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Gerontology exam 2 Flashcards | StudBud
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Gerontology exam 2
Gerontology exam 2
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181 cards
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Questions
181
Answers
1
What should the nurse do initially if a patients has been taking benzodiazepines for 2 years
Place pt on strict I/O
None of the above
Monitor pt for signs of withdrawal
Notify the admitting physician immediately
2
The best choice for family support with older adults is visiting or telephone
False
True
3
What is the most common anxiety seen in older adults
GAD
APA
All of the above
OCD
4
The hospice nurse should encourage caregiver to
Take time out from their task & participate in self-care
Neglect themselves because the pt is more important
All of the above
Stay by Pt’s side all day & night
5
What does a nurse assess on a 76 yr old pt recently diagnosed with cardiac vascular disease
Wt loss of 10 lb in 3 months
SOB with activity
Cyanotic fingertips
All of the above
6
What is the major modifiable risk factor that contribute to incidence of CAD & stroke
Family history
High blood pressure/HTN
Age
Gender
7
What is the third leading cause of death & most common cause of disability in the USA
Strokes
Gout
Heart failure
Hyperlipedema
8
What assessment tool does the nurse use widely on an older critical pt to measure consciousness
Glasgow Coma Scale (GCS)
All of the above
MMS
Alertness Scale
9
What are the common aging changes that are reflected by the ECG include
All of the above
Notched or slurred T wave
Decreased amplitude of the QRS complex
p wave/prolonged PR interval
10
Atherosclerosis is usually caused by
MI
Diabetes
Stroke
CAD
11
How does a nurse help prevent delirium in older adults Dx with acute depression
Provide pt opportunity to discuss depression
Reorienting pt to the day, time, & place frequently
Being physically present to help the pt with eating meals
None of the above
12
A gerontology nurse working with a pt admitted with delirium. Which is priority nursing goal
Give urinal to avoid incontinence
None of the above
Give ROM exercise to joints
Give lo-dose O2 as ordered, maintain fluid & electrolyte
13
Why is the benzodiazepines Ativan (short acting agents) used for older adults
The older pt prefer it
Higher potential for buildup leading to alertness
Lower potential for buildup leading to sedation & depression
All of the above
14
Is coronary heart disease the principal type of heart disease
Yes
No
15
Older adults are four times more likely to die of of what due to increased platelet aggression
Strok
Sudden cardiac death
Carbon monoxide poisoning
All of the above
16
What can occur with a 89 yr old with dementia that had positive responses to selected cues
Nothing
Decline in positive response
All of the above
Increase in positive response
17
What are the age related changes linked to falls
Decrease muscle strength, hearing, chronic pain
Sensorimotor system acuity, vision, increased postural sway
All of the above
Balance, endurance, reflexes, gait disturbance
18
The nurse should help the pt work on the risk factor he or she is most willing to change
True
False
19
What is a healthy body wt currently defined as
All of the above
Body mass index of 24.9 to 29.9 kg/m2
Body mass index of 18.5 to 24.9 kg/m2
Body mass index of 30 to 50 kg/m2
20
An older adult being tx for COPD exhibit signs of memory loss & confusion. Nursing priority is
Assess for family hx of dementia
Obtain orders for a PFT
All of the above
Determine the potential of a possible adverse drug reaction
21
Is education General considered primary intervention
No
Yes
22
What does DASH Mean
Dietary allowances should have
Dietary Approach to stop hypertension
None of the above
Diet intake
23
What would the nurse expect to find in a pt with Parkinson’s disease
Slow initiation & execution of movement, ataxic gait
Impaired postural reflexes
Increased muscle tone/rigidity, tremors at rest
