Final exam Ebersole & Hess Healthy
Aging A+ Guide Question and answer
types of grief - correct answer ✅✅anticipatory - when
you know you're about to have a loss of some kind (not
just death - moving, amputation, whatever)
acute
shadow - chronic, normal - intermittent sadness often
triggered by events
complicated - acute that doesn't lessen, equilibrium
remains elusive - guilt, anger, ambivalence toward lost
person unresolved
disenfranchised - loss can't be openly mourned - eg
capital punishment or relationship not socially accepted
(used to be v common in era when LGBT+ not accepted)
what is palliative care - correct answer ✅✅focus is on
providing comfort and increasing QOL
prevent/minimize suffering
,Final exam Ebersole & Hess Healthy
Aging A+ Guide Question and answer
can be offered concurrently with life-prolonging/stabilizing
care, or can be purely comfort-related with no curative
measures taken
(hospice care provides palliative care)
hospice guidelines - correct answer ✅✅- palliative
- 6 mo or less prognosis (can be on hospice longer than 6
months with documented decline)
- lots of misconceptions
- people can seek tx, just not for s/s related to their
hospice diagnosis
- hospice meds tend to include a med for secretions (eg
scopolamine), a benzo, and morphine
- people may need education that morphine in hospice is
not just for pain
- lots of services available on hospice eg music, massage,
chaplain, aide
grief models - correct answer ✅✅Kubler-Ross
Disequilibrium
,Final exam Ebersole & Hess Healthy
Aging A+ Guide Question and answer
what is a living will - correct answer ✅✅a type of
advance directive
specifically for EOL care in terminal illness for when pt
becomes unable to voice their wishes
includes designation of a proxy
what is spiritual care - correct answer ✅✅assisting pts
in...
finding meaning, reconciliation
transcendent reality
strengthen their spiritual life
identify and address pts in spiritual distress
what is wellness - correct answer ✅✅-
multidimensional
- adaptation to internal/external conditions
- individualized
- is a continuum, not a condition
, Final exam Ebersole & Hess Healthy
Aging A+ Guide Question and answer
aspects of wellness... - correct answer ✅✅biological
environmental
functional
intellectual
psychological
spiritual
social
levels of cultural skill - correct answer ✅✅destructive
blind
precompetent
competent
barriers to culturally sensitive care include - correct
answer ✅✅cultural
destructiveness/blindness/incompetence
stereotyping
ethnocentrism
older adult learning: cognitive functions that *remain
stable* - correct answer ✅✅attention span
language/communication skills
Aging A+ Guide Question and answer
types of grief - correct answer ✅✅anticipatory - when
you know you're about to have a loss of some kind (not
just death - moving, amputation, whatever)
acute
shadow - chronic, normal - intermittent sadness often
triggered by events
complicated - acute that doesn't lessen, equilibrium
remains elusive - guilt, anger, ambivalence toward lost
person unresolved
disenfranchised - loss can't be openly mourned - eg
capital punishment or relationship not socially accepted
(used to be v common in era when LGBT+ not accepted)
what is palliative care - correct answer ✅✅focus is on
providing comfort and increasing QOL
prevent/minimize suffering
,Final exam Ebersole & Hess Healthy
Aging A+ Guide Question and answer
can be offered concurrently with life-prolonging/stabilizing
care, or can be purely comfort-related with no curative
measures taken
(hospice care provides palliative care)
hospice guidelines - correct answer ✅✅- palliative
- 6 mo or less prognosis (can be on hospice longer than 6
months with documented decline)
- lots of misconceptions
- people can seek tx, just not for s/s related to their
hospice diagnosis
- hospice meds tend to include a med for secretions (eg
scopolamine), a benzo, and morphine
- people may need education that morphine in hospice is
not just for pain
- lots of services available on hospice eg music, massage,
chaplain, aide
grief models - correct answer ✅✅Kubler-Ross
Disequilibrium
,Final exam Ebersole & Hess Healthy
Aging A+ Guide Question and answer
what is a living will - correct answer ✅✅a type of
advance directive
specifically for EOL care in terminal illness for when pt
becomes unable to voice their wishes
includes designation of a proxy
what is spiritual care - correct answer ✅✅assisting pts
in...
finding meaning, reconciliation
transcendent reality
strengthen their spiritual life
identify and address pts in spiritual distress
what is wellness - correct answer ✅✅-
multidimensional
- adaptation to internal/external conditions
- individualized
- is a continuum, not a condition
, Final exam Ebersole & Hess Healthy
Aging A+ Guide Question and answer
aspects of wellness... - correct answer ✅✅biological
environmental
functional
intellectual
psychological
spiritual
social
levels of cultural skill - correct answer ✅✅destructive
blind
precompetent
competent
barriers to culturally sensitive care include - correct
answer ✅✅cultural
destructiveness/blindness/incompetence
stereotyping
ethnocentrism
older adult learning: cognitive functions that *remain
stable* - correct answer ✅✅attention span
language/communication skills
