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Gero Bible 1
Gero Bible 1
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1
The hormone that appears to increase longevity and are low levels in people with chronic diseases
Triiodothyronine
Adrenocorticotropic hormone
HDEA
Dehydroepiandrosterone
2
When assessing an elderly pt for the second S in the 6 geriatric syndromes, which test is most appropriate to use?
The Mini Nutritional Assessment
The Braden Scale
The Urinary Incontinence Assessment
The Pittsburgh Sleep Quality Index
3
Older adults (60+) older are in what part of Erickson’s theory
Isolation vs Intimacy
Trust vs mistrust
Stagnation vs generativity
Ego integrity vs despair
4
Which non-pharmacological approach has been found to reduce the intensity of pain?
Massage
Music
Accupuncture
Guided imagery
5
Which one is recent?
Depression
Delirium
Disillusionment
Dementia
6
Which one is affected by the pacemaker theory
.
.
Nervous,
7
A elderly pt. needs correction when they state which?
“I will get a pneumonia vaccine at the age of 65”
“I will get the TDAP every 10 years”
“I will get a flu vaccine yearly only if I feel sick that year”
“I will get a pneumonia vaccine booster every 5 years after 65”
8
People with mild cognitive
People with mild and moderate cognitive impairment can self report pain
.
.
9
This theory attempts to explain the social changes that have resulted in the devaluing the contributions of elders
Disengagement
Modernization
Aging theory
Role theory
10
Which of the following is not false?
All women develop osteoporosis as they age
Pain is common in older adults but not normal
It’s very difficult for older adults to learn new things
Clinical depression occurs more frequently in older than younger people
11
A cognitive impairment that may accompany depression
Delirium
Symptomatic cognitive decline dementia
Dementia
Pseudodementia
12
What is the leading cause death of elderly over 65years of age?
Cerebrovascular accidents
Alzheimer’s disease
Cardiovascular disease
Cancer
13
In the test book it states if you don’t control your pain what will happen?
.
.
Decreased nutritional status
14
Which field of nursing requires a Master’s degree?
Nurse generalist
Nurse entrepreneur
Nurse specialist
Nurses assigned to assisted living communities, requiring 3 years exp.
15
A medication that may result in depressive symptoms
Antibiotics
ACE Inhibitor
Anticholinergics
Beta adrenegric blockers
16
When conducting the APGAR test you cannot substitute friends for family
False
True
17
An impairment that is caused by a decrease in blood flow to parts of the brain due to a series of small strokes
Ischemic repercussion injury
Vascular dementia
Aneurysm
Brain imaging
18
What criteria must be met to test positive for delirium according to the CAM assessment?
1 and 2 with either 3 or 4
All numbers must be checked off
Either 1,2,3, or 4
Only 1 and 2
19
A pt with Alzheimer’s can’t walk sit up smile, hold their head up, and can only speak 1/2 dozen words. What is the stage
Stage 7
Stage 4
Stage 6
Stage 1
20
The shortening of this genetic component that is said to cause an end to cellular reproduction and death
Deoxyribose nucleic acid
Chromosome
Telomeres
Adenine
21
A pt is taking warfarin which foods should she avoid?
Broccoli
Spinach
Milk
Red meat
22
A disease linked to oxidative stress
Rheumatoid arthritis
Pheochromocytoma
Progeria
Systemic lupus erythmatosus
23
This hormone is regarded as one that regulates biological rhythms
Pituitary
Epinephrine
Melatonin
Melanin
24
The most plentiful protein in the body and a key component of the lungs, arteries, and tendons
Monocytes
Collagen
Ribosome
Elastin
25
A nurse is making activities one for 65-74 and another for 74-85 what is this considered
.
Age stratification
26
The scientist who found that cells could be preserved by freezing them
Albert Einstein
Abraham Maslow
Leonard Hayflick
Erik Homburger Erickson
27
Neuroimaging that may be ordered for diagnosis of the 3 D’s
MRI
Biopsy
Radiological imaging
CT scan
28
Molecules containing unpaired kind and extra charges that are highly reactive to molecules in cell membrane
Oxidative stress
Antioxidants
Ionizing radiation
Free radicals
29
In the ANA standards of gerontological nursing practice which comes after the nursing diagnosis?
