BASIC GERIATRIC NURSING CHAPTER 1 A+ GRADED 2023/2024

BASIC GERIATRIC NURSING CHAPTER 1 A+ GRADED 2023/2024 Sub-stages of childhood? - CORRECT ANSWER-Infant, toodler, preschool, school age, and adolescence Geriatric - CORRECT ANSWER-pertaining to treatment of older people Gerontology - CORRECT ANSWER-study of the aging process Gerontics - CORRECT ANSWER-Coined by Gunter and Estes in 1979 to define the nursing care and services provided to older adults Chronological age - CORRECT ANSWER-the number of years a person has lived What is the age requirement for retirement? - CORRECT ANSWER-65 or older What category is ages 55-64? - CORRECT ANSWER-Older What category is ages 64-74? - CORRECT ANSWER-Elderly What category is ages 75-84? - CORRECT ANSWER-Aged Does the American society value its older adults? - CORRECT ANSWER-No, the US is a youth-oriented society Gerontophobia - CORRECT ANSWER-the fear of aging and the refusal to accept older adults into the mainstream of society Examples: teens buy anti-wrinkle creams, 30 year old women consider facelifts, etc. Ageism - CORRECT ANSWER-The disliking of aging and older adults based on the belief that aging makes people unattractive, unintelligent, and unproductive *it is an emotional prejudice/discrimination against people based solely on their age Can ageism have a negative effect on the way health care workers relate to older pts? - CORRECT ANSWER-Yes *can in turn result in poor health care outcomes and poor pt care Nursing Competence in Aging (NCA) - CORRECT ANSWER-Started in 2002 Focuses on enhancing competence in geriatrics by expanding nurses' knowledge, skills, and attitudes Age discrimination - CORRECT ANSWER-different and unequal treatment of people based solely on their age Examples: refusing to hire older people, not approving them for home loans, and limiting the types or amounts of health care they can receive *AGE DISCRIMINATION IS ILLEGAL Demographics - CORRECT ANSWER-statistical data relating to the population and particular groups within it Demographers are concerned with a population's size, distribution, and vital statistics (birth, death, age at death, marriages, race) Life expectancy - CORRECT ANSWER-the number of years a person can be expected to live Projected from the time of birth The life expectancy throughout history has been low because... - CORRECT ANSWER- -environmental hazards -wars -accidents -food and water scarcity -inadequate sanitation -contagious diseases During biblical times the life expectancy was... - CORRECT ANSWER-20 years Some people did live longer, but 40 years was considered a good and long life By 1776 the life expectancy was... - CORRECT ANSWER-35 years Was not uncommon for people to live into their 60s *the Declaration of Independence was signed in this year By 1860s the life expectancy was... - CORRECT ANSWER-40 years 2.7% of the American population was older than age 65 at this time *the American Civil War was going on at this time By the beginning of the 20th century the life expectancy was... - CORRECT ANSWER47 years 4% of the American population was age 65 or older During the 20th century the life expectancy was... - CORRECT ANSWER-77.4 years Individuals older than age 85 now make up what percentage of the US population? - CORRECT ANSWER-4% Do women outlive men? - CORRECT ANSWER-Yes, by 2.6 years White women have a life expectancy of... - CORRECT ANSWER-81 years Black women have a life expectancy of... - CORRECT ANSWER-78.1 years White men have a life expectancy of... - CORRECT ANSWER-76.5 years Black men have a life expectancy of... - CORRECT ANSWER-71.8 years Hispanic women have a life expectancy of... - CORRECT ANSWER-84 years Hispanic men have a life expectancy of... - CORRECT ANSWER-79.1 years Age cohort - CORRECT ANSWER-a group of people born during the same time period When were the "baby boomers" born? - CORRECT ANSWER-After WW2 Between Accounts for 22.9% of the American population The major sources of income for the older population include... - CORRECT ANSWERSocial security benefit earnings, asset income, pensions, etc. What year was Medicaid and Medicare started? - CORRECT ANSWER-1965 Home Equity Conversion Mortgage (HECM) - CORRECT ANSWER-Reverse mortgage or when a lender makes payments, usually monthly, to a homeowner Income - CORRECT ANSWER-Amount of money a household receives on a weekly, monthly, or yearly basis What percentage of older adults live in institutional settings (nursing home)? - CORRECT ANSWER-3% Increases to 9% for those over the age of 85 True of false Some older individuals remain in their own homes and refuse to give them up long after it is safe for them to be alone - CORRECT ANSWER-True True or false A sense of community is important to many older adults, who dislike the thought of leaving security for the unknown - CORRECT ANSWER-True Subsidized housing - CORRECT ANSWER-private housing available at low cost to families with low incomes through programs in which the government pays part of the rent to the housing owners (AKA government assisted housing) Community-based residential facility (CBRF) - CORRECT ANSWER-For a monthly fee, this type of facility provides services, such as room and board, help with ADLs medication, What services do nursing homes provide? - CORRECT ANSWER--room and board -personal care -medical and nursing services What are the 3 levels of care provided by nursing homes? - CORRECT ANSWERSkilled care, intermediate care, and custodial care Skilled care - CORRECT ANSWER-Daily nursing care, including medication administration and skilled treatments or procedures that require the expertise of licensed nurses Also includes services performed by speech, physical, occupational, and respiratory therapists Intermediate care - CORRECT ANSWER-Professional care that is not required on a daily basis, it is a step down from skilled care Custodial care - CORRECT ANSWER-Next step down from intermediate care and refers to care that is considered non-skilled, personal care, such as assistance with ADLs Subacute care facilities - CORRECT ANSWER-care for patients with complex medical and rehab needs Falls between traditional care provided in an acute hospital and that provided in a nursing home Specialty care facilities - CORRECT ANSWER-these are residents designed to meet the special needs of people with Alzheimer's or memory loss What is Medicare's four distinct programs? - CORRECT ANSWER-1. Medicare A 2. Medicare B 3. Medicare C 4. Medicare D Medicare A - CORRECT ANSWER-hospital insurance Covers inpatient hospital care; skills Nursing Care following hospitalization; some healthcare services, such as visiting nurses and occupational, speech, or physical therapists; and hospice services, but only after the patient pays an initial deductible and any copayments Medicare B - CORRECT ANSWER-medical insurance Optional* (covers 80% of rates)