NURS 421 - Geriatrics Exam #1 with
complete solutions
Life expectancy for males and females - ANSWER- males: 76
females: 81
Unconscious/Implicit Bias - ANSWER- occurs automatically as the brain makes
rapid judgements about a person or a particular situation
Geriatric Syndromes - ANSWER- multiple complex health states; cannot be
organized; tend to happen later in life
examples include: frailty, urinary incontinence, falls, delirium, and pressure
ulcers
What are challenges with geriatric syndromes? - ANSWER- Forming
interdisciplinary teams with geriatric training as well as insurance and
reimbursement
Frailty - ANSWER- Decrease in reserves and function across multiple systems;
compromised ability to cope with stressors; trigger a downward spiral
How is frailty assessed? - ANSWER- Frailty Index, if 3 or more of the following...
Unintentional weight loss
Fatigue
Weakness
Low physical activity level, decreased walking speed
What are adverse outcomes of frailty? - ANSWER- death, falls, fractures, and
hospitalizations
What groups are more prone to frailty? - ANSWER- women and those of lower
socioeconomic status
, What is the nurse's primary goals of gerontological care? - ANSWER- Identify and
use the strengths and abilities of older adults; help them maximize their
independence; minimize disability; improve or maintain quality of life; where
appropriate, achieve a peaceful death
What is medicare? - ANSWER- Federally funded, health insurance program for
those aged 65 and older and for those who qualify for Social Security due to
disability
Medicare Part A - ANSWER- hospital and physician services with limited services
Medicare Part B - ANSWER- Physician and nursing services; preventative care.
Including X-rays, laboratory, etc.
Medicare Part C - ANSWER- Medigap or Medicare Advantage Plans; Private
insurance
Medicare Part D - ANSWER- Medicare Advantage Prescription Drug Plan; must
join a private insurance plan
What is medicaid? - ANSWER- Supported by federal and state funds; each state
will have different regulations and requirements; provides insurance for low
income individuals of all ages; supplements Medicare for poor elderly individuals
and pays for most nursing home care
What is private pay insurance? - ANSWER- Long-term care insurance; no age
limit for purchase; high premiums, often recommended to purchase while in your
50's; new products combine long-term care and life insurance
What is acute care? - ANSWER- High rates; longer length of stay; age-related
changes increase the risk of injuries, infections, and complications; older adults
have unique care needs while hospitalized
What is the nurse's role in acute care? - ANSWER- Assessment to identify
problems and risks; preparing for their return home; encouragement of
independence; monitoring of medications' prevention of
complications/nosocomial infections; environmental safety; education
How is hospital care paid for and what do the services include? - ANSWER- Paid
for by medicare part A
complete solutions
Life expectancy for males and females - ANSWER- males: 76
females: 81
Unconscious/Implicit Bias - ANSWER- occurs automatically as the brain makes
rapid judgements about a person or a particular situation
Geriatric Syndromes - ANSWER- multiple complex health states; cannot be
organized; tend to happen later in life
examples include: frailty, urinary incontinence, falls, delirium, and pressure
ulcers
What are challenges with geriatric syndromes? - ANSWER- Forming
interdisciplinary teams with geriatric training as well as insurance and
reimbursement
Frailty - ANSWER- Decrease in reserves and function across multiple systems;
compromised ability to cope with stressors; trigger a downward spiral
How is frailty assessed? - ANSWER- Frailty Index, if 3 or more of the following...
Unintentional weight loss
Fatigue
Weakness
Low physical activity level, decreased walking speed
What are adverse outcomes of frailty? - ANSWER- death, falls, fractures, and
hospitalizations
What groups are more prone to frailty? - ANSWER- women and those of lower
socioeconomic status
, What is the nurse's primary goals of gerontological care? - ANSWER- Identify and
use the strengths and abilities of older adults; help them maximize their
independence; minimize disability; improve or maintain quality of life; where
appropriate, achieve a peaceful death
What is medicare? - ANSWER- Federally funded, health insurance program for
those aged 65 and older and for those who qualify for Social Security due to
disability
Medicare Part A - ANSWER- hospital and physician services with limited services
Medicare Part B - ANSWER- Physician and nursing services; preventative care.
Including X-rays, laboratory, etc.
Medicare Part C - ANSWER- Medigap or Medicare Advantage Plans; Private
insurance
Medicare Part D - ANSWER- Medicare Advantage Prescription Drug Plan; must
join a private insurance plan
What is medicaid? - ANSWER- Supported by federal and state funds; each state
will have different regulations and requirements; provides insurance for low
income individuals of all ages; supplements Medicare for poor elderly individuals
and pays for most nursing home care
What is private pay insurance? - ANSWER- Long-term care insurance; no age
limit for purchase; high premiums, often recommended to purchase while in your
50's; new products combine long-term care and life insurance
What is acute care? - ANSWER- High rates; longer length of stay; age-related
changes increase the risk of injuries, infections, and complications; older adults
have unique care needs while hospitalized
What is the nurse's role in acute care? - ANSWER- Assessment to identify
problems and risks; preparing for their return home; encouragement of
independence; monitoring of medications' prevention of
complications/nosocomial infections; environmental safety; education
How is hospital care paid for and what do the services include? - ANSWER- Paid
for by medicare part A
