Exam 1 Study Guide 304 Gerontology C.H PDF

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Exam 1 Study Guide #1 for GERO 304 1. When were the Baby boomers born? What time period? 194 61 964( no wa g e d5775) .Dur i n gpos tWo r l dWa rI I .Thi sgr oupi st hene xtwa v eofol de ra dul t s . Cha r a c t e r i s t i c sofba b yboome r s ?Di v e r s egr oup, be t t e re duc a t e d, e na mor e dwi t h" hi ght e c h"p r odu c t s , i n v e n t o r sof" fit ne s s mo v e me nt " , i nf or me dc ons ume r s ,a ndwi l lde ma ndc ha n g e si nl on gt e r mc a r e . ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____ 2. What type of nurses need to increase for taking care of the population of 65 and older? Ge r on t ol ogyNu r s e s .I nc r e a s e dn e e df org e r ont ol o gi c a lnur s e s .Thegr o wi n gn umbe roft hos ea g e65a nda b o v ei mp a c t s he a l t ha nds oc i a ls e r v i c ea g e nc i e sa ndi n c l udewhi c hoft hef ol l o wi ng ?I nc r e a s i n gne e df org e r ont ol ogi c a lnur s e s ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____ 3. Which federally funded program primarily covers the hospital and physician services? Medicare – 65 yrs. & older. Federal insurance program for elderly or persons with permanent disabilities. Medicare: only covers select services and requires that such services are medically necessary. Anyone who qualifies for social security is eligible, premiums are based on income, not designed to care for long-term chronic care. Medicare is the federal health insurance program created in 1965 for people ages 65 and over, regardless of income, medical history, or health status. The program was expanded in 1972 to cover certain people under age 65 who have a long-term disability. Today, Medicare plays a key role in providing health and financial security to 60 million older people and younger people with disabilities. The program helps to pay for many medical care services, including hospitalizations, physician visits, prescription drugs, preventive services, skilled nursing facility and home health care, and hospice care. Soc i a lSe c ur i t y–i swha tol de ra dul t sr e l yonf o rmor et ha nha l foft he i ri nc ome . ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____ ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____ 4. What does it mean “Asset rich and cash poor”? Ev e r yt hi n gi spa i df or ,o wnhome ,c a rbutdonotha v emu c hmo ne yc omi n gi nmo nt hl yt oc o v e rmont hl ye xpe ns e s .Li v ei n ahomet ha ti spa i df o ra nda ppr e c i a t e di nv a l uebutdono tha v es u ffic i e ntmo nt hl yi n c omet ome e tba s i ce xp e ns e s . ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____ 5. What type of group of women are considered the higher survival rates of women, that marry older men? Wi do we dwome na ndwome no v e r65.Wo me nma r r yi n gme nol de rt ha nt he ms e l v e s . ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____ 6. What factors increase life expectancy for older adults? Adv a nc e me nt si ndi s e a s ec ont r ola ndhe a l t ht e c h nol o gy .Lo we rI nf a nt / c hi l dmor t a l i t yr a t e si mpr o v e ds a ni t a t i on.Be t t e r l i vi n gc ondi t i ons .I mpr o v e d/ a dv a nc e si nme di c a lc a r e . I mpl e me nt a t i onofpr e v e nt a t i v eme di c i ne .Cha n gi ngf a mi l ys i z e . ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____ ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____ 7. If you were asked to select individuals who are 65 years of age or older, which would you choose? Al le x c e ptC. A. 60-74.

B. 85-100. C. 50-60.

D. over 100.

E. 75-84. A big clue is look at the last number in the category.

8. What would you call this type of aging? Older folks cannot learn, cannot have sex, and drain the economy? Myt h sofAgi ng .Suc ha s :Be i n gol dme a nsb e i n gs i c k. Ol de rf ol ksc a n notl e a r n. Ol de rf ol ksa r eadr a i no ns o c i e t y . Ag e i s m:St e r e ot ypi n ga nddi s c r i mi na t i n ga g a i ns tpe opl eduet oa ge .Pr e v a l e nti nt heUni t e dSt a t e s , whe r ea gi ngha sa ne ga t i v ei ma g e ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____ ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____ 9. What type of facility would be good for an elderly that is lonely and can do all their ADL’s? Re t i r e me ntCommun i t y . As s i s t e dl i v i n g . ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____ ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____ 10. What type of housing offers around the clock nursing? Nur s i n gHome . ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____ ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____ 11. What type of client/patient is most typical victim of abuse? A 70 year old with Lyme disease, a 68 year old male with recent cataract surgery, a 75 year old with hypertension who lives with a daughter, or a 90 year old female with Parkinson’s disease and very few friends? A90yrol df e ma l ewi t hPa r ki ns on ’ sdi s e a s ea n dv e r yf e wf r i e nds . ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____ ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____ 12. Is reporting elder abuse by the health care professional mandatory? - Yes ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____ ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____ 13. How many of the Asian Americans living in the U.S. represents this population? - 4% o r1 0mi l l i on. ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____ 14. Who is Medicaid funded primarily by? – Federal and State. The Government. Medicaid: helps states defray expenses from people who don't qualify or can afford to purchase medicare parts B/C and part D or to pay the deductibles or co-payments, covers 60% of nursing home patients Is state and federally funded. Differs per state. Medicaid – Is for lower income families. ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____ ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____ 15. What is one reason a community health program might not have too much participation? (Refers to Asians) As i a n st a k ec a r eoft he i re l de r l yr a t he rt ha nputt h e mi nhome s .The yt a k ec a r eoft he i ro wn. ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____

