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Senescence Older Adult/Fam > Unit 3 Test > Flashcards

Unit 3 Test Flashcards

1
Q

what is the variability among older adults

A

physiological, cognative, psychosocial health
levels of functional ability
dependence v. indep.
strengths and abilities

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2
Q

what age is acceptable for old age

A

65

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3
Q

what are the older groups growing in number

A

longer lifespan, better medicine, better treatments, aging baby boomers, better diagnostic testing

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4
Q

T or F

aging leads to disability and dependence

A

False, not always because most older adults remain functionally independent despite the increasing prevalence of chronic disease

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5
Q

discrimination against people because of increasing age

A

ageism

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6
Q

what are the myths/ stereotypes of older adults

A

ill, disabled, unattractive
forgetful, confused, boring
unable to learn and understand new info
not interested in sex or sexual activities

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7
Q

nurses need to recognize and address ageism by

A

questioning prevailing negative attitudes and stereotypes and reinforcing the realities of aging as they care for older adults in all care settigns

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8
Q

it is critical for the nurse to

A

respect older adults and actively involve them in care decisions

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9
Q

what happens when healthcare providers hold negative stereotypes about aging

A

these can negatively affect the quality patient care

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10
Q

what are the biological theories of aging

A

stochastic and nonstochastic

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11
Q

views aging as a result of random cellular damage that occurs over time

A

stochastic theory

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12
Q

generally programmed physiological mechanisms within the body control the aging process

A

nonstochastic

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13
Q

what are the psychosocial theories

A

disengasement
activity
continuity or development
gerotranscendence

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14
Q

aging individuals withdraws from roles and engages in more introspective, self focused activities

A

disengagement

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15
Q

the continuation of activities performed during middle age as necessary for successful aging

A

activity

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16
Q

personality remains the same and behavior becomes more predictable as people age

A

continuity theory or developmental theory

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17
Q

(most recent theory) the older adult experiences a shift in perspective with age. moves from materialistic and national view of the world to a more comic and transcendent one, causing an increase in overall life satisfaction (criticized as being to simplistic)

A

gerotranscendence

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18
Q

what do the developmental tasks of aging include

A

dealing with common losses, including loss of health, significant others, a sense of being useful, socialization, income, and independent living

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19
Q

what are features to consider when selecting a nursing home

A 
care provided
family involvement
overall environment
communication
number of staff
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20
Q

when do family caregivers consider nursing center placement

A

when in home care becomes increasingly difficult or when recovery from hospitalization requires more assistance than family can provide

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21
Q

what is the best way to evaluate the quality of a nursing center in a community

A

for the PATIENT and FAMILY to visit the facility and inspect thoroughly

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22
Q

what do illness indicators of older adults include

A

change in mental status, falls, dehydration, decrease in appetite, loss of function, dizziness and incontinence

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23
Q

why is dehydration common in older adults

A

they do not want to drink because they don’t want to get up at night to urinate

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24
Q

techniques when interviewing an older adult

A 
sit or stand at eye level in front of pt
face while speaking
speak clearly
provide bright, non glare lighting
encourage them to use assist devices
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25
Q

what often causes mental changes in the older adutl

A

drug related, caused by drug toxicity or adverse reactions

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26
Q

older adults engaging in physical activity see themselves as

A

healthy

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27
Q

older adults who have physical, emotional, social impairments see themselves as

A

ill

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28
Q

what are aging signs

A

facial wrinkles, gray hair, loss of body mass in extremities and increase body mass in trunk

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29
Q

who are our best resources for a comprehensive assessment

A

occupational and physical therapists

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30
Q

a sudden change in function with ADLs is a sign of

A

onset of an cute illness or worsening of a chronic illness

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31
Q

when planning and implementing care for older adults you will want to develop interventions that

A

aim at maintaining, restoring, or maximizing their functional status while maintaining independence and preserving dignity

32
Q

acute confusional state

A

delirium

33
Q

generalized impairment of intellectual functioning

A

dementia

34
Q

a mood disturbance characterized by feelings of sadness and despair

A

depression

35
Q

forgetfulness is an expected sign of _____ but _______ is not

A

aging: confusion

36
Q

reversible cognitive impairment that often has a physiological cause

A

delirium

37
Q

characterized by a gradual, progressive, irreversible cerebral dysfunction (umbrella term for alzheimers)

