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Senescence Older Adult/Fam > Unit 3 Test > Flashcards

Unit 3 Test Flashcards

(75 cards)

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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
what often causes mental changes in the older adutl
drug related, caused by drug toxicity or adverse reactions
26
older adults engaging in physical activity see themselves as
healthy
27
older adults who have physical, emotional, social impairments see themselves as
ill
28
what are aging signs
facial wrinkles, gray hair, loss of body mass in extremities and increase body mass in trunk
29
who are our best resources for a comprehensive assessment
occupational and physical therapists
30
a sudden change in function with ADLs is a sign of
onset of an cute illness or worsening of a chronic illness
31
when planning and implementing care for older adults you will want to develop interventions that
aim at maintaining, restoring, or maximizing their functional status while maintaining independence and preserving dignity
32
acute confusional state
delirium
33
generalized impairment of intellectual functioning
dementia
34
a mood disturbance characterized by feelings of sadness and despair
depression
35
forgetfulness is an expected sign of _____ but _______ is not
aging: confusion
36
reversible cognitive impairment that often has a physiological cause
delirium
37
characterized by a gradual, progressive, irreversible cerebral dysfunction (umbrella term for alzheimers)
dementia
38
most common, yet most undetected and untreated also can lead to suicide
depression
39
what are some things that can be done for dementia pt
have someone stay with them, declutter, leave notes
40
the needs change as the progressive nature of _______ leads to increased cognitive deterioration
dementia
41
what are the 5 psychosocial changes of older adults
``` retirement social isolation sexuality housing and environment death ```
42
what psychosocial change do adults typically not adjust to
retirement
43
the ______ we live the _______ we have to cope with losses
longer: longer
44
when identifying his or her social network, access to transportation, and willingness and desire to interact with each other this assesses a patients....
potential for social isolation
45
all older adults need to express their
sexual feelings
46
emphesis on health promotion and disease prevention increase as...
the population ages and life expectancy increases
47
what are the healthy people 2020 goals
- 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
limitations in ADLs limit the ability to
live independently
49
acute care setting pose risks for adverse events
delirium, dehydration, malnutrition, HAIs, urinary incontinence, falls
50
what are types of ongoing care for older adults
continues recovery from acute illness | addresses chronic conditions that affect daily functioning
51
what is the goal for older adults and restorative care
to regain or improve level of independence, ADLs, instrumental ADLs
52
to provide correct family care what do you need to know
family strength and weekness
53
intrafamilial system of support and structure that may extend beyond the walls of the household
family durability
54
ability to cope with expected and unexpected stressors
family resiliency
55
attention to uniqueness
family diversity
56
biologically, legally, or as a social network with personally constructed ties and ideologies
family
57
what is a nuclear family
mom dad and child
58
what is an extended family
grandparents and nuclear family
59
what is a single parent family
one parent and one child
60
what is a blended family
2 separate families coming together
61
what is an alternative family
same sex
62
what are some current trends in family forms
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
current trends are for ______ not just one _____
everyone; class
64
what are attributes of the family
``` structure is based on organization function involves the processes used by the family to achieve goals ```
65
what factors influence health
``` class and ethnicity produce different access to the healthcare system the families beliefs, values, and practices influence health behaviors ```
66
a holistic model used to assess and care for families
family health system
67
each stage has its own challenges, needs, and resources
developmental stage
68
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
family as a context
69
look at family processes and relationships when making assessments look for patterns that influence how families reach their healthcare goals
family as a patient
70
look at family as context and as patient
family as system
71
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
potential family care interventions
72
caregivers are most often
spouses or middle aged children
73
when assessing a caregiver who provides daily or respite care for older adult family member assess
caregiver burden
74
what are signs of caregiving role strain
change in appetite, sleeping, leisure activities caregiver is fearful when learning loss of interest in personal appearance problems may intensify with status changne
75
what is the nursing process for the family
assessing the needs family focused care challenges for family nursing implementing family centered care

Senescence Older Adult/Fam (1 decks)

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