MODULE 1 EXAM QUESTIONS WITH CORRECT ANSWERS% 2023 LATEST UPDATED., Exams of Nursing

Download MODULE 1 EXAM QUESTIONS WITH CORRECT ANSWERS% 2023 LATEST UPDATED. and more Exams Nursing in PDF only on Docsity! Module One Overview – Nursing Care of the Older Adult MODULE 1 EXAM QUESTION S WITH CORRECT ANSWERS % 2023 LATEST Module One Overview – Nursing Care of the Older Adult UPDATED. 1. History and Evolution a. Older adults are one of the largest group of patients in acute care, long term care facilities, and rehabilitation facilities. b. As Baby Boomers age and the number of people living longer increases, the need for those with an aging expertise grows. c. The field of gerontological nursing has evolved over the past decades and its specialty is in greater demand more now than ever before. d. The history and evolution of gerontological nursing Module One Overview – Nursing Care of the Older Adult client care and to promote health, wellness and disease prevention Efforts should be directed toward health prevention, health screening, and health maintenance and health promotion. 2. Older Adult Terminology a. The terms Gerontology, Geriatrics and Gerontological nursing are often used interchangeably, but there are distinct differences between the three. b. Gerontology - study of social, cultural, psychological, cognitive, economic and biological aspects of aging. c. Geriatrics - Specialty that focuses on healthcare of elderly Module One Overview – Nursing Care of the Older Adult people specific to disease and illness. d. Gerontological Nursing - Specialty that involves assessment, planning, implementing and evaluating care in older adult. 3. History of Gerontological Standards a. Rise in certifications and specialties of older adult care. b. Creation of Scope of Practice and Standards of Gerontological Nursing practice. 1. Although nurses published articles about the care of older adults as early as 1904, the specialty of gerontological nursing really began to emerge beginning in the 1950s. Module One Overview – Nursing Care of the Older Adult 2. The 1960s and 1970s marked a notable recognition for the need of standards of practice in geriatric nursing, with the creation of the first Standards of Practice for Geriatric Nursing documents in 1969, an effort led by the American Nurses Association. 3. In the 1970s Medicare and Medicaid programs marked a significant growth within the healthcare industry for the older adult segment. 4. Gerontological Nurse Roles a. Direct hands-on care to older adults in various settings. Module One Overview – Nursing Care of the Older Adult completed clinical practice at least 2000 hours in gerontologic nursing within the last 3 years … 30 contact hours of continuing education applicable to gerontological nursing within the past 3 years is an additional requirement. c. In the US, certification for Gerontological Clinical Nurse Specialist –became available in 1989 by the American Nurses Association d. Current American Nurses Credentialing Options: 1. Gerontological Nurse (Registered Nurse Board Certified) 2. Adult Gerontology Acute Care Nurse Practitioner Module One Overview – Nursing Care of the Older Adult 3. Adult-Gerontology Primary Care Nurse Practitioner 4. Adult Gerontology Clinical Nurse Specialist 6. Gerontological Nursing Evolution a. Approximately 85 percent of older adults have at least one chronic health condition. 1. Arthritis and hypertension been claimed to be the most common. Module One Overview – Nursing Care of the Older Adult 2. Most deaths in the older adult population stem from heart disease, lung cancer, COPD, accidents, strokes, Alzheimer’s disease, diabetes, influenza/pneumonia, kidney disease and suicide. b. Approximately 60 percent have at least two chronic conditions 1. Coping with multiple chronic conditions is a real challenge. Learning to manage a variety of treatments while maintaining quality of life can be problematic. 2. Clinicians play an important role in educating patients and families about chronic health Module One Overview – Nursing Care of the Older Adult 4. By 2056, the population 65 years and over is projected to become larger than the population under 18 years. 8. Demographic Trends a. Gerontological concerns extend and influence provision of appropriate housing, health care, public education, business ventures, and political stands relative to the welfare of the older adult client b. It is estimated that 50 to 150% more nurses will be needed in this specialty in the next decades to come. c. People 65 and over represented 14.1% of the population in the year 2013 but are expected to Module One Overview – Nursing Care of the Older Adult grow to be 21.7% of the population by 2040. d. The 85+ population is projected to triple from 6 million to 14.6 million in 2040. e. Almost 40% of older women live alone compared to that of 20% of men f.Older men are much more likely to be married as most women are more likely to be widowed. Module One Overview – Nursing Care of the Older Adult g. Although the majority of older adults are more financially secure than they were in previous generations, poverty affects a significant section of the older population. More than 4.2 million older adults were living below the poverty level with race and gender having significant influence as of 2014. 9. Older Adults in the Community a. Older adults prefer to live in their own homes and communities. b. Older adults are less likely to change residencies compared to other age groups. c. Many older adults live alone or with family members or perhaps Module One Overview – Nursing Care of the Older Adult high demands associated with older adult care. d. The ideal environment for living is the older adults own home. Recent economic, governmental and technological advancements have enabled more acutely ill clients to be discharged sooner and monitored at home. e. Fundamental knowledge and skills related to nursing older patients: the ageing process, understanding the impact of life transitions, recognizing to an older person’s perspective on their health care needs, nursing assessment and care planning, communication with patients some of whom may have cognitive impairment and/or Module One Overview – Nursing Care of the Older Adult deficits in sight or hearing, encouraging participation and involvement of older people. Enabling patients to maintain their normal activities of daily living, identifying and meeting nutritional needs, management of incontinence and constipation, rehabilitation and mobilization, medication management, including self-medication relative to polypharmacy. f.The major risk of polypharmacy for the older adult is being treated by more than one physician Module One Overview – Nursing Care of the Older Adult 12. Nursing Skills a. The functional abilities of older adults classified as activities of daily living (ADLs) includes bathing, dressing, eating, transferring and toileting along with home management activities such as shopping, cooking, housekeeping, laundry and handling finances. b. These should be assessed by the nurse under systematic assessment measurement tools… these tools are useful to indicate the older adults functional ability and overall degree of health. c. Assessment of the effect of chronic disease and age related