Geriatric Nursing Exam 1 Questions & Answers 2024/2025

Geriatric Nursing Exam 1 Questions & Answers 2024/2025 What is aging determined by? - ANSWER-Society and Culture In 1935 social security set "old" at what age? - ANSWER-65 years old. In the 2000s what was set as "old"? - ANSWER-Closer to 70 years of age. What is young-old? - ANSWER-65-74 years. What is middle-old? - ANSWER-75-84 years. What is old-old? - ANSWER-Older than 85 years. What does aging depend on? - ANSWER-Decade during which one was born or his or her history, Gender, Ethnic Group, and Health. According to Global Aging by 2050 what will happen? - ANSWER-The number of persons 60 years and older is likely to exceed those that are 15 years and younger. What is health influenced by? - ANSWER-Culture and age. What is the definition of health? - ANSWER-Wellness is one's whole being: physical, emotional, mental, and spiritual. What are functional abilities? - ANSWER-The person's ability to live independently to enjoy family and life. What is Maslow's Hierarchy of Human Needs? - ANSWER-It is an organized framework for understanding individuals and their concerns during a particular time or situation. To reach higher levels, lower levels must be met first. What should the gerontological nurse ensure? (Maslow's) - ANSWER-The needs of older adults are met and that they can function at a high level of wellness. What are Maslow's basic needs? - ANSWER-Air, food, water, sleep, and homeostasis. What is Maslow's safe and secure needs? - ANSWER-Family, health, morality, and employment. What are Maslow's needs of belonging? - ANSWER-Friendships, family, and sexual intimacy. What are Maslow's self-esteem and self-efficacy needs? - ANSWER-confidence, achievement, and respect of others. What are Maslow's self-actualization needs? - ANSWER-Morality, creativity, acceptance, and lack of prejudice. What are the roles of a gerontological nurse? - ANSWER-Assist the older person to achieve the highest level of functioning. Empower, enhance, and support the client for achievement of wellness. Use available resources. What are some current initiatives of elder care? - ANSWER-Promote geriatric nursing as a whole, provide wed based resources, and build leadership skills though GNLA Are clinical practice sites limited to acute care or nursing homes? - ANSWER-No, it includes older adults in the community. What has research investigated? - ANSWER-Intervention care of dementia, reducing falls, use of restraints, pain management, delirium, care transitions, and end of life care. What are generalists? - ANSWER-They work in hospitals, homes or subacute and long term facilities, or in the community providing care to individuals and their families. What are specialists? - ANSWER-They work in acute care settings, nursing homes, retirement homes, assisted living facilities, adult day care centers, and senior citizen housing. Who provides the majority of direct care in a nursing home? - ANSWER-CNAs and nursing aides. they are often described as family. They must have the respect that is developed in the culture of the care facility. What are some roles of gerontology organizations? - ANSWER-Demonstrate need for interdisciplinary collaboration in research and practice, improve understanding of direct care amone disciplines, provide nurse with officer and committee chair positions, include national and international concerns, and establish associations for nursing assistants. What is a vital aspect of health care for older people? - ANSWER-Nursing. What does gerontological nursing specialization provide? - ANSWER-Experts in caring for older people. Who has made an impact on research for older adult care? - ANSWER-Gerontological nurses. What is a most needed specialty? - ANSWER-Gerontological Nursing. What is ethnocentrism? - ANSWER-Judging another culture solely by the values and standards of one's own culture. What does effective cultural competence include? - ANSWER-knowledge about ethnicity, culture, language, health beliefs, and skills to optimize intercultural communication. What are health disparities associated with? - ANSWER-Persons of color. What is the goal of Healthy People 2020? - ANSWER-It is to achieve health equity, eliminate disparities, and improve the health of all groups. How can we reduce health disparities? - ANSWER-Cultural competence (nurses learn personal biases, prejudices, attitudes, and behaviors), Cultural awareness (reflect on any biases of ageism and racism), and Cultural knowledge. What is the western or biomedical system? - ANSWER-Disease results from abnormalities in structure and function of body organs and invasion of germs. What is western or biomedical systems treatment? - ANSWER-Destroy invading organisms. What is western or biomedical systems prevention? - ANSWER-Avoiding pathogens, chemicals, activities, and dietary agents that are thought to cause abnormalities. What is the personalistic or magicoreligious system? - ANSWER-Believes that supernatural entities, such as gods, deities, or nonhuman beings (ghosts, ancestors, or spirits) cause illness. How is health viewed in the personalistic or magicoreligious system? - ANSWER-It is viewed as a blessing or reward. What are some rituals of personalistic or magic religious systems? - ANSWER-Laying of the hands and prayer circles. What is the naturalistic or holistic health system? - ANSWER-A system which is based on the concept of balance. Disturbances in balance result in disharmony and illness. It stems from China, India, and Greece. What does the diagnosis of the naturalistic or holistic health system require? What are some treatment methods? - ANSWER-The type/extant of imbalance. Treatments are methods to restore balance and harmony. What is the LEARN model? - ANSWER-Listen, explain, acknowledge, recommend, and negotiate. What are cultural skills based on? - ANSWER-Mutual respect, listening carefully, attend to verbal and non-verbal communication, understand meaning behind the story , explaining perception without judgement, acknowledging differences in goals, and developing a plan that considers both perspective which is mutually acceptable. What is common in persons of color and what need is the most difficult to meet? - ANSWER-Poverty is common and meeting basic needs is difficult. What is a major element of self-concept and a key to self-esteem? - ANSWER-Cultural identity. What is the role of an interpreter? - ANSWER-To tell the older adult client what the nurse has said and then tell the nurse what the client has said. What does a translator deal with? - ANSWER-Written word. What is does communication need to be? - ANSWER-Respectful. Continues...