excessive outward curvature of the spine

A durable power of attorney for healthcare: SELECT ALL THAT APPLY:

Transfers healthcare decisions to a health care agent, Is an advanced directive, Can be revoked at anytime

The study of all aspects of the aging processes

A document that includes code status, artificial nutrition, ABX usage and is considered a doctor's order is called:

Physician Orders for Life Sustaining Treatment (POLST)

What are the types of deafness? SELECT ALL THAT APPLY

Central, Nerve or sensorineural, Conduction

What education should the nurse give the client with newly diagnosed gout? SELECT ALL THAT APPLY

Gout is caused by uric acid crystals in the joint, Reduce the amount of purine rich food in your diet, Reduce the amount of alcohol you consume

What the the signs and symptoms of benign prostatic hyperplasia in men? SELECT ALL THAT APPLY

Increased UTIs, Urinary frequency and hesitancy

The nurse is taking care of a patient with tuberculosis. What is the nurse's FIRST priority as regards to safety.

Early detection of disease to prevent spread

Presbycusis will present as which changes to hearing abilities? SELECT ALL THAT APPLY

Difficulty sorting out words and making sense of what is said, Speech sounds of S, SH, CH, and soft T are inaudible, Difficulty hearing in a noisy environment, Unable to perceive high pitched sounds

When age, the lung capacity decreases, how? SELECT ALL THAT APPY

Costal cartilage becomes more rigid, Diaphragm flattens and becomes less elastic, Intercostal muscles atrophy, Barrell shaped chest from kyphosis

What is the BEST reason why the diagnosis for lung cancer be missed?

The symptoms resemble other respiratory diseases

________________________ is an example of the "Wear and Tear" theory.

Aging person needs a knee replacement after years as a mailman

Senile purpura is caused by:

fragile capillary walls that hemorrhage

What is a myth among healthcare providers and the aging population? SELECT ALL THAT APPLY:

Not fully using all of their skills, They have poor outcomes anyway, Routine, boring and depressing

What symptoms could a patient with aspiration pneumonia present with? SELECT ALL THAT APPLY

Choking or coughing with eating or drinking, Increased heart rate, Increased rate of breathing, Frothy sputum without bacteria

What facts would the nurse educate a patient on about rosacea? SELECT ALL THAT APPLY

Avoid triggers like sun exposure and spicy foods, If left untreated, you could experience nose enlargement and conjunctivitis

