Western Governors University - NURS C475 study guide care of old adults 2023 updated.

Competency #1 Review Questions 1. Define Baby Boomers. 2. List some of the age related changes that can affect communication. 3. Define AAC and the patients that would benefit from it. 4. What is the most commonly used hearing aid? 5. Which hearing aid covers the entire range of hearing loss? 6. What are the two major types of assistive devices used to improve hearing? 7. What are the four major types of assistive listening devices? Competency #2 Review Questions 1. What are the five A's to tobacco cessation? 2. What are the five R's to tobacco cessation? 3. What is the criterion for the pneumococcal vaccine? 4. In most cases of elder abuse who is the perpetrator? 5. In any situation where you suspect abuse, what is the first step? 6. For a nursing home resident, how can nursing staff individualize the daily routine? 7. List living options for a patient who has mild-to-moderate dementia. 8. What environmental home changes might be helpful for a patient who has urinary frequency at night? 9. In dealing with an overwhelmed family caregiver, what does the nurse need to assess? Which tool is useful for this? 10. How is a person-centered approach to the patient who wishes to use alternative modalities to treat an illness? 11. Which factors most influence the chronically-ill patient’s quality of life? Competency #3 Review Questions 1. What factors are assessed in the Braden scale? •• 2. Describe the CAM tool. 3. How is the SPICES tool utilized? 4. What is the difference between physical assessment & functional assessment? 5. Describe physical changes that occur in aging that will affect medication dosing. 6. List two classifications of drugs on Beer’s List. 7. List 4 potential causes of delirium. • Competency# 4- Promoting Independence while Reducing Risk Factors in Older Adults Review Questions 1. What is frailty? What are the characteristics? 2. What are the factors that influence the quality of life of an older adult? 3. What is the one of the most common role changes faced by the aging person? List all. 4. What is role reversal for the older adult? 5. List and describe the care options for the older adult? 6. What are the common signs of abuse in an older adult and who is mostly to be the abuser? • 7. List common tools used to assess abuse in the older adult? 8. What is the definition of a fall? And what can happen to an older adult after a fall? 9. What are the risks for falls? 10. What are intrinsic risk factors? What are extrinsic risk factors? 11. Among older adults living in the community, when and where do most falls occur? 12. What can you do to prevent falls? •• 13. What are the types of restraints used? 14. What are the effects of restraint use on the elderly? •• Competency # 5 - Review Questions 1. Identify ways to promote healthy living among the elderly. 2. What are some of the preventive care services covered under Medicare? 3. Describe a health contract. 4. Review Healthy People 2010 and 2000. What are the differences between them? 5. Define health promotion vs. health screening. 6. What are the three types of prevention and provide an explanation and example of each. (see page 355) 7. What is the chronic disease self-management program (CDSMP)? 8. What does “contracting” refer to? 9. What are the barriers to physical activity for the older adult? 10. What are the risks of a sedentary lifestyle? 11. What are the intrinsic and extrinsic risk factors of falls in the elderly? 12. What are some of the fall preventive measures you can put in place? •• 13. What are some of the complications of falls? 14. What are four leading causes of death in the US related to nutrition? (see page 359) •• 15. Are older adults at risk for poor nutrition? If so, why? Explain the barriers for older adults in regards to good nutrition? 16. What is a healthy weight or BMI and when should we be concerned? Body mass index (BMI): 17. What are the lab values that could show malnutrition in the older adult? (see Box 14-19 on page 506) 18. You have an older adult client who smokes, how can you help him or her stop? (the five A’s and five R’s) 19. Are older adults at risk for alcohol abuse? If they are, what can be done to re-educate them and prevent harm? Competency #6 - Review Questions 1. What are the benefits of electronic records? What information can be found in the electronic record? 2. How do you introduce new technology to an older adult? • 3. Provide examples of low tech assistive technology 4. Provide examples of high tech assistive technology Competency #7 Review Questions 1. Does Medicare Part A cover custodial Care? What is custodial care? 2. Does Medicare cover preventative care? If so, provide examples. Yes, Medicare covers preventative care. 3. What does the PPACA propose to do for older adults? 4. Does retirement age for Social Security remain constant? 5. Is there a penalty for retiring early to collect Social Security benefits? Competency #8 Review Questions 1. What do care transition & care coordination models attempt to accomplish? 2. How does nursing informatics improve quality of care? Safety? Efficiency? 3. How does improved transitional care reduce re-hospitalization rates? 4. List two examples of communication between multidisciplinary team members. •• Competency #9 Review Questions 1. What are the signs of impending death? 2. What are they two main categories of pain? What types of medications works best with these types? 3. Should an older adult in pain and receiving palliative care be concerned with addiction? 4. How does a patient qualify for hospice? What advantages are provided with a hospice referral?