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Older Adult Test 1
Attitudes and Aging
| Question | Answer |
|---|---|
| T/F The majority of old people (age 65+) are senile (have defective memory, are disoriented, or psychologically challenged. | False |
| T/F The five senses (sight, hearing, taste, touch, and smell) all tend to weaken in old age. | True |
| T/F The majority of old people have no interest in nor capacity for sexual relations. | False |
| T/F Lung vital capacity tends to decline in old age | True |
| T/F The majority of old people feel miserable most of the time. | False |
| T/F Physical strength tends to decline in old age? | True |
| T/F At least one-tenth of older adults are living in long-stay institutions (such as nursing homes, mental hospitals, homes for the aged, etc.) | False only about 5-8% of them live in long-stay institutions. |
| T/F Aged drivers have fewer accidents per driver than those under 65? | True |
| T/F Older workers usually cannot work as effectively as younger workers | False |
| T/F Over 3/4ths of older adults are healthy enough to carry out their normal activities without help. | True |
| T/F The majority of older people are unable to adapt to change? | False |
| T/F Older people usually take longer to learn something new. | True |
| Depression is more frequent among older adults than among younger people? | False |
| T/F Older people tend to react slower than young people? | True |
| T/F In general, old people tend to be pretty much alike? | False |
| T/F The majority of old people say that they are seldom bored. | True |
| T/F The majority of old people are socially isolated. | False |
| T/F Older workers have fewer accidents than younger workers do. | True--younger ones think construction workers |
| T/F Over 20% of the population are now age 65 or over. | False |
| The majority of medical practitioners tend to give low priority to the aged. | True |
| T/F The majority of old people have incomes below the poverty line (as defined by the federal government). | False |
| T/F The majority of old people are working or would like to have some kind of work to do (including housework and volunteer work). | True |
| T/F Old people tend to become more religious as they age. | False |
| T/F The majority of old people say they are seldom irritated or angry. | True |
| T/F The health & economic status of old people will be about the same or worse in the year 2010 (compared to young people). | False |
| T/F Older adults are the fastest growing segment-65 and older? | True |
| T/F Older adults are not very different from each other and are more culturally diverse from any other age group? | False Older Adults (OA's) are the MOST different from each other than any other group and are more culturally diverse from any other age group. |
| What percentage of OA's have chronic illness? | 80-85% have at least one chronic illness, most have MORE than ONE. |
| What are the most prevalent conditions OAs have? | Heart disease, DM, Arthritis, COPD, HTN, CA, osteoporosis, hearing and orthopedic impairments |
| How do elders rate their health? | Good to Excellent. 26% caucasions rate themselves as fair to poor…. |
| T/F Severe disability correlates with lower income levels and education. | True; NOTE: Health improvements have increased in higher educted and higher income areas. |
| T/F OA's are the focus of most nursing care (OA=Older Adult) | True |
| T/F OAs are the target of major cost cuts (ie cardiac rehab-medicare) | True |
| T/F We do not need nursing research on prevention and promotion of diseases for the OAs. | False more research is needed. |
| Health care services to OA's is geared to chronic care related to functioal impairments. Why | To allow people to maintain their highest level of function in activities that are important to them. |
| What is the goal for nurses caring for OAs? | to allow people to maintain their highest level of function in activities that are important to them. |
| OA care is geared to chronic care or acute care? | Chronic Care |
| What is the Nursing Goal for OAs? | To help older people to MAINTAINE and OBTAINE their highest level of functioning for what is MOST important to THEM!!! |
| What kind of questions will you ask an OA in order to make up a goal for them? | How well do you feel? Anything you want to do that you can't? What can we do to help you? |
| When are you "Old"? | When you are useless..When you loose your faclities, when you can't interact w/ your friends...IN GENERAL it is neatively associated in the US with 10 yrs older than whatever you are |
| Where did the 65 yr old bench mark come about? | Occured in Germany--Captain Vanbismark, set the retirement at 65-he waned to concur Europe and most people did not live to be 65. Social security and Medicare also assisted with setting the bench mark of 65. |
| When does peak physical maturity occur? | late 20's |
| When does the Peak psychosocial maturity occur? | Older adulthood |
