NUR 410 Final Exam Questions with Correct Answers
Holistic View of the Elderly-
In gerontology, it is necessary to: Correct Answer-1. Differentiate the
aging process from disease.
2. Understand the contributions of heredity, lifestyle, and environmental
factors in how people age.
3. Correlate the physiologic state with psychological, social, and
physical function.
Assessment of the Older Adult
- special skills for older adult assessment Correct Answer-- Is more
complex
- May require a team of professionals
Special skills for older adult assessment:
- Listen patiently
- Allow for pauses
- Ask questions that are not often asked
- Observe for minute details
- Use all available sources for data
- Recognize normal changes of aging from abnormal
,Factors influencing the collection of the health history in older adults
Correct Answer-- Visual and auditory acuity
- Cognitive ability and reading level
- Manual dexterity
- Language and health fluency
- Adequacy of translation materials
- Availability of a trained interpreter
Health History
-review of systems Correct Answer-- Conducted prior to the physical
examination
- Complex and time consuming
- Because of the number of health problems, one system often affects
another system
- More like a "review of symptoms"
- See Box 7-2 for best practice tips when conducting a review of systems
with an older adult
Physical Assessment of an older adult Correct Answer-- May be difficult
to complete in one setting, depending on the patient's stamina
- Not like the assessment process of a younger person
- Physical and cognitive limitations may affect the ability to perform the
assessment
- Considerations of common changes specific to late life assessment
(Box 7-4)
,- Be aware of cultural rules of etiquette and taboos that influence
physical assessment (Box 7-8)
Physical Assessment
- FANCAPES Correct Answer-Fluids
Aeration
Nutrition
Communication
Activity
Pain
Elimination
Socialization and social skills
SPICES Correct Answer-Sleep disorders
Problems with eating or feeding
Incontinence
Confusion
Evidence of falls
Skin breakdown
Functional Assessment of an older adult Correct Answer--
Comprehensive
- Evaluates person's ability to carry out basic tasks for self-care and tasks
needed to support independent living
, - Physical performance, Psychological (cognition/mood), Social function
- Medications
- Numerous tools available that describe, screen, assess, monitor, and
predict functional ability
Comprehensive Geriatric Assessment Correct Answer-- Integrated
approach
- Multidisciplinary
- Combines physical, functional, and psychosocial components into one
instrument
- Generally comprehensive and lengthy
- Provides a basis for a detailed, individualized plan of care
What is OARS? Correct Answer-Older Americans Resources and
Services (OARS): Multidimensional Functional Assessment
Questionnaire
- Social resources
- Economic resources
- Mental health
- Physical health
- ADL and IADLs
What is MDS and RAI? Correct Answer-- Minimum Data Set (MDS)
and Resident Assessment Instrument (RAI)
Holistic View of the Elderly-
In gerontology, it is necessary to: Correct Answer-1. Differentiate the
aging process from disease.
2. Understand the contributions of heredity, lifestyle, and environmental
factors in how people age.
3. Correlate the physiologic state with psychological, social, and
physical function.
Assessment of the Older Adult
- special skills for older adult assessment Correct Answer-- Is more
complex
- May require a team of professionals
Special skills for older adult assessment:
- Listen patiently
- Allow for pauses
- Ask questions that are not often asked
- Observe for minute details
- Use all available sources for data
- Recognize normal changes of aging from abnormal
,Factors influencing the collection of the health history in older adults
Correct Answer-- Visual and auditory acuity
- Cognitive ability and reading level
- Manual dexterity
- Language and health fluency
- Adequacy of translation materials
- Availability of a trained interpreter
Health History
-review of systems Correct Answer-- Conducted prior to the physical
examination
- Complex and time consuming
- Because of the number of health problems, one system often affects
another system
- More like a "review of symptoms"
- See Box 7-2 for best practice tips when conducting a review of systems
with an older adult
Physical Assessment of an older adult Correct Answer-- May be difficult
to complete in one setting, depending on the patient's stamina
- Not like the assessment process of a younger person
- Physical and cognitive limitations may affect the ability to perform the
assessment
- Considerations of common changes specific to late life assessment
(Box 7-4)
,- Be aware of cultural rules of etiquette and taboos that influence
physical assessment (Box 7-8)
Physical Assessment
- FANCAPES Correct Answer-Fluids
Aeration
Nutrition
Communication
Activity
Pain
Elimination
Socialization and social skills
SPICES Correct Answer-Sleep disorders
Problems with eating or feeding
Incontinence
Confusion
Evidence of falls
Skin breakdown
Functional Assessment of an older adult Correct Answer--
Comprehensive
- Evaluates person's ability to carry out basic tasks for self-care and tasks
needed to support independent living
, - Physical performance, Psychological (cognition/mood), Social function
- Medications
- Numerous tools available that describe, screen, assess, monitor, and
predict functional ability
Comprehensive Geriatric Assessment Correct Answer-- Integrated
approach
- Multidisciplinary
- Combines physical, functional, and psychosocial components into one
instrument
- Generally comprehensive and lengthy
- Provides a basis for a detailed, individualized plan of care
What is OARS? Correct Answer-Older Americans Resources and
Services (OARS): Multidimensional Functional Assessment
Questionnaire
- Social resources
- Economic resources
- Mental health
- Physical health
- ADL and IADLs
What is MDS and RAI? Correct Answer-- Minimum Data Set (MDS)
and Resident Assessment Instrument (RAI)
