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Gerontological Nursing
Exam #1 actual solution
Chapter 1 - ans-Introduction to Healthy Aging Identify three factors that influence the aging experience: What are the major factors influencing the experience of aging? - ans- Health, History and sex Aging Cohort: When established in 1935, what effect did Social Security have by setting the retirement age at 65 years? - ans-A time frame as being old. Aging depends on what? - ans-- Decade during which one was born or his or her history
-health history What types of effects does gender have on various aspects of aging? - ans-Women usually live alone after widowhood. What are individuals who are 100-109 years old known as? - ans- Centenarians According to researchers, which characteristic will most centenarians share in the future? - ans-Female Define health and wellness within the context of aging and chronic illness: - ans-Health: influenced by culture and age Wellness: one's whole being; physical, emotional, mental and spiritual. In differentiating between health and wellness in health care, which statement is true? - ans-Health is a broad term encompassing attitudes and behaviors What does wellness involve? - ans-Wellness involves achieving a balance between one's internal and external environment and one's emotional, spiritual, social, cultural, and physical processes. Examples of interventions to promote wellness would include all of the following except: - ans-psychiatric screenings
What type of care is projected to be the fastest growing employment sector in the health care industry? - ans-Eldercare Based on the current demographic data, which of the following statements identifies a predictive trend regarding the health care needs of society? - ans-More nursing services will be required to serve the needs of the population older than 85 years of age. Identify the best statement about gerontological nursing: - ans- Purposes of gerontological nursing include the promotion of health and support for maximal independence. Identify several factors that have influenced the development of gerontological nursing as a specialty practice: - ans-- shortages in nursing faculty prepared in gerontological nursing, there is a critical need for nurses to have higher educations and expertise in care of older adults
- the majority of nurses practicing today and in the future will be caring for older adult patients Examine the American Nurses Association Scope and Standards of Gerontological Nursing Practice and the recommended competencies for gerontological nursing practice: - ans-"Nurses have to have the knowledge and skills to assist older adults in a broad range of nursing care issues, from maintaining health and preventing illnesses, to managing complex, overlapping chronic conditions and progressive, protracted frailty in physical and mental functions, to palliative care."
Recognize and discuss the importance of certification: - ans- Specialization provides experts in caring for older people Compare various gerontological nursing roles and requirements: As a nurse contemplating a future in gerontological nursing, you might plan on achieving a Master's degree and becoming one of the following except: - ans-Geriatric Nurse Generalist As a nursing student who is interested in furthering his or her education in gerontological nursing, which of the following would be beneficial? - ans-Building Academic Geriatric Nursing Capacity (BAGNC) Discuss formal gerontological organizations and their significance to the gerontological nurse: What book or journal provides a comprehensive overview of the scope of gerontological nursing for today's geriatric nurse? - ans-Scope and Standards of Gerontological Nursing Practice The gerontological nurse collaborates with the wound care team about an older patient who has an ulcer. How is this nurse demonstrating leadership in the care of older people? - ans-Coordinating members of the healthcare team. A older man is transferred to a hospice facility with end-stage disease. which is suitable nursing intervention for his older adult and his family
Which is characteristic of relocation stress syndrome in a resident of a long-term care facility? - ans-apprehension Compare the major features, advantages, and disadvantages of several residential options available to the older adult: Community-Based Care
- ans--Adult day-care: safe for older adults that may not be safe at home -Residential care facilities -Assisted living facilities: need assistance with ADLs, $3,300/month out of pocket, alone or with roommate -PACE Which statement is true about living arrangements for older adults? - ans-Program for all-inclusive care for the elderly (PACE) is a community alternative to nursing home care for frail older adults. Your clients are interested in a facility that will allow them full care and services for the rest of their lives. Which one of the following would you suggest? - ans-Continuing Care Retirement Community Identify interventions to improve care for older adults in acute and long-term care settings: - ans-Reduce iatrogenic disorders: caused by medical exam or treatment (Medicare and Medicaid dont cover it): UTIs, Pressure Ulcers, Falls
Describe factors influencing the provision of long-term care including the culture change movement: - ans-- Omnibus Reconciliation Act (OBRA) of 1987 was designed to improve the care of those in nursing homes
- five-star rating system
- regulations that protect the residents' rights have been established
- culture change movement: made nursing home more "homey" and the regenerative model gives pts choice and control of their life A nursing home is converting to a person-centered culture from an institution-centered culture. Which nursing intervention will be suitable in the new culture? - ans-Maintain consistent resident assignments Discuss interventions to improve transitions of care and outcomes for older adults moving between health care settings; Discuss strategies to assist an older adult and their family in making an informed choice when relocation to a more protected setting becomes necessary: - ans-- give individual some control over his/her environment
- nurses closely assess the client
- familiar and treasured items are with the client A resident of a long-term care facility has been asking to have the drain in the bathroom sink repaired for 2 months. The nurse responds by saying that when they move to the new building, the sinks will work very well. Which right of a resident of a long-term care facility has the nurse violated? - ans-Right to voice grievances and have them remedied.
Discuss approaches that facilitate an appreciation of diverse cultural and ethnic experiences: - ans-Leningers sunrise model can be used for assessment, as a tool Klineman and associates Through assessments you increase your cultural sensitivity Which of the following considerations is most likely to be true when working with an interpreter? - ans-The nurse should face the patient rather than the interpreter Which of the following is a true statement about gerontological nursing for patients of different races and ethnic backgrounds? - ans-Facial expressions, body language, posture, and touch are important elements of communication between a nurse and a patient from a different ethnicity. A resident in a nursing home insists that a priest hear his confession. The resident is very anxious, and the nursing home does not have a Roman catholic chaplain. Which intervention should the nurse implement? - ans-Look in the local telephone book for a Roman Catholic Church, and ask the priest to visit the resident. The quality of care provided to clients of color, when compared with the level of care provided to white clients has improved over the years but is still not equal. In which of the following cases is the care provided to the person of color better than the care provided to the white client?
