Nur 332 Exam 1 Questions With Complete Solutions
LEARN model to promote healthy aging
can be used cross culturally to negotiate place of care and
included identification of culturally appropriate and sensitive
resources
LEARN: L
listen to what the pt has to say. listen to their perception of the
situation, desired goals, and ideas for treatment [verbal and
nonverbal communication]. May require resources such as
indigenous healers, priests, monks, rabbis, or ministers
LEARN: E
explain your perception of the situation and the problem
(culturally acceptable language, phrasing, and body language)
LEARN: A
acknowledge the similarities and differences of perceptions
LEARN: R
recommend a plan of action that takes into account both
perspectives
LEARN: N
negotiate a plan that is mutually acceptable
example of the learn model
,someone from a different culture eats a specific diet. We're not
going to force them to completely change and eat our american
diet just because we need them on a cardiac diet. work with
them to find proper options
what is the single most important capacity of human beings?
communication. It is dehumanizing when unable to
communicate. it doesn't change with age or impairment. it is the
basis for accurate assessment, care planning, and the
development of nurse-patient rapport
what does meaningful communication and active engagement
do?
influences healthy aging and life expectancy. improves response
to healthcare interventions, changes of living longer, and
maintaining optimal function.
why may some individuals have limited social interaction
opportunities?
loss of family and friends, illness, sensory and cognitive loss
ageism and communication
myths, stereotypes, and ageist attitudes interfere with effective
communication
example of ageism in nursing care
nurse believes all older adults have memory issues or aren't able
to learn/process information. this makes the nurse less likely to
engage in conversation, provide health information, or treat with
respect and dignity
,example of ageist attitude in an older adult
older adult believes illness is inevitable with increased age. they
therefore dont report changes in health or adopt health
promotion stratefies
ageism
the systematic stereotyping of and discrimination against people
because they are old. a negative stigma, more prevalent in the
US than in other countries where older adults are significantly
more important
assumptions of ageism
incompetence or "less competent", less attractive, less vigorous
effects of ageism with healthcare workers
spending less time, more authoritarian role, having less patience,
providing less information, neglecting to address important
psychosocial and preventative factors, less students choosing to
work in geriatric care
examples of elderspeak
Using a singsong voice, changing pitch, and exaggerating
words; Using short and simple sentences; Speaking more
slowly; Using limited vocabulary; Repeating or paraphrasing
what has just been said; Using pet names such as "honey" or
"dear" or "grandma"; "would we like to take a bath now?"; using
statements that sound like questions; conveys messages of
dependence, in competence and control; ignoring the older adult
and speaking to family and friends as if the pt is not present
, what is elderspeak associated with?
lower rates of communication, ability, social isolation, increased
dependence, cognitive decline. doubles the rates of challenging
behaviors in dementia pts.
therapeutic communication with older adults
allow time; open ended questions; closed ended questions;
reluctant to disclose information; positioning at their level;
attention to gaze, gestures, body language, pitch, volume, tone;
clarification; many generational, cultural, and regional
differences in speech patterns exist
how can allowing time be helpful for older adults?
allows the nurse to listen carefully and not rush through the
process
how can open ended questions be good and bad for
communication?
patient may anticipate what you want to hear but is useful for
gathering information
how can closed ended questions be good and bad for
communication?
allows you to obtain specific information but the individual may
feel on the spot [info may not be forthcoming]
disengagement theory
LEARN model to promote healthy aging
can be used cross culturally to negotiate place of care and
included identification of culturally appropriate and sensitive
resources
LEARN: L
listen to what the pt has to say. listen to their perception of the
situation, desired goals, and ideas for treatment [verbal and
nonverbal communication]. May require resources such as
indigenous healers, priests, monks, rabbis, or ministers
LEARN: E
explain your perception of the situation and the problem
(culturally acceptable language, phrasing, and body language)
LEARN: A
acknowledge the similarities and differences of perceptions
LEARN: R
recommend a plan of action that takes into account both
perspectives
LEARN: N
negotiate a plan that is mutually acceptable
example of the learn model
,someone from a different culture eats a specific diet. We're not
going to force them to completely change and eat our american
diet just because we need them on a cardiac diet. work with
them to find proper options
what is the single most important capacity of human beings?
communication. It is dehumanizing when unable to
communicate. it doesn't change with age or impairment. it is the
basis for accurate assessment, care planning, and the
development of nurse-patient rapport
what does meaningful communication and active engagement
do?
influences healthy aging and life expectancy. improves response
to healthcare interventions, changes of living longer, and
maintaining optimal function.
why may some individuals have limited social interaction
opportunities?
loss of family and friends, illness, sensory and cognitive loss
ageism and communication
myths, stereotypes, and ageist attitudes interfere with effective
communication
example of ageism in nursing care
nurse believes all older adults have memory issues or aren't able
to learn/process information. this makes the nurse less likely to
engage in conversation, provide health information, or treat with
respect and dignity
,example of ageist attitude in an older adult
older adult believes illness is inevitable with increased age. they
therefore dont report changes in health or adopt health
promotion stratefies
ageism
the systematic stereotyping of and discrimination against people
because they are old. a negative stigma, more prevalent in the
US than in other countries where older adults are significantly
more important
assumptions of ageism
incompetence or "less competent", less attractive, less vigorous
effects of ageism with healthcare workers
spending less time, more authoritarian role, having less patience,
providing less information, neglecting to address important
psychosocial and preventative factors, less students choosing to
work in geriatric care
examples of elderspeak
Using a singsong voice, changing pitch, and exaggerating
words; Using short and simple sentences; Speaking more
slowly; Using limited vocabulary; Repeating or paraphrasing
what has just been said; Using pet names such as "honey" or
"dear" or "grandma"; "would we like to take a bath now?"; using
statements that sound like questions; conveys messages of
dependence, in competence and control; ignoring the older adult
and speaking to family and friends as if the pt is not present
, what is elderspeak associated with?
lower rates of communication, ability, social isolation, increased
dependence, cognitive decline. doubles the rates of challenging
behaviors in dementia pts.
therapeutic communication with older adults
allow time; open ended questions; closed ended questions;
reluctant to disclose information; positioning at their level;
attention to gaze, gestures, body language, pitch, volume, tone;
clarification; many generational, cultural, and regional
differences in speech patterns exist
how can allowing time be helpful for older adults?
allows the nurse to listen carefully and not rush through the
process
how can open ended questions be good and bad for
communication?
patient may anticipate what you want to hear but is useful for
gathering information
how can closed ended questions be good and bad for
communication?
allows you to obtain specific information but the individual may
feel on the spot [info may not be forthcoming]
disengagement theory
