Final exam Ebersole & Hess Healthy Aging
2 kinds of CVA Correct Answers hemorrhagic
infarct (much more common)
2 types of touch between nurse and pt Correct Answers
procedural (task-oriented)
nonprocedural (expressive)
3 RA variations Correct Answers monocyclic - 1 episode for 3-
5y
polycyclic - s/s intensity varies
progressive - always present, increasing severity
6 Cs - needs of EOL pt Correct Answers care
control
composure
communication
continuity
closure
a-fib control strategies Correct Answers 1. rate control
2. rhythm control
3. prevent thromboses c blood thinners
AD risk factors Correct Answers - genetic
- age
- African American
,- Hispanic
- Head trauma
- Cardiovascular dz
adult day care is nice because Correct Answers it offers
supervision and is less expensive
respite, education, support groups for CGs
age-related hearing change Correct Answers presbycusis
An elderly man is brought to the geriatrics clinic by his wife
because of his increasing confusion. As part of his medical
workup, the nurse practitioner orders which of the following
laboratory tests? (Select all that apply.)
a. Vitamin D level
b. Serum albumin level
c. Basic metabolic panel
d. Vitamin B12
e. Thyroid stimulating panel Correct Answers everything but
the albumin
areas of intimacy Correct Answers commitment
affective intimacy
cognitive intimacy
physical intimacy
interdependence
aspects of wellness... Correct Answers biological
environmental
,functional
intellectual
psychological
spiritual
social
Assessing dehydration in older adult Correct Answers - clinical
signs may not appear until dehydration is advanced
- skin turgor is unreliable per the book, but if you're going to
check it, check the sternum
- may indicate dehydration: dry mucosa, tongue furrows, sunken
eyes, orthostasis, altered LOC, tachycardia, decreased urine,
weakness, dry axilla
- dehydration definitively proven c labs - renal, USG (1.010 -
1.030)
Tool for assessing: DEHYDRATIONS
drugs, EOL, high temp, yellow tone of urine, dizziness, reduced
oral intake, axilla dry, tachycardia, incontinence fears, oral
problems, neuro problems, sunken eyes
assessing psychotic s/s in older adults Correct Answers is it bc
of
- medical illness
- meds
- dementia
- mental illness
did you check for visual/hearing impairment
asthma s/s Correct Answers *tight chest*
, wheezing
SOB c exertion or at rest
nonproductive cough
asthma triggers Correct Answers tobacco smoke
dust mites
air pollution
cockroaches
pets
mold
wood/grass smoke
URIs
strong odors
cold air
autoimmune & aging Correct Answers - much more likely to
occur in aging
- increased Ig levels - less innate immunity, more AI reactions =
immunosenescence
barriers to culturally sensitive care include Correct Answers
cultural destructiveness/blindness/incompetence
stereotyping
ethnocentrism
Beers list identifies Correct Answers potentially inappropriate
medications
increased safety concerns in older adults
2 kinds of CVA Correct Answers hemorrhagic
infarct (much more common)
2 types of touch between nurse and pt Correct Answers
procedural (task-oriented)
nonprocedural (expressive)
3 RA variations Correct Answers monocyclic - 1 episode for 3-
5y
polycyclic - s/s intensity varies
progressive - always present, increasing severity
6 Cs - needs of EOL pt Correct Answers care
control
composure
communication
continuity
closure
a-fib control strategies Correct Answers 1. rate control
2. rhythm control
3. prevent thromboses c blood thinners
AD risk factors Correct Answers - genetic
- age
- African American
,- Hispanic
- Head trauma
- Cardiovascular dz
adult day care is nice because Correct Answers it offers
supervision and is less expensive
respite, education, support groups for CGs
age-related hearing change Correct Answers presbycusis
An elderly man is brought to the geriatrics clinic by his wife
because of his increasing confusion. As part of his medical
workup, the nurse practitioner orders which of the following
laboratory tests? (Select all that apply.)
a. Vitamin D level
b. Serum albumin level
c. Basic metabolic panel
d. Vitamin B12
e. Thyroid stimulating panel Correct Answers everything but
the albumin
areas of intimacy Correct Answers commitment
affective intimacy
cognitive intimacy
physical intimacy
interdependence
aspects of wellness... Correct Answers biological
environmental
,functional
intellectual
psychological
spiritual
social
Assessing dehydration in older adult Correct Answers - clinical
signs may not appear until dehydration is advanced
- skin turgor is unreliable per the book, but if you're going to
check it, check the sternum
- may indicate dehydration: dry mucosa, tongue furrows, sunken
eyes, orthostasis, altered LOC, tachycardia, decreased urine,
weakness, dry axilla
- dehydration definitively proven c labs - renal, USG (1.010 -
1.030)
Tool for assessing: DEHYDRATIONS
drugs, EOL, high temp, yellow tone of urine, dizziness, reduced
oral intake, axilla dry, tachycardia, incontinence fears, oral
problems, neuro problems, sunken eyes
assessing psychotic s/s in older adults Correct Answers is it bc
of
- medical illness
- meds
- dementia
- mental illness
did you check for visual/hearing impairment
asthma s/s Correct Answers *tight chest*
, wheezing
SOB c exertion or at rest
nonproductive cough
asthma triggers Correct Answers tobacco smoke
dust mites
air pollution
cockroaches
pets
mold
wood/grass smoke
URIs
strong odors
cold air
autoimmune & aging Correct Answers - much more likely to
occur in aging
- increased Ig levels - less innate immunity, more AI reactions =
immunosenescence
barriers to culturally sensitive care include Correct Answers
cultural destructiveness/blindness/incompetence
stereotyping
ethnocentrism
Beers list identifies Correct Answers potentially inappropriate
medications
increased safety concerns in older adults
