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NURS 310 (Health Assessment) EXAM 1 STUDY GUIDE LATEST UPDATED RATED A.
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NURS 310 (Health Assessment) EXAM 1 STUDY GUIDE LATEST UPDATED RATED A.
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NURS 310 (Health Assessment) EXAM 1STUDY GUIDE LATEST UPDATED RATED A.
Personality in old age
✔✔"The great secret that all old people share is that you really haven't
changed in seventy or eighty years. Your body changes, but you don't change
at all. And that , of course, causes great confusion."
---Doris Lessing
-More open and honest
-At risk for depression because of losses
Sexuality
✔✔An interest in sex extends well into late life
Factors that interfere with sexual function
-Unavailability of partner
-Ageism
-Body image changes
-Boredom
-Misconceptions
-Physical Conditions
-Medications
-Cognitive Impairment
Learning
✔✔-Ability not seriously altered with age
,-Factors such as motivation, attention span, delayed transmission of info to
the brain, perceptual deficits (hearing loss), and illness may affect learning
Memory
✔✔-Older person should be able to repeat 6-8 digits
-Mini Cog Exam (includes clock drawing exam)
-Ability to draw or copy figures is well-maintained (Mini-Mental Status Exam)
-Healthy older person demonstrate change in naming objects and
individuals "word finding"
-Hints for enhancing memory
Mini Mental Status Exam
✔✔-30 point questionnaire includes:
1. Writing a sentence
2. Copying a picture of two overlapping pentagons
3. Counting backward by 7's
4. Naming 3 unrelated words
Donna Fick's quick mental assessment for Delirium
✔✔1) Name months of year backwards
2) Todays day and date
Intelligence
✔✔-Crystallized intelligence: knowledge accumulated over a lifetime is
maintained through aging (specific memories, names of teachers)
,-Fluid intelligence: new information, emotions, creative capacities, is
believed to decline
Age-Related Research
✔✔Importance of...
-Networking with nurse researchers
-Supporting research efforts
-Keeping abreast of new findings
-Protecting the older adults rights(older adult may be more vulnerable)
Diversity
✔✔-Older population in the United States is becoming more ethnically and
racially diverse.
-By 2020 one fourth of America's older adults will belong to a minority or
ethnic group
-Growing numbers of lesbian, gay, bisexual & transgender persons
Not all individuals conform to the group of which they are a part...
✔✔Stereotyping individuals who belong to the same cultural or ethnic
group runs contrary to individualized care
Gay, Lesbian, Bisexual, & Transgender Older Adults
✔✔-Invisible population
-Lived through a period of considerable predjudice & discrimination
-Inquire about partners that may be involved with care
, -Protect patients from prejudice & threat
??? Which cultural group has the highest prevalence of diabetes???
A) Hispanic/Lationos
B) American Indians/Alaskan Natives
C) Asian & Pacific Islanders
D) African Americans
E) Caucasians
✔✔B) American Indians/Alaskan Natives
Eyes in Older Adult
✔✔-Decr. Elasticity of lens>presbyopia (losing sight with age)
-Decr. Pupil size & reactivity
-Lens yellow & thick
-Less tearing
-Arcus senilis (fat deposits cause a white circle around the periphery of the
cornea)
-Farsightedness/diff small print
-Diff. Dark adaptation and glare
-Alt. Depth perception & color vision
-Dec. visual acuity
-Chronic dryness
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