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Fundamentals 2 Pt. 2 > T1: Life Transitions/Stress Adaptation (CH 4) > Flashcards

T1: Life Transitions/Stress Adaptation (CH 4) Flashcards

1
Q

“growing old is __ __”

A

not easy

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2
Q

Multitude of changes during the aging process require what 3 things?

A

stamina
ability
flexibility

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3
Q

Many factors affect older adults’ ability to cope with __

A

multiple changes of aging

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4
Q

Prejudices and stereotypes applied to older adults based on age

A

ageism

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5
Q

Ageism in society:
___ against older adults
___ and misconceptions
Consequences of ageism: erode their ___

A

Biases
Stereotypes
dignity

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6
Q

Need to heighten societal awareness of the ___ __ __

A

realities of aging

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7
Q

Changes in today’s ___ family affect the roles and functions of the older adult within the family unit.

A

nuclear

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8
Q

Their are both __ and __ changes for older adults

A

negative

positive

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9
Q

Adjustment to changes in responsibilities and roles is an important ___ of aging.

A

challenge

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10
Q

Changes in the parental role, such as a kid going to college, can lead to __ __ __

A

sense of loss

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11
Q

Historical role of __ and __ influenced by today’s older women.

A

wife

mother

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12
Q

Changing roles for men influences our view of __ role of today’s older men.

A

provider

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13
Q

Regular contact by children is usually ___, which can provide enjoyment.

A

maintained

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14
Q

Grandparenting is a new role in life, as is ___

A

step-grandparenting

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15
Q

Changes in family structure and activities bring new ___ to today’s grandparents.

A

challenges

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16
Q

Active lifestyles of older adults require the children/grandchildren to __.

A

adapt

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17
Q

Grandparenthood is a ___ role.

A

learned

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18
Q

Many older adults may assume ___ caregiving responsibilities for their grandchildren.

A

primary

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19
Q

Nurses can guide older adults as they ___ assuming this new role

A

contemplate

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20
Q

____ are available to assist those who choose the caregiving role.

A

Organizations

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21
Q

__ __ __ is a common event that alters life for many older persons.

A

Death of spouse

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22
Q

Adjustment to widowhood:

A
  • Task of living alone
  • Developing alternative roles
  • Income issues
  • Loss of an intimate partner
  • Choosing a new lifestyle
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23
Q

Loss of work role issues:

A
  • May need to adjust to a reduced income

- May be viewed as an undesirable state

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24
Q

6 phases of retirement:

PRDRRT

A
  • pre-retirement phase
  • retirement phase
  • disenchantment phase
  • reorientation phase
  • retirement routine phase
  • termination of retirement phase
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25
Q

Nurses must evaluate own __ toward retirement

A

attitudes

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26
Q

Nurses can be good role model of constructive retirement __ and __.

A

practices and attitudes

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27
Q

Retirement income is less than __ of earned income.

A

half

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28
Q

Social security income: intended as supplement but is often ___.

A

primary source of income

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29
Q

Nurses should encourage __ preparations for old age.

A

financial

30
Q

Nurses should recognize the impact of __ __ on health status.

A

economic welfare

31
Q

Older adults have to adjust to new __ image, and accept the societal expectations of the __ in function.

A

body

decline

32
Q

Nursing interventions for decline in function:

A
  • educate about age related changes
  • promote optimum function
  • promote optimum health
  • prevent disease
  • preserve independence and dignity !!
33
Q

They have a __ social world.

A

shrinking

34
Q

What are 4 reasonings behind a shrinking social world?

A
  • loss of social connections
  • risk of loneliness
  • facing fact of growing old
  • potential failure to thrive
35
Q

Widowhood, the death of friends, and the recognition of declining functions __ older persons’ awareness of the reality of their own deaths.

A

heighten

36
Q

___ is more tolerable if life has __ and ___.

A

death

depth and meaning

37
Q

Erikson’s stage during the elderly adult population?