All of the above
24
What is the final outcome of CAD
Rt leg amputation
CABG
Liver transplant
Heart attack angina & sudden death
25
What should the nurse instruct a senior citizens group on heart healthy lifestyle choices
Smoking cessation tips/regular blood pressure monitoring
Stress management techniques
All of the above
Strategies to include exercise into daily routine
26
What is the most common contributing factor to ischemic stroke in older adults
Incidence of atrial fibrillation
None
Stroke
Heart blockers
27
What are the common age related changes that are reflected ECG
Notched P wave
Prolonged P-R interval/decreased amplitude of QRS complex
All of the above
Notched or slurred T waves
28
Why would the HCP order Buspirone for an older adult with mild agitation
It is a mood stabilizer
None of the above
Low side effect profile & low risk for drug-drug interaction
It has a high side effect profile
29
Annually what percent of people over 65 fall at least once
35-40%
50-100%
1-2%
10-30%
30
identifying early symptoms of depression is
All of the above
Tertiary prevention
Secondary prevention
Primary prevention
31
When beginning an exercise program older adults should start with
20 min and increase to 30 min 4-5 x wk
All of the above
30 min a day
5-10 min 2 or 3 x a wk & slowly increase to 30 min 4-5 x wk
32
The nurse support the possibility that an 80 yr pt exhibiting signs of dementia has AD because
None of the above
Pt has history of viral encephalitis
Was employed as a steelworker for 40 years
Travel to third world countries
33
What % of adults have HTN according to National Center for Health statistics in 2010 to 2011
30%
10%
20%
18%
34
What is the only definitive diagnostic tool to confirm the diagnosis of Alzheimer’s disease (AD
All of the above
X-ray
CT scan
Postmortem autopsy
35
Mortality refers to
Death
Sickness
All of the above
Life
36
What is the term pseudodementia used to describe in an older adult
False delusions
Acute confusion caused by depression
All of the above
Depression masquerading as dementia
37
Is cardiac illness associated with depression
Yes
No
38
The nurses ability to positively effect change in older adults response lies in the development
Of social relationships
Of good relationships
All of the above
Of therapeutic relationships
39
An 89 yr diagnosis with dementia was responding to cues until recently. Understanding dementia
Call the family & make them aware
Advancing age is the problem
None of the above
New interventions implemented to address disease progression
40
What are the atypical S/S of cardiac ischemia the older adults often have
Confusion
SOB/fatigue/ syncope
All of the above
Abdominal or back pain
41
What is coronary heart disease also referred to as
Heart failure
Mi
Stroke
Ischemic heart disease
42
What should the nurse assess in patients with intermittent claudication
Pedal pulse
B/P
All of the above
SOB
43
The nurse observers a pt with rigidity, bradykinesia, shuffling gait. He has
Lewy body dementia
All of the above
Vascular dementia
CHF
44
What would the nurse educate the older adults about warming signs of a stroke
All of the above
Sudden numbness of face, arm, or legs on one side of body
Sudden trouble seeing in one or both eyes/walking or dizzy
Trouble speaking or understanding/loss of balance/ headaches
45
What does smoking do to an older adult
None of the above
Decrease platelet aggregation
Increase platelet aggregation & cause coronary artery spasm
Nothing smoking is healthy in moderation
46
What is mitrial regurgitation
Closing of the Rt ventricles
Ejected blood flowing back into Lt atrium from ventricle
None of the above
Free flow of blood in the ventricles
47
For adults over the age of 65 what is the leading cause of non fatal injuries
CVD
CAD
Falls
Stroke
48
What are two of the most common side effects of many meds taken by older adults
Mental confusion & disorientation
HTN & confusion
None of the above
Diabetes & stroke
49
nurse instruct older adults recovering from MI taking heparin but is now to get oral Coumadin
