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
Nurses must evaluate own __ toward retirement
attitudes
26
Nurses can be good role model of constructive retirement __ and __.
practices and attitudes
27
Retirement income is less than __ of earned income.
half
28
Social security income: intended as supplement but is often ___.
primary source of income
29
Nurses should encourage __ preparations for old age.
financial
30
Nurses should recognize the impact of __ __ on health status.
economic welfare
31
Older adults have to adjust to new __ image, and accept the societal expectations of the __ in function.
body | decline
32
Nursing interventions for decline in function:
- educate about age related changes - promote optimum function - promote optimum health - prevent disease - preserve independence and dignity !!
33
They have a __ social world.
shrinking
34
What are 4 reasonings behind a shrinking social world?
- loss of social connections - risk of loneliness - facing fact of growing old - potential failure to thrive
35
Widowhood, the death of friends, and the recognition of declining functions __ older persons’ awareness of the reality of their own deaths.
heighten
36
___ is more tolerable if life has __ and ___.
death | depth and meaning
37
Erikson's stage during the elderly adult population?
Integrity vs despair
38
Some nursing interventions for life transitions? (4)
- life review - eliciting a life story - promoting self-reflection - strengthening inner resources
39
__ __ is the process of intentionally reflection on past experiences
life review
40
3 parts to personal identity:
body mind spirit
41
2 hallmarks of successful aging?
knowledge of self | personal identity
42
Physical, emotional, and spiritual resources that older adults may possess that enable them to __ to old age
survive
43
__ fosters empowerment
Hope
44
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.
- disabled - nursing - Dementia - intelligence - sexual intercourse - satisfactions
45
___ identity largely determines an individual’s social position and social role.
Occupational
46
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.
void
47
What phase? When the reality of retirement is evident, preparation for leaving one’s job begins, as does fantasy regarding the retirement role.
Pre-retirement phase
48
What phase? Following the retirement event, a somewhat euphoric period begins, a “honeymoon period,” in which fantasies from the preretirement phase are tested.
Retirement phase
49
What phase? As life begins to stabilize, a letdown, sometimes a depression, is experienced.
disenchantment phase
50
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.
Reorientation phase
51
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.
Retirement routine phase
52
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
Termination of retirement phase
53
Nursing interventions are applicable to each __ of retirement.
phase
54
It is sometimes difficult for the aging person to accept the body’s __ efficiency.
declining
55
___ expectations frequently determine the adjustment individuals make to declining function.
Societal
56
Older adults have difficulty in acceptance of __ changes.
physical
57
Common results of declining function are __ and __.
illness and disability
58
At a time of many losses and adjustments, personal contact, __, extra support, and attention are needed.
love
59
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.
relationships | accomplishments
60
Life review, however, can be a ___ experience for older adults who realize the mistakes they’ve made and the lives they’ve hurt.
painful
61
The young can also benefit from the reminiscences of older adults by gaining a new perspective on life as they learn about their __.
ancestry
62
The nurse can facilitate life review by eliciting the older adult’s life ___.
story
63
Is eliciting life stories from older persons a difficult process?
No, in fact most older adults welcome opportunity to share their life histories and life lessons.
64
One of the hallmarks of successful aging is __ __ __.
knowledge of self
65
__ __ __: an awareness of the realities of who one is and one’s place in the world.
knowledge of self
66
The __ includes physical characteristics and functioning.
body
67
The __ encompasses cognition, perception, and emotions.
mind
68
The __ consists of meaning and purpose derived from a relationship with God or other higher power.
spirit
69
The process of __ often facilitates self-reflection.
writing
70
__ or e-mails are another means to reflect and express feelings.
Letters
71
Many people find that __, sculpting, weaving, and other forms of creative expression facilitate self-reflection and expression.
painting