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NURS 1015 EXAM 1 QUESTIONS WITH VERIFIED SOLUTIONS

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NURS 1015 EXAM 1 QUESTIONS WITH VERIFIED SOLUTIONS

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1



NURS 1015 EXAM 1 QUESTIONS
WITH VERIFIED SOLUTIONS



Ageism - correct-answer - prejudice and discrimination against older people



Nurses attitude toward older adults - correct-answer - nurses need to recognize
and address ageism by questioning prevailing negative attitudes and stereotypes
and reinforcing the realities of gaining as they care for older adults in all care
settings



It is critical for you to learn to ______ older adults and _______ ________ them in
care decisions and activities - correct-answer - respect, actively involve



Developmental tasks for older adults - correct-answer - death of friends and
significant others, retirement and reduced/fixed income, changes in quality of lift,
failing/diminishing health and physical strength, self acceptance



Cultural competency with older adults - correct-answer - -use interpreters when
available
-perform cultural assessments, never assume
-LGBT adults are often "invisible", sexuality in general is not what older people
talk about

, 2




Community/institutional care services - correct-answer - -nurses encounter older
adult patients in a variety of settings: private homes, apartments retirement
communities, adult day centers, assisted living facilities
-older adults need to help with decisions regarding which type of health care
services is appropriate for them



PACE - correct-answer - Program for All-Inclusive Care for the Elderly- helps
people meet their health care needs in the community instead of going to a
nursing home or other care facility



assessing the needs of older adults - correct-answer - -interrelation between
physical and psychological aspects of aging
-effects of disease and disability on functional status
-decreased efficiency of homeostatic mechanisms
-lack of standards for defining health/illness norms (i.e. elderly rarely present with
fever)
-altered presentation and response to specific diseases



Older Adult Interview Techniques - correct-answer - -sit or stand at eye level, in
front of the patient in full view
-face the older adult while speaking; do not cover your mouth and speak clearly
-provide diffuse, bright, nonglare lighting
-encourage the older adult to use his or her familiar assistive devices such as
glasses or magnifiers
-do not make it seem like an imbalance of power
-elderly usually need 3x the amount of lighting younger adults do

, 3


assessment for elderly - correct-answer - -use caution when interpreting signs and
symptoms of disease and lab values
-it is important to recognize early indicators of an acute illness in older adults
-some mental changes are often drug related, caused by drug toxicity or adverse
drug events
-many conditions are common causes of functional decline; thus nurses are
essential in early identification, referral, and treatment of health problems in
older adults



physiological changes in older adults - correct-answer - -perception of well being
defines quality of life
-older patients' concept of health revolves around how they perceive their ability
to function
-nurses need to be cognizant of normal age related changes
-not all physiological changes are pathological



Functional changes in older adults - correct-answer - Functional status in older
adults includes the day-to-day activities of daily living (ADLs) involving activities
within physical, psychological, cognitive, and social domains.
-Changes are usually linked to illness or to disease and degree of chronicity.
-Performance of ADLs is a sensitive indicator of health or illness.
-Occupational and physical therapists are your best resources for a
comprehensive assessment.



Psychosocial changes in older adults - correct-answer - Life transitions such as
retirement, social isolation, sexuality, environment, and death



Older Adults and the Acute Care Setting - correct-answer - Acute care settings
pose risks for adverse events:

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