Psychology Chapter 24: The Aging Individual
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Questions and Answers

What is the most common form of elder abuse reported among older Americans?

  • Physical abuse
  • Psychological abuse (correct)
  • Financial abuse
  • Sexual abuse
  • Which psychiatric disorder is NOT listed as a concern for later life?

  • OCD (correct)
  • Neurocognitive disorders
  • Delirium
  • Anxiety
  • What percentage of adults aged 65 and older live in nursing homes?

  • 4% (correct)
  • 12%
  • 10%
  • 1%
  • Which symptom is indicative of neglect in elderly individuals?

    <p>Consistent hunger (A)</p> Signup and view all the answers

    Which age group reportedly has the highest rates of suicide?

    <p>45-54 (A)</p> Signup and view all the answers

    What is a potential indicator of financial abuse in an older adult?

    <p>Existence of unpaid bills (D)</p> Signup and view all the answers

    What can increase the risk of elder abuse among caregivers?

    <p>Personal experience of family violence (B)</p> Signup and view all the answers

    Which of the following is a sign of physical abuse in older adults?

    <p>Burns or welts (C)</p> Signup and view all the answers

    What is an effective approach for a nurse when communicating with a patient who has hearing loss?

    <p>Look directly at the patient's face while speaking. (D)</p> Signup and view all the answers

    Which of the following is a physiological related nursing diagnosis?

    <p>Risk for aspiration (B)</p> Signup and view all the answers

    What outcome reflects a patient's ability to manage their self-care?

    <p>Not experienced injury. (B)</p> Signup and view all the answers

    Which intervention is aimed at ensuring environmental safety for a patient?

    <p>Use padded side rails on the bed. (B)</p> Signup and view all the answers

    How should a nurse assist a patient with diminished sensory perception?

    <p>Promote adaptive compensation techniques. (B)</p> Signup and view all the answers

    What psychosocial concern might a patient express?

    <p>Short-term memory loss. (C)</p> Signup and view all the answers

    Which outcome indicates a caregiver's effective adaptation to their role?

    <p>Expresses desire to join support groups. (D)</p> Signup and view all the answers

    Which strategy should a nurse NOT use when providing orientation to a patient?

    <p>Frequently shout to gain attention. (D)</p> Signup and view all the answers

    What is one benefit of reminiscence therapy in elderly patients?

    <p>It may promote better mental health. (D)</p> Signup and view all the answers

    Which method can assist a patient experiencing perception disturbances?

    <p>Using large print for better visibility. (B)</p> Signup and view all the answers

    What is a key role of caregivers in supporting their clients?

    <p>Verbalizing methods to promote safe environments. (B)</p> Signup and view all the answers

    In a one-to-one reminiscence therapy setting, what is encouraged?

    <p>Sharing unresolved painful issues. (B)</p> Signup and view all the answers

    Which approach is recommended for helping clients distinguish between day and night?

    <p>Utilizing lighting changes. (B)</p> Signup and view all the answers

    What is an appropriate evaluation question for a caregiver regarding client safety?

    <p>Can caregivers explain how to create a safe environment? (D)</p> Signup and view all the answers

    When assisting a patient with memory deficits, what is important for caregivers to encourage?

    <p>Positive expression about past accomplishments. (C)</p> Signup and view all the answers

    What is one function of support groups for caregivers?

    <p>To promote engagement and expression of feelings. (B)</p> Signup and view all the answers

    What is gerontology primarily concerned with?

    <p>The study of the aging process (D)</p> Signup and view all the answers

    What is the primary focus of geriatrics?

    <p>Clinical medicine related to the elderly (A)</p> Signup and view all the answers

    According to the U.S. Census Bureau, at what age is an individual classified as 'elderly'?

    <p>65 years (B)</p> Signup and view all the answers

    What does the Disengagement Theory describe?

    <p>Voluntary withdrawal from social roles (B)</p> Signup and view all the answers

    How did the percentage of women over 65 years old in the workforce change from 2000 to 2017?