16. What is the expectancy of a baby born to an American black couple by the seventh decade? – Same as white people. Equal to those of a white family. Being equal to that similar age of that white person. A nurse is reading a journal article about life expectancies and various culture groups. The article describes statistics stating that a baby born to a black American couple has a life expectancy lower than that of a baby born to a white American couple. The articles goes on to describe the life expectancy as the babies get older. Which findings will the nurse most likely identifies as reflecting the life expectancy of the baby of the black American couple by the 17th decade? Answer: Beginning to equal that of similarly aged white elders ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____ 17. What are types of elderly abuse? Giving a loved one sleeping pills and Benadryl when wondering around, when the family member takes over the bank account, when the elderly wants the caregiver to take care of everything, or when the family member complaints about the loved one can no longer use a toilet? Gi vi n gal o v e don es l e e pi n gp i l l sa ndBe na dr y lwhe nwonde r i n ga r o und. Re a s o nsf ore l de ra b us ei nt h eUSa r e :Pe r s onp r ob l e msoft hea bus e r ,c a r e gi v e rs t r e s s , i mp a i r me ntoft hee l de r , e t c . ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____ ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____ 18. What generation name that is given to a care giver if she is taking care of the older adult parent and also has young children? - Sa nd wi c hg e ne r a t i on. ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____ 19. Who was responsible to promoting the growth of nursing homes? Hi l l-Bur t onAc t The Hill-Burton Act is a U.S. federal law passed in 1946, during the 79th United States Congress. It was sponsored by Senator Harold Burton of Ohio and Senator Lister Hill of Alabama. What was the purpose of the Hill-Burton Act? The purpose of the Hill-Burton Act was to give hospitals, nursing homes and other health facilities grants and loans for construction and modernization. How did the Hill-Burton Act help healthcare facilities? By 1975, Hill-Burton had been responsible for construction of nearly one-third of U.S. hospitals. That year Hill-Burton was rolled into a bigger legislation known as the Public Health Service. By the turn of the century about 6,800 facilities in 4,000 communities had in some part been financed by the law. These included not only hospitals and clinics, but also rehabilitation centers and long-term care facilities. What ideas from the Hill-Burton Act are still used today? Hospitals receiving federal money are obligated to provide free or financially supported care to a portion of their poor patients. ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____ 20. Which one of these does a Long-Term Care (LTC) include: happiness, hygiene, holism, hearing, healing? Hygiene, Holism, and Healing. (Happiness - ?) Variety of services that help people with personal needs and activities of daily living (ADLs) over a period of time. Can be provided at home, in the community, or in facilities including nursing homes and assisted living facilities. LTC is a variety of services, individualized services, well-coordinated total care, maintenance of residual function, extended period of care, holistic care, quality of life. Dimensions of LTC: Variety of services - people's needs vary and they change over time. ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____