What are the common symptoms of heart failure? SELECT ALL THAT APPLY

Dyspnea, Paroxysmal nocturnal dyspnea, Orthopnea

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Geri Final 1

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Questions 91

Answers

1
What is nurse's priority in regards to Meniere disease?
Safety from infection
Protecting hearing ability
Protecting privacy
Safety from falls
2
Veins are the high pressure, high flow side of circulation.
False
True
3
How many days will Medicare pay for skilled nursing rehab after a hospital stay?
has many as the person needs to be independently functioning again
up to 100 days
up to 30 days
they don't pay of any
4
Medications can absourb differently in the older person due to decreased muscle mass and increased adipose tissues.
False
True
5
Which age group is considered the "Aged"?
85 years old and greater
75-84 years old
55 to 64 years old
65- 74 years old
6
What is kyphosis?
excessive outward curvature of the spine
Stop making up terms Mrs Weaver!
excessive inward curvature of the spine
abnormal lateral curvature of the spine
7
A durable power of attorney for healthcare: SELECT ALL THAT APPLY:
Transfers financial decisions to an agent
Transfers healthcare decisions to a health care agent
Is an advanced directive
Can be revoked at anytime
8
Gerontology is:
Fear of aging and refusal to accept older adults into mainstream society
The study of all aspects of the aging processes
Holistic view of aging
A negative attitude toward aging and older adults
9
A document that includes code status, artificial nutrition, ABX usage and is considered a doctor's order is called:
Power of attorney
Physician Orders for Life Sustaining Treatment (POLST)
Living Will
Murphy's Law
10
Your aging loved one starts volunteering in the NICU holding babies after their spouse passes away. Example of:
Integrity theory
Purposeful activity theory
Generativity theory
Stagnation theory
11
What is the name of the age-cohort born from 1946 to 1964?
Generation X
The Silent generation
Baby boomers
The Greatest generation
12
In a normal sized heart, where is the myocardium the thickest?
Left ventricle
Right atrium
Left atrium
Right ventricle
13
Melanocyte clusters can form, causing areas of hyper-pigmentation called:
Senile lentigo
Xerosis
Seborrheic keratosis
Melanocytic nevus
14
Your client is concerned about their seborrheic dermatitis. What do you expect the PCP to order for them?
Laser dermal treatments
Oral antibiotics
Steroid injections
Medicated shampoo and lotion
15
What are the types of deafness? SELECT ALL THAT APPLY
Central
Nerve or sensorineural
Convection
Conduction
16
Theory developed to explain why aging persons separate from society.
Disengagement theory
Life course theory
Weaver's theory
Purposeful activity theory
17
What education should the nurse give the client with newly diagnosed gout? SELECT ALL THAT APPLY
Gout is caused by uric acid crystals in the joint
Reduce the amount of spicy foods you eat
Reduce the amount of purine rich food in your diet
Reduce the amount of alcohol you consume
18
What the the signs and symptoms of benign prostatic hyperplasia in men? SELECT ALL THAT APPLY
Increased force of ejaculation
Increased UTIs
Complete emptying of the bladder
Urinary frequency and hesitancy
19
Stealing resources from an older person is an example of:
Emotional abuse
Abandonment
Neglect
Financial abuse
20
The nurse is taking care of a patient with tuberculosis. What is the nurse's FIRST priority as regards to safety.
Education on covering cough
Education on good nutrition
Making sure the patient finishes their antibiotics
Early detection of disease to prevent spread
21
Presbycusis will present as which changes to hearing abilities? SELECT ALL THAT APPLY
Difficulty sorting out words and making sense of what is said
Speech sounds of S, SH, CH, and soft T are inaudible
Difficulty hearing in a noisy environment
Unable to perceive high pitched sounds
22
Which emotional responses are seen by families of a declining loved one?
Happiness, joy and freedom
Frustration, grief and anger
Excitement and overwhelmed
Fear, disgust and loneliness
23
________ connects bone to bone and _________ connects muscle to bone.
Tendons, filaments
Ligaments, tendons
Tendons, ligaments
Ligaments, filaments
24
120/80 is considered the upper limit of normal
True
False
25
Refusing to hire someone on the basis of age is an example of:
Sex discrimination
Racial discrimination
Age discrimination
Disability discrimination
26
When age, the lung capacity decreases, how? SELECT ALL THAT APPY
Costal cartilage becomes more rigid
Diaphragm flattens and becomes less elastic
Intercostal muscles atrophy
Barrell shaped chest from kyphosis
27
What is the BEST reason why the diagnosis for lung cancer be missed?
The testing is too expensive
Some people might be too scared to get tested
May people ignore the symptoms
The symptoms resemble other respiratory diseases
