Older Adults Exam 1 with complete solution
Functional aaging a- aCorrect a aAnswer a- aability ato aperform aALDs aand aIADLs
4 amajor afactors athat adefine aa a"good" aold aage? a- aCorrect a aAnswer a- a1. aphysical ahealth aand
afunctioning
2. amaterial asecurity
3. afamily
4. asociality
What aphysical aactivity ashould aolder aadults abe acounseled ato ado? a- aCorrect a aAnswer a- aEndurance
a(walking, acycling)
Flexibility a(stretching)
Strength a(weight alifting)
Balance a(Tai aChi)
What aimmunizations ashould aolder aadults aget? a- aCorrect a aAnswer a- aInfluenza avaccine
Pneumococcal a(age a65+)
Tetanus-diphtheria abooster a( aevery a10 ayrs)
Herpes azoster a(once aafter aage a60)
What achemoprophylaxis ashould aolder aadults areceive? a- aCorrect a aAnswer a- aCalcium aand aVit aD
Multivitamin
Not arecommended: aHormone atherapy
What aare astochastic abiologic atheories aof aaging? a- aCorrect a aAnswer a- a"Error" atheories:
1. aFree aradical
2. aCross alink
, 3. aWear aand atear
What aare anon-stochastic abiologic atheories aof aaging? a- aCorrect a aAnswer a- a"Programmed"
atheories:
1. aGenetics
2. aHayflick's a(apoptosis)
3. aNeuroendocrine
4. aImmunity
Describe awhat ais amost aimportant afor athe anurse ato aknow aabout aconducting aan aassessment aand
aestablishing arapport awith aan aolder aadults. a((T&J, apg. a93) a- aCorrect a aAnswer a- aInclude afunctional
aand acognitive astatus, acaregiver astress, apatterns aof ahealth aand ahealth acare, aadvance acare
aplanning, aand ageriatric asyndrome ascreening ain aassessment
Never ause afirst anames aas ait acould abe aperceived aas arude
Explain akey apoints aand astrategies ato ause ain aapplying acultural arules aand aetiquette awhen
acompleting aan aassessment awith aan aolder aadult. a(T&J, apg. a93) a- aCorrect a aAnswer a- aAsk abefore
atouching aor acoming ainto apersonal aspace, abe aaware aof apast ahealth acare aexperiences, aask aif
athere ashould abe asomeone aelse alike aa afamily amember apresent atoo
Recognize aappropriate aquestions afrom aThe aExplanatory aModel afor aCulturally aSensitive aAssessment
ato ause awhen aconducting aa ahealth aassessment awith aolder aadult awith acultural adiversity. a(T&J, a19,
aBox a2.8, aCh a2) a- aCorrect a aAnswer a- aBasically ajust aask athe apatient ahow athey aperceive awhat ais
awrong awith athem aand ahow ait agot athat away
4. aCompare aand acontrast athe athree aassessment aapproaches athat athe anurse ashould ause awhen
acollecting aassessment adata: aself-report aformat, areport-by-proxy, aand aobservation. a(T&J, apg. a93) a-
aCorrect a aAnswer a- aAssessments:
aa. aSelf-report a- apatients aoverestimate atheir aabilities aand aleave aout aimportant asymptoms athat
athey athink aare apart aof aaging
ab. aReport-by-proxy a- aused awhen apatient ais aimpaired, ausually aunderestimates aabilities
ac. aObservational a- anurse acollects adata aand ais aconsidered aobjective
Explain abest aapproaches aand arationale afor athe anurse ato ause awhen aconducting aa ahealth ahistory
awith aan aolder aadult. a(T&J, apg. a94) a- aCorrect a aAnswer a- aHealth ahistory ashould abe acollected ain
aapproach athat atakes ainto aaccount aany aimpairments, alanguage abarriers, aor ahealth aliteracy aissues
Describe amodifications athat amay abe anecessary awhen aconducting aa aphysical aexam awith aan aolder
aadult, adue ato acommon aage-related achanges ain alate alife. a(T&J, apg. a94) a- aCorrect a aAnswer a-