Assessment
Evaluation
Outcome identification
Implementation
30
Which theory does not describe a genetically programmed cell aging process?
Pacemaker theory
Wear and tear theory
Immune theory
Neuroendocrine theory
31
Which change in is false?
.
Uterine lining is thickening
.
32
This disease may increase the risk of Alzheimer’s disease
Gout
Diabetes
Hypertension
Cerebral palsy
33
The most common type of dementia
Lewy body dementia
Neurological dementia
Alzheimer’s disease
Vascular dementia
34
Which age group tend to develop hardier personalities and have better access to health care?
Before 65
After 75
Before 60
After 65
35
Lipid deposits around iris, gray blue ring around the eye and is considered normal?
Entropioin
Presbycusis
Arcus senilus
Exopthalamus
36
What is a normal physiological change
Decreased antibody production
.
.
37
Which eye impairment uses the amsilar grid test?
Cataracts
Macular degeneration
Glaucoma
Presbyopia
38
A well known tool used to assess depression in older adults
CAM
DHEA
CVICU
GDS
39
Which taste sensations diminish as we elderly?
Bitter and sour
Umami and sour
Salt and sweet
Bitter and savory
40
An instrument for assessing delirium
CT Scan
CAM
X-RAY
MRI
41
Factors affecting medication response in the elderly include which one of the following?
decreased renal excresion
Increased hepatic mass
Increased total water in the body
Decreased total body fat
42
The hormones that appears to increase longevity
Telomeres
Collagen
Growth hormone
DHEA
43
An elderly pt states that they “have trouble seeing on the corner of my eyes” the nurse should do a further eval for:
Presbycusis
Presbyopia
Glaucoma
Macular degeneration
44
A patient taking Ginkgo Biloba to improve memory function, can have a potentially fatal effect when take with...
Benzodiazepines
Asprin
Glucosamine sulfate
Anticholinergics
45
Depression is the most common mental health problem of late life and among the most...
Misunderstood
Mislabeled
Treatable
Troublesome
46
Which is not good for a patient?
The prescribing cascade
Cooperation between specialist fields (ex. GI and Endocrine)
Reevaluating the medicine prescriptions
Slowly walking up the stairs
47
What is an example of IADL
Shopping
Laundry
Finance
Transportation
48
A girl is scared of old people. Why?
She hasn’t been around old people
She’s scared of getting old
49
Changes in CV are
Decreased cerebral blood flow
Heart valves thicken
All of the above
Less sensitivity in baroreceptors
50
The physical traits by which drug e identify one as an older individual
Phenotypic enunciation
Shortening genotype
Aging phenotype
Older genotypes
51
The cross linkage of this product causes changes in the aging process such as joints and skin that is less elastic
Protein
Urea
Glucose
Ammonia
52
Continuity- wife likes to be active and husband has always been stagnant
.
.
53
Which is false?
Most older drivers are quite capable of safely operating motor vehicles
The remaining life expectancy of blacks at 85 is about the same as whites
Research has shown that old age truly begins at 65
Older females exhibit better health care practices than older males
54
A pt is in pain what do you use
Tylenol 500mg PO every 6 hours
Ibuprofen 400mg IM every 6 hours
55
This process provides a comprehensive assessment of each resident’s functional capabilities
Minimum data set
Residential assessment induction
Assessment history care
Pre acute care admission
56
Which of the following is not true?
Bladder capacity decreases with age
Constipation increases in elderly
Social security benefits automatically increase with inflation
Older adults are less anxious about death than younger
57
The daily dosage of Tylenol must not exceed:
4,000,000 mcg
3.2g
3,200g
4000g
58
What is the most commonly prescribed medication for treatment of depression in older adults?
