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WGU Care for the Older Adult Exam

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Baby Boomers: are aging adults born from 19_6-19_4. They will reach retirement starting around 2011 - Correct Ans-Baby Boomers: are aging adults born from . They will reach retirement starting around 2011 ________: a physician, board certified in geriatrics, who specializes in the care of the elderly - Correct Ans-Geriatrician: a physician, board certified in geriatrics, who specializes in the care of the elderly Geriatrics - Correct Ans-The branch of medicine concerned with the problems of aging Gerontology - Correct Ans-Study of aging; broad category that includes several areas (sociology of aging, psychology, economics of aging Ageism - Correct Ans-Prejudice towards elderly Alzheimer's - Correct Ans-betaamyloid plaques and neurofibrillary plaques Age - Correct Ans-Old Old= 85+ years Older Adult= 65 years of age or older TYPES OF CARE FACILITIES 1)Acute Care Hospital (ACH) - point of ____into the health care system for older adults. 2) Acute Rehabilitation (Rehab)- may be found in several settings. Uses the _____disciplinary team of nurses, therapists, and physicians. Goal is to maximize independence, promote maximal function, prevent complications, and promote quality of life within each person's strengths and limitations. Level of intensity depends on setting and _____. 3) ____Health Care- For independent living home-bound adults who require a longer period of observation or care from nurses. Can include PT/OT, & speech therapy. 4) _____- holistic, interdisciplinary care that helps the dying person "live until they die." Includes palliative care and pain management and comfort care. - Correct Ans-TYPES OF CARE FACILITIES 1)Acute Care Hospital (ACH) - point of entry into the health care system for older adults. 2) Acute Rehabilitation (Rehab)- may be found in several settings. Uses the interdisciplinary team of nurses, therapists, and physicians. Goal is to maximize independence, promote maximal function, prevent complications, and promote quality of life within each person's strengths and limitations. Level of intensity depends on setting and patient. 3) Home Health Care- For independent living home-bound adults who require a longer period of observation or care from nurses. Can include PT/OT, & speech therapy. 4) Hospice- holistic, interdisciplinary care that helps the dying person "live until they die." Includes palliative care and pain management and comfort care. TYPES OF CARE FACILITIES 5) Long-term Care Facility (a.k.a. nursing home)- provides __hr support care to any age who have lost some or all their capacity for self-care due to illness, disability, or dementia 6) Skilled Nursing Facilities (SNFs)- subacute or transitional care are for those patients requiring ____ intensive nursing care than provided in Long-term care. 7) Alzheimer's Care- dedicated specifically for Alzheimer and Dementia care. 8) _____Care- provides time off for family members who are caretakers. Care can be at adult daycare center, in the home, or in an assisted living facility or LTC 9) Continuing care retirement community (CCRC)- group care in independent living to assisted living, LTC, or skilled - Correct Ans-TYPES OF CARE FACILITIES 5) Long-term Care Facility (a.k.a. nursing home)- provides 24hr support care to any age who have lost some or all their capacity for self-care due to illness, disability, or dementia 6) Skilled Nursing Facilities (SNFs)- subacute or transitional care are for those patients requiring MORE intensive nursing care than provided in Long-term care. 7) Alzheimer's Care- dedicated specifically for Alzheimer and Dementia care. 8) Respite Care- provides time off for family members who are caretakers. Care can be at adult daycare center, in the home, or in an assisted living facility or LTC 9) Continuing care retirement community (CCRC)- group care in independent living to assisted living, LTC, or skilled TYPES OF CARE FACILITIES 10) Assisted Living- alternative who do not feel ___ living alone, who wish to live in a community setting, or who need some additional help with ADLs. They each have their own apartment or room. 11) Foster care/Group Homes- adults who can do most ADLs but have safety issues and require _______ with some activities. 12) Green House Concept- new concept of a home environment with 8-10 residents in _____ rooms with open kitchen and still receive _______. 13) Adult Day Care- Adult day services are community based group programs designed to meet the needs of functionally and/or cognitively impaired adults through and individual plan of care. ____ than 24 hour care. - Correct Ans-TYPES OF CARE FACILITIES 10) Assisted Living- alternative who do not feel safe living alone, who wish to live in a community setting, or who need some additional help with ADLs. They each have their own apartment or room. 11) Foster care/Group Homes- adults who can do most ADLs but have safety issues and require supervision with some activities. 12) Green House Concept- new concept of a home environment with 8-10 residents in private rooms with open kitchen and still receive assistance. 