitians

Front 56

What cultural group is this?

Elders are highly respected and those who are able help in caring for children and grandchildren. Elders commonly maintain separate households when they need help the eldest sons family is expected to care for them at home.

Back 56

Japanese

Front 57

What cultural group is this?

Caring for elderly kin is a family duty that is associated with respect for elders and family bonds inherent in Confucianism. Grandparents frequently provide care for grandchildren; elders are welcome to live with family during times of need.

Back 57

Koreans

Front 58

What cultural group is this?

Elders are revered but acculturation reduces the sense of obligation toward providing care. Obligation to care for an elder parent or relative does not preclude placement in long term care facility.

Back 58

Mexican Americans

Front 59

What cultural group is this?

La abeula is a figure of respect wisdom and admiration. Both men and women care for elderly and share care giving responsibilities with family members and a close family network.

Back 59

Puerto Ricans

Front 60

What cultural group is this?

Elders are highly respected and remain close to their children. Even if elders do not live with their children, they are expected to help raise grandchildren and participate in decision making.

Back 60

Russians

Front 61

What cultural group is this?

They believe that the more one respects the elderly the greater ones chance is of reaching old age. Young adults are expected to assume full responsibility for caring for elders at home.

Back 61

Vietnamese

Front 62

Grandparents raising grandchildren is known as ___________________ households.

Back 62

Skipped Generation households.