13 Mar Module One Overview – Nursing Care of the Older Adult, Exams of Nursing
An overview of the history and evolution of gerontological nursing, the terminology related to older adults, the history of gerontological standards, gerontological nurse roles, and gerontological nurse credentialing. It also discusses the evolution of gerontological nursing and the challenges faced by healthcare systems in providing quality healthcare to older adults. The document emphasizes the need for nurses to have greater knowledge, skills, and broader attitudes toward the older adult primarily due to the prevalence and incidence of chronic health and functional issues in older adult clientele.
An overview of the history and evolution of gerontological nursing, the terminology related to older adults, the history of gerontological standards, gerontological nurse roles, and gerontological nurse credentialing. It also discusses the evolution of gerontological nursing and the challenges faced by healthcare systems in providing quality healthcare to older adults. The document emphasizes the need for nurses to have greater knowledge, skills, and broader attitudes toward the older adult primarily due to the prevalence and incidence of chronic health and functional issues in older adult clientele.
An overview of the history and evolution of gerontological nursing, the terminology related to older adults, the history of gerontological standards, gerontological nurse roles, and gerontological nurse credentialing. It also discusses the evolution of gerontological nursing and the challenges faced by healthcare systems in providing quality healthcare to older adults. The document emphasizes the need for nurses to have greater knowledge, skills, and broader attitudes toward the older adult primarily due to the prevalence and incidence of chronic health and functional issues in older adult clientele.
NUR2214 (Nursing Care of the Older Adult) is a core gerontological nursing course at Rasmussen University. Module 1 typically introduces foundational concepts in caring for older adults, including age-related changes, myths/stereotypes about aging, health promotion, functional assessment, and common risks (e.g., falls, polypharmacy, complexity of care).Module 1 Overview & Learning ObjectivesCourse Focus (from syllabus patterns): Analyze the increased complexity of care among older adults.
Compare care models specific to older adults.
Identify physiological, psychological, and social changes with aging.
Discuss health promotion, safety, and fall prevention in geriatrics.
Recognize factors contributing to vulnerability (e.g., polypharmacy, sensory changes, cognitive decline).
Module 1 Topics (consistent across student resources): Physiological changes of aging (e.g., decreased muscle mass, sensory loss, altered pharmacokinetics).
Myths vs. facts about aging.
Functional assessment and preadmission baseline abilities.
Risk factors for falls and other geriatric syndromes.
Introduction to comprehensive geriatric assessment (CGA).
Health promotion strategies for older adults.
Primary Module 1 Graded Item: Module 01 Quiz (Most Common Assessment)Format: Online quiz in Brightspace (Rasmussen’s LMS).
Type: Multiple-choice, select-all-that-apply, true/false (typically 10–20 questions).
Time Limit: Usually 30–60 minutes; one attempt.
Weight: Often 5–10% of module or course grade (quizzes build toward exams).
Purpose: Test foundational knowledge from Module 1 readings/lectures.Common Quiz Topics & Sample Questions (drawn from Quizlet, Studocu, Stuvia student-shared versions): The nurse completes an admission assessment on an older adult patient. The nurse identifies which factor that may contribute to falls?
→ Polypharmacy (most frequent correct answer; others may include orthostatic hypotension, visual impairment, gait instability).
What should the nurse do when developing the plan of care for an older adult hospitalized for an acute illness?
→ Consider the preadmission functional abilities when developing the plan of care.
→ Avoid minimizing activity level during hospitalization.
→ Use a standardized geriatric nursing care plan.
Which physiological change is most likely to occur with normal aging?
→ Decreased renal function, reduced muscle mass (sarcopenia), decreased visual acuity, slower reaction time.
A nurse is teaching a group of older adults about health promotion. Which statement indicates understanding?
→ Regular exercise can help maintain bone density and muscle strength.
Which is a myth about aging?
→ All older adults are frail and dependent (myth); many maintain independence.
Study Tips for the Quiz: Focus on key geriatric principles: Use preadmission baseline as reference, avoid ageism, prioritize function over diagnosis.
Memorize fall risk factors: polypharmacy (top), gait/balance issues, vision/hearing loss, orthostasis, cognitive impairment.
Review pharmacokinetics in aging: reduced GFR → dose adjustments for renally cleared meds.
Know tools: Katz ADL, Lawton IADL for functional assessment.
Other Possible Module 1 Activities (Varies by Section/Instructor)Discussion Post (if assigned instead of or in addition to quiz) Prompt example: “Discuss one physiological change of aging and its nursing implications for care planning.”
Requirements: Initial post (200–300 words) + 2 peer replies.
Focus: Evidence-based (cite textbook or ANA gerontological standards).
Reflection or Short Assignment (less common in Module 1) Example: Reflect on personal biases/myths about aging and how the module challenged them.
No Major Paper/Case Study in Module 1 Case studies and concept maps usually start in Modules 2–5 (e.g., dementia, delirium, elder abuse).
Module 1 is foundational → emphasis on quiz/discussion to build baseline knowledge.
Recommended Resources for PreparationRequired Textbook: Likely Kennedy-Malone & Martin-Plank, Advanced Practice Nursing in the Care of Older Adults (or similar gerontology text). Chapter 1: Changes with Aging
Chapter 2: Health Promotion
Module Readings/Lectures: Brightspace content on aging demographics, geriatric syndromes, complexity of care.
Quizlet/Studocu Sets: Search “NUR2214 Module 1 Quiz” — many shared flashcards with exact questions/answers from past students.
Key Concepts to Memorize:Normal aging vs. pathology (e.g., sarcopenia is normal; frailty is not).
Beers Criteria (potentially inappropriate meds in older adults).
4Ms of Age-Friendly Care: What Matters, Medication, Mentation, Mobility.
Quick Study Checklist for Module 1□ Review physiological changes table (cardiovascular, renal, musculoskeletal, sensory).
□ Memorize top fall risk factors and prevention strategies.
□ Practice 10–15 sample quiz questions from Quizlet/Stuvia.
□ Understand “pre-admission functional baseline” — core principle for care planning.
□ Prepare for discussion if assigned (one change + nursing implication).Module 1 is designed to be foundational and lower-stakes — focus on mastering concepts rather than rote memorization. The quiz is predictable based on student-shared versions.
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