CARE OF OLDER ADULTS EXAM 2 CERTIFICATION EVALUATION TESTED QUESTIONS
FULL SOLUTION GUIDE
CARE OF Older Adults EXAM 2 Comprehensive
Examination TEST FULL Questions and Answers
Verified Solutions Latest Update 2026/2027
Question:
● Falls
Answer:
Unplanned descent w/ or w/out personal injury, results in individual coming to rest on floor
strongest assoc: previous fall, weakness, gait/balance impairment, meds (BP, narcotics) ~hard
convos to have w/ them
Question:
● Co-morbidities
Answer:
More than one chronic disease sequence of disease presentation may be considered (obese->HTN-
>DM-> heart disease) inc complexity of managing disease in pt.
Question:
● Complications of Chronic Disease
Answer:
Cancers: chronic pain DM: eye, renal, nerve damage Obesity: BMI>30 Polypharmacy acute care
needs in presence of chronic disease: HTN, COPD
Question:
● Inter-professional Care
Answer:
NICHE Program- Nurses Improving Care for the Hospitalized Elderly ACE units- Acute Care of
Elderly PACE prog- Programs of All-inclusive care of elderly (living in comm but nursing home
,eligable Waiver Prog- need same care but dont want to be in nursing home $$ Adult Care Right
level of care at right time- independent living comm, ALF, home care, rahab
Question:
● Geriatric Syndromes
Answer:
Common health condition in an older adult that doesn't fit into category or a specific disease or
clearly identified disease very prevalent multifactorial assoc w/ morbidity(state of chronic disease)
and mortality(chronic disease relating in death) ~polypharmacy, falls delirium, anxiety&depression,
UI, sleep disorders, dysphagia, pressure ulcers
Question:
● Characteristics of Geriatric Syndromes
Answer:
-older age (80-90) baseline cog impairment baseline functional impairment(gait, assistive device)
frailty(one who is independent) more than one geriatric syndrome poor health outcomes (CHF,
COPD, heart disease)
Question:
● Urinary Incontinence
Answer:
Involuntary leakage of urine to degree that it troubles a person requires assessment and tx(not just
containment), often neglected Causes: delirium/dementia, infection, psych(anxiety/depression),
pharm, funct impair(cant get there), stool impaction (press on bladder; stress)
Question:
● Urge Incontinence
Answer:
Bladder muscles contract at the wrong time "overactive bladder"
, Question:
● Stress Incontinence
Answer:
more common in women due to multiple pregnancies; muscles arent as strong & urine leaks out
when you strain (sneeze, cough, laugh)
Question:
● Functional Incontinence
Answer:
Aware they "need to go" but cant get to the bathroom
Question:
● Overflow Incontinence
Answer:
More common in neurological disorders; cant tell bladder is full (bad controlled DM, pelagic)
Question:
● Interventions for Incontinence
Answer:
Assessment (bladder diary), behavior (bladder prog), lifestyle mod, cath, continence products,
pharm (flomax, detrol, ditropan), surgery (stress incont->tuck muscles back up[not always
effective]), non-surg (kegels)
Question:
● Sleep Problems
Answer:
FULL SOLUTION GUIDE
CARE OF Older Adults EXAM 2 Comprehensive
Examination TEST FULL Questions and Answers
Verified Solutions Latest Update 2026/2027
Question:
● Falls
Answer:
Unplanned descent w/ or w/out personal injury, results in individual coming to rest on floor
strongest assoc: previous fall, weakness, gait/balance impairment, meds (BP, narcotics) ~hard
convos to have w/ them
Question:
● Co-morbidities
Answer:
More than one chronic disease sequence of disease presentation may be considered (obese->HTN-
>DM-> heart disease) inc complexity of managing disease in pt.
Question:
● Complications of Chronic Disease
Answer:
Cancers: chronic pain DM: eye, renal, nerve damage Obesity: BMI>30 Polypharmacy acute care
needs in presence of chronic disease: HTN, COPD
Question:
● Inter-professional Care
Answer:
NICHE Program- Nurses Improving Care for the Hospitalized Elderly ACE units- Acute Care of
Elderly PACE prog- Programs of All-inclusive care of elderly (living in comm but nursing home
,eligable Waiver Prog- need same care but dont want to be in nursing home $$ Adult Care Right
level of care at right time- independent living comm, ALF, home care, rahab
Question:
● Geriatric Syndromes
Answer:
Common health condition in an older adult that doesn't fit into category or a specific disease or
clearly identified disease very prevalent multifactorial assoc w/ morbidity(state of chronic disease)
and mortality(chronic disease relating in death) ~polypharmacy, falls delirium, anxiety&depression,
UI, sleep disorders, dysphagia, pressure ulcers
Question:
● Characteristics of Geriatric Syndromes
Answer:
-older age (80-90) baseline cog impairment baseline functional impairment(gait, assistive device)
frailty(one who is independent) more than one geriatric syndrome poor health outcomes (CHF,
COPD, heart disease)
Question:
● Urinary Incontinence
Answer:
Involuntary leakage of urine to degree that it troubles a person requires assessment and tx(not just
containment), often neglected Causes: delirium/dementia, infection, psych(anxiety/depression),
pharm, funct impair(cant get there), stool impaction (press on bladder; stress)
Question:
● Urge Incontinence
Answer:
Bladder muscles contract at the wrong time "overactive bladder"
, Question:
● Stress Incontinence
Answer:
more common in women due to multiple pregnancies; muscles arent as strong & urine leaks out
when you strain (sneeze, cough, laugh)
Question:
● Functional Incontinence
Answer:
Aware they "need to go" but cant get to the bathroom
Question:
● Overflow Incontinence
Answer:
More common in neurological disorders; cant tell bladder is full (bad controlled DM, pelagic)
Question:
● Interventions for Incontinence
Answer:
Assessment (bladder diary), behavior (bladder prog), lifestyle mod, cath, continence products,
pharm (flomax, detrol, ditropan), surgery (stress incont->tuck muscles back up[not always
effective]), non-surg (kegels)
Question:
● Sleep Problems
Answer:
