NURS 421 Final questions with correct answers
What is healthy aging associated with? Correct Answer-- Changes in
biological, physiological, environmental, psychological, behavioral, and
social processes
- Can slow aging but cannot be stopped
What is the WHO, Decade of Healthy Aging, 2021-2030? Correct
Answer-- Creating opportunities that enable people to be and do what
they value throughout their lives
- Meet their basic needs to ensure adequate living
- Be mobile
- Build and maintain relationships
- Contribute to society
- Dependent on intrinsic capacity and supportive environments
What are the challenges to healthy aging/QOL? Correct Answer-- Life
transitions
- Changes in familial role and relationships
- Loss of spouse, friends, other family members
- Functional and mobility changes
- Serious illness, cognitive decline
- Stress, mental health
What is included in the reminiscence and life review as part of healthy
aging? Correct Answer-- Reflection of the self
,- Self-understanding and self-evaluation
- Self-discovery and identity maintenance
- Validation of existing
- Letting go
What is the generative quality of life (QOL) for the elderly? Correct
Answer-- Approaches QOL from a multidimensional, holistic
perspective that is unique to each individual
- Concepts which aims to capture the well being, whether of a
population or individual, regarding both positive and negative elements
within the entirety of their existence at a specific point in time
What are the 4 M's? Correct Answer-- (What) Matters
- Medication: Polypharmacy, medication, reconciliation, deprescribing
- Mobility
- Mentation: Cognitive impairment, MiniCog, delirium-CAM
What is the gerontological nursing principles? Correct Answer-- Identify
and highlight the strengths and abilities of older adults
- Help maximize their independence and function
- Minimize disability and functional decline
- Improve or maintain quality of life
- When appropriate, achieve a peaceful and dignified death
- Caregiver, teacher, leader, advocate, evidence-informed clinician
,What is the age friendly health system? Correct Answer-- Age friendly
care
- Follows evidence-based practices
- Aligns with what matters to the older adult and their caregivers
- 4 Ms
- IHI friendly
What are geriatric syndromes? Correct Answer-Common health
conditions in older people that do not fit into discrete disease categories
What is the comprehensive geriatric assessment (CGA)? Correct
Answer-- Caring for older adults is complex due to normal age-related
changes and multiple chronic conditions
, - Person centered, interprofessional approach
- Completed annually, preferably with every patient encounter-
outpatient
- Adapted and modified for inpatient
What is the purpose of a CGA? Correct Answer-- Promotes function,
independence, and quality of life
- Helps to keep older adult in their home
- Minimize functional and cognitive decline
What is SPICES? Correct Answer-- S: Sleep disorders.
- P: Problems with eating or feeding.
- I: Incontinence.
- C: Confusion
- E: Evidence of falls.
- S: Skin breakdown.
What is the functional assessment? Correct Answer-- Systemic
evaluation of the older person's level of function and self-care abilities
(Can patient bath, feed, and use bathroom on own)
- Person's ability to complete ADLs and IADLs
- Mobility: Timed Up and Go (TUG) test
- Cognitive Status: MiniCog, MMSE, MOCA, SLUMS
- Identifies care needs and potential resources needed
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