Gerontology exam Study Guide Solutions

Gerontology exam Study Guide Solutions Gerontological nursing refers to the nursing care of: 1. The "Old-old" population. 2. People who are older and in need of assistance. 3. People age 65 and older. 4. A specialized body of knowledge regarding holistic and caring principles of nursing. - ANSWER-3. People age 65 and older 2. Older adults constitute: 1. 14.9% of the U.S. population. 2. 8.4% of the U.S. population. 3. 25% of the U.S. population. 4. 10% of the U.S. population. - ANSWER-1. 14.9% of the U.S population The underlying concept of holism is: ©EMILLECT2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 2/48 1. To include family and pets in the care plan. 2. To recognize persons as individuals and to see them as an entire or whole person. 3. To identify team members who will make the nursing care easier. 4. To look at the patient's face and note how he or she looks. - ANSWER-2. to recognized persons as individuals and to see them as an entire or whole person. The purpose of a nursing philosophy is to be able to: 1. Think like a philosopher. 2. Have something positive to write on a job application. 3. Talk to other nurses about philosophy. 4. Have a personal conviction of the type of nursing care you will give to others. - ANSWER-4. Have a personal conviction of the type of nursing care you will give to others. "The Science of Human Caring" is (select all that apply): 1. A nationally accepted philosophy of nursing. 2. Authored by Jean Watson, former Dean and Distinguished Professor at the University of Colorado. 3. A philosophy that addresses the body, mind, and physicality of all human beings. ©EMILLECT2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 3/48 4. A philosophy of nursing that calls for the practice of individual caring. - ANSWER-1. A nationally accepted philosophy of nursing. 2. Authored by Jean Watson, former Dean and Distinguished Professor at the University of Colorado. 3. A philosophy that addresses the body, mind, and physicality of all human beings. 4. A philosophy of nursing that calls for the practice of individual caring. Gerotranscendence is: 1. One of the critical tasks of old age. 2. Based on Dr. Watson's developmental task of integrity vs. despair. 3. A concept that refers to an elderly person's transition to a more materialistic mindset. 4. A task that, when accomplished, makes older people despair the lives they have led. - ANSWER-1. One of the critical tasks of old age. Your client is 84 years old. What normal change in vital signs would you expect to assess? 1. A higher than normal temperature 2. A slower pulse 3. A shallower breathing pattern ©EMILLECT2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 4/48 4. A lower blood pressure - ANSWER-A slower pulse Immobility or sedentary lifestyles have what effect on the older adult? 1. Loss of muscle size and strength 2. Decreased serum sodium levels 3. Loss of skin elasticity 4. Thinning of cartilage in joints - ANSWER-1. Loss of muscle size and strength Mrs. Jones, aged 86 years, complains of fullness after eating only small amounts of food. This is primarily due to which GI change? 1. Delayed gastric emptying time 2. Increased gastric acid secretions 3. Hypertonicity of gastric muscles 4. Loss of ability to chew - ANSWER-1. Delayed gastric emptying time ©EMILLECT2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 5/48 Mrs. Smith, aged 79 years, is admitted to the hospital. Based on your understanding of normal age changes in the nervous system, what behavior might you expect Mrs. Smith to exhibit? 1. Decreased intellectual function 2. Forgetfulness and confusion 2. Immobility or sedentary lifestyles have what 3. Lack of orientation to time and place 4. Longer response time to questions - ANSWER-4. Longer response time to questions Which of the following statements most accurately describes normal aging changes in an older adult? 1. As individuals age, they become more diverse. 2. Most older adults experience chronic illness and functional impairment. 3. Age-related changes are similar in each older adult. 4. Normal age changes most commonly describe decline and loss of function. - ANSWER-1. As individuals age, they become more diverse. The overall objective of recognizing and assisting clients with transitions is to: ©EMILLECT2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 6/48 1. Resolve shame vs doubt. 2. Decrease complaints filed on your unit. 3. Achieve Maslow's esteem level of need. 4, Deliver humanistic and holistic care. - ANSWER-4. Deliver humanistic and holistic care The importance of understanding PLST is to: 1. Give firm directions to older adults so they will not feel insecure. 2. Provide health-care environments where older people have complete freedom to make decisions. 3, Lower the stress threshold of the environment where older adults are given care. 4. Assist older adults in making the decision to make a transition or to perform PLST. - ANSWER-3, Lower the stress threshold of the environment where older adults are given care. The difference between spirituality and religion is: 1. One is done in a formal building; the other can't be. 2. One is a feeling that comes from within. 3. The age of the person determines the difference. ©EMILLECT2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 7/48 4. Spirituality is a category of highly functioning religious people. - ANSWER-2. One is a feeling that comes from within. Research with spirituality and religion indicates that: 1. It does not impact people who believe in a divine power only. 2. It does promote health and healing. 3. It should not be considered when planning nursing care. 4. It is too personal to discuss with patients and residents. - ANSWER-2. It does promote health and healing. The value of life review is to: 1. Provide useful activities for volunteers and patients. 2. Keep older people busy while they are hospitalized. 3. Publish a book of older adults lives and sell it as a fundraiser project. 4. Gain understanding into one's successes and mistakes. - ANSWER-4. Gain understanding into one's successes and mistakes. ©EMILLECT2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 8/48 When discharging (or transitioning) a patient from the hospital to a long-term care facility, it would be important for the nurse to include: 1. A detailed description of the medications for the patient to review. 2. Contact cards for the patient of various therapies involved in the care. 3. All communication, contacts, medications, and therapies for the facility. 4. Detailed information regarding family involvement in the patient's care. - ANSWER-3. All communication, contacts, medications, and therapies for the facility. The nursing process is: 1. A type of standardized care plan. 2. A framework for providing nursing care. 3. A procedure that registered nurses use to make care assignments. 4. An instinctive method of providing care. - ANSWER-2. A framework fo