COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
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VERSION!!
Groups of old people - CORRECT ANSWER- young old 65-74
middle old 75-84
old old 85+
Centenarians 100+
Supercentenarian 110+
Quality of Care - CORRECT ANSWER- the degree to which health services for individuals and
populations increase the likelihood of desired health outcomes and are consistent with current
professional knowledge
What are the attributes of health care quality - CORRECT ANSWER- safe, timely, effective,
efficient, equitable, patient centered.
,Why is evidence important to nursing? - CORRECT ANSWER- it supports or disputes any
number of situations related to nursing practice such as approving or disputing the efficacy of a
treatment, using diagnostic tools, transmission of diseases, or any other scenario related to
health care.
What are some strengths of older adults - CORRECT ANSWER- wisdom, peaceful, experienced
(has knowledge and practical life skills), and have healthier past times
Why is the proportion of population 65 or older steadily increasing? - CORRECT ANSWER- Low
fertility rates and increased life expectancy
Canadian Gerontological Nursing Association Standards of Practice (2020) - CORRECT ANSWER-
Standard I: Relational care
Standard II: Ethical care
Standard III: Evidence informed care
Standard IV: Aesthetic/ artful care
Standard V: Safe care
Standard VI: Socio-politically engaged care
*See page 21 of first slideshow for details on each.
Roles in Gerontological nursing are - CORRECT ANSWER- Generalist, specialist....
Implications for Gerontological Nursing and Healthy Aging - CORRECT ANSWER- -Expertise in
caring for older people can make the difference in their quality of life. This type of nursing is
intellectually challenging as you are often caring for individuals with complex needs and health
care issues.
,Nutrition Goals - CORRECT ANSWER- Safe, adequate nutrition for residents.
Well-being comfort and quality of life.
Respect choice and autonomy.
What are some common nutrition concerns in the elderly? - CORRECT ANSWER- As we age
there is a natural decline in:
How well nutrients are absorbed, our sense of taste, smell and vision, we have a reduced thirst
sensation, reduced saliva production which creates dry mouth and possible tooth loss, poor
appetite and malnutrition, and cognitive issues and loss of independence.
All of these things can lead to:
Weight loss and general malnutrition, dehydration, bowel problems, disease complications,
dysphagia, wounds or pressure ulcers, and vitamin and mineral deficiencies.
Philosophy of Care when feeding elderly - CORRECT ANSWER- food first, medication pass
nutrition supplementation program then additional oral supplements.
Diet Order - CORRECT ANSWER- diet orders of clients may vary and could include therapeutic
diets, texture orders, fluid orders or other comments.
Therapeutic diets in LTC - CORRECT ANSWER- Regular, diabetic, renal, renal diabetic, gluten
free, full fluids, clear fluids, NPO, tube feeding (tube feeding is not common)
Texture order - CORRECT ANSWER- the texture order may include:
no modification, diced, minced, minced mashed, pureed.
Other comments or considerations for a diet order may include: - CORRECT ANSWER- allergies
or intolerances, no added salt, low potassium, or any food preferences.
, Fluids order - CORRECT ANSWER- Fluid order may include:
No modification, nectar thick fluids, honey thick fluids.
Dysphagia - CORRECT ANSWER- chewing and swallowing problems.
possible causes may be MS, parkinsons, alzheimers, ALS, dementia, stroke, aging, or
medications.
This can lead to: social isolation, withdrawal, lack of dignity, and fear of choking.
Symptoms of Dysphagia - CORRECT ANSWER- holding food in mouth aka pocketing, inability to
hold food or fluid in mouth, wet or gurgle voice, excessive chewing, coughing during or after
eating or drinking, choking incident, resident complains of swallowing difficulty. (These are
symptoms of....)
Health risks of Dysphagia - CORRECT ANSWER- food and liquid entering the lung (aspiration),
pneumonia as a result of aspiration, obstruction of airway (choking), weight loss, malnutrition,
reduced quality of life. (Health risks of....)
Guidelines for eating or feeding a person with dysphagia (and feeding in general) - CORRECT
ANSWER- before meal:
make sure you are familiar with the residents feeding plan (positioning instructions, feeding
aids, feeding methods, modifications and level of supervision), make sure their mouth is clean
and clear of oral residue, excess saliva and mucous, insure the resident has their dentures,
glasses or hearing aids if needed, and wash your hands as well as the residents.
The environment should be calm and pleasant with minimal distractions, and turn the tv down
as you can have a pleasant conversation. Avoid talking over the resident to carry on
conversation with staff.