Need to use a soft bristle toothbrush
Need to continue drawing PTT
All of the above
Administration of both medications for up to 5 days
50
Occurs rapidly; may be a response to infection or electrolyte imbalance
None of the above
Delirium
CHF
Dementia
51
Can amphetamines & glucocorticoids cause drug induced hypertension
No
Yes
52
What is a major risk factor for syncope & falls in older adults
Orthostatic hypotension
All of the above
Seizure
Stroke
53
Name the test used to test for dementia
All of the above
The Mini Cog( 3 min test, screens cognitive impairment)
BOMC (shortened version of SBT)
The Blessed Dementia Scale or Short Blessed Test
54
What is the leading cause of hospitalization in older adults
Falls
PVD
Head injury
CHF
55
What is the leading cause of death in the USA & major cause of disability
Cancer
Heart disease
Leukemia
Diabetes
56
What assessment findings indicate a priority goal for diagnosis of activity intolerance
Feels unsteady when getting out of bed
Less dyspnea when changing positions
None of the above
O2 saturation 98% after using the commode
57
What nutritional interventions should be provided for pt with dementia
All of the above
Large meals in the night only
Small, frequent, nutritionally dense meals & snacks
Large, infrequent meals without snacks
58
What med would be the first-line of defense for treating mod to severe aggression in older pt
None of the above
Prozac
Divalproex(valporic acid)
Ativan
59
What are the symptoms of CAD in women over 40
Difficulty sitting for long periods of time
Epigastric pain & SOB
All of the above
Pain in the left toe
60
Is an elevated serum cholesterol level a major risk for CAD for men & women
Yes
No
61
A 65 yr old adult present with sad affect/wife died/failed suicide attempt. Priority nurse Dx
Risk for loneliness related to loss of spouse
Risk for self-directed violence related to depression
Hopelessness related to death of spouse
Ineffective coping related to recent loss
62
nurse recognizes that the pt who has the greatest potential for successful committing suicide
76-yr-old Hispanic female
86-yr-old Caucasian male
63-yr-old Asian female
67-yr-old African-American male
63
What are the signs & symptoms of vascular disease
Cyanotic fingertips/ SOB
Dizziness/ fatigue/ weakness/ palpitations
None of the above
Angina pain
64
What are factors that the nurse would need to assess in a pt with anxiety disorder
All of the above
Degrees of anxiety/physical symptoms(VS/tremors/headaches
Interference of the anxiety with performance of ADLs
Recent changes in the pt life
65
What are some of the changes in the heart that decrease myocardial muscle contractions
Aortic distensibility
Lt atrium increases
All of the above
Vascular tone decrease
66
What Beta-Blockers are more tolerated by older adults with lung disease or PVD
All of the above
Nadolol & Timolol
Atenolol & metrolol
Pindolol & Betaxolol
67
Are falls an inevitable part of aging
Yes
No
68
Who sustains significant injuries from falls men or women
Women
Men
69
Do women fall more than men
No
Yes
70
nurse best assures an accurate Hx while conducting an admission assessment on confused older pt
Direct questions to both family & patient
Focus on the client to respond
Arrange a MMSE
All of the above
71
what is the leading cause of death between men and women
brain tumor
diabetes
none of the above
CVD
72
Why would the nurse notify the physician for a pt taking benzodiazepines for 2 years
The patients should not take this medication
The physician will be upset
None of the above
So that plans for safe discontinuing the drug can be made
73
The nurse asked mrs. Smith who has a Dx of Schizophrenia. Can I touch you? Why
Pt may misinterprete touch as harmful or theatening
Pt may think the nurse is being to friendly
Never touch a pt without permission
All of the above
74
What would be an important thing to educate the caregiver about the med Buspirone
It is useful for acute episodes
Only take this medication when older adults are calm
It may take 2-6 wks before results are appropriated.
