CARE OF THE OLDER ADULT EXAM
QUESTIONS AND ANSWERS
Those who live until at least 110?, lived through the influenza pandemic of 1918-1919? -
answer-super-centenarians
Those between 100-109, much are between the ages of 104-109? - answer-the
centenarians
What is the overall number one cause of noncommunicable death worldwide? - answer-
cardiovascular disease
What does a gerontologist generalist do? - answer-functions is a variety of settings;
primary care, acute care, home care, and the community
What does a gerontologist specialist do? - answer-aprn
Theories postulated to prolong life:
-some organs appear to have somewhat of a programmed decline, such as the ovaries
and immune system? - answer-the neuroendocrine theory
Theories postulated to prolong life:
-the age at which cells die in any one person is predetermined and inevitable? - answer-
programmed aging theory
Theories postulated to prolong life:
-propose that the changes at the cellular level are random and unpredictable? - answer-
error theory
Theories postulated to prolong life:
-proposed that cellular errors were the result of wearing out over time due to continued
use. The associated damage was accelerated by the harmful effects of internal and
external stressors? - answer-wear and tear theory
First generation; what is the role theory? - answer-self identity is believed to be defined
by ones role in society; successful aging means that as one role is completed, it is
replaced by another one of comparative value to the individual and society
In 1961, cuming and henry proposed that in the natural course of aging the individual
does, and should slowly withdraw from society? - answer-disengagement theory
,Successful aging is associated with ones ability to maintain and continue previous
behaviors and roles or to find suitable replacement? - answer-continuity theory
Based on the belief that aging can be best understood by considering the experiences
of individuals as members of cohorts with similarities to others in the same group? -
answer-age stratification theory
Is that as one ages, one has fewer economic resources to contribute to society? -
answer-social exchange theory
The status and value of elders are lost when their labors are no longer considered as
useful? - answer-modernization theory
The individual needs to withdraw to give the person time for self reflection, exploration
of the inner self, contemplation of the life? - answer-gerotranscendence theory
Erikson:
-establishes oneself and contributes to society in meaningful ways? - answer-
generativity
Erikson:
-self is restricted to identification with ones major role? - answer-stagnation (midlife)
Erikson:
-attaining a sense of completeness and cohesion of the self? - answer-ego integrity
Erikson:
-a sense that ones self no longer has a purpose? - answer-despair
What is biological aging known as? - answer-senescence
Refers to differences in health outcomes between groups? - answer-health care
disparities
What is the nursing concern related to health care disparities? - answer--in any country,
where older adults are marginalized simply because of their age, they are especially
vulnerable to health disparities
Cultural beliefs passed down from one generation to the next? - answer-enculturation
A process where persons from one culture adapt to another culture? - answer-
acculturation
What is one of the more notable health care disparities? - answer-the higher mortality
among persons of color compared to whites
, How do nurses show cultural proficiency? - answer--what the nurse brings to the caring
situation and what the nurse learns from others
What are some examples of cultural skills that the nurse should know? - answer--
communication
-the handshake
-eye contact
-the use of silence
What is important for nurses to realize about the elder and interpreter? - answer-the
elder or interpreter may edit his or her comments bc of cultural restrictions
What guidelines should you follow when working with interpreters? - answer--before
interview, meet interpreter
-explain purpose of the session
-look and speak to the client, not interpreter
-be patients
-use short units of speech
-use simple language
-listen to the client and observe nonverbal communication
-clarify the clients understanding and the accuracy of the interpretation
Belief that one ethnic/cultural group is superior to another? - answer-ethnocentrism
Cultural orientations to time:
-views both as dependent on the actions in the past or on events or circumstances of
ones ancestors?
-illness today may be considered punishment for past deeds? - answer-past orientation
Cultural orientations to time:
-means that when a health care problem occurs, immediate treatment is needed? -
answer-present orientation
Cultural orientations to time:
-consistent with a belief that when one is ill today, a health care appointment can be
made for the future? - answer-future time orientation
Cross cultural health care:
-espouses that diseases is the result of abnormalities in structure and function of body
organs or illness/disease caused by intrusion of pathogens into the body?
-what does treatment require? - answer-biomedical
-repairing the abnormality, destroying the pathogen, or at least ameliorating the damage
caused by its presence
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