NCMB314 Nursing Concepts Prelim 2022

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Questions and Answers

What does Activity Theory suggest is necessary for older adults to improve their quality of life?

Engaging in various activities and social interactions (correct)

Gradually withdrawing from social engagements

Avoiding changes in their daily routines

Remaining isolated to reflect internally

What does Disengagement Theory propose regarding older adults' social relationships?

Gradual withdrawal helps maintain social equilibrium (correct)

Withdrawal from society is harmful and should be avoided

Social interactions should be prioritized over solitude

They should actively seek new social connections

According to the Subculture Theory, how do elderly individuals tend to interact with society?

They avoid forming groups or communities

They prefer integrating fully into society

They seek to influence society with their experiences

They often separate themselves into an aging subculture (correct)

What is the primary role of nurses in relation to evidence-based practice research?

To stay updated with current research and clinical guidelines Signup and view all the answers

What is a key aspect necessary for nurses to enhance patient care according to the principles mentioned?

Utilizing evidence from validated studies effectively Signup and view all the answers

What is an important consideration in nursing care for older adults facing chronic illness?

Offering age-conscious policies Signup and view all the answers

How does age-related difference impact work roles in older adults?

It causes temporal shifts in work versus non-work roles Signup and view all the answers

Which concept is emphasized for improving job performance in older adults?

Acknowledging personality changes over age Signup and view all the answers

What should be avoided to support the work-life interface for older adults?

Rigid working hours Signup and view all the answers

What is a key element in promoting health among older adults?

Incorporating wellness nursing care Signup and view all the answers

Which aspect does NOT influence job performance of older adults?

Uniform age-related personality structures Signup and view all the answers

What is a proposed solution for enhancing job satisfaction among older adults?

Designing work systems that consider individual needs Signup and view all the answers

What role does understanding historical perspectives of older adults play in nursing care?

It informs approaches to current health challenges Signup and view all the answers

What physiological change can occur in the brain as individuals age?

Decrease in brain weight Signup and view all the answers

How does sensory organ impairment affect psychological status?

It may lead to depression and isolation. Signup and view all the answers

Which changes are associated with hearing as individuals age?

Atrophy of hair cells of the organ of Corti Signup and view all the answers

What is a common eye-related change in older adults?

More opaque lens Signup and view all the answers

What misconception about personality change in older adults is addressed?

Personality is often consistent with earlier years. Signup and view all the answers

What decline in mental function is mentioned in relation to aging?

Decline in creative capacities Signup and view all the answers

What is mentioned about the social behavior of older adults?

Physical and mental limitations can affect social interactions. Signup and view all the answers

What factor is likely to influence psychological function in older adults?

Changes in sleep patterns Signup and view all the answers

What is the primary cause of scabies?

A parasitic mite Signup and view all the answers

What makes older adults more susceptible to scabies infections?

They often have a weakened immune system Signup and view all the answers

During what time is skin assessment BEST conducted for older adults?

When the person is undressed Signup and view all the answers

What is a common sign of scabies in older adults?

Intense itching with 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 should be maintained during skin inspections in healthcare settings?

Privacy and modesty of the patient Signup and view all the answers

What is an important assessment responsibility of nurses regarding older patients?

Assessment of skin and ancillary structures Signup and view all the answers

What type of skin change is commonly noted in older adults?

Changes in pigmentation Signup and view all the answers

Which theory suggests that aging is a result of errors in DNA and RNA synthesis?

Orgel/Error Theory Signup and view all the answers

What does the Person-Environment Fit Theory emphasize as factors affecting function in older adults?

Ego strength, mobility, and health Signup and view all the answers

What is a key concept of the Continuity Theory in relation to aging?

Personality influences role and life satisfaction Signup and view all the answers

Which theory explains aging through the lens of societal structure and age groups?

Age Stratification Theory Signup and view all the answers

What explanation does the Programmed Theory provide regarding aging?

Aging is a genetically programmed event Signup and view all the answers

Which personality type is characterized by relying on others for help according to the aging theories?

Passive Dependent Signup and view all the answers

What phenomenon does the Wear and Tear Theory relate to in the context of aging?

Deterioration of cellular machinery over time Signup and view all the answers

Which theory focuses on the idea that older adults are more susceptible to free radicals?

Connective Tissue Theory Signup and view all the answers

Study Notes

Concepts and Principles in the Care of Older Adults

Understand how changes impact job performance and related outcomes, notably work motivation.
Acknowledge age-related differences in life situations, influencing work-life balance and associated demands.
Advocate for age-conscious policies to enhance the work-life interface, including family care considerations.

Sociological Theories Relevant to Older Adults

Activity Theory: Engagement in activities is vital for quality of life and adaptation in late life (Havighurst and Albrecht, 1953).
Disengagement Theory: Gradual withdrawal from society supports social equilibrium and internal reflection (Cumming and Henry, 1961).
Subculture Theory: Older adults may prefer segregation within an aging subculture, sharing experiences of status loss (Rose, 1965).
Continuity Theory: Personality consistency influences satisfaction and role throughout life (Havighurst, 1960).

Non-Stochastic Theories of Aging

Theories based on genetically programmed events causing cellular damage leading to aging.
Programmed Theory: Aging results from predetermined biological processes.
Wear and Tear Theory: Cellular function declines similar to machine wear; gradual functional loss occurs with aging.

Physiological Changes Associated with Aging

Decreased bladder capacity, brain weight, blood flow, and nerve conduction velocity.
Slower response times affect interaction with the environment and psychological well-being.
Visual impairments include decreased pupil size and corneal changes, while auditory impairments often see atrophy of related sensory cells.

Psychological and Personality Changes

Basic personality traits typically remain stable; drastic personality changes are uncommon.
Changes in physical and mental capabilities may affect behavioral expressions rather than core personality.
Older adults may express their personality traits more transparently but might also face decline in creativity and cognitive functions towards the end of life.

Skin Assessment and Vulnerabilities

Older adults, particularly those with chronic illnesses or weakened immune systems, are more susceptible to skin infections like scabies.
Routine skin assessments should be thorough, identifying changes in pigmentation and other visible conditions.
Skin inspection is best performed in private settings to maintain dignity and comfort for older adults.

General Health Considerations

Recognize various factors affecting psychological status, including social isolation and sensory impairments.
Encourage independent older adults to be aware of their baseline health and report any changes to healthcare providers.
Understanding the asymptomatic nature of conditions like scabies is crucial for timely diagnosis and intervention.

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Description

Prepare for your BSN 3rd Year prelim exam with this quiz focused on key nursing concepts related to job performance. This exam covers critical changes and their impacts within the nursing field, assisting students in solidifying their understanding. Test your knowledge and improve your readiness for the evaluation.