    <p>Increased from 9.7% to 15.7% (D)</p> Signup and view all the answers

    Which aspect of memory is noted to deteriorate with aging?

    <p>Short-term memory effectiveness (C)</p> Signup and view all the answers

    Which of the following is true regarding the living arrangements of older adults?

    <p>Many live alone or with a spouse (B)</p> Signup and view all the answers

    What does the term 'young old' refer to in gerontological classification?

    <p>Aged 60-74 (C)</p> Signup and view all the answers

    Flashcards

    Gerontology

    The study of the aging process.

    Geriatrics

    Medical specialty focusing on elderly health issues.

    Age Classification (US Census)

    55-64 (older), 65-74 (elderly), 75-84 (aged), over 85 (very old).

    Disengagement Theory

    Aging involves withdrawal from social roles, a natural process.

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    Short-term memory in aging

    Short-term memory may decline with age.

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    Crystallized vs. Fluid abilities

    Crystallized (learned) abilities may stay stable while fluid (reasoning) abilities might decline with age.

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    Age Discrimination Act (1967)

    U.S. law to prevent discrimination against workers based on age.

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    Epidemiology in Aging

    Study of the distribution and determinants of aging in population.

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    Elder Abuse

    Any type of harm or mistreatment, including physical, emotional, sexual, neglect, or financial abuse, targeting elderly individuals.

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    Signs of Elder Abuse

    Physical or psychological indications, such as bruises, depression, neglecting basic needs, or sudden financial losses, signaling potential abuse.

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    Elderly Psychiatric Disorders

    Mental health issues like neurocognitive disorders, delirium, depression, schizophrenia, anxiety, substance use disorders, and sleep disorders that can affect older adults.

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    Retirement Challenges

    Social and economic difficulties that can arise due to retirement, encompassing social isolation and gaps in financial security.

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    Long-Term Care Needs

    Growing need for assisted living or care facilities as an increasing portion (4-9%) of elderly individuals over 65 years old require such services.

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    Suicide Risk in Seniors

    Elderly individuals, particularly those between 45-54 and over 85, face elevated suicide rates compared to the general population

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    Assessment of Elderly

    Considering age-related changes, mental state, sensory loss, and various other factors for proper evaluation of elderly conditions or health status.

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    Reporting Elder Abuse

    A crucial step for elder abuse prevention, encouraging individuals to report concerning behaviors or conditions to appropriate authorities if suspected.

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    Sensory Capabilities Assessment

    Evaluating a patient's ability to perceive and interpret sensory information (like sight, hearing, touch).

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    Nursing Diagnosis (Physiological)

    Identifies potential health problems related to physical function, such as risk of injury, breathing problems, or nutrition issues.

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    Nursing Diagnosis (Psychosocial)

    Identifies potential emotional or mental health problems, like confusion, grief, or low self-esteem.

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    Patient Outcome (Self-care)

    Patient's ability to manage their own care, with or without assistance.

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    Caregiver Outcome (Coping)

    Caregiver's ability to manage the stress and emotional demands of caregiving.

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    Environmental Safety Interventions

    Measures to ensure a safe environment to prevent injuries, like moving items out of reach and providing assistive devices.

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    Orientation Strategies

    Techniques used to help patients maintain awareness of their surroundings, such as using clocks, calendars, and clear communication.

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    Self-Care Interventions

    Support and encouragement to maintain routine activities and self-sufficiency.

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    Caregiver Assessment

    Evaluating a caregiver's ability to meet the patient's unmet needs, and providing support and information for these responsibilities.

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    Caregiver Support

    Encouraging caregivers to attend support groups and express their emotions, particularly anger or frustration, which is common in this role.

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    Boosting Self-Esteem

    Helping patients express their feelings about losing previous status due to aging and assisting them with coping mechanisms for memory deficits.

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    Perception Distortions

    Incorporating assistive devices, using large print, and providing meaningful sensory stimulation to help patients with sensory impairments.

