NSG 252 Exam 2 UPDATED ACTUAL Questions and CORRECT
Answers
Variability Among Older Adults Physiological, cognitive, and psychosocial health
Levels of functional ability
Dependence vs. independence
Strengths and abilities
Myths and Stereotypes Ill, disabled, and unattractive
Forgetful, confused, rigid, boring, unfriendly, and poor
Unable to learn and understand new information
Not interested in sex or sexual activities
Nurses' Attitudes Toward Older Adults Nurses must assess their own attitude toward older adults and their own aging.
Nurses need to gain knowledge about aging and health care needs of older
adults:
Respect
Dignity
Involvement in care decision and activities
Developmental Tasks for Older Adults Associated with varying degrees of change and loss
- Health, significant others, a sense of being useful, socialization, income, and
independent living
Coping with
- Retirement
- Residence change
- Death
- Adult children
Assessing the Needs of Older Adults Nursing assessment to ensure an age-specific approach
The interrelation between physical and psychosocial aspects of aging
Effects of disease and disability on functional status
Tailoring the nursing assessment to an older person
Physiological Changes of older adults: overview Older adults' concepts of health generally depend on personal perceptions of
functional ability.
General survey:
- Begins during initial - nurse-patient encounter
- Quick, but careful, head-to-toe scan
- Eye contact and facial expression
- Presence of universal aging changes
Physiological Changes of older adults: Integumentary - skin
system - lesions
, Physiological Changes of older adults: Head and neck - Facial features = sunken, wrinkles, etc.
- Visual acuity = decreased
- Auditory changes = decreased
- Salivary secretion = decreased
Physiological Changes of older adults: Thorax and lungs - Respiratory muscle strength decreases
- Anteroposterior diameter of thorax increases
Physiological Changes of older adults: Heart and Decreased contractile strength of the myocardium results in decreased cardiac
vascular system output
Other physiological changes in older adults - breasts
- Gastrointestinal system and abdomen
- reproductive system
- urinary system
- musculoskeletal system
- neurological system
Functional changes in older adults - Functional status in older adults includes the day-to-day activities of daily living
(ADLs) involving activities within physical, psychological, cognitive, and social
domains.
- Changes are usually linked to illness or to disease and degree of chronicity.
- Performance of ADLs is a sensitive indicator of health or illness.
- Occupational and physical therapists are your best resources for a
comprehensive assessment.
Psychosocial changes in older adults - Retirement
- Social isolation
- Sexuality
- Housing and environment
- Death
Learning needs in older adults - Cognitive and sensory changes are challenges for teaching older adults
- During assessment, the nurse needs to determine additional needs for teaching
and limitations of the older adult in their capability to learn
- Learn at a slower rate
- Difficulties processing multiple bits of information at one moment
Healthy People 2020 goals: - Increase the number of older adults with one or more chronic conditions who
report confidence in maintaining their conditions.
- Reduce the proportion of older adults who have moderate-to-severe functional
limitations.
- Increase the proportion of older adults with reduced physical or cognitive
function who engage in light, moderate, or vigorous leisure-term physical
activities.
Answers
Variability Among Older Adults Physiological, cognitive, and psychosocial health
Levels of functional ability
Dependence vs. independence
Strengths and abilities
Myths and Stereotypes Ill, disabled, and unattractive
Forgetful, confused, rigid, boring, unfriendly, and poor
Unable to learn and understand new information
Not interested in sex or sexual activities
Nurses' Attitudes Toward Older Adults Nurses must assess their own attitude toward older adults and their own aging.
Nurses need to gain knowledge about aging and health care needs of older
adults:
Respect
Dignity
Involvement in care decision and activities
Developmental Tasks for Older Adults Associated with varying degrees of change and loss
- Health, significant others, a sense of being useful, socialization, income, and
independent living
Coping with
- Retirement
- Residence change
- Death
- Adult children
Assessing the Needs of Older Adults Nursing assessment to ensure an age-specific approach
The interrelation between physical and psychosocial aspects of aging
Effects of disease and disability on functional status
Tailoring the nursing assessment to an older person
Physiological Changes of older adults: overview Older adults' concepts of health generally depend on personal perceptions of
functional ability.
General survey:
- Begins during initial - nurse-patient encounter
- Quick, but careful, head-to-toe scan
- Eye contact and facial expression
- Presence of universal aging changes
Physiological Changes of older adults: Integumentary - skin
system - lesions
, Physiological Changes of older adults: Head and neck - Facial features = sunken, wrinkles, etc.
- Visual acuity = decreased
- Auditory changes = decreased
- Salivary secretion = decreased
Physiological Changes of older adults: Thorax and lungs - Respiratory muscle strength decreases
- Anteroposterior diameter of thorax increases
Physiological Changes of older adults: Heart and Decreased contractile strength of the myocardium results in decreased cardiac
vascular system output
Other physiological changes in older adults - breasts
- Gastrointestinal system and abdomen
- reproductive system
- urinary system
- musculoskeletal system
- neurological system
Functional changes in older adults - Functional status in older adults includes the day-to-day activities of daily living
(ADLs) involving activities within physical, psychological, cognitive, and social
domains.
- Changes are usually linked to illness or to disease and degree of chronicity.
- Performance of ADLs is a sensitive indicator of health or illness.
- Occupational and physical therapists are your best resources for a
comprehensive assessment.
Psychosocial changes in older adults - Retirement
- Social isolation
- Sexuality
- Housing and environment
- Death
Learning needs in older adults - Cognitive and sensory changes are challenges for teaching older adults
- During assessment, the nurse needs to determine additional needs for teaching
and limitations of the older adult in their capability to learn
- Learn at a slower rate
- Difficulties processing multiple bits of information at one moment
Healthy People 2020 goals: - Increase the number of older adults with one or more chronic conditions who
report confidence in maintaining their conditions.
- Reduce the proportion of older adults who have moderate-to-severe functional
limitations.
- Increase the proportion of older adults with reduced physical or cognitive
function who engage in light, moderate, or vigorous leisure-term physical
activities.
