Exan 1: Study Guide

Question 1

Baby Boomers

Answer 1

-Born between 1946 to 1964.

Question 2

Functional Assessment and Wellness

Answer 2

-Evaluation of person’s ability to carry out basic tasks for self-care and tasks needed to support independent living.

Question 3

What are primary prevention strategies in older adults?

Answer 3

Strategies that can and are used to prevent illness before it occurs (i.e exercise, diet, smoking cessation).

Question 4

Wellness Based Model

Answer 4

Incorporates all aspects of one’s being within the context of culture including

• Functional
• Environmental
• Intellectual
• Psychological
• Spiritual
• Social
• Biological

Question 5

Gerontological Nursing

Answer 5

Can use the wellness-based model to promote healthy aging across the continuum of wellness and care settings.

Question 6

Biological Theories of Aging: Wear and Tear Theory

Answer 6

• Cellular errors a result of “wearing out” over time from continued use.
• Associated with internal and external stressors (associated with free radicals)
• Causes a progressive decline in cellular function or increased cellular death.

Question 7

Activity Theory of Aging

Answer 7

Attempted to predict and explain how individuals adjusted to age-related changes by looking at one’s level of activity and productivity.

Question 8

Continuity Theory

Answer 8

Suggests that individual tends to develop and maintain consistent pattern of behavior substituting one role for similar one as one matures.

Question 9

Physical Wellness

Answer 9

Is enhanced through regular physical activity, diet/nutrition and avoidance of tobacco, drugs and excessive alcohol consumption.

Question 10

Emotional Wellness

Answer 10

• Awareness and acceptance of one’s feelings.
• Ability to form relationships based on mutual commitment, trust and respect.
• Positive self image and enthusiastic about life.
• Ability to cope effectively with stress.

Question 11

Spiritual Wellness

Answer 11

• Recognizes the search for meaning and purpose in their lives.
• Taking time to reflect and connect with the universe.

Question 12

Intellectual Wellness

Answer 12

• Expanding one’s knowledge and skills throughout life.
• Discovering new skills and interests.
• Challenging oneself through creative stimulating mental activities.

Question 13

Occupational Wellness

Answer 13

• Doing what you love.
• Contributing your unique gifts, skills, and talents to work that is personally meaningful and rewarding.
• Balancing work with leisure time.

Question 14

Nursing Assessment for Activity Theory

Answer 14

• Current level of activity and satisfaction with such activity.
• Effect of changes in health on usual roles and activities.
• Cultural beliefs and expectations related to roles, activity as well as both engagement and disengagement related to these.

Question 15

Ethnocentrism

Answer 15

Belief that one’s ethnic/cultural group is superior to another.

Question 16

Cultural Assessment Tools

Answer 16

• Leininger’s Sunshine Model
• Transcultural Assessment Model
• Heritage Assessment Tool
• Explanatory Model

Question 17

LEARN Model

Answer 17

• Guides nurse in clinical setting while interacting with elders of any ethnicity.
• Based on a negotiated plan of care that includes identification of availability of culturally appropriate and sensitive community resources.

Question 18

Ageism

Answer 18

Stereotyping and discriminating against people due to age.

Question 19

Communicating with older adults: Coherent versus cognitively impaired

Answer 19

…

Question 20

Elderspeak

Answer 20

A form of ageism where speech patterns are changed based on assumption that older people have difficulty communicating and understanding.

Question 21

FANCAPES Assessment Tool

Answer 21

Fluids
Aeration
Nutrition
Communication
Activity 
Pain
Elimination
Socialization and social skills

Question 22

SPICES Tool

Answer 22

Sleep disorders
Problems eating
Incontinence
Confusion 
Evidence of falls
Skin breakdown

Question 23

Mini Mental Status Exam

Answer 23

General test of cognitive status that helps identify mental status impairment.

Question 24

Health Assessment of Older Adults

Answer 24

More complex.

May require a team of professionals.

Question 25

ADLs versus IADLs

Answer 25

``` ADLs = Activities of Daily Living (ability to walk, get into and out of bed, bathing and grooming oneself, eat, dress and get to bathroom on time) IADLs = Instrumental Activities of Daily Living (includes tasks such as dialing the phone, driving a car, hanging up clothes, obtaining groceries, taking medications and having correct knowledge of medication dosages) ```

Question 26

What does the LEARN Model stand for?

Answer 26

L: List to what patient has to say E: Explain your perception of the problem A: Acknowledge the similarities and differences of perception R: Recommend a plan of action that takes into account both perspectives N: Negotiate a plan that is mutually acceptable

Question 27

Examples of Elderspeak include

Answer 27

- Using a singsong voice, changing pitch, and exaggerating words. - Using short and simple sentences. - Speaking more slowly. - Using limited vocabulary. - Repeating or paraphrasing what has just been said. - Using pet names such as “honey” or “dear” or “sweetie”. - Using collective pronouns – “Would we like to eat now?”

Question 28

Functional Assessment is used to

Answer 28

- Identify specific areas of help. - Identify changes in abilities from one time to another. - Provides information useful for assessing safety. - Numerous tools available that describe, screen, assess, monitor and predict functional ability.

Question 29

Laboratory Tests for Annual Physical Examination

Answer 29

Check Week 3 Flashcards

Question 30

Laboratory tests for diagnosing concerns with older adults

Answer 30

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Question 31

Coumadin (Warfarin)

Answer 31

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Question 32

Coumadin (Warfarin): Monitoring Laboratory Tests

Answer 32

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Question 33

Physiological age changes

Answer 33

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Question 34

Pharmacokinetics/pharmacodynamics of medication use

Answer 34

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Question 35

Herbal Supplement: Ginkgo

Answer 35

May benefit cognitive function in dementia; however, there is no scientific evidence that ginkgo impacted cognitive impairment, memory, attention, language, visual-spatial ability, executive functions, or reduced prevalence of dementia and Alzheimer’s disease.

Question 36

CAD: atypical S&S among older adults

Answer 36

Check Week 4 Flashcards

Question 37

Chronic Stable Angina including managment

Answer 37

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Question 38

Atrial Fibrillation including management

Answer 38

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Question 39

TIA versus Stroke including management

Answer 39

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Question 40

Types of Stroke

Answer 40

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Question 41

Acute decompensated heart failure including management

Answer 41

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Question 42

Congestive Heart Failure including management

Answer 42

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Question 43

Peripheral artery disease including management

Answer 43

Check Week 4 Flashcards.

Question 44

What is a major serious side effect of Ginkgo?

Answer 44

Bleeding