28
An advanced directive should not be considered part of someone's medical record.
False
True
29
Older adults can have Medicare and Medicaid (Title 19) at the same time.
True
False
30
Less precise hormone release or targeting in the body leads to aging.
Clinker theory
Reliability theory
Free radicals theory
Neuroendocrine theory
31
When should influenza vaccines start?
November or December
July or August
Flu vaccines can be given at any time
September or October
32
What is the FIRST symptom of Alzheimer's Disease.
Only has a 5-6 word vocabulary
Needs help with bathing
Needs help with proper attire.
Mild forgetfulness
33
It is safe to start any supplement at anytime without consulting you primary provider.
True
False
34
________________________ is an example of the "Wear and Tear" theory.
Aging person needs a stent after a heart attack
Aging person needs a knee replacement after years as a mailman
Aging person uses antioxidant vitamins to combat aging
Aging person develops mesothelioma after years of working in a ship yard
35
All adults over the age of 18 and of sound mind have the right to make decisions on the amount of type of healthcare
True
False
36
What is the FIRST LINE analgesic for rheumatoid arthritis?
Opioids
Steroids'
Biologic agents
NSAIDS
37
Everyone has a certain "biological clock" or time to follow; number of predetermined cell divisions
Rate of Living theory
Run-Out-Of-Time therory
Error theory
Programmed theory
38
65 and older is the fastest growing age group.
False
True
39
______________ connects the middle ear and nasopharynx.
Eustachian tube
Loop of Henle
Epididymis
Neural tube
40
The older adult is unable to work in his garden put able to attend to plants on his porch. This is an example of:
Erickson's theory
Havighurst's theory
Jung's theory
Newman's theory
41
_______________ is a clot formed on the vein wall that occludes flow and _____________ is a clot that has broken off.
Thrombus, embolus
Thrombus, aneurysm
Aneurysm, Thrombus
Embolus, thrombus
42
Regarding peripheral vascular disease, which symptoms need to promptly reported to the provider?
Pain, pallor and pulselessness
Pain, pallor and pregnancy
Phlebitis, pulselessness and popsicles
Pain, phlebitis and pulselessness
43
X-rays, blood transfusions and ambulance transportation are paid by:
Medicare Part C (Advantage plans)
Medicare Part A
Medicare Part B
Medicare Part D
44
Senile purpura is caused by:
fragile capillary walls that hemorrhage
decreased function of the sebaceous and sweat glands
dilated superficial blood vessels and small "pimples"
excessive exposure to sunlight or harsh chemicals
45
What is a myth among healthcare providers and the aging population? SELECT ALL THAT APPLY:
Can see people for who they were and not how they are now
Not fully using all of their skills
They have poor outcomes anyway
Routine, boring and depressing
46
Osteoarthritis in a considered normal with aging.
False
True
47
Free radicals are suspected of accumulating and causing excessive destruction and contributes to aging and disease.
Clinker theory
Gene theory
Free Radical theory
Weaver theory
48
What is leading cause of disability in the US?
Stroke
Dementia
Heart Failure
Arthritis
49
What symptoms could a patient with aspiration pneumonia present with? SELECT ALL THAT APPLY
Decreased rate of breathing
Decreased heart rate
Choking or coughing with eating or drinking
Increased heart rate
Increased rate of breathing
Frothy sputum without bacteria
50
What facts would the nurse educate a patient on about rosacea? SELECT ALL THAT APPLY
Avoid triggers like sun exposure and spicy foods
No treatment is needed
Avoid triggers like coffee and milk
If left untreated, you could experience nose enlargement and conjunctivitis
51
What are the common symptoms of heart failure? SELECT ALL THAT APPLY
Dyspnea
Paroxysmal nocturnal dyspnea
Bradycardia
Orthopnea
52
Physical activity may help restore endocrine changes that occurs with aging.
True
False
53
Orthostatic hypotension is common with aging due to lagging circulation response.
False
True
54
Influenza vaccinations should be given to everyone, regardless of allergies.
False
True
55
Which organ receives blood FIRST from the ascending aorta?
Kidneys
Heart
Brain
Lungs
56
Leaving someone in soiled bed linens is an example of:
Abandonment
Physical abuse
Emotional abuse
Neglect
57
It is normal in the aging process to have a decreased gag reflex
False
True
58
Why to women get more UTIs then men?
They have a longer urethra
They have a shorter urethra
The vaginal mucus helps protect from infections
Men have less urinary incontinence
59
Self-neglect is often connected to mental illness or dementia.
True
False
60
Medicare Part C (advantage plans) are:
drug plans
HMO/PPO plans
plans for post hospitalization
covers "customary and usual" rates charged by providers after deductibles
61
Prescription drug coverage is:
Medicare Part A