13) Adult Day Care- Adult day services are community based group programs designed to meet the needs of functionally and/or cognitively impaired adults through and individual plan of care. Less than 24 hour care. Maslows Psychological Theories of Aging - Physiological - _____& Security - Love & Belonging - Self-esteem - Self-actualization - Correct Ans-Physiological Safety & Security Love & Belonging Selft-esteem Self-actualization DYSARTHIA: is disturbed articulation caused by disturbance in the control of the ____ muscles. This disturbance is caused by brain lesions in motor areas in the central nervous system or the brain ____ or disruption in the coordination of information from the basal ganglia, cerebellum, and motor neurons. Dysarthria-related ____ can be caused by stroke, brain tumor, degenerative diseases, metabolic diseases, or toxins. The _____ of the brain lesion determines the nature of the disturbance, which can manifest in many ways, with the most severe form being anarthria (complete ______ to move the articulators for speech). People with dysarthria may present with slurred speech, breathiness, slow or rapid rate of speech, limited mouth or facial movement, monotonous voice, or weak articulation. A person who has dysarthria may be able to read, write, and gesture normally and comprehension may remain intact - Correct Ans-DYSARTHIA: is disturbed articulation caused by disturbance in the control of the speech muscles. This disturbance is caused by brain lesions in motor areas in the central nervous system or the brain stem or disruption in the coordination of information from the basal ganglia, cerebellum, and motor neurons. Dysarthria-related lesions can be caused by stroke, brain tumor, degenerative diseases, metabolic diseases, or toxins. The location of the brain lesion determines the nature of the disturbance, which can manifest in many ways, with the most severe form being anarthria (complete inability to move the articulators for speech). People with dysarthria may present with slurred speech, breathiness, slow or rapid rate of speech, limited mouth or facial movement, monotonous voice, or weak articulation. A person who has dysarthria may be able to read, write, and gesture normally and comprehension may remain intact APHASIA: is the ____ common language disorder in the elderly and occurs in up to a third of the patients in an acute phase following stroke. Aphasia is an inability to express or understand the meaning of words due to damage in the ______ areas. Damage is most frequently due to stroke in the ___ hemisphere, but can be due to brain tumor, trauma, infection, dementia, or surgery. In addition to _____ language, writing, reading, and the ability to gesture also may be impaired - Correct Ans-APHASIA: is the most common language disorder in the elderly and occurs in up to a third of the patients in an acute phase following stroke. Aphasia is an inability to express or understand the meaning of words due to damage in the language areas. Damage is most frequently due to stroke in the left hemisphere, but can be due to brain tumor, trauma, infection, dementia, or surgery. In addition to spoken language, writing, reading, and the ability to gesture also may be impaired CHANGES THAT MAY AFFECT THERAPEUTIC COMM: - Visual communication- position objects within the pts ____ field. This includes positioning yourself within their visual field when speaking with the person. This helps the person to locate the object of conversation and to orient him or her to the topic of conversation. When assisting elders with their care needs, it may be useful to give them a verbal indication of the actions you are about to impart, so as to avoid startling or scaring them needlessly. It may be necessary to assist the person in labeling objects or to simplify what is in their visual field. - Hearing communication- Do not ____. Project voice from the diaphragm (deepens tone). Make use of the person's other unipaired senses. Stand in front of them if they can lip read. Speak into the good ___. Make sure the hearing aid is turned on. Use gestures or objects to assist communication. Limit background noise. - Correct Ans-CHANGES THAT MAY AFFECT THERAPEUTIC COMM: - Visual communication- position objects within the pts visual field. This includes positioning yourself within their visual field when speaking with the person. This helps the person to locate the object of conversation and to orient him or her to the topic of conversation. When assisting elders with their care needs, it may be useful to give them a verbal indication of the actions you are about to impart, so as to avoid startling or scaring them needlessly. It may be necessary to assist the person in labeling objects or to simplify what is in their visual field. - Hearing communication- Do not shout. Project voice from the diaphragm (deepens tone). Make use of the person's other unipaired senses. Stand in front of them if they can lip read. Speak into the good ear. Make sure the hearing aid is turned on. Use gestures or objects to assist communication. Limit background noise. Allow adequate time for a response. Use short sentences and speak clearly. Enunciate words. Write things out. - Speech Communication-individuals with speech or language difficulties might be more anxious or self-aware. Limit distractions, make eye contact, position yourself in front of the person. Use facial or body language. Use written communication. Use short complete sentences. Summarize message for accuracy. Take your time. Satir's Basic principles for Communication - invite, arrange da environment, maximize communication, maximize understanding, and follow through - Correct Ans-Satir's Basic principles for Communication - invite, arrange da environment, maximize communication, maximize understanding, and follow through TYPES OF HEARING AIDS 1) BTE (Behind the ear)- 1 inch long and worn behind the outer ear. A small tube connects with the amplification de

