Test Bank For Ebersole and Hess' Gerontological Nursing &
Healthy Aging 5th Edition By Theris A. Touhy; DNP; CNS;
DPNAP and Kathleen F Jett; PhD; GNPBC 9780323401678
Chapter 1-28 Complete Guide .
what is wellness? - ANSWER: - multidimensional
- adaptation to internal/external conditions
- individualized
- is a continuum, *not* a condition
why are health promotion and dz prevention more important than ever? - ANSWER: - increased life
expectancy
- increased population
developed vs undeveloped world: who has more aging - ANSWER: undeveloped world increasing in
aging population, about to be way more than in developed world
for the first time in history, multiple generations will all... - ANSWER: belong to the older adult
population (eg individual and their parent and grandparent will all be older adults)
what is happening to definitions of "old," "elder," "senior"? - ANSWER: changing rapidly, especially as
boomers get older (they tend to not be down with being thought of as old people)
how does HP2020 address aging? - ANSWER: unique and specific ways to promote health in older
adults are detailed in HP2020 goals
a geri nurse using a wellness model takes what kind of approach? - ANSWER: promote health
regardless of where a person is on the continuum
using a wellness model, what kind of interventions does the geri nurse implement? - ANSWER: -
promote optimal living
- enhance healthy aging
- maximize QOL
examples of primary, secondary, and tertiary prevention in the older adult pop: - ANSWER: *primary:*
vaccinations (esp flu, PN), weight, exercise, diet, psychosocial stimulation and health
*secondary:* detect changes early - screenings @ senior centers, health fairs, doctor's office
*tertiary:* - important c chronic dz or s/p acute health event. DM diet planning, PT/OT/ST p CVA,
how to promote biological wellness - ANSWER: - regular activity (range from playing sports/walking,
to adaptive versions - Wii sports are great, to just sitting up in bed)
- eating, sleeping well
- manage health conditions, access to health care
how to promote social wellness - ANSWER: - interact with humans and/or animals
- ongoing social interaction good for cognition, memory, mood
, how to promote functional wellness - ANSWER: - physical environment that promotes healing and
activity
- don't help people to do things they can do for themselves
how to promote environmental wellness - ANSWER: - can be r/t individual (access to food and
transportation, exposures to crime, pollution)
- but also r/t community - activism re resources, creating living spaces
how to promote psychological wellness - ANSWER: - being aware of and accepting feelings
- challenge the misconception that declining mental/cognitive health is age-appropriate
how to promote spiritual wellness - ANSWER: - be aware of and open to pts' expressions of beliefs
- cultural competence
culture: - ANSWER: shared/learned beliefs, expectations, behaviors
enculturation vs acculturation - ANSWER: enculturation - the cultural values passed down through
family
acculturation - learning a culture that is not your native/family culture
health inequity vs health disparity - ANSWER: inequity - r/t distribution of wealth (between countries
or within countries)
disparity - r/t health *outcomes* - burden of illness on one group compared to another
ethnocentrism - ANSWER: - belief that one's culture/group is superior to another
- often so ingrained that it's unconscious: this is one reason why self-examination is important
stereotyping - ANSWER: applying limited knowledge as if it were universally true
cultural destructiveness - ANSWER: systematic elimination of a culture
- the Shoah
- BIA schools
why is cultural blindness bad in a nurse - ANSWER: prevents the nurse from providing sensitive and
effective care
cultural precompetence, competence - ANSWER: *precompetence* - awareness of personal privilege,
biases, prejudices, etc, and having a willingness to learn
*competence* - able to step outside own view of the world, have respect for all, have knowledge of
other cultures but also understand that each individual is unique
race vs ethnicity - ANSWER: race: phenotype
ethnicity: culture group
"eastern" vs "western" medicine - ANSWER: Eastern:
- magico-religious paradigm
- naturalistic/holistic
Healthy Aging 5th Edition By Theris A. Touhy; DNP; CNS;
DPNAP and Kathleen F Jett; PhD; GNPBC 9780323401678
Chapter 1-28 Complete Guide .
what is wellness? - ANSWER: - multidimensional
- adaptation to internal/external conditions
- individualized
- is a continuum, *not* a condition
why are health promotion and dz prevention more important than ever? - ANSWER: - increased life
expectancy
- increased population
developed vs undeveloped world: who has more aging - ANSWER: undeveloped world increasing in
aging population, about to be way more than in developed world
for the first time in history, multiple generations will all... - ANSWER: belong to the older adult
population (eg individual and their parent and grandparent will all be older adults)
what is happening to definitions of "old," "elder," "senior"? - ANSWER: changing rapidly, especially as
boomers get older (they tend to not be down with being thought of as old people)
how does HP2020 address aging? - ANSWER: unique and specific ways to promote health in older
adults are detailed in HP2020 goals
a geri nurse using a wellness model takes what kind of approach? - ANSWER: promote health
regardless of where a person is on the continuum
using a wellness model, what kind of interventions does the geri nurse implement? - ANSWER: -
promote optimal living
- enhance healthy aging
- maximize QOL
examples of primary, secondary, and tertiary prevention in the older adult pop: - ANSWER: *primary:*
vaccinations (esp flu, PN), weight, exercise, diet, psychosocial stimulation and health
*secondary:* detect changes early - screenings @ senior centers, health fairs, doctor's office
*tertiary:* - important c chronic dz or s/p acute health event. DM diet planning, PT/OT/ST p CVA,
how to promote biological wellness - ANSWER: - regular activity (range from playing sports/walking,
to adaptive versions - Wii sports are great, to just sitting up in bed)
- eating, sleeping well
- manage health conditions, access to health care
how to promote social wellness - ANSWER: - interact with humans and/or animals
- ongoing social interaction good for cognition, memory, mood
, how to promote functional wellness - ANSWER: - physical environment that promotes healing and
activity
- don't help people to do things they can do for themselves
how to promote environmental wellness - ANSWER: - can be r/t individual (access to food and
transportation, exposures to crime, pollution)
- but also r/t community - activism re resources, creating living spaces
how to promote psychological wellness - ANSWER: - being aware of and accepting feelings
- challenge the misconception that declining mental/cognitive health is age-appropriate
how to promote spiritual wellness - ANSWER: - be aware of and open to pts' expressions of beliefs
- cultural competence
culture: - ANSWER: shared/learned beliefs, expectations, behaviors
enculturation vs acculturation - ANSWER: enculturation - the cultural values passed down through
family
acculturation - learning a culture that is not your native/family culture
health inequity vs health disparity - ANSWER: inequity - r/t distribution of wealth (between countries
or within countries)
disparity - r/t health *outcomes* - burden of illness on one group compared to another
ethnocentrism - ANSWER: - belief that one's culture/group is superior to another
- often so ingrained that it's unconscious: this is one reason why self-examination is important
stereotyping - ANSWER: applying limited knowledge as if it were universally true
cultural destructiveness - ANSWER: systematic elimination of a culture
- the Shoah
- BIA schools
why is cultural blindness bad in a nurse - ANSWER: prevents the nurse from providing sensitive and
effective care
cultural precompetence, competence - ANSWER: *precompetence* - awareness of personal privilege,
biases, prejudices, etc, and having a willingness to learn
*competence* - able to step outside own view of the world, have respect for all, have knowledge of
other cultures but also understand that each individual is unique
race vs ethnicity - ANSWER: race: phenotype
ethnicity: culture group
"eastern" vs "western" medicine - ANSWER: Eastern:
- magico-religious paradigm
- naturalistic/holistic
