By Meredith Wallace PhD APRN-BC, Sheila C. Grossman PhD APRN-BC FAAN

The Gerontological Nurse Certification evaluate is a useful reference and certification try out evaluate consultant for nurses getting ready for RN Gerontological certification. scholars learning gerontology, lecturers getting ready gerontology sessions, and RNs operating with older adults also will locate this a realistic and resource. The textual content offers information regarding getting ready for the certification examination, a accomplished compilation of content material particular to gerontology, and a try financial institution of questions in particular built for the RN. Why this is often the single try out evaluate you wish: built to deal with all facets of ANCC examination Formatted for simple evaluate and knowing of suggestions updated and evidence-based 500 evaluation inquiries to safely organize destiny gerontological nurses one in all a kind--no different gerontological evaluate books are at present on hand

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There are many other challenges to getting a good healthy history from older adults, including: n n n n Age (older adults have a longer story to tell) Memory Tendency to underreport Communication difficulties 29 30 Gerontological Nurse Certification Review It is important to allow older adults time to think about their health history so as not to cause frustration about an inability to provide details surrounding former medical and surgical events. Older adults may withhold certain medical information from the interviewer because n The information may be too distressing to discuss.

Implement diet interventions to avoid overcompensation with sweet and salty foods. Neurological System Total brain weight decreases. There is a shift in the proportion of gray matter to white matter. There is a loss of neurons. There is an increase in the number of senile plaques. Blood flow to the cerebrum decreases. Mild memory loss is common, but cognitive impairment is not a normal change of aging. n Help older adults maintain an active body and mind. n Encourage older adults to participate in cognitive activities.

Andrews, H. (1999). ). Stamford, CT: Appleton & Lange. Watson, J. (l979). Nursing: The philosophy and science of caring. Boston: Little, Brown and ­Company. 4 Assessment History and Physical Exam Considerations Health History The health assessment always begins with a health history. This is usually the first meeting between the older adult and the nurse, and it marks the beginning of the therapeutic relationship. Nurses should focus on gaining the trust of older adult clients. A sufficient amount of time should be set aside for the health history so that the older adult does not feel rushed.

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