Gerontological Nursing Certification Guide

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Questions and Answers

What is the minimum requirement for a clinical specialist in Gerontological Nursing regarding direct client care?

1000 hours of direct client care

400 hours of direct client care

800 hours of direct client care (correct)

600 hours of direct client care

What percentage of seniors report having good to excellent health?

72% (correct)

60%

50%

80%

Which of the following is NOT a goal of care in gerontological nursing?

Encourage unhealthy lifestyle changes (correct)

Help older adults identify their strengths

Promote and maintain functional status

Achieve optimal independence

What is the common age threshold used to define older persons for demographic statistics?

65 years and older Signup and view all the answers

What is the minimum requirement for a consultant, researcher, educator, or administrator in Gerontological Nursing?

400 hours of clinical management Signup and view all the answers

What has happened to the number of seniors living in nursing homes?

It has declined Signup and view all the answers

Which historical event led to lost gains in the care of older persons despite early efforts like the Poor Laws?

The Industrial Revolution Signup and view all the answers

What is a major reason for the projected increase in the older adult population by mid-21st century?

Baby boomers reaching retirement age Signup and view all the answers

In what types of settings is gerontological nursing provided?

Acute care, skilled nursing facilities, community, and home settings Signup and view all the answers

What percentage of the total U.S. population do persons aged 65 years and older currently represent?

13% Signup and view all the answers

What is the challenge posed to nurses regarding older adults?

To promote positive lifelong health behaviors Signup and view all the answers

Which of the following is NOT one of the four ways to adopt a Lifespan Perspective on Aging at work?

Enhanced cognitive training Signup and view all the answers

What defines the practice of nursing within the context of gerontological nursing?

Nursing theory must focus on individual differences and be comprehensive Signup and view all the answers

What type of organization is Kanlungan ni Maria?

Non-stock and non-profit organization Signup and view all the answers

Which of the following conditions is cited as a new challenge faced by the older population?

Chronic disease Signup and view all the answers

What does Golden Reception and Action Center primarily provide?

Residential care Signup and view all the answers

What is the average life expectancy of men in the United States?

75.2 years Signup and view all the answers

What is the average number of chronic diseases that a 75-year-old person typically has?

3 chronic diseases Signup and view all the answers

What is a common characteristic of the residents at Emmaus House?

They have been given up by their families Signup and view all the answers

How has the growth of subacute care been justified?

It treats patients as effectively in less costly settings Signup and view all the answers

What percentage of clients in acute settings could potentially be treated in subacute care?

40% Signup and view all the answers

What type of care does Kanlungan ni Maria strive to avoid?

Chemical or physical restraints Signup and view all the answers

What is the primary purpose of assessing functional status in older adults?

To identify the type of services they need to remain at home Signup and view all the answers

Which group primarily benefits from community-based services?

Elderly individuals needing specialized assistance Signup and view all the answers

What was the average life expectancy in the year 2004?

47 years Signup and view all the answers

What percentage of the U.S. population was over age 60 in 2005?

13% Signup and view all the answers

According to the content, which philosopher denied older people a role in governmental matters?

Aristotle Signup and view all the answers

How many people aged 85 or older were recorded in 2005?

4.7 million Signup and view all the answers

What is the projected population of individuals aged 65 and older in the U.S. by 2030?

33 million Signup and view all the answers

Which ancient civilization is mentioned as having a practice of killing the sick and aged?

Romans Signup and view all the answers

What societal perspective has changed regarding older adults today?

They now earn respect and knowledge instead of being mythologized. Signup and view all the answers

What was a key concern of God as mentioned in the content?

The well-being of the family and respect for elders Signup and view all the answers

What is the primary cause of scabies?

Parasitic mite Signup and view all the answers

Which group of individuals is particularly vulnerable to scabies infections?

Older adults with chronic illnesses Signup and view all the answers

What is a common sign of scabies?

Fine, dark, wavy lines Signup and view all the answers

How long is the asymptomatic incubation period for scabies?

4 to 6 weeks Signup and view all the answers

What is the recommended action if scabies infestation is suspected?

Perform skin scrapings for examination Signup and view all the answers

What changes in skin should independent older individuals monitor?

Any changes that deviate from their normal Signup and view all the answers

During a skin assessment, where should the caregiver focus their inspection for scabies signs?

Flexor surfaces, webbed areas, and genitals Signup and view all the answers

What should be prioritized when performing a skin assessment in a hospital setting?

Comfort and privacy of the patient Signup and view all the answers

Study Notes

Nursing and Certification

A minimum of 12 months post-master's degree practice is required for certification in nursing.
The American Nurses Association (ANA) introduced the first generalist certification in gerontological nursing in 1973.
Clinical specialists must demonstrate 800 hours of direct client care in gerontologic nursing within the last 24 months.
Consultants, researchers, and educators must show a minimum of 400 hours of relevant work.

Aging Well

72% of seniors report good to excellent health.
The number of seniors living in nursing homes has decreased.
One in 5,578 individuals is 100 years old or older.
Promoting positive health behaviors is crucial to combat chronic diseases arising from unhealthy choices.

Demographics of Aging

Life expectancy has increased from an average of 47 years in 2004 to 77.8 years.
By 2030, approximately 20% of the U.S. population will be aged 65 and older, with projections of 33 million individuals in this age group.
The aging population will surpass the younger demographic for the first time by mid-21st century.
Persons aged 65 and older constitute about 13% of the total U.S. population currently.

Historical Perspectives

Various ancient cultures had differing attitudes toward aging, ranging from respect in Confucianism to skepticism in early Greek thought.
Throughout history, social dynamics have often marginalized older adults, especially during the Industrial Revolution.
Biblical teachings emphasize the well-being and respect for elder family members.

Modern Challenges

The newer elderly population faces chronic diseases and health funding issues; the average 75-year-old may have three chronic diseases and take five medications.
Rising expectations for health care funding challenge both clients and systems.

Community Care Services

Various organizations in the Philippines, like Kanlungan ni Maria, provide residential care for abandoned or poor elderly individuals.
Emmaus House offers care for the homeless elderly, illustrating the community’s role in elderly welfare.

Subacute Care

Subacute care addresses the needs of stable patients who could be treated effectively in less costly settings, accommodating about 40% of acute care patients.
This level of care can improve cost-efficiency and patient outcomes.

Skin and Health Assessment

Skin assessments, including monitoring for conditions like scabies, are important for older adults, especially those with chronic illnesses or weakened immunity.
Changes in skin pigmentation are typical during aging and require regular monitoring by nursing staff.

Implications of Aging

Nurses are urged to promote comprehensive theories in gerontological care that accommodate aging complexities and differences among individuals.
The holistic approach aims to enhance the functional status of older adults and helps them leverage their strengths for optimal independence.

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Description

This quiz covers the requirements and practices related to gerontological nursing certification introduced in the 1970s. It highlights the significance of the master’s degree and the necessary qualifications for generalist certification. Test your knowledge of the evolution of nursing standards and practices!