None of the above
75
What does DRI stand for
Don’t resuscitate in bed
Diet around the clock
Dietary reference intake
All of the above
76
In the average woman the HDL cholesterol levels range from 50 to 60 mg/dL
Yes
No
77
What SSRI is often avoided in older adults because of its long half-life
Sertraline (Zoloft)
Paroxetine (Paxil)
All of the above
Fluoxetine(Prozac)
78
What is An optimal level for LDL
Greater than 200 mg/dL
None of the above
Less than 100 mg/dL
Less than 150 mg/dL
79
nurse notes the greatest risk factor for developing secondary HTN in older adult African female
Vascular symptom status
Age
Gender
None of the above
80
Do psychotropic meds need to be started low & increased slowly in older adults
No
Yes
81
Is edema generally observed in cases of arterial deficiency or venous venouse deficiency
Venouse deficiency
Arterial deficiency
82
does the mortality rate for patients older than 65 rise for CVD
yes
no
83
When administering beta-blockers to older pt the nurses care plan includes
None of the above
Monitor for dizziness/syncope
Obtain serum potassium levels
Evaluate pt muscle strength
84
How will the nurse evaluate a pt for possible renal failure from chronic untreated HTN
Transport pt to CT LAB
All of the above
Collect a urine sample
Monitor I/O
85
What can the nurse encourage for the older adult after surgery to alleviate delirium
All of the above
Eyeglasses in reach
Use of personal hearing aids
Family/familiar belongings
86
A 80yr with symptoms of depression & anxiety is reluctant to comply. The nurse ask the pt
Do you have any questions about your mental health tx
How do you feel about how other view your mental health prob
Do you know mental health is common
All of the above
87
How does the heart respond to stress and exercise in older adults
HR decrease more faster & increase much faster
Cardiac arrest
None of the above
increase more slowly & once elevated decrease much slower
88
Is presbycusis hearing loss associated with the aging process
No
Yes
89
What happens to the vessels with aging
Elastin in vessel wall decreases
Less sensitive to baroreceptor regulation of BP
Calsification of vessels
All of the above
90
What are complications of HTN
Heart failure
All of the above
Stroke
End-stage renal failure
91
What risk factors for delirium will the nurse educate the pt and family members about
Functional impairment/comorbidity
All of the above
The use of physical restraints
Cognitive impairment/visual improvement
92
The nurse addresses the older adults treated for depression tertiary intervention needs best by
Help pt identify early signs of depression
Discussing with the pt how to implement new coping skills
None of the above
Education of the pt
93
Do older adults need up to 12 weeks of Elavil for evaluation of a full response
Yes
No
94
Do one and three adults have HTN
Yes
No
95
Is CAD the leading cause of death in men or women over age 40
Yes
No
96
nurse educate the obese older adult the single most important thing that effects cardiac health
20 min of exercise daily
Following the DASH diet
Medication
Is a 10% reduction in Wt
97
What are the risk factors associated with Alzheimer’s disease
Environmental
All of the above
Viral
Genetic, nutritional
98
Older adults Dx with type 2 diabetes/retinal deterioration. Determine situational depression
Assess pt coping skills
None of the above
Educate the family on early signs of depression
Assess pt ability to manage the symptoms
99
Where do S4 heart sounds commonly occur
In older adults
All of the above
In babies
In adolescence
100
What occurs to the number of pacemaker cells located in the SA nodes with age
Decrease
Increase
101
What can cause delirium in older adults
None of the above
Lying down to fast after sitting
Nothing older adults don’t get delusions
Hypoalbuminemia & electrolyte imbalance
102
What would a nurse teach a client with a new pacemaker that is being discharged home
Call HCP if pulse is within 10 beats of preset rate
Check radial pulse daily at the same time & record
Charge battery every 2 years
Stay away from microwave
103
Where are the places a nurse would assess to identify anemia in older patients
Bottom of PT feet
Oral mucus membrane, conjunctiva & nail beds
All of the above
Skin, mental status & SOB
104
Which statement best indicate the nurse understands appropriateness of Amantadine in older pt
