Lecture 1A Overview of gero nursing Flashcards

1
Q

The apparent disconnect between definitions of wellness and aging results from _

A
  1. Misunderstandings about aging (that it is associated with declining health).
  2. A narrow focus on physical health and functioning (rather than a holistic view of wellness).
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2
Q

High-level wellness

A

An integrated method of functioning that is oriented toward maximizing each person’s potential, while maintaining a continuum of balance and purposeful direction within the person’s environment.

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3
Q

A major focus of a “wellness approach” to older adult health care is _

A

Addressing the body-mind-spirit interconnectedness of each older adult as a unique and respected individual.

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4
Q

_ is objectively defined as a universal process that begins at birth.

A

Aging.

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5
Q

Subjective age

A

A person’s perception of his or her age; studies show that most older adults feel significantly younger than their chronologic age and that this perception helps them maintain a positive view of themselves.

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6
Q

Perceived age

A

Other people’s estimation of someone’s age.

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7
Q

Chronologic age

A

The length of time that has passed since birth.

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8
Q

Important indicators of age include _

A
  1. Physiologic health.
  2. Psychological well-being.
  3. Socioeconomic factors.
  4. The ability to function and participate in desirable activities.
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9
Q

Functional age

A
  1. A conceptualization of a person’s age based on their ability to contribute to society and experience personal quality of life.
  2. Provides a more rational basis for care than chronologic age.
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10
Q

The 3 components of “successful” aging

A
  1. An active engagement with life.
  2. High cognitive and physical function.
  3. Low probability of disease and disability.
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11
Q

Ageism

A
  1. The prejudices and stereotypes that are applied to older people sheerly on the basis of their age; more common in industrialized societies.
  2. Includes negative stereotypes of social isolation, psychological rigidity, asexual behavior, lack of creativity, physical and mental decline, and economic and familial burden.
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12
Q

Elders are the most respected age group in Japanese culture due to the concept of _, which supports the view that adult children should respect and support parents.

A

Interdependence.

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13
Q

Age attribution

A

The tendency to attribute problems to the aging process rather than to pathologic and potentially treatable conditions; as a result, older people often receive less aggressive treatments for common ailments.

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14
Q

An essential first step in planning interventions for older adults is to _

A

Identify those factors that are not inherent consequences of aging.

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15
Q

The percentage of older adults living in nursing homes at any time is _

A

4-5%.

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16
Q

The percentage of older adults who live in independent housing settings in the community is _

A

About 93%.

17
Q

Socioeconomic characteristics that are most strongly associated with healthy aging are _

A
  1. Poverty (women, blacks, and Hispanics are disproportionately impacted).
  2. Lower educational level (better educated people live longer, have higher incomes, and have fewer health problems).
18
Q

The chronic condition that affects older adults most often is _

A

Hypertension.

19
Q

Informal caregiving

A
  1. The provision of assistance to a family member or friend in a nonprofessional and unpaid role to support the person in a community setting.
  2. About 80% of the care provided for dependent older adults falls into this category.
20
Q

Concepts related to _ age are most appropriate in wellness-oriented nursing care.

A

Functional.

21
Q

The current trend in the United States is that caregiving needs of elders are met primarily by _ and secondarily by _

A

Spouses; adult children, especially daughters and unmarried children.

22
Q

Older adults may be responsible for raising grandchildren in _ households.

A

Skipped-generation.

23
Q

The average life expectancy in the United States is currently _

A

78.7 years (80.4 years for women; 73.5 years for men).

24
Q

The state that has the highest concentration of senior citizens is _

A

Florida.

25
Q

The 5 leading causes of activity limitations in older adults are _

A
  1. Arthritis.
  2. Hypertension.
  3. Heart disease.
  4. Diabetes.
  5. COPD.
26
Q

The most frequently reported reason an older adult will resist or completely refuse evacuation in the face of an impending disaster is _

A

Pets.

27
Q

The presentation of illness that is usually the first sign in an older adult with dementia is _

A

Confusion.

28
Q

Older adults are in Erikson’s developmental stage of _

A

Ego integrity vs. despair.