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pop test 2
53 terms
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Practice quiz
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Questions
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Answers
1
depression screening tools include
geriatric depression scale
PHQ-9
BEERS
PHQ-2
2
falls are
NOT
a normal consequence of aging. geriatric syndrome
True
False
3
age-related hearing loss
noise induced
presbycusis
macular degeneration
conductive
4
ANY acute episode of delirium requires clinical evaluation by a physician or NP
False
True
5
clinical institute withdrawal assessment scale : screen for acute alc withdrawal
True
False
6
chronic confusional state, gradual decline, attn fairly preserved, mentation generally constant, irreversible
delirium
dementia
7
select which of the following are risk factors for polypharmacy (SATA)
multiple providers
uses four pharmacies
higher socioeconomic status
has medicare part B
8
sx consistent with
depression
have been shown to
precede dementia
in both men and women
False
True
9
delirium can be distinguished from dementia bc delirium usually:
is irreversible
only results in hospitalized individuals
has a sudden onset
has a slower onset
10
pharmacological intervention for dementia includes
CEI
s and
NMDA
receptor agonists
False
True
11
as a person changes which of the following are expected changes in the resp system? SATA
muscle strength decreases
increased AP diameter
decreased ability to handle secreations
chest wall stiffens
12
an older adult who is generally healthy presents with muscle aches, HAs, palpitations, & bowel changes. what should eval
IBD
rhabdomyolysis
depression
heart disease
13
anxiety assessment includes : cognitive functions, functional abilities, ability to answer questions
False
True
14
acute confusional state, abrupt onset, impaired attn & focus, fluctuating mentation & cognition, potentially reversible
dementia
delirium
15
PD dx is confirmed by...
tensilon test
+L’hermittes
CT & MRI
challenge test
16
although delirium is common in older adults, it often goes unrecognized. ↑ r/o functional decline, mortality, HC cost
False
True
17
BEERS criteria
self-reporting assessment tool for depression
basic framework for measuring ADLs
screens for cognitive impairment
list of medications that provides reference when Rx meds >65 y/o
18
withdrawal from alc can be life-threatening emergency
False
True
19
most common types of dementia in older adults
frontotemporal lobe dementia
alz (most common)
mixed alz/vascular dementia
vascular dementia (second most common)
20
many drugs that elders use cause adverse effects when combined with alcohol
True
False
21
health hx includes... sata
current medications
dietary supplements
functional history
22
urinary incontinence is
NOT
a normal part of aging
True
False
23
s/sx r/t the dx of PD includes all of the following
EXCEPT
:
dramatic improvement w/ admin of levodopa
symmetry of motor sx
resting tremor
muscular rigidity
24
the bulk and strength of skeletal muscle decline each year after the age of 50 is called
menieres
mixed UI
sacropenia
presbycusis
25
CAM assesses for
cognitive impairment
delirium
frailty
depression
26
cataracts, glaucoma, macular degeneration, and diabetic retinopathy are
NOT
considered a normal part of aging
True
False
27
which meds can cause or worsen confusion?
anticholinergics
CEIs
NMDA
meds w/ CNS effects
28
"challenge test" for PD : when sx improve dramatically after admin of levodopa
False
True
29
Short Michigan Alcoholism Screening Test: assess alc use disorder, s/sx of potential alcohol problems
False
True
30
katz index
basic framework for measuring ADLs
screens for cognitive impairment
assesses for delirium
list of medication
31
lewy body dementia
meds include
cholinesterase inhibitors
and
antipsychotics
True
False
32
transient UI is caused by treatable factors
False
True
33
delirium labs: CBC, metabolic panel, urinalysis
True
False
34
DELIRIUM IS A MEDICAL EMERGENCY. any sudden change in cognition or increase in agitation should be investigated
False
True
35
risk factors for polypharmacy:
multiple pharmacies
younger age
older age
multiple prescribers
36
presbycusis is the most common
sensory
deficit in the older population. (age related hearing loss)
True
False
37
four core signs of PD are
asymmetric onset
resting tremor
muscular rigidity
bradykinesia
38
three forms of delirium :
normoactive
mixed
hypoactive
hyperactive
39
3 most prevalent psychiatric disorders in older men? SATA
alcoholism
anxiety
dementia
bipolar
40
which group is at greatest risk for developing AD?
hispanic
african american
asian american/native hawaiian
white
41
meds for
alz
are
cholinesterase
inhibitors such as
amodiaquine (Eriquin)
donepezil (Aricept)
rivastigmine (Exelon)
galantamine (Razadyne)
42
reasons for the low rate of alcohol detection in older adults include:
ageism
lack of age-appropriate diagnostic criteria for abuse in older people
inadequate knowledge about screening instruments
poor symptom recognition
43
warning signs of medication issues include
sudden changes in ADLs
timeline
falls
nonspecific complaints
44
CAM identifies the four basic features of delirium, which are:
inattention
acute onset or fluctuating course
altered LOC
disorganized thinking
45
the leading cause of severe vision loss in older adults
cataracts
diabetic retinopathy
galucoma
macular degeneration
46
what is the only way to conclusively diagnose lewy body dementia?
cannot be definitively diagnosed
autopsy
CT or MRI of the brain
EEG
47
first line med for PD is levodopa
False
True
48
I WATCH DEATH (all of them just read it)
infection, withdrawal, acute metabolic
deficiencies, endocrinopathies, acute vascular
toxins or drugs, heavy metals
trauma, CNS pathology, hypoxia
49
one of the most difficult management problems encountered in the home and institutial settings is...
feeding issues
wandering
hallucinations
resistance to bathing
50
Geriatric Syndrome: common health condition in older adults that is not a discrete disease
True
False
51
stress incontinence
coughing, sneezing, laughing, running
urge
52
functional assessment includes ADLs, IADLs, AADLs. the assessment is called...
katz
cam
beers
cage
53
tx and intervention strategies for alcohol use disorder include:
cognitive-behavioral approaches
family therapy
alcohohlics anonymous
community home health care services