MAOI
Benzodiazepines
SSRIs
Anti Histamine1
59
Which non-pharmacological approach has been found to reduce the intensity of pain?
Massage
Guided imagery
Music
Accupuncture
60
Something about colors and old people
Blue/green spectrum
Yellow/red spectrum
61
A person reaching the age of 65 has an additional ___ years added you their life expectancy
30
20
14.5
55
62
A pt taking adjuvant pain meds which one is she taking?
Corticosteroids
Anticonvulsant
Antidepressant
None of the above
63
What is the last aspect of a person to go when diagnosed with Alzheimer's dementia?
Intrinsic behaviours
Activities of daily living
IADL
Function
64
Delirium is considered to be:
An untreatable condition
A medical emergency
Is always a precursor to Alzheimer’s disease
A severe form of depression
65
Which portion of the mini-cog tests for executive function?
Three word recall
Drawing the Clock
The palm push on the xiphoid process
Three word registration
66
This medication decreases pain and increases function in pts with osteoarthritis
Glucosamine sulfate
Ginkgo biloba
Ginseng
Garling
67
What can you call people who can’t hear properly
Hard of hearing
.
Deaf
68
The gerontologic nurse knows that the most deaths occur at which stage of the care process?
During the anesthesia process of treatment
During the ride to the health care clinic
During the transitional phase of care
During the fall risk assessment
69
What pain medication is contraindicated in older adults?
ASA
Tylenol
Demerol
Donepezil
70
This herbal supplement is used to treat hyperlipidemia and pts with CHF and atherosclerosis
Ginkgo Biloba
Glucosamine sulfate
Garlic
Ginseng
71
What does the P in SPICES stand for
Painlessness
Problems with eating
Progeria
Problems with urinating
72
Which colors tend to give the aging adult issues?
Teal and White
Red and blue
Yellow and violet
Green and Orange
73
How often should an elderly pt receive a colonoscopy
Every 10 years
Yearly
Every 3 to 5 years depending on the physician
Every 5 years
74
What cause depression
Analgesics
Anticonvulsant
ACE
75
Medications containing this may exacerbate cross-linking
Iron
Aluminum
Magnesium
Calcium
76
The most inappropriate time to use the Beers list is...
During the early stages of care
In the transitional phase of care
In Palliative care
When the pts present with mild cognitive dysfunction
77
When was social security esbalished
1967
1968
1935
1901
78
This is the most commonly used Physiological assessment method
End of life stage determination
Hope history assessment
FICA
GDS
79
Which one is ageism
.
Telling the pt “take your meds little girl”
Calling them “grandma”
.
80
When looking at the lab results of an elderly pt. The nurse expects which ones to decrease?
Fasting serum glucose levels
Humoral immunity with intact antibodies
The rate at which erythrocytes descend in a tube over one hour
The amount of blood passing through the glomeruli per minute
81
Medications with this type of “effect” should be considered suspect for causing delirium?
Anticholinergics
Centrally acting alpha agonist
Antipsychotics
Fibric acid derivatives
82
The area on an audiogram where sounds commonly used during speech are bound.
Braille depiction standard
Speech banana
Pitch cycle
Normal to profound degree of hearing loss
83
Which medication inadvertently will take an effect in the stomach due to age related changes in absorbtion?
IV acetaminophen
IM antibiotics
Enteric coated asprin
Extravasant hormonal treatments
84
What is true about skin elderly related changes
.
Decreased sebaceous and sweat
.
85
What is the most predictive risk factor of delirium
Controlling pain
Discontinuing invasive lines
.
Anticholinergics
86
This occurs when normal cells are misidentified as foresight and are destroyed by the body’s immune system
Automatic defense
Auto-phage
Auto retaliatory
Auto aggression
87
A cognitive impairment that has a gradual onset and a slow steady pattern of decline
Depression
Dementia
Cortical hypertrophy
Delirium
88
This suggests that aging occurs as a random event
Stochastic theory
Non stochastic theory
89
Which indicator of age is the most often used and is the least meaningful?
Biological
Functional
Chronological
Genetic