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Exam 1 Study Guide #2 for GERO 304 1. A patient is refusing to take his medication and the nurse threatens to apply restraints and inject the medication if the patient does not take the medication orally. What type of abuse/action is the nurse demonstrating? Battery, Assault, Playing, or Negligence? – As s a ul t Which is elderly abuse? A man repetitively take money from his grandmother. ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____ ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____ 2. The nurse on duty has left the patient’s bed in a high position with the side rails down. What type of action is this considered? Battery, Assault, Negligence, Comparative negligence? (P. 105-112) – Ne gl i g e nc e An elderly client has been admitted to a med-surge unit from a post-anesthesia care unit. While the nurse is off the floor the client falls out of bed and fractured his right leg and right wrist. The nurse finding him states "the bed-rails were down, the bed was in the high position." The clients family files legal charges against the nurse. Which charge most accurately reflects the nurse's action? Negligence Malpractice: deviation from a standard of care Negligence: failure to conform to the standard of care Private law: governs relationships btw individuals and/or organizations Public law: governs relationships btw parties and the government Standard of care: The norm for what a reasonable individual in a similar circumstance would do ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____ ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____ 3. What could be HIPPA violations? - D a. The nurse speaks to Dietary about the patient’s diet. b. The nurse speaks to another care provider electronically about the patient. c. The nurse fails to copy the patient’s records. d. The nurse talks to the patient’s friend without the patient’s permission. ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____ ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____ 4. What is another name for documents that are referred to as advanced directives? – Living Will a. Informed consent b. HIPAA c. Medical record d. Living will ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____ ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____ 5. What is the definition of availability regarding disease prevention and health promotion? I ns u ffic i e n tnumbe r sa nddi v e r s i t yofhe a l t hc a r epr o vi d e r s , l a c kofs e r vi c e sa ndhu ma ns e r vi c e si nf os t r uc t u r e . ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____ ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____

___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____ 6. Two nurses are talking to a younger nurse regarding the elderly, one of the statements is “the elderly have outlived their usefulness,” what do we call that? Ageism ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____ ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____ 7. When taking care of an elderly, it is important to: D a. Repeat oneself b/c they are forgetful b. Understand that they no longer have sex c. Older people are not important d. Treat the patient as an individual knowing they have a lot of history to share. ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____ ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____ 8. The patient lives with her son and he refuses to give her a medication to remove extra fluid in her body. The patient states he gets angry when I wet myself. What should you do? - A a. Take measures to protect the patient b. Try to improve the family dynamics c. Tell the son that his actions are inappropriate d. Begin legal action ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____ ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____ 9. The nurse is taking a mental health course in her nursing program and tells the instructor why do I have to take the course when I am not going to be a mental health nurse? What is the BEST answer the instructor can provide? - D a. It is a requirement b. Your future boss will be happy you took the course c. It might be your passion later d. Because you will have patients with some type of mental health disorder no matter what unit you work on ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____ ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____ 10. The patient suffers from substance abuse and he is ready to begin treatment, which statement signal the nurse to the fact that the patient is ready to heal? - D a. Everyone I know drinks b. My dad drank so why can’t I c. I only drink light beer and only on weekends d. My family is right, I can’t continue with this type of behavior ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____ ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____ 11. What is the best nursing approach for a patient who is in denial regarding their substance abuse? - D a. Talk about the problem. b. Comfort the patient c. Describe the impact that the substances are doing on the body d. Have the patient describe the effects of substance use on his/her life ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____ ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____ ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____

12. The patient is caring for a patient that was recently admitted for depression, anxiety, and being hostile. The patient has also tried to harm himself. What patient outcome is the priority? - D a. The patient will talk to the provider about his suicidal desires b. The patient will go to a special area c. The patient will recognize that his desires d. While in the hospital will remain free from self-harm ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____ ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____

13. What is the best term for “substance abuse”? - Addiction. Continuing to do the same thing over again even though there are neg. consequences. ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____ ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____

14. Who would be the most at risk for substance abuse, understanding that substance use disorders are associated with a high co-morbidity of which type of illness? Me nt a lHe a l t h/ I l l ne s s . Be ha vi or a ldi s or de r s . Ol de rAdu l t s / El de r l y . Ol de rAd ul t s . Mos tol de ra dul t swhoa r ea l c ohol i c sa r ec hr o ni cEt OHa bu s e r swh oha v eus e di the a vi l yt h r ou g houtt he i rl i v e s . A s i gni fic a ntnumbe rofc hr oni ca b us e r sdi ebe f or er e a c hi n gol da g e ,c ont r i but i n gt oade c r e a s e di nc i de nc eofa l c ohol i s mwi t h a g e . Ma j o rde pr e s s i o nde c r e a s e swi t hol da ge ,whi l emi norde pr e s s i oni n c r e a s e swi t ho l da ge . Thei nc i d e nc eofma j ord e p r e s s i onde c l i ne swi t ha g e ,butt her a t eofmi no rde pr e s s i oni nc r e a s e swi t ha g e .Tr ue . Ra t i ona l e :De pr e s s i oni st hemos tf r e que ntp r obl e mt ha tps y c hi a t r i s t st r e a ti nol de ra dul t s . Ma j orde pr e s s i onde c l i ne swi t h a g ewh i l emi norde pr e s s i o ni nc r e a s e si ni n c i d e nc ewi t ha g e . ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ ________ ____ ___ ________ ________ ________ _________ ________ ________ _________ ________ ________ _________ __...