A

dementia

38
Q

most common, yet most undetected and untreated also can lead to suicide

A

depression

39
Q

what are some things that can be done for dementia pt

A

have someone stay with them, declutter, leave notes

40
Q

the needs change as the progressive nature of _______ leads to increased cognitive deterioration

A

dementia

41
Q

what are the 5 psychosocial changes of older adults

A 
retirement
social isolation
sexuality
housing and environment
death
42
Q

what psychosocial change do adults typically not adjust to

A

retirement

43
Q

the ______ we live the _______ we have to cope with losses

A

longer: longer

44
Q

when identifying his or her social network, access to transportation, and willingness and desire to interact with each other
this assesses a patients….

A

potential for social isolation

45
Q

all older adults need to express their

A

sexual feelings

46
Q

emphesis on health promotion and disease prevention increase as…

A

the population ages and life expectancy increases

47
Q

what are the healthy people 2020 goals

A
  • increasing the number of confidence in maintaining their conditions
  • reducing severe functional limitations
  • reducing emergency visits from falling
  • increasing number of people who live at home but have unmet long term services and support
  • increasing number with reduced physical or cognitive function who engage in leisure activities
48
Q

limitations in ADLs limit the ability to

A

live independently

49
Q

acute care setting pose risks for adverse events

A

delirium, dehydration, malnutrition, HAIs, urinary incontinence, falls

50
Q

what are types of ongoing care for older adults

A

continues recovery from acute illness

addresses chronic conditions that affect daily functioning

51
Q

what is the goal for older adults and restorative care

A

to regain or improve level of independence, ADLs, instrumental ADLs

52
Q

to provide correct family care what do you need to know

A

family strength and weekness

53
Q

intrafamilial system of support and structure that may extend beyond the walls of the household

A

family durability

54
Q

ability to cope with expected and unexpected stressors

A

family resiliency

55
Q

attention to uniqueness

A

family diversity

56
Q

biologically, legally, or as a social network with personally constructed ties and ideologies

A

family

57
Q

what is a nuclear family

A

mom dad and child

58
Q

what is an extended family

A

grandparents and nuclear family

59
Q

what is a single parent family

A

one parent and one child

60
Q

what is a blended family

A

2 separate families coming together

61
Q

what is an alternative family

A

same sex

62
Q

what are some current trends in family forms

A

families are smaller, couples are having no children, remarriage results in blended families, homo couples are family, women are delaying birth, divorce rates have triples since the 50’s, single parent families are prevalent, america is aging

63
Q

current trends are for ______ not just one _____

A

everyone; class

64
Q

what are attributes of the family

A 
structure is based on organization
function involves the processes used by the family to achieve goals
65
Q

what factors influence health

A 
class and ethnicity produce different access to the healthcare system
the families beliefs, values, and practices influence health behaviors
66
Q

a holistic model used to assess and care for families

A

family health system

67
Q

each stage has its own challenges, needs, and resources

A

developmental stage

68
Q

primary focus is on health and development of individual members who exist within a specific environment so their needs will change depending on developmental stage

A

family as a context

69
Q

look at family processes and relationships when making assessments look for patterns that influence how families reach their healthcare goals

A

family as a patient

70
Q

look at family as context and as patient

A

family as system

71
Q

help families establish realistic priorities
suggest that family members use family leave plans or obtain some flex time from employer
explore resources are examples of

A

potential family care interventions

72
Q

caregivers are most often

A

spouses or middle aged children

73
Q

when assessing a caregiver who provides daily or respite care for older adult family member assess

A

caregiver burden

74
Q

what are signs of caregiving role strain

A

change in appetite, sleeping, leisure activities
caregiver is fearful when learning
loss of interest in personal appearance
problems may intensify with status changne

75
Q

what is the nursing process for the family

A

assessing the needs
family focused care
challenges for family nursing
implementing family centered care

Senescence Older Adult/Fam (1 decks)

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