EXAM TEST BANK 350 QUESTIONS AND CORRECT
DETAILED ANSWERS|ALREADY GRADED A+
Healthy People 2010 - ANSWER: develop a set of health care objectives designed to
increase the quality and quantity of years of healthy life of Americans and to
eliminate health disparities
barriers to physical activity - ANSWER: lack of access to safe areas to exercise, pain,
fatigue, and impairment in sensory function and mobility
risks for poor nutrition - ANSWER: multiple chronic illnesses, may have tooth or
mouth problems that may interfere with their ability to eat, may be socially isolated,
may have economic hardship, may be taking multiple medications that can cause
changes in appetite or gastrointestinal symptoms, and may need assistance with
self-care
falls - ANSWER: leading cause of unintentional injury death in older adults in this
country
Polypharmacy - ANSWER: the taking of multiple drugs concurrently, whether
prescribed or OTC
tetnus shot - ANSWER: recommended re-vaccination after 10 years in the elderly
Mini Mental State Examination - ANSWER: This exam test the elderlys orientation,
registration, attention and calculation, recall(memory) and visou spatial skills. If the
patient score less than twenty indicates cognitive impairment. Aids in detecting
dementia
CAGE questionnaire - ANSWER: • Cut down: Refers to attempts by the client to cut
down on drinking
• Annoyance: Related to suggestions by friends or family to cut down on drinking
• Guilt: Relates to client guilt about drinking
• Eye opener: Relates to the need for a drink in the morning to get going
Elder abuse reporting - ANSWER: may include physical, sexual, psychological, and
financial exploitation, neglect, and violation of rights
Report to adult protective service
In nursing homes and assisted living facilities must be reported to the Long-Term
Care Ombudsman Program in most states.
Modified Caregiver Strain Index - ANSWER: tool that can be used to quickly screen
for caregiver strain with long-term
, family caregivers. It is a 13-question tool that measures strain related to care
provision
Reciprocity - ANSWER: ability to be true to one's self while respecting and supporting
the values and views of another
Patient Self-Determination Act of 1990 - ANSWER: this law requires that patients are
provided the opportunity to express their preferences regarding lifesaving or life-
sustaining care on entering any health care service, including hospitals, long-term
care centers, and home care agencies. The law also requires that adequate
information be supplied to the patient so that he or she can make informed
decisions regarding self-determination
advanced directives - ANSWER: Decisions regarding life-saving or life-sustaining care
are recorded in legal documents known as__________
living will - ANSWER: alternative documents that direct preferences for end-of-life
care issues, providing an "if...then..." plan
autonomy - ANSWER: independent; not controlled by others; self-governing
self-determination - ANSWER: The patient right that is the right to decide
healthy aging - ANSWER: the ability to maintain three key behaviors: low risk of
disease and disease-related disability, high mental and physical function, and active
engagement of life
vaccination recommendations - ANSWER: annual flu
pneumonia, revaccination after 5 years if 75 or older
Boosters for tetanus every 10 years
Framingham Heart Study - ANSWER: risk factors associated with coronary heart
disease:
Age greater than or equal to 50 for men and 60 for women
• Hypertension
• Smoking
• Obesity
• Family history of premature CHD
• Diabetes (considered to be a CHD risk-equivalent, i.e., carries the same risk of a
coronary event as known CHD)
• Sedentary lifestyle
• Abnormal lipid levels
Dementia screening - ANSWER: The Mini Mental State Examination (MMSE)
Smoking cessation - ANSWER: The 5 As Ask about smoking status at each health care
visit.