A

Integrity vs despair

38
Q

Some nursing interventions for life transitions? (4)

A
  • life review
  • eliciting a life story
  • promoting self-reflection
  • strengthening inner resources
39
Q

__ __ is the process of intentionally reflection on past experiences

A

life review

40
Q

3 parts to personal identity:

A

body
mind
spirit

41
Q

2 hallmarks of successful aging?

A

knowledge of self

personal identity

42
Q

Physical, emotional, and spiritual resources that older adults may possess that enable them to __ to old age

A

survive

43
Q

__ fosters empowerment

A

Hope

44
Q

Some misconceptions older adults:

  • Old people are sick and __.
  • Most old people are in __ homes.
  • ___ comes with old age.
  • People are either very tranquil or very cranky as they age.
  • Old people have lower __ and are resistant to change.
  • Old people are not able to have __ __ and are not interested in sex.
  • There are few __ in old age.
A
  • disabled
  • nursing
  • Dementia
  • intelligence
  • sexual intercourse
  • satisfactions
45
Q

___ identity largely determines an individual’s social position and social role.

A

Occupational

46
Q

When one’s work is one’s primary interest, activity, and source of social contacts, separation from work leaves a significant ___ in one’s life.

A

void

47
Q

What phase? When the reality of retirement is evident, preparation for leaving one’s job begins, as does fantasy regarding the retirement role.

A

Pre-retirement phase

48
Q

What phase? Following the retirement event, a somewhat euphoric period begins, a “honeymoon period,” in which fantasies from the preretirement phase are tested.

A

Retirement phase

49
Q

What phase? As life begins to stabilize, a letdown, sometimes a depression, is experienced.

A

disenchantment phase

50
Q

What phase? As realistic choices and alternative sources of satisfaction are considered, the disenchantment with the new retirement routine can be replaced by developing a lifestyle that provides some satisfaction.

A

Reorientation phase

51
Q

What phase? An understanding of the retirement role is achieved, and this provides a framework for concern, involvement, and action in the older person’s life.

A

Retirement routine phase

52
Q

What phase? The retirement role is lost as a result of either the resumption of a work role or dependency due to illness or disability

A

Termination of retirement phase

53
Q

Nursing interventions are applicable to each __ of retirement.

A

phase

54
Q

It is sometimes difficult for the aging person to accept the body’s __ efficiency.

A

declining

55
Q

___ expectations frequently determine the adjustment individuals make to declining function.

A

Societal

56
Q

Older adults have difficulty in acceptance of __ changes.

A

physical

57
Q

Common results of declining function are __ and __.

A

illness and disability

58
Q

At a time of many losses and adjustments, personal contact, __, extra support, and attention are needed.

A

love

59
Q

Life review can be a positive experience because older adults can reflect on the obstacles they have overcome and ___ they have made. It can also provide the incentive to heal fractured __ and complete unfinished business.

A

relationships

accomplishments

60
Q

Life review, however, can be a ___ experience for older adults who realize the mistakes they’ve made and the lives they’ve hurt.

A

painful

61
Q

The young can also benefit from the reminiscences of older adults by gaining a new perspective on life as they learn about their __.

A

ancestry

62
Q

The nurse can facilitate life review by eliciting the older adult’s life ___.

A

story

63
Q

Is eliciting life stories from older persons a difficult process?

A

No, in fact most older adults welcome opportunity to share their life histories and life lessons.

64
Q

One of the hallmarks of successful aging is __ __ __.

A

knowledge of self

65
Q

__ __ __: an awareness of the realities of who one is and one’s place in the world.

A

knowledge of self

66
Q

The __ includes physical characteristics and functioning.

A

body

67
Q

The __ encompasses cognition, perception, and emotions.

A

mind

68
Q

The __ consists of meaning and purpose derived from a relationship with God or other higher power.

A

spirit

69
Q

The process of __ often facilitates self-reflection.

A

writing

70
Q

__ or e-mails are another means to reflect and express feelings.

A

Letters

71
Q

Many people find that __, sculpting, weaving, and other forms of creative expression facilitate self-reflection and expression.

A

painting

Fundamentals 2 Pt. 2 (26 decks)

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