GERONTOLOGY NURSING EXAM VERSION 2 COMPLETE EXAM QUESTIONS AND CORRECT DETAILED ANSWERS|AGRADE

GERONTOLOGY NURSING EXAM VERSION 2 COMPLETE EXAM QUESTIONS AND CORRECT DETAILED ANSWERS|AGRADE geriatrics: - ANSWER- branch of medicine dealing with older individuals and their medical problems Gerontology - ANSWER- study of the aging process and it's consequences gerontological nursing - ANSWER- Concerned with assessment, diagnosis, planning, implementing, and evaluating health and functional status of older adults Young elderly age: - ANSWER- 65-74 years old Elderly age: - ANSWER- 75-84 Frail elderly age: - ANSWER- 85 and older (but AGE IS JUST A NUMBER) Common myths: - ANSWER- all elderly are disabled (that is not true, but 70% have multiple chronic conditions) Common myths: - ANSWER- Elderly are not interested in sex Common myths: - ANSWER- Memory loss is a natural part of aging Common myths: - ANSWER- only older people get alzeimers disease Common myths: - ANSWER- old age begins at 65 Common myths: - ANSWER- Drinking out of aluminum cans can cause AD Common myths: - ANSWER- Flu shots can cause AD (actually their was a study in 2004 JAMA that said it can actually prevent AD) Common myths: - ANSWER- Most elderly lives in nursing homes (false, its 5%) Common myths: - ANSWER- Older adults have difficulty learning new info (the process may be slowed by sensory changes and energy levels) Common myths: - ANSWER- The elders don't care how they look Erikson's Psychosocial Development - ANSWER- stage of late adulthood integrity vs despair mid 60s to end of life sense of satisfaction or sense of failure proud of accomplishment; look back on life with few regrets vs feeling as if life as been wasted; focus on what could have been or should have been, leaving feelings of bitterness, depression, and despair developmental tasks - ANSWER- adjustment to physical changes (aches, pain, and memory) developmental tasks - ANSWER- adjustment to physical decline, decreased strength (walkers, canes, etc) developmental tasks - ANSWER- financial concerns such as adjustment to retirement and fixed incomes developmental task - ANSWER- adjustment to loss of spouse, family members, friends developmental task - ANSWER- redefining relationship with adult children and siblings developmental task - ANSWER- maintaining satisfactory living conditions; change in residence (railing, etc) developmental task - ANSWER- acceptance of self as aging. ageism- discrimination against people of advancing age (driving, jobs, etc) developmental task - ANSWER- finding ways to maintain quality of life Settings for elders (friendly) - ANSWER- ground level one level wide doorways grab bars elevated toilet seats no throw rugs Settings (family setting) - ANSWER- Most elderly live at home (75%) many live alone (1/3 of 75%) home sharing many live with relatives home care adult day care Settings- family issues (CAREGIVER STRESS) - ANSWER- -BURNOUT -EMOTIONAL EXHAUSTION -FRUSTRATION -PROBLEMS WITH OTHER FAMILY MEMBERS -USUALLY THEIR IS ONE PERSON TO HANDLE EVERYTHING -FINANCIAL PROBLEMS -TIME PROBLEMS -GUILT Settings- family issues (FINANCIAL CONCERNS) - ANSWER- -PAYING FOR CARE -HELPING OLDER ADULTS TO MANAGE MONEY -ACCESSING RESOURCES -SCAMS -APPROXIMATE COST FOR DAY CARE, ASSISTED LIVING, NURSING HOMES SETTINGS- RETIREMENT COMMUNITIES - ANSWER- -HOME GEARED TOWARDS ELDERLY SETTINGS- RETIREMENT COMMUNITIES - ANSWER- - GENERALLY INCLUDES AT LEAST ONE MEAL AND SOCIALIZATION ACTIVITIES SETTINGS- RETIREMENT COMMUNITIES - ANSWER- - CONTINUING CARE FACILITIES HAVE A CONTINUUM FROM INDEPENDENT TO NURSING HOMES SETTINGS- REHABILITION FACILITIES - ANSWER- FACILITES GEARED TO IMPROVE FUNCTIONAL STATUS SETTINGS- REHABILITION FACILITIES - ANSWER- GENERALLY PATIENTS ARE TRANSFERRED HERE AFTER A HOSPITAL STAY IF THEY REQUIRE SOME CARE BUT NOT ACUTE ENOUGH FOR ACUTE CARE FACUILTY SETTINGS-ASSISTED LIVING - ANSWER- FACILITIES FOR PATIENTS WHO NEED SOME ASSISTANCE BUT ARE ABLE TO TO MAINTAIN A DEGREE OF INDEPENDENCE AND STILL LIVE IN THEIR OWN APARTMENT SETTINGS-ASSISTED LIVING - ANSWER- COORDINATE PERSONAL SERVICES AND 24 HR ASSISTANCE SETTINGS-ASSISTED LIVING - ANSWER- STATE REQUIRES 24 HR STAFF - MOSTLY NURSING ASSISTANTS - LICENSED NURSE IS ON CALL SETTINGS-ASSISTED LIVING - ANSWER- SERVICES SUCH AS - PERSONAL CARE - CLEANING - SHOPPING - TRANSPORTATION - HEALTH RELATED SERVICES (MEDICATION ADMINSTRATION) - SOCIAL SERVICES - MANY HAVE PHYSICIAN OFFICES ON SITE SETTINGS-ASSISTED LIVING : POTENTIAL ISSUES - ANSWER- - SOME COVERED BY INSURANCE; MOST ARE NOT SETTINGS-ASSISTED LIVING : POTENTIAL ISSUES - ANSWER- - CHANGE IN CONDITION OF RESIDENT; WHO NOW NEEDS MORE SKILLED CARE SETTINGS-ASSISTED LIVING : POTENTIAL ISSUES - ANSWER- MOSTLY NON-PROFESSIONAL STAFF SETTINGS-ASSISTED LIVING : POTENTIAL ISSUES - ANSWER- EXPENSIVE SETTINGS- LONG TERM CARE - ANSWER- FOR PATIENTS THAT REQUIRE AROUND THE CLOCK CARE SETTINGS- LONG TERM CARE - ANSWER- PROFESSIONAL NURSE ALWAYS PRESENT SETTINGS- LONG TERM CARE - ANSWER- SUBJECT TO RIGID REGULATIONS SETTINGS- LONG TERM CARE - ANSWER- SHOULD MAKE SURE MEDICAID AND MEDICARE CERTIFIED SETTINGS- LONG TERM CARE (OBRA- OMNIBUS BUDGET RECONCILIATION ACT) - ANSWER- - NURSING HOME REFORM - ENFORCED MANY REGULATIONS - STAFFING- NEEDS TO BE POSTED - CERTIFICATION PROCESS - RESIDENT RIGHTS - MINIMUM DATA SET (MDS) SETTINGS- LONG TERM CARE (MDS - MINIMUM DATA SET) - ANSWER- MDS - HAS TO BE COMPLETED BY RN