EBERSOLE AND HESS GERONTOLOGICAL
NURSING AND HEALTHY AGING ACTUAL
TEST PAPER FULL QUESTIONS AND
ACCURATE ANSWERS GRADED APLUS
●● what is palliative care
Answer: focus is on providing comfort and increasing QOL
prevent/minimize suffering
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
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
Answer: Kubler-Ross
Disequilibrium
●● what is a living will
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
Answer: assisting pts in...
finding meaning, reconciliation
transcendent reality
strengthen their spiritual life
,identify and address pts in spiritual distress
●● what is wellness
Answer: - multidimensional
- adaptation to internal/external conditions
- individualized
- is a continuum, not a condition
●● aspects of wellness...
Answer: biological
environmental
functional
intellectual
psychological
spiritual
social
●● levels of cultural skill
Answer: destructive
blind
precompetent
, competent
●● barriers to culturally sensitive care include
Answer: cultural destructiveness/blindness/incompetence
stereotyping
ethnocentrism
●● older adult learning: cognitive functions that *remain stable*
Answer: attention span
language/communication skills
comprehension
visual perception
overall cognitive ability
●● older adult learning: cognitive functions that *decline*
Answer: verbal fluency
logical analysis
selective attention
object naming
complicated hand-eye stuff
●● fluid vs crystallized intelligence
NURSING AND HEALTHY AGING ACTUAL
TEST PAPER FULL QUESTIONS AND
ACCURATE ANSWERS GRADED APLUS
●● what is palliative care
Answer: focus is on providing comfort and increasing QOL
prevent/minimize suffering
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
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
Answer: Kubler-Ross
Disequilibrium
●● what is a living will
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
Answer: assisting pts in...
finding meaning, reconciliation
transcendent reality
strengthen their spiritual life
,identify and address pts in spiritual distress
●● what is wellness
Answer: - multidimensional
- adaptation to internal/external conditions
- individualized
- is a continuum, not a condition
●● aspects of wellness...
Answer: biological
environmental
functional
intellectual
psychological
spiritual
social
●● levels of cultural skill
Answer: destructive
blind
precompetent
, competent
●● barriers to culturally sensitive care include
Answer: cultural destructiveness/blindness/incompetence
stereotyping
ethnocentrism
●● older adult learning: cognitive functions that *remain stable*
Answer: attention span
language/communication skills
comprehension
visual perception
overall cognitive ability
●● older adult learning: cognitive functions that *decline*
Answer: verbal fluency
logical analysis
selective attention
object naming
complicated hand-eye stuff
●● fluid vs crystallized intelligence
