Case Study: Geriatric Nurses

Case Study: Geriatric Nurses

Question 11 To best assure the existence of competent entry level geriatric nurses among its graduates, a school of nursing:

Question 11 options:

Requires students take at least one geriatric-focused course.

Integrates geriatric content throughout its curriculum.

Ctresses the importance of providing effective geriatric care.

Supports its faculty in acquiring efficiency in geriatric care topics.

Question 12

Health disparities are preventable differences in the burden of disease, injury, violence, or in opportunities to achieve optimal health experienced by socially disadvantaged racial, ethnic, and other population groups, and communities. Health disparities exist in all age groups, including older adults.

Question 12 options:

True

False

Question 13 A community health nurse provides an annual flu prevention workshop at a local senior center. The activities include a lecture on preventing infections, which includes hand washing and limiting exposure to individuals who are ill, as well as an influenza immunization clinic. The nurse is basing her activities on what theory of aging?

Question 13 options:

Wear and tear.

Cross-link

Immunity.

Free radical.

Question 14

Which of the following culturally diverse male clients will most benefit from educational material related to “Staying Healthy into your 80s”

Question 14 options:

Japanese.

Swedish.

Chinese.

Irish.

Question 15 Nursing sensitive quality indicators are an important part of the equation when it comes to establishing evidence-based practice guidelines.

Question 15 options:

True

False

Question 16

A group of nursing students conducts a small research project examining the most effective means to deliver medication education to older adults. Their sample consists of 100 adults from ages 55 to 101 who live in the same community. The students conclude that individuals from ages 55 to 64 prefer computerized instructions, and individuals from ages 65 to 100+ prefer typewritten instructions. What is a potential problem with this study?

Question 16 options:

The sample size of 100 is too small to draw any conclusions.

The older adults ranging in age from 65 to 100+ were grouped into one category.

It has been proven that older adults are not computer literate.

The study design is not a randomized, controlled trial.

Question 17

A 66-year-old retired professional basketball player is admitted to the hospital for a total knee replacement due to osteoarthritis. In preparing preoperative teaching for this patient, to the nurse includes which theory of aging to help him understand how the disease has progressed?

Question 17 options:

Free radical theory

Wear and tear theory.

Gene theory.

Cross-link theory.

Question 18 When assessing an older Asian adult for their personal perception of health and wellness, the nurse recognizes the most important question is:

Question 18 options:

“Are you well enough to care for your own physical needs?”

“Do you exercise regularly?”

“Have you been sick lately?”

“When do you believe a person possesses wellness?”

Question 19 An example of a wellness-based nursing intervention would include:

Question 19 options:

Providing the Internet address of support groups and resources to the computer-literate, Internet-proficient daughter of your oncology client.

Lecturing a diabetic client that he would not have been admitted this time if he had been compliant with his treatment plan.

Encouraging the client on a low fat, low sodium diet to allow the staff to make menu selections for her meals.

Responding to your older client’s request to be ambulated by stating, “You should take it easy and rest. You’re 90 years old-you deserve it!”

Question 20

The nurse is providing care for an older client who is experiencing mild cognitive impairment. Which communication technique is most likely to bring about a negative outcome?

Question 20 options:

Asking the family to answer interview questions.

Frequently repeating instructions and requests.

Speaking at a slower than normal speed.

Using very simple sentences and phrasings.

Week 2 Project

Assessing and Planning Care for an Elderly Person

In order to gain an insight into the world of elder adults, it is important to understand how they view themselves and the values they hold. Additionally it is important to assess and determine his/her needs and establish appropriate interventions for this individual.

By the due date assigned, choose an older adult to interview. This cannot be a patient in your clinical setting. You can use a friend, family member, or co-worker. The older adult should be 65 years or older. Use the format provided to record the responses. A list of questions is available for you to start with. Include 2–3 questions of your own to get a complete picture of the older adult. Summarize your findings and also contrast the responses with findings in your readings and other current literature.

Download a patient questionnaire. This form should be used as an example.

After gaining permission, conduct a physical and mental functional assessment of the older adult you have chosen. Review your readings for the process of functional assessment.

Make use of the tools discussed this week to complete a comprehensive assessment of your patient. Search the Internet for resources on these tools.

Tinetti Balance and Gait Evaluation

Katz Index of Activities of Daily Living

Assessment of Home Safety

The Barthel Index

Make sure the older adult is clearly identified on the tools. Do not include their name, but do include professional or other designation, and age. Your name should also be identified on the tool. (This should be a part of your Appendix.)

Compare and contrast the age-related changes of the older person you interviewed and assessed with those identified in this week’s reading assignment. During this data analysis process provide at least 4–6 preliminary issues that you have identified. Identify three alterations in health that you would propose and describe them. Identify a minimum of three comprehensive interventions for each problem.

Make sure that you integrate personal cultural awareness and cultural competency.

Paper should be 5–6 pages, not including the questionnaire or tools used. These should be attached as an Appendix. Remember to use headings to identify the different sections in your paper.

On a separate references page, cite all sources using APA format.

Use this APA Citation Helper as a convenient reference for properly citing resources.

This handout will provide you the details of formatting your essay using APA style.

You may create your essay in this APA-formatted template.

Week 2 Knowledge Check

Question 1

Functional assessment tools provide a structure for assessing the older person’s ability to perform self-care tasks.

Question 1 options:

A) True

B) False

Question 2

Nursing support for psychosocial wellness should focus on facilitating independence, promoting a sense of control, addressing role loss, and fostering social supports.

Question 2 options:

A) True

B) False

Question 3

Hearing loss associated with age related degeneration of auditory structures is known as:

Question 3 options:

A)

otosclerosis

B)

tinnitus

C)

Meniere’s disease

D)

Presbycusis

Question 4

The leading cause of severe vison loss and blindness in people over 60 is:

Question 4 options:

A)

glaucoma

B)

macular degeneration

C)

cataracts

D)

retinal detachment

Case Study: Geriatric Nurses

Case Study: Geriatric Nurses