NURS6540 / NURS 6540 Exam Study Set QUESTIONS & ANSWERS (Latest): Advanced Practice Care of Frail Elders - Walden

NURS6540 / NURS 6540 Exam Study Set QUESTIONS & ANSWERS (Latest): Advanced Practice Care of Frail Elders - Walden T/F Decreased size, number of cells in CNS (gyral atrophy), Ventricular dilation, and cerebral metabolic rate of O2 utilization decline are normal processes of aging in CNS. - AnswerTrue T/F Cortical neuronal loss is part of normal aging. - AnswerFalse! - not part of normal aging Areas where there is neuronal loss - AnswerThalamus, straitum, basal forebrain, hippocampus T/F Not all older adults are frail and not all frail older adults are disabled. - AnswerTrue T/F Frail older adults have decreased rates of survival as they age. - AnswerTrue Define frailty - AnswerDecreased ability to cope with acute stressors due to age-related physiological/functional decline T/F Frailty may be reversible via PT. - Answertrue Typical characteristics in frailty - AnswerDecreased functional reserve Impairment in multiple physiological systems Reduced ability to regain physiological homeostasis after stressful event Older adult shows weakness, slowness, exhaustion, weight loss, grip strength in lowest 20%, walking time in lowest 20%, unintentional weight loss over 10 lbs in past week. How would you describe this patient? - AnswerFrail older adult (typical phenotype) Fried's frailty levels criteria What groups are there? - AnswerWeight loss Weakness Slowness Exhaustion Low physical activity Non frail: no criteria Pre frail: one or two criteria Frail: three or more criteria This model describes frailty as a dynamic state, where frailty is based on the tenuous balance between assets and deficits; this balance determines a person's ability to remain independent. - AnswerRockwood model/ Frailty index (FI) Rockwood model classifies people into what categories? - Answer1. Well elderly clients whose assets deficits 2. Frail, community-dwelling elderly who assets are in precarious balance with their deficits. 3. Frail, institutionalized, elderly clients who deficits outweigh their assets. T/F Rapid change in frailty index (FI) is often seen in people within years before death. - AnswerTrue. These accelerations tend to be more predictive of death than chronological age.