Functional aaging a- aCorrect a aAnswer a- aability ato aperform aALDs aand aIADLs
4 amajor afactors athat adefine aa a"good" aold aage? a- aCorrect a aAnswer a- a1. aphysical ahealth aand
afunctioning
2. amaterial asecurity
3. afamily
4. asociality
What aphysical aactivity ashould aolder aadults abe acounseled ato ado? a- aCorrect a aAnswer a- aEndurance
a(walking, acycling)
Flexibility a(stretching)
Strength a(weight alifting)
Balance a(Tai aChi)
What aimmunizations ashould aolder aadults aget? a- aCorrect a aAnswer a- aInfluenza avaccine
Pneumococcal a(age a65+)
Tetanus-diphtheria abooster a( aevery a10 ayrs)
Herpes azoster a(once aafter aage a60)
What achemoprophylaxis ashould aolder aadults areceive? a- aCorrect a aAnswer a- aCalcium aand aVit aD
Multivitamin
Not arecommended: aHormone atherapy
What aare astochastic abiologic atheories aof aaging? a- aCorrect a aAnswer a- a"Error" atheories:
1. aFree aradical
2. aCross alink
, 3. aWear aand atear
What aare anon-stochastic abiologic atheories aof aaging? a- aCorrect a aAnswer a- a"Programmed"
atheories:
1. aGenetics
2. aHayflick's a(apoptosis)
3. aNeuroendocrine
4. aImmunity
Describe awhat ais amost aimportant afor athe anurse ato aknow aabout aconducting aan aassessment aand
aestablishing arapport awith aan aolder aadults. a((T&J, apg. a93) a- aCorrect a aAnswer a- aInclude afunctional
aand acognitive astatus, acaregiver astress, apatterns aof ahealth aand ahealth acare, aadvance acare
aplanning, aand ageriatric asyndrome ascreening ain aassessment
Never ause afirst anames aas ait acould abe aperceived aas arude
Explain akey apoints aand astrategies ato ause ain aapplying acultural arules aand aetiquette awhen
acompleting aan aassessment awith aan aolder aadult. a(T&J, apg. a93) a- aCorrect a aAnswer a- aAsk abefore
atouching aor acoming ainto apersonal aspace, abe aaware aof apast ahealth acare aexperiences, aask aif
athere ashould abe asomeone aelse alike aa afamily amember apresent atoo
Recognize aappropriate aquestions afrom aThe aExplanatory aModel afor aCulturally aSensitive aAssessment
ato ause awhen aconducting aa ahealth aassessment awith aolder aadult awith acultural adiversity. a(T&J, a19,
aBox a2.8, aCh a2) a- aCorrect a aAnswer a- aBasically ajust aask athe apatient ahow athey aperceive awhat ais
awrong awith athem aand ahow ait agot athat away
4. aCompare aand acontrast athe athree aassessment aapproaches athat athe anurse ashould ause awhen
acollecting aassessment adata: aself-report aformat, areport-by-proxy, aand aobservation. a(T&J, apg. a93) a-
aCorrect a aAnswer a- aAssessments:
aa. aSelf-report a- apatients aoverestimate atheir aabilities aand aleave aout aimportant asymptoms athat
athey athink aare apart aof aaging
ab. aReport-by-proxy a- aused awhen apatient ais aimpaired, ausually aunderestimates aabilities
ac. aObservational a- anurse acollects adata aand ais aconsidered aobjective
Explain abest aapproaches aand arationale afor athe anurse ato ause awhen aconducting aa ahealth ahistory
awith aan aolder aadult. a(T&J, apg. a94) a- aCorrect a aAnswer a- aHealth ahistory ashould abe acollected ain
aapproach athat atakes ainto aaccount aany aimpairments, alanguage abarriers, aor ahealth aliteracy aissues
Describe amodifications athat amay abe anecessary awhen aconducting aa aphysical aexam awith aan aolder
aadult, adue ato acommon aage-related achanges ain alate alife. a(T&J, apg. a94) a- aCorrect a aAnswer a-
