Chapter 1 & 2

Question 1

Aging

Answer 1

A universal processs begining at birth that applies equally to young and old people

Question 2

Gerontoligists view of aging

Answer 2

Complex process involving both losses and gains

Question 3

Perceived age

Answer 3

Other people’s estimation of someone’s age

Question 4

Chronological age

Answer 4

Length of time that has passed since birth

Question 5

Functional age

Answer 5

Physiological health and psychological well-being, spiritual wellbeing etc.

Ability to participate in desirable activities

whether individuals can contribute to society
and experience personal quality of life

associated with
higher levels of well-being and with more positive attitudes
about aging.

Question 6

Institutional ageism

Answer 6

Underlying assumptions within a culture and society, biases within policies, and protocols, that are unseen, unquestioned or dismissed

Question 7

Effects of ageism

Answer 7

Aging anxiety
Age attribution
Anti-aging movement

Question 8

Age attribution

Answer 8

The tendency to point to physiological problems as the result of aging instead of a pathological process

Question 9

Ageism in healthcare

Answer 9

People often receive less aggressive treatment for common ailments, which are dismissed as a natural part of aging

Older adults and health care providers mistakenly attribute symptoms to aging rather than identify and address the contributing factors that are reversible and treatable

Question 10

Gerontology

Answer 10

The scientific. study of the effects of time on human development

The study of aging

Question 11

Geriatrics

Answer 11

A subspecialty of internal medicine or family practice that focuses on the medical problems of older people

Question 12

Cultural Awareness

Answer 12

Recognizing the cualues of the client and self

Question 13

Cultural Sensitivity

Answer 13

Recognizing cultural differences exist

Question 14

Cultural recognition

Answer 14

recognizing that clients from different
cultures may have different customs and behaviors

Question 15

3 components to successful aging

Answer 15

an active engagement with life, high
cognitive and physical function, and low probability of disease
and disability

Question 16

Negative affects of ageism

Answer 16

In medical care: older people often receive less aggressive
treatment for common ailments, which are dismissed as a
natural part of aging.
@ In the workplace: older job applicants are rated less positively
than younger ones, even when they are similarly
qualified and despite considerable research showing that
job performance does not decrease in older adults.
® In nursing homes and home settings: elder abuse and neglect
is underreported.
® In media: older adults are underrepresented and stereotyped.

Question 17

ethnogeriatrics,

Answer 17

the component of geriatrics
that integrates the influence of race, ethnicity and
culture on health and well-being of older adults,

Question 18

Health disparities

Answer 18

significant differences with regard
to the rates of disease incidence, prevalence, morbidity, mortality
or life expectancy between one population and another.

Question 19

Largest visible minority in Canada

Answer 19

South Asian Canadians

Question 20

Are elderly men or women, married or single more likely to live below the poverty line?

Answer 20

Single women

Question 22

How to give oral med

Answer 22

Sit patient upright
Provide water
Stay with pt until med is taken
Discard med if it falls on floor
Place container lid on counter with open end up
Do not estimate meds by breaking unscored tabs
Never alter form of med without pharmacy consultation

Question 23

How to measure liquid medication

Answer 23

Measure at bottom of meniscus
Read at eyelevel
Pour from side opposite to avoid distorting label

Question 24

How to meausre out tablets

Answer 24

Pour out into cap of bottle first then into med cup without touching it with hands or glvoes

Question 25

Goal of Geriatrics

Answer 25

Shifted its focus from curing to caring (Medical interventions)  Emphasis on quality of life

Question 26

Functional Consequences of aging

Answer 26

Inherent physiological processes that increase vulnerability of older adults.

Question 27

 Age-Related Changes

Answer 27

Inevitable profressive and irreversile changes that happen to everyone - Physically degenerative - Psycological and spiritual potential for growth

Question 28

what are Positive Functional Consequences

Answer 28

Those that facilitate highest level of functioning, least dependency and best quality of life.

Question 29

Functioning for the purpose of geriatrics

Answer 29

Affecting the whole way a person lives

Question 30

Risk factors

Answer 30

Factors that increase vulnerabiltiy - Diseases Environment Lifestule Support systems Psychosocial circumstances Adverse medication effects Attitudes

Question 31

Ways an Older Adult stays well

Answer 31

Health promotion activities - Prevention and screening programs Risk reduction interventions Environmental modifications Health education

Question 32

Example of a risk reduction intervention in the last decade

Answer 32

No smoking on health care vicinity

Question 33

Environmental modification example

Answer 33

Railings in hallways Non-skid surfaces

Question 34

Health education

Answer 34

Giving people all the info they need to maintain their own health

Question 35

How Does a nurse know which type of care an older adult needs?

Answer 35

Nursing Assessment, gathering data to make a decision Physical assessment Functional Assessment Mental status Assessment Comprehensive Gereiatirca ASsessment Environmental and safety assessment Other assessment

Question 36

IADLs

Answer 36

Not usually done by people in log term care facilities (There bc they cannot do them)

Question 37

Common function assessment tool

Answer 37

KATZ 48/6 (done within 48 hours of admission over data of 6 areas) FHA Nursing Assessment Tool Screening document for older adults Screening document for older adults 70+ years

Question 38

The most common mental status assessment

Answer 38

Mini-mental state examination (MMSE) Most liked (Confusion Assessment Method): CA<

Question 39

Comprehensive Geriatric Assessments (examples)

Answer 39

SPICES (example) Minimum Data Set (MDS) Monitors changes and spits out mini report

Question 40

Examples of environmental and safety assessment

Answer 40

Fall Risk Assessment Braden scale

Question 41

Why are health assessments in older adults more complicated

Answer 41

It is common to have more than one chronic acute issue Manifestation of illnesses or adverse medication effects tend to be obscure less predictable For ever change there may be multiple possible causes Treatments often directed at symptoms not source of problem, Cognitive impairment affet accurate reporting

Question 42

In what setting do older adults experience the most function decline

Answer 42

Hospital because of Communication gaps Poor client education Unique patient characteristic Incomplete transfer of info Poor medical rec procedures Low staffing

Question 43

4 different ways of defining age

Answer 43

Subjective Perceived Chroological Functional

Question 44

What is significant about hidden biases

Answer 44

Unseen, unquestioned or dismissed in policy and protocols

Question 45

nurse's questions addresses an important contributor to successful aging?

Answer 45

“Do you feel like you actively engage with life?”

Question 46

Where do older adults mainly live?

Answer 46

Assisted living arrangements have become increasingly common.

Question 47

A nurse interviews a centenarian, gathering data for a large study. In the interview, the centenarian says, “You're only as old as you feel, some days I feel like 'I'm 50.'” To which definition of aging does this response

Answer 47

Subjective aging

Question 48

Who is mostt likely to be living below the poverty line

Answer 48

Old single women

Question 49

What is a fact about older indiginelous Cnadians

Answer 49

More likely to live alone than any other canadian

Question 50

How should the nurse interpret the information that is available about cultural groups?

Answer 50

Cultural generalizations can be useful and accurate, but they do not replace individualized assessment and care.

Question 51

A nurse plans culturally competent care for a variety of clients. Which culture is most strongly tied to the low health status?

Answer 51

Low socioeconomic status