NURS 421 - Geriatrics Exam #1 questions with correct
answers
Life expectancy for males and females Correct Answer-males: 76
females: 81
Unconscious/Implicit Bias Correct Answer-occurs automatically as the
brain makes rapid judgements about a person or a particular situation
Geriatric Syndromes Correct Answer-multiple complex health states;
cannot be organized; tend to happen later in life
examples include: frailty, urinary incontinence, falls, delirium, and
pressure ulcers
What are challenges with geriatric syndromes? Correct Answer-Forming
interdisciplinary teams with geriatric training as well as insurance and
reimbursement
Frailty Correct Answer-Decrease in reserves and function across
multiple systems; compromised ability to cope with stressors; trigger a
downward spiral
How is frailty assessed? Correct Answer-Frailty Index, if 3 or more of
the following...
,Unintentional weight loss
Fatigue
Weakness
Low physical activity level, decreased walking speed
What are adverse outcomes of frailty? Correct Answer-death, falls,
fractures, and hospitalizations
What groups are more prone to frailty? Correct Answer-women and
those of lower socioeconomic status
What is the nurse's primary goals of gerontological care? Correct
Answer-Identify and use the strengths and abilities of older adults; help
them maximize their independence; minimize disability; improve or
maintain quality of life; where appropriate, achieve a peaceful death
What is medicare? Correct Answer-Federally funded, health insurance
program for those aged 65 and older and for those who qualify for Social
Security due to disability
Medicare Part A Correct Answer-hospital and physician services with
limited services
Medicare Part B Correct Answer-Physician and nursing services;
preventative care. Including X-rays, laboratory, etc.
, Medicare Part C Correct Answer-Medigap or Medicare Advantage
Plans; Private insurance
Medicare Part D Correct Answer-Medicare Advantage Prescription
Drug Plan; must join a private insurance plan
What is medicaid? Correct Answer-Supported by federal and state
funds; each state will have different regulations and requirements;
provides insurance for low income individuals of all ages; supplements
Medicare for poor elderly individuals and pays for most nursing home
care
What is private pay insurance? Correct Answer-Long-term care
insurance; no age limit for purchase; high premiums, often
recommended to purchase while in your 50's; new products combine
long-term care and life insurance
What is acute care? Correct Answer-High rates; longer length of stay;
age-related changes increase the risk of injuries, infections, and
complications; older adults have unique care needs while hospitalized
What is the nurse's role in acute care? Correct Answer-Assessment to
identify problems and risks; preparing for their return home;
encouragement of independence; monitoring of medications' prevention
of complications/nosocomial infections; environmental safety; education
answers
Life expectancy for males and females Correct Answer-males: 76
females: 81
Unconscious/Implicit Bias Correct Answer-occurs automatically as the
brain makes rapid judgements about a person or a particular situation
Geriatric Syndromes Correct Answer-multiple complex health states;
cannot be organized; tend to happen later in life
examples include: frailty, urinary incontinence, falls, delirium, and
pressure ulcers
What are challenges with geriatric syndromes? Correct Answer-Forming
interdisciplinary teams with geriatric training as well as insurance and
reimbursement
Frailty Correct Answer-Decrease in reserves and function across
multiple systems; compromised ability to cope with stressors; trigger a
downward spiral
How is frailty assessed? Correct Answer-Frailty Index, if 3 or more of
the following...
,Unintentional weight loss
Fatigue
Weakness
Low physical activity level, decreased walking speed
What are adverse outcomes of frailty? Correct Answer-death, falls,
fractures, and hospitalizations
What groups are more prone to frailty? Correct Answer-women and
those of lower socioeconomic status
What is the nurse's primary goals of gerontological care? Correct
Answer-Identify and use the strengths and abilities of older adults; help
them maximize their independence; minimize disability; improve or
maintain quality of life; where appropriate, achieve a peaceful death
What is medicare? Correct Answer-Federally funded, health insurance
program for those aged 65 and older and for those who qualify for Social
Security due to disability
Medicare Part A Correct Answer-hospital and physician services with
limited services
Medicare Part B Correct Answer-Physician and nursing services;
preventative care. Including X-rays, laboratory, etc.
, Medicare Part C Correct Answer-Medigap or Medicare Advantage
Plans; Private insurance
Medicare Part D Correct Answer-Medicare Advantage Prescription
Drug Plan; must join a private insurance plan
What is medicaid? Correct Answer-Supported by federal and state
funds; each state will have different regulations and requirements;
provides insurance for low income individuals of all ages; supplements
Medicare for poor elderly individuals and pays for most nursing home
care
What is private pay insurance? Correct Answer-Long-term care
insurance; no age limit for purchase; high premiums, often
recommended to purchase while in your 50's; new products combine
long-term care and life insurance
What is acute care? Correct Answer-High rates; longer length of stay;
age-related changes increase the risk of injuries, infections, and
complications; older adults have unique care needs while hospitalized
What is the nurse's role in acute care? Correct Answer-Assessment to
identify problems and risks; preparing for their return home;
encouragement of independence; monitoring of medications' prevention
of complications/nosocomial infections; environmental safety; education