Medicare Part B
Medicare Part D
Medicare Part C (Advantage plans)
62
What is formed in the muscles when there isn't enough oxygen and glucose isn't completely broken down?
Hydrochloric acid
Citric acid
Uric acid
Lactic acid
63
What is the nurse's responsibility is regards to abuse? SELECT ALL THAT APPLY:
Record all objective and subjective date
Question the adult alone
Report the abuse immediately
Share the information with family members
64
What is the main cause of retinal detachment in older persons?
Normal shrinkage of the eye and consistency in the aqueous humor changes
Staph infections
The person hits their head when they fall
Normal shrinkage of the eye and consistency in the vitreous humor changes
65
Urinary incontinence is concerned abnormal in the aging process.
False
True
66
Fatigue or emotional stress can improve tremors in a person with Parkinson disease.
True
False
67
What causes intermittent claudication:
An increase in blood flow that gives extra oxygen and nurtients to tissues
A decrease in blood flow that deprives the tissues of oxygen and nutrients
A decrease in blood flow that has no effect on the body
Uric acid build up in the joints
68
Diagnosis related groups (DRG) is the set amount the hospital will be paid for the primary diagnosis.
True
False
69
Slapping or hitting an older person is an example of:
Neglect
Physical abuse
Emotional abuse
Self-neglect
70
Isometric exercise helps maintain tone and increase muscle strength and increases muscle size.
False
True
71
What patient education is important regarding glucosamine supplements?
Education on latex allergies
Education on shellfish allergies
Education on sulfa drug allergies
Education on egg allergies
72
Hospital and post hospital coverage is:
Medicare Part D
Medicare Part C (Advantage plans)
Medicare Part B
Medicare Part A
73
Wounds on a patient with venous insufficiency tend to have black eschar.
False
True
74
What symptoms could your patient with emphysema present with? SELECT ALL THAT APPLY
Shortness of breath
Increased oxygen (O2) needs
Wheezing
Non-productive cough
75
What type of activities help keep minerals in long bones?
Taking excessive doses of vitamins and minerals
Eating moderate amounts of high-fat dairy
Non weight bearing
Weight bearing
76
Due to the effects of aging, older adults are at decreased risk for aspiration pneumonia.
True
False
77
Estrogen and testosterone help retain calcium in bone matrix.
False
True
78
A theory is a logical order of observations, structure of ideas that explain and interpret facts.
False
True
79
______________ and ____________ are the two types of strokes. SELECT ALL THAT APPLY
Ischemic
Hemorrhagic
Transient
Neurogenic
80
An older woman only wears red shoes because she likes to; this is an example of:
Erickson's theory
Newman's theory
Havighurst's theory
Jung's theory
81
The ___________ is the "natural pacemaker" of the heart and generates the electrical impulse.
Bundle of His
Purkinje fibers
SA node
AV node
82
A Living Will: SELECT ALL THAT APPLY:
Prohibits the use of life sustaining treatments
Can be revoked at anytime
Decides how someone's estate is divided
Needs to 2 physicians to agree that criteria has been met to activate
83
Why is Social Security funding decreasing?
Government need for more defense spending
Government need for other tax programs
Social security has all the funding it will ever need
Decreased pool of workers paying into the system
84
Theory that states the existence of one or more harmful genes being activated results in changes seen in aging.
Molecular theory
Immunological theory
Cross-link of Connective tissue theory
Gene theory
85
Which of the following best describes the primary developmental challenge in Erickson's stage 8: Integrity vs. Despair?
Reflecting on one's life and finding satisfaction in accomplishments.
Exploring one's identity and role in society.
Building trusting relationships with others.
Establishing a sense of autonomy and independence.
86
What is true in regards to skin cancer? SELECT ALL THAT APPLY
Early detection and early treatment can prolong life
Men are more likely to die from melanoma
All abnormal moles should be checked by a dermatologist
Can be melanoma or nonmelanoma
87
Showing displeasure or disgust towards someone is an example of:
Neglect
Abandonment
Emotional abuse
Physical abuse
88
Define osteoporosis:
Decreased bone mass
Porous, brittle bones
Weakened bones
Excessively calcified bones bones
89
_______________ is the farsightedness of aging.
Astigmatism
Myopia
Diplopia
Presbyopia
90
Unintentional neglect is a deliberate act on the part of the caregiver.
True
False
91
A client has a hiatal hernia. What education would the give? SELECT ALL THAT APPLY
Elevate your head of bed 30 degrees when you sleep
Lay flat at night
Eat smaller meals and don't lay down right away
Eat larger meals and lay down right away

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