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NURS C475; Exam Study Guide, questions Taken from the Learning Objectives under the 9 Competencies

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NURS C475; Exam Study Guide, questions Taken from the Learning Objectives under the 9 Competencies-The graduate integrates principles of compassion and respect for patients and their families into the planning and delivery of care to a diverse population of older adults and into advocacy for vulnerable older adults. This topic addresses the following learning objectives: • Recognize the impact of attitudes, values, and expectations about aging. • Describe how the RN’s personal beliefs and values may impact the care of older adults. • Articulate the concept of individualized care as the standard of practice with older adults, considering the right care, at the right time, in the right place and by the right provider of care. ➢ Define Baby Boomers ▪ Those born between 1946-1964; that are now reaching retirement age ➢ What are the five racial groups listed in your text? ▪ European Americans, African Americans, Hispanic Americans, Asian Americans, and Native Americans ➢ How would you perform discharge teaching to an Hispanic patient ▪ Whittemore (2007) conducted a systematic review of the literature to identify culturally competent interventions for Hispanic adults with type 2 diabetes. In reviewing 11 studies, Whittemore found that providing educational sessions and written materials, in both English and Spanish; employing bilingual Hispanic staff; including family members in an informal atmosphere in health care encounters; incorporating cultural traditions in interventions; developing culturally relevant program literature; and providing fact sheets about risk and potential poor outcomes of chronic conditions such as diabetes will increase the effectiveness of interventions. • Apply effective and respectful communication strategies in the care of older adults and their families. ➢ List some of the changes of aging that could affect therapeutic communication ▪ Physical: like aphasia (difficulty finding words, writing, expression), dysarthria (difficult speaking) ▪ Psychological: Dementia, Mental disease, schizophrenia, depression, embarrassment (hearing loss, vision loss), English as a second language (cannot understand or relay message) , fear of being labeled as a complainer ▪ Eyes: Senile miosis, difficulty adjusting to bright lights, presbyopia (accomodating near to far), decrease in acuity or depth perception, dry eyes ▪ Ears: conduction problems, tumors, infections, foreign objects, noise pollution (hx playing in band), otoxic substances, freq, presbycuspis most common ** ➢ Note the ways to communicate or assist a patient with disabilities such as hearing deficits, vision impairmen

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