Gerontological Nursing Ch 1-3 | 64 Questions and Answers(A+ Solution guide)

Aging is determined by: - Society and Culture - What age was considered "old" in 1935, when Social Security was created? - What age was considered "old" in 2000? - - 65 - 70 - Young old: - Middle old: - Old old: - - Young old: 65 to 70 - Middle old: 75 to 84 - Old old: 85 and above The ratio of women to men is 50/50, up until what age? - 60 Aging was devalued in what time period? - Late 1800s Supercentenarian - 110+ What are the four major factors of aging? - 1. Decade born. 2. Gender. 3. Ethnicity. 4. Health. Are disparities increasing or decreasing? - IncreasingWhat is essential to meet the needs of the rapidly growing, ethnically diverse elderly population? - - Increasing numbers of health care providers from different cultures - Ensuring cultural competence of all providers Why are changes in global aging making it more challenging to meet the needs of the aging global community? - The number of younger adults providing care and financial support are decreasing. By 2050, the number of people 60 years and older is likely to exceed the number of people... - 15 years and younger Health is influenced by: - Culture and Age Wellness: - One's whole being: physical, emotional, mental, and spiritual. Functional abilities: - The ability to live independently, to enjoy family and life. Maslow's 5 levels of Needs: - 1. Self-Actualization: morality, creativity, acceptance, lack of prejudice. 2. Self-Esteem/Self-Efficacy: confidence, achievement, respect of others. 3. Belonging: friends, family, sexual intimacy. 4. Safety/Security: family, health, morality, employment. 5. Basic Needs: air, food, water, homeostasis, sleep. Which level is considered the highest level of wellness? - Self-actualization; it is seen as people reaching out beyond themselves and finding meaning and a sense of fulfillment. Healthy People 2020: - 1. Achieve health equity, eliminate disparities, and improve health in all groups. 2. Attain high-quality, longer lives free of preventable disease, disability, injury, and premature death. 3. Create social and physical environments that promote good health for all. 4. Promote quality of life, healthy development, and healthy behaviors across all life stages.4 Self-Care requirements: - 1. Maintaining sufficient intake of air, water, and food. 2. Maintaining satisfactory elimination function. 3. Maintaining a balance between activity and rest. 4. Maintaining a balance between solitude and social interaction. The 3 goals of the nurse: - 1. Always care and comfort. 2. Sometimes cure. 3. Prevent that which can be prevented. What do ageist attitudes and behaviors undermine? - The self-esteem of the individual, and society's acknowledgment of the value of the contributions of older adults. MULTIPLE CHOICE 1. Identify the best statement about gerontological nursing. a. Nurses have only recently become involved in the care of the older adult. b. Gerontological care was the second specialty in which the American Nurses Association (ANA) offered a certification program. c. Purposes of gerontological nursing include the promotion of health and support for maximal independence. d. ANA certification is available only for gerontological nurses in research positions. - ANS: C Promoting health and fostering independence are purposes of the practice, as reflected, for example, in the ANA Scope and Standards. Nurses have always cared for older patients. The ANA's gerontological nursing certification program was the organization's first and includes a variety of positions, such as nurse practitioners, clinical specialists, researchers, and administrators. 2. Which gerontological nursing organization welcomes nurses from all educational backgrounds? a. The National Gerontological Nursing Association (NGNA) b. The National Conference of Gerontological Nurse Practitioners (NCGNP) c. The National Association of Directors of Nursing Administration in Long-Term Care (NADONA/LTC)