BASIC GERIATRICS UNITS 1,2,3 LATEST EXAM(QUESTIONS AND ANSWERS) A+ GRADED

BASIC GERIATRICS UNITS 1,2,3 LATEST EXAM(QUESTIONS AND ANSWERS) A+ GRADED international_____ occurs whinny person deliberately plans to mistreat or harm another person. - CORRECT ANSWER-ABUSE The group responsible for the rapid growth in the older adult population is the group known as the _______. - CORRECT ANSWER-BABY BOOMERS Population size, distribution, and vital statistics would be included in the statistical study of human populations known as_____. - CORRECT ANSWER-DEMOGRAPHICS _____ is the medical specialty that deals with the physiology of aging and with the diagnosis and treatment of diseases affecting older adults. - CORRECT ANSWERGERIATRICS Nurses are _______ of elder abuse, which means it is against the law if you suspect elder abuse and do not report it. - CORRECT ANSWER-MANDATED REPORTERS _____ is a passive form of abuse in which caregivers fail to provide for the needs of the older person under their care. - CORRECT ANSWER-NEGLECT _____ allows the primary caregiver to have time away from the demands of caregiving, thereby decreasing stress and risk for abuse. - CORRECT ANSWER-RESPITE Citizens of the United States (US) have a relatively lower life expectancy (US ranks 42nd of 223 countries, according to the Central Intelligence Agency). Higher levels of accidental and violent deaths, obesity, relatively high infant mortality, and the high cost of health care may be contributing factors. How can nurses intervene to decrease the impact of these factors that adversely affect life expectancy in the US? - CORRECT ANSWER-The nurse can help decrease the impact of these factors by educating the patients. To motivate and encourage them to take a "health life-style" aspect. Describe the type of older adult who would be an appropriate candidate for a skilled care facility. - CORRECT ANSWER-If the patient requires daily nursing care, assistance with daily living activities, and therapy services. The patient is an appropriate candidate for skilled care. Explain what happens to women in their forties and fifties who are part of the "sandwich" generation. - CORRECT ANSWER-They are between the obligation of taking care of their aging parents. Their parents may be ill, or are unable to perform various tasks, or need financial help. These women are caring for children and older relatives. The home health nurse is talking to an older adult patient who is considering the option of a reverse mortgage. What facts could the nurse discuss with the patient about this option? - CORRECT ANSWER-That there are CONS to a reverse mortgage such as the interest will increase loans and fees overtime. They would have fewer assists to leave as inheritance to their children. Identify signs of abuse that the nurse could see among older adult patients. - CORRECT ANSWER-Injuries, bruises, cuts, broken bones, malnutrition, poor hygiene, significant weight loss, signs of anxiety, depression, or concussion. What could the charge nurse of a long-term care facility do to decrease incidents of abuse of patients by staffmembers? - CORRECT ANSWER-Improve staff training to identify and defuse potential abuse situations. The charge nurse can also try to create a positive work environment with a full staffing team. Which personal behavior is a demonstration of gerontophobia? - CORRECT ANSWERa 43-year-old woman wears her teenage daughter's clothes Several nursing students are discussing career options. Which student statement demonstrates ageism? - CORRECT ANSWER-"working with older adults could be rewarding, but I couldn't really use all of my skills" An older adult widow who lives alone in her own home is having difficulty with driving, grocery shopping, cooking, and home maintenance. What type of living arrangement would be most suitable for her? - CORRECT ANSWER-Assisted Living An older adult patient is having an argument with her daughter. Which statement represents the most significant issue that older adult patients and their families must face? - CORRECT ANSWER-"You can't tell me what to do. I'm your mother." The police bring an older adult patient to the hospital because he was wandering in the street and unable to remember his address. His clothing is soiled and he appears malnourished and dehydrated. What would the nurse do first? - CORRECT ANSWERNotify social services about potential abuse and/or neglect. An older adult suffers a stroke and arrives in the emergency department in a comatose state. Several days later, the patient remains in a coma with a poor prognosis. Family members are distraught and cannot agree on how to proceed. What is the best action to help the family to reach consensus? - CORRECT ANSWER-Help the family to review the patient's living will to find out what the patient