Symmetrel is an effective dopamine agonist
This med produces fewer anticholinergic effects
Older pt have fewer side effects
All of the above
105
Schizophrenia is a thought disorder characterized by altered perceptions of reality
False
True
106
A new nurse needs education on arterial vascular deficiency if she say the congestion includes
None of the above
Skin on Lt LEGO’s cool to touch
2+ edema in calf & foot on Left leg
Toenails on the Lt foot are thick & brittle
107
What helps aging individuals maintain relatively normal motor performance
Compensatory process in cortex/subcortical area of the brain
All of the above
Frontal lobe of the brain
Exercise
108
What side effect would the nurse be assess for in an older Pt with a lithium level of 3 mEq/L
GI distress/hand tremors/ GI distress/ataxia
Weight loss/ steady hands/ insomnia
Pale mucus membrane/ and nail beds
All of the above
109
What are the difference in postural & Gait terms for Parkinson’s Disease
Freezing(pt appears to be glued to the floor unable to move)
Festinating Gait(Pt can only take small steps)
Propulsive Gait(Pt starts walking then running hard to stop)
All of the above
110
Can hospitalizations lead to depression
Yes
No
111
Why do A-Fib, sick sinus syndrome & heart block appear more often in older adults
Deposit of Fibrous tissue thoughout the conduction system
Extensive deposit of fat
All of the above
Fewer pacemaker cells
112
At what level does the HDL cholesterol is believed to provide some protection from HD
50 mg/dL
20mg/dL
All of the above
60 mg/dL
113
effect of aging on the CVS is evidenced by which systems in an older adult during a stress test
All of the above
Stress induced arrhythmias
Slow increase of HR slow decrease of HR post exercise
Chest pain
114
What education by the nurse is most important to address age-related changes to the senses
All of the above
Having regular eye check up
Installing auditory smoke alarms
Checking expectation dates on foods
115
What should the nurse educate the patient taking Levadopa
Give drug with food to decrease GI upset/avoid protein diet
Give with protein only
Give drugs only with this medication
All of the above
116
What should the nurse monitor the older adult pt closely for after surgery
Arrhythmia & infarction
Hemorrhage/
MI/heart failure/thromboembolism
All of the above
117
What is the primary risk factor for AD
Diabetes
Death
All of the above
Advancing age
118
In the average man HDL cholesterol levels range from
40 to 50 mg/dL
All of the above
50 to 60 mg/dL
20 to 30 mg/dL
119
Who has the highest rate of successfully committing suicide over the age of 85
Women
Men
120
Clomipramine (Anafranil) is a Tricyclic antidepressant specifically helpful for OCD
False
True
121
A pt has PVD. What statement by the pt indicates a need for further teaching?
I will have the podiatrist cut my toenails
I will report injury to my foot or leg
I can only walk limited distance now
All of the above
122
Why is Systolic blood pressure in older adults increased
None of the above
Loss of vascular deficiency
Loss of arterial distensibilty resulting from stiffening
Not enough exercise
123
What would a nurse say to a older pt that is upset about a B/P reading of 180/78 mmHg
All of the above
With age blood vessels stiffen raising B/P
You may need B/P medication
Don’t worry medication will help
124
Do the SA node, Atrioventricular (AV) nodes, & the bundle of His becomes fibrotic with age
No
Yes
125
What class of drugs are given for rate control of the heart
Decongestant
Antiperspirants
Anticoagulant
Beta blockers & Calcium Chanel blockers
126
What should the nurse instruct the patients taking procardia
Follow low salt diet
Change positions slowly
Add exercise to daily routines
Monitor B/P
127
What does reality orientation support in early stages of dementia/preserves independence longer
All of the above
Alertness
Failing memory
Cognitive increase
128
What should the nurse instruct the older adult patient with CHF to do
Weight self daily at the same time
All of the above
If having dyspnea will remain calm & take slow deep breath
Report wt gain of 3 lbs or more in 2 days to HCP
129
What are the nonmodifiable risk factors for cardiovascular disease
Family history of premature CVD
Age(men>45yr, women <55yrs)/
Male gender/heredity(including race)
