Nursing Care for Older Adults
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Questions and Answers

How should a nurse address an older adult initially?

  • By using their nickname
  • By using their proper title and name and clarifying their preferred form of address (correct)
  • By using their surname only
  • By using their first name
  • What is the primary impact of a differing rate of speech and movement on communication?

  • Quality of communication
  • Content of communication
  • Behavior of communication
  • Pace or speed of communication (correct)
  • What is the recommended method of communication for a patient with aphasia?

  • Open-ended interview
  • Written communication
  • Body language
  • Structured communication (correct)
  • What is the purpose of confrontation in communication?

    <p>To clarify inconsistencies in information</p> Signup and view all the answers

    What is the outcome of establishing an atmosphere of mutual respect and understanding in nurse-patient communication?

    <p>Trust and rapport</p> Signup and view all the answers

    What is the most expressive part of the human body in terms of communication?

    <p>Face</p> Signup and view all the answers

    What intervention would a nurse most likely use when communicating with a patient with aphasia?

    <p>Praising and avoiding corrections</p> Signup and view all the answers

    What type of communication involves sending and receiving messages using words?

    <p>Verbal communication</p> Signup and view all the answers

    According to Nurse Lester, what behavior is characteristic of the searching and yearning stage of grief?

    <p>shows renewed interest in social activities</p> Signup and view all the answers

    What stage of grief does Nurse Lester recognize in Thelma's behavior?

    <p>stage of searching</p> Signup and view all the answers

    What is characteristic of dysfunctional grieving in Lucio?

    <p>a sense of depression and despair for 12 months</p> Signup and view all the answers

    How does Paul help Anna to start grief resolution?

    <p>encouraging Anna to verbalize her grief</p> Signup and view all the answers

    When are stress-associated physical, behavioral, and cognitive changes more likely to show?

    <p>When a stress has a sudden onset</p> Signup and view all the answers

    How does the body respond physically when stressed?

    <p>Increased in blood pressure</p> Signup and view all the answers

    What is the physical response of Analou's body in the emergency department?

    <p>Rapid breathing and dizziness</p> Signup and view all the answers

    What type of grief resolution group would be beneficial for Thelma?

    <p>Support group for widowed individuals</p> Signup and view all the answers

    What type of communication is facilitated by a nurse's uniform and name tag?

    <p>non verbal communication</p> Signup and view all the answers

    What is the term for the analysis of personal space in communication?

    <p>Proxemics</p> Signup and view all the answers

    What is an example of 'elder speak' in communication with older adults?

    <p>Calling the patient 'sweetie' or 'honey'</p> Signup and view all the answers

    What is the primary benefit of using open-ended communication techniques?

    <p>Establishes a more empathetic climate</p> Signup and view all the answers

    What are some common barriers to effective communication?

    <p>All of the above</p> Signup and view all the answers

    What is the best response by Nurse Lester in the given scenario?

    <p>Mrs. Antonia, take your time; it looks like you want to say something?</p> Signup and view all the answers

    What type of communication technique involves reflective statements and paraphrasing?

    <p>Open-ended communication</p> Signup and view all the answers

    What is a conscious and intentional process used to gather information and respond to a patient's overall health status?

    <p>Patient-centered communication</p> Signup and view all the answers

    What type of medication can Nurse Lester crush for a patient?

    <p>plain antihypertensive medication</p> Signup and view all the answers

    What is excluded from Nurse Paul's self-medication program for Marian?

    <p>payment for medication</p> Signup and view all the answers

    What information is not included in Nurse Lorraine's nursing care plan for Sofia?

    <p>patient's medical history</p> Signup and view all the answers

    What is an unlikely action for older adults to take due to the high cost of prescription drugs?

    <p>fill all prescriptions at once to get a discount</p> Signup and view all the answers

    What is not a factor that increases the risk of medication-related problems in older adults?

    <p>drug-testing methodology</p> Signup and view all the answers

    What is a potential hazard of self-medication with OTC drugs in older adults?

    <p>increase the effect of a prescribed drug</p> Signup and view all the answers

    What is the term for illness developed due to medical treatment?

    <p>Iatrogenic complications</p> Signup and view all the answers

    What is the term for the actual amount of an individual's existence?

    <p>Chronologic age</p> Signup and view all the answers

    What does Santos still perceive himself as?

    <p>An educator</p> Signup and view all the answers

    Who is most likely to experience problems with role changes?

    <p>A 68-year-old grandfather</p> Signup and view all the answers

    Why is Mario's plan to retire, sell his home, and move to a retirement village risky?

    <p>He is giving up significant supports to his self-image and grief resolution process</p> Signup and view all the answers

    What does the term 'roleless role' refer to?

    <p>Persons who perceive that the roles that gave life meaning are gone</p> Signup and view all the answers

    What is Santos trying to support?

    <p>His self-image</p> Signup and view all the answers

    What is Mario trying to do after his wife's death?

    <p>Retire and move to a retirement village</p> Signup and view all the answers

    What is common among the older adults mentioned in the passage?

    <p>They are all experiencing role changes</p> Signup and view all the answers

    What is the profession of the 79-year-old retired private school administrator?

    <p>Private school administrator</p> Signup and view all the answers

    Study Notes

    Communication in Healthcare

    • Structural communication involves the use of signs, symbols, and characters to convey meaning.
    • Verbal communication involves the use of language to convey meaning.
    • Non-verbal communication involves the use of facial expressions, body language, and tone of voice to convey meaning.

    Effective Communication Techniques

    • Open-ended communication allows patients more leeway and establishes an empathetic climate.
    • Reflective statements, clarifying statements, and paraphrasing are effective communication techniques.

    Barriers to Communication

    • Physical problems, pain, or extreme fatigue can be barriers to communication.
    • Disease processes, diverse social and cultural backgrounds can also be barriers to communication.

    Ageism in Communication

    • Using terms like "sweetie" or "honey" when communicating with older adults is a form of ageism.

    Nurse-Patient Communication

    • Nurses should use a conscious and intentional process to gather information and respond to patients' needs.
    • Nurses should use verbal and nonverbal approaches to encourage patients' well-being or improve their understanding of ongoing care.

    Medication Management

    • Nurses should ensure the provision of adequate supply of medication, payment for medication, and medication administration record.
    • Nurses should include information in the nursing care plan pertinent to the patient's needs as they relate to drug administration.
    • Older adults are more at risk for medication-related problems due to age-related changes, cognitive and sensory changes, and lack of adequate medical follow-up.
    • Polypharmacy, drug interactions, and medication non-adherence are common medication-related problems in older adults.

    Iatrogenic Complications

    • Iatrogenic complications are illnesses developed due to medical treatment, commonly seen in older adults.

    Assessing Age

    • Chronologic age refers to the actual age of an individual.
    • Physiologic age is the actual age of an individual's body, which can be different from their chronologic age.

    Communication in Older Adults

    • The pace or speed of communication is important when communicating with older adults.
    • Using the patient's title and name and clarifying their preferred form of address helps build trust and rapport.

    Communication in Aphasia

    • Using body language and structured communication is recommended for patients with aphasia.

    Confrontation in Communication

    • Confrontation is used when there are inconsistencies in information or when verbal and nonverbal messages appear incompatible.

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    Geriatric Quiz (PDF)

    Description

    This quiz assesses the knowledge of nurses in communicating with older adults, including addressing them properly and adapting to their communication needs.

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