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FUNDAMENTALS OF NURSING Gerontology is a term used to define the study of aging and older adults, while geriatrics is associated with medical care of the elderly. Gerontological nursing involves advocating for the health of older persons at all levels of prevention. Nurse Raigor is a nurse who works in a nursing home which caters to elderly patients. He is currently providing health teachings to a group of elderly patients in the ward that he is assigned to. 1. Physiologic aging can be considered as a phenomenon, because no two individuals age in the same way. That is why a number of theories have been created in order to explain such phenomenon. Nurse Raigor most accurately refers to the free-radical theory when he states that: a. “Organic materials like proteins and carbohydrates which undergo oxidation in our body produces unstable groups of atoms, which in turn causes changes in the cells in our body, and the cells cannot regenerate themselves.” b. “Our immune system becomes less effective with age, resulting in reduced resistance to infectious disease and viruses and an increase in autoimmune responses, causing the body to attack itself.” c. “Our bodies become run down with time, like cars. Our cells become worn out through exposure to internal and external stressors.” d. “Our hypothalamus and pituitary glands which chiefly regulate hormone production are responsible for changes in hormone production that result in the decline of our body.” RATIONALE: A. Option A describes the free radical theory. Option B refers to immunological theory, option C refers to wear-and-tear theory, and option D refers to endocrine theory. Other theories which explains physiologic aging includes genetic and cross-linking theories. (p.411, Fundamentals of Nursing by Kozier et.al. 8 th edition) 2. Mrs. Lich, an elder woman, asks Nurse Raigor about changes in the body with regards to sexual function. “Why is there pain when we have sex with my husband? Is there something wrong with me or is it just normal?” she asked. The nurse’s best answer is: a. “I don’t think that is normal for an aging woman. Have you been taking any new medications recently?” b. “Better get yourself checked out by your gynecologist as soon as you can. That may be a sign of an infection or tumor which should be treated immediately.” c. “Painful intercourse in an elderly woman is usually caused by changes in vaginal secretion production. I recommend using lubricating jellies and if the pain is still present, address it to me or to your doctor.” d. “Painful intercourse is common in aging women. Don’t worry because almost everyone that gets old experiences it. I’d have to ask your husband some questions because he might be doing something not right.”
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RATIONALE: C. Women experience different changes related to intercourse. One of these changes is related to vaginal secretions. It takes longer for a woman to produce vaginal secretions during intercourse and also the production is decreased, which can be the cause of painful intercourse. Lubricating jellies can be recommended. Option A is
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