All of the above
130
What % of people don’t know they have HTN
10%
2%
30%
50%
131
fall accounts for two thirds of accidental deaths among older adults
False
True
132
When a patients C/O of pain in legs that is elevated with rest the nurse should assess
Elevate pt legs
Pedal pulse
All of the above
B/P
133
Have NSAIDs been known To cause elevated blood pressure in normatensive older adults
Yes
No
134
The patient will maintain an adequate cardiac output as evidenced by
HR& rhythm within normal range/mental alertness
Clear breath sounds/
Urine output of 30 ml/hr/stabl B/P/adequate peripheral pulse
All of the above
135
What is the most important modifiable risk factor for both ischemic & hemorrhagic strokes
CVA
Stroke
CAD
HTN
136
What is the drug of choice for bradycardia
Procardia
Lisinopril
All of the above
Atropine
137
The nurse observers the pt with Parkinson’s walking and falling backwards instead of forwards
Festinating Gait
None of the above
Freezing
Retropulsion
138
What behavioral cues that the nurse would assess in an older adult with anxiety
Pacing
Irritability
All of the above
Fidgeting
139
What are examples of fall assessment tools
Morse fall scale
All of the above
Gait evaluation (best for outpatient risk assessment)
The tinetti balance
140
What would the nurse observe in an older adult with Dx of Pseudodelirium
All of the above
False delusions
Depression masquerading as dementia
Acute confusion caused by depression
141
What is the best aerobic exercise for older adults
Biking
Walking
Weight-lifting
Running
142
An older adult has medical conditions, hospitalized far from home. Minimize risk of depression
The nurse offers to help pt telephone family every evening
Encourage pt to place family photos around the room
Keep the pt informed
Reassuring pt that early discharge is a nursing goal
143
What are the primary types of dementia
Alzheimer’s disease
Frontotemporal dementia(FTD)
All of the above
Vascular dementia (VaD)/dementia with Lewy body(DLB)
144
What should the nurse expect to occurs to the heart as people age
Decrease elastin in heart muscles & vessel walls
All of the above
Overall increased demand for O2/increased collagen
Heart rate decrease/Lt ventricular wall thickens
145
How would the nurse assess anemia symptoms in the older adult population
None of the above
Assess the pt wkly intake of red meat
Monitor pt supplements of iron
Assess the pt for pale oral mucus membranes
146
What should the nurse educate the caregiver & older adult on the decline in cognitive function
It’s a normal aging process and isn’t an effect of disease
Monitor older adult for bleeding gums
It’s an effect of disease not normal aging process
All of the above
147
Is Amantadine (Symmetrel) a dopamine agonist prescribed to manage EPS in older adults & cardiac
Yes
No
148
Why would the nurse give an older adult pt a referral to participate in cardiac rehabilitation
Restore physical & mental health to highest function
Cure cardiac disease
None of the above
Provide support
149
Why are older adults at risk for falls
Intrinsic factors such as advancing age
Poor foot wear
Clumsy
None of the above
150
What is an appropriate method to first implement when a Pt is exhibiting confused behavior
Only speak to client
Interview with the friend or family member
All of the above
Scoring the client cognitive response
151
Should the HDL be above 60 and LDL lower than 100
True
False
152
Why would the nurse need to monitor older adults nutritional intake closely
Older adult inability to identify the food
None of the above
Loss of taste & smell receptors
Loss of motor skills
153
The nurse caring for pt recovering from cardiac Sx. Assess pt for mental health problems
Untreated depression can contribute to the pt morbidity risk
Hospitalized pt get anxiety & depressed
All of the above
Cardiac Sx results in anxiety
154
The older adult states “my Elavil of 3 wks didn’t make me feel any better. Nurse response
Depression seldom improves without medications
Realistically it will take longer for the pt to improve
Sudden withdrawal will cause hypertensive crisis
None of the above
155
At what point in the cholesterol level will atherosclerosis begin to accelerate
19 mg/dL
150 mg/dL
None of the above
120 mg/dL
156
How will the nurse know that the drug Clomipramine(anafranil) is having the desired effect. Pt