would want _____ therapy is a proposed method of neutralizing free radicals, which may contribute to aging and disease processes. - CORRECT ANSWER-ANTIOXIDANT _____ theories of aging attempt to explain the physical changes of aging. - CORRECT ANSWER-BIOLOGIC ______ are unstable molecules produced by the body during the normal processes of respiration and metabolism or following exposure to radiation and pollution. - CORRECT ANSWER-FREE RADICALS The premise of the ____ theory is that there is an increase in autoimmune diseases and allergies with aging, because of the changes in the immune system. - CORRECT ANSWER-IMMUNOLOGIC The disengagement theory and the activity there are the two examples of ____ theory. - CORRECT ANSWER-PSYCHOSOCIAL There is no single unified rationale for why we age or why different people lie for different lengths of time, but ____ help to explain and give some logical order to our observations. - CORRECT ANSWER-THEORIES In your own words, explain why theories of aging are important to nursing practice. - CORRECT ANSWER-Theories are created and used to explain and organize observations of what happens in the world around us. Nurses use biopsychosocial theories to understand patients, to improve care, and do research. Identify one of the biologic theories of aging that you would like to know more about and describe why that theory appeals to you. - CORRECT ANSWER-Various programmed theories allow for some predictability in changes of aging, coping and adoption skills would be encouraged. Describe the advantages and disadvantages of antioxidants therapy. - CORRECT ANSWER-Supplements are available at a reasonable price, but there is a potential for problems because high doses of antioxidants may cause more harm than be beneficial. There is no proof that antioxidants are effective; but consuming fruits and vegetables these nutrients would be on the safer side. Discuss some of the limitations of hormone therapy. - CORRECT ANSWER-Hormone therapy may cause more harm than benefits. Hormone therapy requires a prescription or supervised medical administration, which is most likely to not be covered by health insurance. A 53-year-old woman (5′2″ and 120 pounds) tells you that she has decided to follow a calorie-restricted diet to improve longevity. What could you tell her? - CORRECT ANSWER-Inform the patient that she is not overweight and advise her to consult a nutritionist or her health care provider to ensure that adequate nutrition is maintained. Discuss two or three reasons that may contribute to the older adult's personal decision to try nutritional supplements. - CORRECT ANSWER-Many nutritional supplements are marketed as "natural" remedies to may enhance their nutritional status. Also many older and younger patients will take over-the-counter for adequate health care natural supplements are most always more affordable than prescriptions. Identify the main points of Newman's theory of aging. - CORRECT ANSWER-(1) Coping with the physical changes of aging (2) redirecting energy to new activities and roles , including retirement, grand-parenting, and widow; (3) Accepting one's own life (4) developing a point of view about death. Identify the main points of Havighurt's theory of aging. - CORRECT ANSWER-(1) Adjusting to decreased physical strength and health (2) Adjusting to retirement and decreased income (3) Adjusting to loss of a spouse (4) Establishing a relationship with one's age group (5) Adapting to social roles in a flexible way (6) Establishing satisfactory living arrangements Based on your observations of an older adult whom you know or have cared for during a clinical experience, give an example of how that older adult is achieving (of failing) the developmental task of integrity versus despair. - CORRECT ANSWER-Note whether he/she has pride an satisfaction with past accomplishments or whether events are remembered with regret and unhappiness The nurse is doing patient teaching for a 50-year-old woman. Based on the application of the programmed theory of aging, which brochure is the nurse most likely to offer the patient? - CORRECT ANSWER-"perimenopause and Menopause: most frequently asked questions" Two nursing students are exhausted after studying about the biologic theories of aging. They decide to have some fun and perform an action that is based on the rate of living theory. Which action do they perform? - CORRECT ANSWER-Hold their breath for as long as they can According to the disengagement theory, what is the nurse most likely to observe while assessing an older adult? - CORRECT ANSWER-Decreased interest and involvement in social interactions The nurse is designing a group activity for a group of older women who have mild loss of self-esteem and a reluctance to socialize. None have serious cognitive or physical