EXAM 1 - NURS198 questions with
complete solutions
Physiological changes in aging? - correct answer ✔✔ 1) sensory loss and changing the
perception
-vision, hearing touch
2) decline of central nervous system and cognitive functions
3) decline of muscular and skeletal system
4) reduced ability to adapt to temperature changes
5) disease: arthritis, heart disease, alzheimer's
6) mobility problem: reliance on walkers/wheelchairs
7) thinner skin, bruise easy, dry skin
8) Slower HR
9) kidneys are slower = more toxicity build up
10) slower metabolism
If an older person comes in what do we want to assess and check first? - correct answer ✔✔ 1)
there medicaitons they are on - to see if that is causing confusion.
2) Get a urinalysis to check for a UTI
3) Want to rule out that it is dementia
Ageism - correct answer ✔✔ Discrimination based on age
Delirium vs Dementia - correct answer ✔✔ 1. Delirium- Acute, dramatic onset, common
causes= illness, toxin, withdrawal, usually reversible. Poor attention and fluctating arousal level.
(sepsis, stroke, UTI) - affects consciousness
, 2. Dementia: Chronic, insidious onset, usually not reversible, attention usually unaffected and
normal arousal level. - Doesnt affect consciousness
Role as a nurse with abuse - correct answer ✔✔ Report it no matter what.
Patients with cognitive issue are most at risk
What is polypharmacy? - correct answer ✔✔ the simultaneous use of multiple drugs to treat a
single ailment or condition (5+ drugs)
Interventions for polypharmacy? - correct answer ✔✔ 1. medical reconciliation - make sure
they arent taking any duplicates.
2. BEERS crtieria ( which ones can older people take)
3. Have a daily planner and reminders
What is a chronic illness? - correct answer ✔✔ 1) Anything longer than 6 months
2) Effects the whole family
3) Continuous help for illness
4) Persistance and adhere to the treatment plan
5) nonpharm treatements
Non-pharm treatment - correct answer ✔✔ - exercise, light therapy, music therapy,
reminiscence therapy, relaxation techniques, massage, ice and heat therapy
Management for chronic illness - correct answer ✔✔ 1) learn to live with it
2) able to grief the life you had is normal
3) financial - how are they going to afford this
4) Are there resources to help them
complete solutions
Physiological changes in aging? - correct answer ✔✔ 1) sensory loss and changing the
perception
-vision, hearing touch
2) decline of central nervous system and cognitive functions
3) decline of muscular and skeletal system
4) reduced ability to adapt to temperature changes
5) disease: arthritis, heart disease, alzheimer's
6) mobility problem: reliance on walkers/wheelchairs
7) thinner skin, bruise easy, dry skin
8) Slower HR
9) kidneys are slower = more toxicity build up
10) slower metabolism
If an older person comes in what do we want to assess and check first? - correct answer ✔✔ 1)
there medicaitons they are on - to see if that is causing confusion.
2) Get a urinalysis to check for a UTI
3) Want to rule out that it is dementia
Ageism - correct answer ✔✔ Discrimination based on age
Delirium vs Dementia - correct answer ✔✔ 1. Delirium- Acute, dramatic onset, common
causes= illness, toxin, withdrawal, usually reversible. Poor attention and fluctating arousal level.
(sepsis, stroke, UTI) - affects consciousness
, 2. Dementia: Chronic, insidious onset, usually not reversible, attention usually unaffected and
normal arousal level. - Doesnt affect consciousness
Role as a nurse with abuse - correct answer ✔✔ Report it no matter what.
Patients with cognitive issue are most at risk
What is polypharmacy? - correct answer ✔✔ the simultaneous use of multiple drugs to treat a
single ailment or condition (5+ drugs)
Interventions for polypharmacy? - correct answer ✔✔ 1. medical reconciliation - make sure
they arent taking any duplicates.
2. BEERS crtieria ( which ones can older people take)
3. Have a daily planner and reminders
What is a chronic illness? - correct answer ✔✔ 1) Anything longer than 6 months
2) Effects the whole family
3) Continuous help for illness
4) Persistance and adhere to the treatment plan
5) nonpharm treatements
Non-pharm treatment - correct answer ✔✔ - exercise, light therapy, music therapy,
reminiscence therapy, relaxation techniques, massage, ice and heat therapy
Management for chronic illness - correct answer ✔✔ 1) learn to live with it
2) able to grief the life you had is normal
3) financial - how are they going to afford this
4) Are there resources to help them