Engages in fewer ritualistic behaviors
Reports fewer episodes of nervousness
Exhibit no delusions
All of the above
157
When a family member makes this statement it indicates peaceful acceptance of the situation
I promised mother I would take care of her & wouldn’t leave
All of the above
The hospice nurse are so helpful when I need time for myself
I’m so pleased mother had a good day
158
Familial Alzheimer’s disease(genetic) occurs in people 30-60 but affectless than 5% who have AD
False
True
159
What does the treatment of delirium entail
All of the above
Keeping the pt sedated at all times
Helping the patients cope
The identification & treatment of the underlying cause
160
What is the most common valvular disorder among older adults
S2
S4
Ventricular fibrillation
Aortic stenosis
161
Benzodiazepines should be reserved for acute situations not long term management of troubled pt
True
False
162
What is a post menopausal women in danger of developing
Weight lost
obesity
All of the above
Heart disease-related death
163
To best effect change of severely depressed older adults. The nurse goal is to
Introduce pt to new coping skills
Develop a therapeutic nurse-Patient relationship
Plan interventions that will enhance the patient self-esteem
Assess the patients potential to self harm
164
How would the nurse determine that the 77yr old patient cardiac output is adequate
SBP that remains within 20 mm of baseline
All of the above
Urine output of 140 cc over 4 hours/ no crackles & rales
Recollection of the birthdays of all of her grandchildren
165
What would a nurse caring for a patient with Alzheimer’s disease find
Language deficits/agraphia (difficulty drawing objects
Apraxia (difficultly with manipulation of obo)
All of the above
Agnosia (inability to recognize familiar objects)
166
the nurse monitor closely in an older adult who is taking NSAIDs for musculoskeletal problem ?
Pulse
Blood pressure
Respiration
None of the above
167
The effects of advancing age on cardiovascular system structure & function are influenced by
NonCardiovascular & variations in lifestyle
The heart
None of the above
Relaxation
168
Are age-related reductions In senses make it less likely that an older adult will smell smoke
False
True
169
What are the modifiable risk factors for cardiovascular disease
Diabetes mellitus/atherogenic diet
Smoking/obesity(BMI>30)
All of the above
Physical inactivity/HTN(>140/90mm or anti hypertensive med)
170
What is the best way for a nurse to implement reality orientation when caring for older adults
None of the above
Show pt picture of toothbrush when it is time for oral care
Place clocks & calendar in pt immediate environment
Use hand gestures
171
When assessing an older adult displaying symptoms of delirium, the nurse focuses on
Amount of self care
Physiological dysfunction
Identifying processes that commonly result in the symptoms
The degree & duration of the symptoms
172
Can calcium channel blockers like procardia cause orthostatic hypotention
No
Yes
173
A novice nurse is aware that normal aging can result in changes in ECG of a 73 yr old pt
All of the above
A prolonged PR interval/A slurred T Wave
A notched P wave
Decreased amplitude of the QRS complex
174
What is the nurse goal when taking care of a Pt with dementia
Maintain good health
All of the above
Maintain functional behaviors to maximize self-care ability
Maintain gross & fine motor skills
175
What is morbidity
None of the above
Mental illness
Death
conditions of being diseased
176
What % of older adults have a grade 1 or 2 systolic murmur
30%
20%
50%
5%
177
older adult with age-related postural hypotension alone in his social group & afraid. Nurse say
You just don’t have compensated mechanisms of your friends
Don’t worry just be careful about your risk for falling
None of the above
Give them time
178
What is the initial symptom of vascular disease
Fatigue
Weakness
Dizziness
Exertional dyspnea is frequent
179
What can cause Familial AD(FAD)
Unknown
None of the above
1 of any single-gen mutations on chromosomes 1, 14, & 21
Double gene rejuvenation
180
Can a patient in mild to moderate HTN be asymptotic
No
Yes
181
What are some possible risk for factors for Alzheimer’s disease
Viral illness like herpes zoster/simplex or encephalitis
Dementors
Psychosis
All of the above
