NURS 5333 Family 1 Test 3 Geriatrics Part 1,2,3,4 (Care
Of The Older Adult) – Questions With Solutions
Older adults or elderly over the age of ? are considered geriatric population
Right Ans - 65 years
-they have a weaker immune system, so they do not mount a strong immune
response
-this weaker immune system, health problems may be present, but present in
an atypical manner not with the usual symptoms Right Ans - unique to
geriatric patients
no evidence of fever in elderly? Right Ans - EX) an elder may have an
overwhelming infection, but not have normal reactions
-Often they can have sepsis and have a low or normal temperature.
What are the OTHER signs of illness in our >65 YOA population? Right Ans
- Decreased appetite, decreased activity, or changing mental status
Polypharmacy Right Ans - The use of many different drugs concurrently in
treating a patient, who often has several health problems.
Elders Right Ans - have an increased risk of skin breakdown and pressure
sores due to the fact that they have decreased subcutaneous fat
A geriatric assessment Right Ans - -a thorough health assessment at least
annually. These can be done by the primary care providers, but often are not
because of the time involved
-medical, social, and environmental factors that affect the wellbeing of the
geriatric patient
-Medicare actually allows for an annual health wellness visit
-Studies have shown that patients who participate in this annual health
wellness visit actually have a lower mortality rate
The goals of the geriatric assessment are Right Ans - identify problems
early, to intervene, to improve the quality of life for patients, to optimize their
health outcomes and through identifying problems early.
, When developing plans, they should be patient-centered collaborative plans of
care.
-Nutrition needs to be a part of every geriatric assessment
The components of a geriatric assessment are Right Ans - functional status,
fall risk, medication review, nutrition, vision and hearing, cognition, mood or
mental status, and ability to care for oneself as well as toileting and
immunization needs.
Screening vision in the elderly Right Ans - a simple Snellen test can be done
in the office. A formal vision exam does not need to be done unless the Snellen
result is abnormal or the patient complains of visual changes
Elderly and BMI: normal BMI is 23 to 30. Right Ans - A BMI less than 22
kilograms per meter squared is associated with increased mortality and a sign
of malnutrition.
-they have enough money to actually purchase food?
-Do they have someone who can help them with the shopping? Do they have
transportation to go and get food? Are they able to safely prepare meals by
themselves? How many meals a day do they eat? Do they get any assistance?
Do they have any meals on wheels?
objective assessment is comparing the current weight to a previous weight
Right Ans - Weight loss of greater than or equal to 5% in one month or greater
than or equal to 10% over a six-month period is an indication of a problem
and needs to be further assessed
Assessing fall risk Right Ans - it's simple to just ask the patient if they have
had a fall in the last year. Those who have fallen in the last year have a 2.8
times higher risk of a subsequent fall. If this is the case, then safety needs to be
addressed, and there needs to be measures implemented to avoid subsequent
falls.
Mood or the presence of depression can be assessed simply through simple
PHQ-2. Right Ans - If the score is greater than three, then one would want
to do the more extensive PHQ-9. These questionnaires can be completed at
every visit.
Of The Older Adult) – Questions With Solutions
Older adults or elderly over the age of ? are considered geriatric population
Right Ans - 65 years
-they have a weaker immune system, so they do not mount a strong immune
response
-this weaker immune system, health problems may be present, but present in
an atypical manner not with the usual symptoms Right Ans - unique to
geriatric patients
no evidence of fever in elderly? Right Ans - EX) an elder may have an
overwhelming infection, but not have normal reactions
-Often they can have sepsis and have a low or normal temperature.
What are the OTHER signs of illness in our >65 YOA population? Right Ans
- Decreased appetite, decreased activity, or changing mental status
Polypharmacy Right Ans - The use of many different drugs concurrently in
treating a patient, who often has several health problems.
Elders Right Ans - have an increased risk of skin breakdown and pressure
sores due to the fact that they have decreased subcutaneous fat
A geriatric assessment Right Ans - -a thorough health assessment at least
annually. These can be done by the primary care providers, but often are not
because of the time involved
-medical, social, and environmental factors that affect the wellbeing of the
geriatric patient
-Medicare actually allows for an annual health wellness visit
-Studies have shown that patients who participate in this annual health
wellness visit actually have a lower mortality rate
The goals of the geriatric assessment are Right Ans - identify problems
early, to intervene, to improve the quality of life for patients, to optimize their
health outcomes and through identifying problems early.
, When developing plans, they should be patient-centered collaborative plans of
care.
-Nutrition needs to be a part of every geriatric assessment
The components of a geriatric assessment are Right Ans - functional status,
fall risk, medication review, nutrition, vision and hearing, cognition, mood or
mental status, and ability to care for oneself as well as toileting and
immunization needs.
Screening vision in the elderly Right Ans - a simple Snellen test can be done
in the office. A formal vision exam does not need to be done unless the Snellen
result is abnormal or the patient complains of visual changes
Elderly and BMI: normal BMI is 23 to 30. Right Ans - A BMI less than 22
kilograms per meter squared is associated with increased mortality and a sign
of malnutrition.
-they have enough money to actually purchase food?
-Do they have someone who can help them with the shopping? Do they have
transportation to go and get food? Are they able to safely prepare meals by
themselves? How many meals a day do they eat? Do they get any assistance?
Do they have any meals on wheels?
objective assessment is comparing the current weight to a previous weight
Right Ans - Weight loss of greater than or equal to 5% in one month or greater
than or equal to 10% over a six-month period is an indication of a problem
and needs to be further assessed
Assessing fall risk Right Ans - it's simple to just ask the patient if they have
had a fall in the last year. Those who have fallen in the last year have a 2.8
times higher risk of a subsequent fall. If this is the case, then safety needs to be
addressed, and there needs to be measures implemented to avoid subsequent
falls.
Mood or the presence of depression can be assessed simply through simple
PHQ-2. Right Ans - If the score is greater than three, then one would want
to do the more extensive PHQ-9. These questionnaires can be completed at
every visit.