| When do people start under reporting their age? | In the 4th decade. Kids brag about their age and wt. |
| What study answerd the question "Why do some people age successfully and others don't?" | The Duke Study |
| Why do some age successfully and others don't? | Inactivity, Boredom, Anticipated health decline-self fulfilling prophecy. These 3 factors predicted more than anything else that their hlth is worse. |
| T/F People who have a Positive perspective about their health tend to live 7.5 yrs longer than those who have the negative perspective about their helth? | True |
| Yale Study-Dr. Robert Butler: Studied and defined Ageism. What is Ageism? | Ageism is prejudices & stereotypes that are applied to older people for no other reason but their age. Teens are also stereotyped. |
| How is Ageism Perpetuated? | Humor, Language, Media, Business, and the Health care system |
| What is Doris Robert's message about the elderly?(She is the 75yr old women that plays on Everyone Loves Raymond as Raymond's mom) | She doesn't like being called old. Wants Older to be used because everyone is getting older. "Older people are being "air-brushed" out of society-they should be honored NOT HIDDEN!!!" If our brains are functioning, we have a lot of wisdom to give |
| What are the consequences of ageism? | Good workers aren't hired; society adopts the dominant group's negative image; The response to Aging (afraid to look older-not all get this way) |
| How do OAs respond to ageism? | -acceptance, denial, avoidance (afraid to look older), reform! |
| T/F Few OAs get preventive services. 9 out of 10 DO NOT!! get regular health screaning because of ____? | True; ageism |
| Do the majority of OAs get the flu vaccine? | 1 out of 3 don't get them |
| What are the preventive cancer screenings that OAs should be getting? How many are getting them __ out of ___? | Mammograms and Colorectal tests (1 out of 4 get them) |
| What % of OAs have ever had Bone Density Testing recommended to them? | Only 12% of them have ever had this recommended to them-most have not had one or heard of bone density testing. |
| T/F Smoking Cessation- is often not disccused with the OA? | True |
| T/F OAs are more successful at quitting smoking than younger people and the chances of a heart attack decreases ___hrs after cessation. | True; 24 hrs after cessation of smoking |
| If a OA quits smoking when will his lung capacity increase? | In about 1 month |
| T/F Exercise is rarely discused with older people. | True 65-74....35-40% over the age of 75 are inactive. –starting to pick up—fastest growing membership group of health clubs. OAs ages 65-74. |
| T/F Normal Lab values are based on the healthy college student and most are not based on good norms for older people? | True |
| In Medication testing, who are the canadates for the test and who is eliminated from it? | Medication testing-eliminated if you have problems (ie chronic illness) and if you are over a certain age. So healthy people are studied. |
| T/F OAs are often dismissed becuase of their age. | True |
| T/F Doctors refuse to do surgery on older adults just because of their age and doctors are ordering too many procedures when OAs can't say no? | True |
| What is the tragic thing about Ageism? | That older people accept it. They think that the symptom is occuring becuase they are getting older so they don't go to the Dr. "I just can't bother my Dr; I am old, for goodness sakes!!" |
| T/F Nurses show positive attiudes towards the OA? What % of nursing and medical schools have Older Adult Health as a part of their criculum? | False They show negative attidues towards OAs. Only 33% of nursing schools include OA in addition to Adult Health teaching to their students and only 10% of med schools require this. |
| T/F In their first jobs nurses report 63% have jobs in OAs and later 90% of them have these jobs. | True |
| T/F Old age should hurt? | FALSE IT SHOULDN'T HURT |
| It is our responsibility as nurses to do what? | Encourage people to go to the dr when they have Sx, Empower and educate OAs, Be aware of our own attidues towards OAs; To help change attitudes of society and RAISE OUR EXPECTATIONS! |
| What is a red flag that our body gives us when something is wrong? | PAIN: If it hurts...Don't dismiss it. This is a sign and symptom that your body gives you to let you know something is wrong. |
| Describe Healthy People 2010? | Healthy people 2010 focuses on leading health indicators for which measurable baseline and target levels have been established (e.g. mental health, phsycial activity, and access to quality health services. |
| Healthy People 2010 has 2 major goals. What are they? | 1. Increase quality and years of healthy life 2. Eliminating health disparities. |
| Identify 4 types of health promotion interventions for OAs. | Screening Programs, Risk Reduction interventions, Environmental Modifications; and Health Education to promote good health practices. |