Care of the Older Adult Objective Assessment TEST BANK Questions and Answers

Care of the Older Adult Objective Assessment TEST BANK Questions and Answers CTI (Care Transitions Intervention) Program designed to improve quality of care and contain costs for patient with complex care needs as they transition across care settings TCM (Transitional Care Model) Model where the nurse acts as the main care manager who consults with the patient in the hospital, at home within 24 hrs. Of discharge, follow up visits, weekly home visits, and telephone support for 2 months TCM (Transitional Care Model) Emphasis of this model is care coordination and continuity of care Better care Better health outcomes Lower costs 3 Triple Aim goals Functional incontinence Type of incontinence where the pt. is unable to get to the restroom b/c of physical or mental conditions Functional decline New loss of independence typically associated with decreased mobility and performance of ADLs Frailty Dependency because of 3 or more ADL deficiencies Aerobic exercise 10-15 minutes a day Moderate strength training Exercise recommendations for an older adult Autonomy Each person has a right to make independent choices and decisions Non-malfeasance Means to "do no harm" Hispanic Americans Group of people who emphasize family interdependence over independence Falls Leading cause of unintentional injury death in older adults in this country Wear and Tear Theory Idea that cells wear out and cannot function with aging Medicare Provides insurance for people over 65 and some patients with disabilities Medicaid Provides insurance for low income persons Isometric exercise (example of...) Pushing on a wall Isotonic exercise (example of...) Using resistance bands Prevent external hip rotation While caring for a client with immobility the RN applies a trochanter roll after placing the client in supine position. What is the rationale behind this nursing intervention? 3 item recall Clock drawing test What is on the mini-cog test? Sleep Problems with eating Incontinence Confusion Evidence of fall Skin breakdown What are the components of the SPICES tool? People over 65 People with ESRD Diabetics People retired from the rail road industry Who qualifies for Medicare? Patient Protection and Affordable Care Act Eliminates lifetime insurance gaps, Provides free preventive care, Provides insurance plans for patients with pre-existing conditions, And allows children to stay on parents' plan until age 26 To reduce avoidable re-admissions What is the major goal of Care Transition Systems? Nociceptive pain Pain that usually responds well to opioid treatment (also NSAIDS) - reduced hepatic and renal blood flow - Lower total body water - Higher % of body fat Physiologic changes in the elderly that affects medication dosing MMSE (Mini Mental Status Exam) The most extensively used cognitive assessment tool