An older adult who lives in an assisted living facility tells a nurse that she is engaged in life review. The nurse understands which of the following about life review?

Correct Answer: C

Rationale: The correct answer is C: Life review is a highly personal activity. This is because life review involves reflecting on past experiences, relationships, and accomplishments, which are unique to each individual. It is a process of self-reflection and introspection that helps individuals make sense of their lives and find meaning. Option A is incorrect because life review can occur at any point in an individual's life, not just at the very end. Option B is incorrect as reminiscence focuses on recalling past events, while life review involves deeper reflection and analysis. Option D is incorrect because while life review can promote self-awareness, it is primarily a reflective process rather than a tool for setting new goals.

Correct Answer: B

Rationale: The correct answer is B: John Hartford Foundation. The John Hartford Foundation is known for its significant contributions to the field of gerontological nursing through funding research, education, and initiatives to improve care for older adults. The foundation has supported the development of gerontological nursing programs and resources, making it a key influencer in advancing the specialty. Explanation for other choices: A: American Association of Retired Persons (AARP) primarily focuses on advocacy and support for older adults but does not have a direct influence on the specialty of gerontological nursing. C: Medicare is a federal health insurance program for individuals aged 65 and older, but it does not specifically impact the development of gerontological nursing as an organization. D: Mutual of Omaha Insurance is an insurance company and does not have a direct role in shaping the field of gerontological nursing.

Correct Answer: A

Rationale: The correct answer is A, the Gerontological Society of America, because it includes members from various disciplines such as sociology, psychology, biology, and medicine. This interdisciplinary approach allows for a holistic understanding of aging. The other choices focus specifically on nursing (B), aging (C), or higher education (D), and do not encompass a wide range of disciplines like choice A. This makes them more specialized and less likely to have a diverse membership across different fields.

Correct Answer: C

Rationale: The correct answer is C: To offer holistic care that allows older adults to live in the community. PACE aims to provide comprehensive and coordinated care to help seniors remain independent in their homes and communities. This includes medical, social, and behavioral services. Choice A is incorrect as PACE focuses on holistic care rather than just intensive medical treatment. Choice B is incorrect as PACE aims to prevent nursing home placement by supporting older adults to live at home. Choice D is incorrect as while PACE may help reduce healthcare costs through preventive and coordinated care, the primary goal is to support seniors in living in the community.

Correct Answer: D

Rationale: The correct answer is D because memory loss affecting daily functioning is a key indicator of dementia, not normal aging. Normal aging may involve some forgetfulness, but it typically does not significantly impact daily activities. Choice A is incorrect because difficulty recalling recent events can occur in both normal aging and dementia. Choice B is incorrect as increased forgetfulness is a common feature of aging and may not necessarily indicate dementia. Choice C is incorrect as forgetting names of familiar people can also be a normal part of aging and does not solely point to dementia. Memory loss affecting daily functioning is a more specific and severe symptom that strongly suggests dementia over normal aging.