Nursing Care of the Older Adult FINAL
According to the CMS, when can a long-term indwelling
catheter be used? Correct Answer Documented PVR over
200mL
Inability to manage with intermittent catheter
Persistent overflow incontinence, renal dysfunction, or
symptomatic infections
Contamination of stage III or IV pressure ulcer w/ urine
Terminal illness or severe impairment making positing or
clothing changes uncomfortable/painful
According to the Joint Commission, why do falls occur in
hospitals? Correct Answer Inadequate staff communication and
training
Incomplete patient assessment
Environmental issues
Incomplete care planning
Inadequate culture of safety
Agitation is commonly caused by what mental illness process?
Correct Answer Anxiety (treat w/ setraline or citalopram)
Anxiety disorders occur in ____ - ____ % of older adults
Correct Answer 10-20%
BMI > 30kg
Neck circumference > 40cm
Hypertension
Male Gender
Snoring
, Are all risk factors that predispose someone to ... Correct
Answer Obstructive Sleep Apnea
DETERMINE score of less than 6 indicates a risk for Correct
Answer Malnutrition
Differences between dementia and delirium are: Correct
Answer Dementia: Irreversible, insidious onset, course is a
steady decline, no change in level of consciousness, orientation
is impaired.
Delirium: Reversible, acute onset, fluctuating course, person has
difficulty with attention, orientation varies throughout the day.
Do applying physical or chemical restraints help prevent falls?
Correct Answer No, both chemical and physical restraints may
increase risk of falls.
How many cardinal symptoms does one have to have to be
diagnosed with major depression? Correct Answer 5 or more of
the 8 cardinal symptoms
How many cardinal symptoms does one have to have to be
diagnosed with minor depression? Correct Answer 1-4 of the 8
cardinal symptoms
How many falls occur in US hospitals per year? Correct
Answer 1 million
How much does urinary incontinence cost nursing homes per
year? Correct Answer $5.2 billion per year
According to the CMS, when can a long-term indwelling
catheter be used? Correct Answer Documented PVR over
200mL
Inability to manage with intermittent catheter
Persistent overflow incontinence, renal dysfunction, or
symptomatic infections
Contamination of stage III or IV pressure ulcer w/ urine
Terminal illness or severe impairment making positing or
clothing changes uncomfortable/painful
According to the Joint Commission, why do falls occur in
hospitals? Correct Answer Inadequate staff communication and
training
Incomplete patient assessment
Environmental issues
Incomplete care planning
Inadequate culture of safety
Agitation is commonly caused by what mental illness process?
Correct Answer Anxiety (treat w/ setraline or citalopram)
Anxiety disorders occur in ____ - ____ % of older adults
Correct Answer 10-20%
BMI > 30kg
Neck circumference > 40cm
Hypertension
Male Gender
Snoring
, Are all risk factors that predispose someone to ... Correct
Answer Obstructive Sleep Apnea
DETERMINE score of less than 6 indicates a risk for Correct
Answer Malnutrition
Differences between dementia and delirium are: Correct
Answer Dementia: Irreversible, insidious onset, course is a
steady decline, no change in level of consciousness, orientation
is impaired.
Delirium: Reversible, acute onset, fluctuating course, person has
difficulty with attention, orientation varies throughout the day.
Do applying physical or chemical restraints help prevent falls?
Correct Answer No, both chemical and physical restraints may
increase risk of falls.
How many cardinal symptoms does one have to have to be
diagnosed with major depression? Correct Answer 5 or more of
the 8 cardinal symptoms
How many cardinal symptoms does one have to have to be
diagnosed with minor depression? Correct Answer 1-4 of the 8
cardinal symptoms
How many falls occur in US hospitals per year? Correct
Answer 1 million
How much does urinary incontinence cost nursing homes per
year? Correct Answer $5.2 billion per year