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    Clock System for Food

    Using a clock face analogy to help patients locate food on a plate, ensuring proper food intake.

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    Reminiscence Therapy

    Engaging in discussions about past experiences, memories, and significant events to promote positive mental health in older adults.

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    One-to-One Reminiscence

    Conducting individual sessions to allow patients to work through unresolved past issues in a safe and private setting.

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    Group Reminiscence

    Facilitating group discussions where seniors share past experiences with peers, acknowledging both positive and negative aspects of their lives.

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    Study Notes

    Chapter 24: The Aging Individual

    • Gerontology: Study of the aging process
    • Geriatrics: Branch of medicine specializing in elderly population issues
    • Geropsychiatry: Focuses on the psychopathology of the elderly
    • Age Classifications:
      • Older: 55-64
      • Elderly: 65-74
      • Aged: 75-84
      • Very old: Over 85
      • Young old: 60-74
      • Middle old: 75-84
      • Old-old: Over 85

    Epidemiology

    • Application of Psychological Theories:
      • Personality Theory: Suggests similarities between personality traits in older age and earlier life. Some genes may link conscientiousness to neurodegenerative diseases.
      • Developmental Task Theory: Concept of transcendence, withdrawal from societal roles (inevitable and necessary).
      • Disengagement theory: Withdrawal is a predictable, systematic, and necessary societal process.

    Psychological Aspects of Aging

    • Memory: Short-term memory declines, and memory retrieval times are longer.
    • Intellectual Functioning & Learning: Crystallized intelligence remains consistent; fluid intelligence might decline slightly.
    • Adaptation to Aging: Losses, grief, attachment to others, personal identity maintenance, and facing death.

    Psychiatric Disorders in Later Life

    • Neurocognitive Disorders, Delirium,
    • Depression, Schizophrenia,
    • Anxiety, Substance Use Disorders, Sleep disorders

    Special Concerns

    • Social Implications: Economic implications related to Medicare/Medicaid.
    • Long-Term Care: 4% of individuals over 65 live in nursing homes, with suicide rates highest for those 45-54 and 2nd highest for those over 85.
    • Elder Abuse: One in ten older Americans (but only 45% report) are victims of physical, sexual, emotional, neglect, or financial abuse. Oftentimes the abuser is a related family member. White women over 70 are the most common victims.

    KNOW Identifying Elder Abuse:

    • Recognizing warning signs is crucial for identifying potential elder abuse situations

    Psychological Abuse

    • Increased confusion, agitation, depression, withdrawal, anxiety, sleep disruption.

    Physical Abuse

    • Bruises, welts, bites, bumps, lacerations, burns, fractures, dislocations.

    Neglect

    • Consistent hunger, poor hygiene, fatigue, lack of supervision, and unattended medical needs.

    Sexual Abuse

    • Pain, itching, bruising, bleeding in genital areas, and unexplained STDs.

    Financial Abuse

    • Disparity between available assets and satisfactory living arrangements or sudden lack of funds.

    Assessment of Older Adults

    • Evaluate the normal aging process in individuals
    • Assessing thought process, orientation, state of confusion, sensory (hearing) capabilities, and functional capabilities.

    Nursing Considerations

    • Sensory Capabilities: Hearing loss is common in older adults; speak clearly and lower your voice. Consider communication strategies like eye contact, face-to-face interaction and appropriate lighting.

    Psychological and Physiological Assessment

    • Adapting to sensory limitations and functional limitations
    • Observing for risk of trauma associated with physical injuries and sensory problems.
    • Monitoring for potential depression, anxiety, or other mental health concerns.

    Evaluation of Caregivers:

    • Ability to troubleshoot and adjust care plans for older adults.
    • Evaluate caregiver coping strategies associated with the strain of caring for a long-term care recipient.
    • Open expression of caregiver feelings and resources available

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    Description

    Explore the psychological aspects and theories related to aging in this chapter. Understand gerontology, geriatrics, and the unique challenges faced by the elderly population. Delve into age classifications and the impact of psychological theories on the aging process.

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