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WGU



WGU Care for the Older Adult Exam
Baby Boomers: are aging adults born from 19_6-19_4. They will reach retirement
starting around 2011 - Correct Ans-Baby Boomers: are aging adults born from 1946-
1964. They will reach retirement starting around 2011

________: a physician, board certified in geriatrics, who specializes in the care of the
elderly - Correct Ans-Geriatrician: a physician, board certified in geriatrics, who
specializes in the care of the elderly

Geriatrics - Correct Ans-The branch of medicine concerned with the problems of aging

Gerontology - Correct Ans-Study of aging; broad category that includes several areas
(sociology of aging, psychology, economics of aging

Ageism - Correct Ans-Prejudice towards elderly

Alzheimer's - Correct Ans-betaamyloid plaques and neurofibrillary plaques

Age - Correct Ans-Old Old= 85+ years
Older Adult= 65 years of age or older

TYPES OF CARE FACILITIES
1)Acute Care Hospital (ACH) - point of ____into the health care system for older adults.

2) Acute Rehabilitation (Rehab)- may be found in several settings. Uses the
_____disciplinary team of nurses, therapists, and physicians. Goal is to maximize
independence, promote maximal function, prevent complications, and promote quality of
life within each person's strengths and limitations. Level of intensity depends on setting
and _____.

3) ____Health Care- For independent living home-bound adults who require a longer
period of observation or care from nurses. Can include PT/OT, & speech therapy.

4) _____- holistic, interdisciplinary care that helps the dying person "live until they die."
Includes palliative care and pain management and comfort care. - Correct Ans-TYPES
OF CARE FACILITIES
1)Acute Care Hospital (ACH) - point of entry into the health care system for older adults.

2) Acute Rehabilitation (Rehab)- may be found in several settings. Uses the
interdisciplinary team of nurses, therapists, and physicians. Goal is to maximize
independence, promote maximal function, prevent complications, and promote quality of
life within each person's strengths and limitations. Level of intensity depends on setting
and patient.



WGU

,WGU


3) Home Health Care- For independent living home-bound adults who require a longer
period of observation or care from nurses. Can include PT/OT, & speech therapy.

4) Hospice- holistic, interdisciplinary care that helps the dying person "live until they
die." Includes palliative care and pain management and comfort care.

TYPES OF CARE FACILITIES
5) Long-term Care Facility (a.k.a. nursing home)- provides __hr support care to any age
who have lost some or all their capacity for self-care due to illness, disability, or
dementia

6) Skilled Nursing Facilities (SNFs)- subacute or transitional care are for those patients
requiring ____ intensive nursing care than provided in Long-term care.

7) Alzheimer's Care- dedicated specifically for Alzheimer and Dementia care.

8) _____Care- provides time off for family members who are caretakers. Care can be at
adult daycare center, in the home, or in an assisted living facility or LTC

9) Continuing care retirement community (CCRC)- group care in independent living to
assisted living, LTC, or skilled - Correct Ans-TYPES OF CARE FACILITIES
5) Long-term Care Facility (a.k.a. nursing home)- provides 24hr support care to any age
who have lost some or all their capacity for self-care due to illness, disability, or
dementia

6) Skilled Nursing Facilities (SNFs)- subacute or transitional care are for those patients
requiring MORE intensive nursing care than provided in Long-term care.

7) Alzheimer's Care- dedicated specifically for Alzheimer and Dementia care.

8) Respite Care- provides time off for family members who are caretakers. Care can be
at adult daycare center, in the home, or in an assisted living facility or LTC

9) Continuing care retirement community (CCRC)- group care in independent living to
assisted living, LTC, or skilled

TYPES OF CARE FACILITIES
10) Assisted Living- alternative who do not feel ___ living alone, who wish to live in a
community setting, or who need some additional help with ADLs. They each have their
own apartment or room.

11) Foster care/Group Homes- adults who can do most ADLs but have safety issues
and require _______ with some activities.

12) Green House Concept- new concept of a home environment with 8-10 residents in
_____ rooms with open kitchen and still receive _______.

WGU

,WGU



13) Adult Day Care- Adult day services are community based group programs designed
to meet the needs of functionally and/or cognitively impaired adults through and
individual plan of care. ____ than 24 hour care. - Correct Ans-TYPES OF CARE
FACILITIES
10) Assisted Living- alternative who do not feel safe living alone, who wish to live in a
community setting, or who need some additional help with ADLs. They each have their
own apartment or room.

11) Foster care/Group Homes- adults who can do most ADLs but have safety issues
and require supervision with some activities.

12) Green House Concept- new concept of a home environment with 8-10 residents in
private rooms with open kitchen and still receive assistance.

13) Adult Day Care- Adult day services are community based group programs designed
to meet the needs of functionally and/or cognitively impaired adults through and
individual plan of care. Less than 24 hour care.

Maslows Psychological Theories of Aging
- Physiological
- _____& Security
- Love & Belonging
- Self-esteem
- Self-actualization - Correct Ans-Physiological
Safety & Security
Love & Belonging
Selft-esteem
Self-actualization

DYSARTHIA: is disturbed articulation caused by disturbance in the control of the ____
muscles. This disturbance is caused by brain lesions in motor areas in the central
nervous system or the brain ____ or disruption in the coordination of information from
the basal ganglia, cerebellum, and motor neurons. Dysarthria-related ____ can be
caused by stroke, brain tumor, degenerative diseases, metabolic diseases, or toxins.
The _____ of the brain lesion determines the nature of the disturbance, which can
manifest in many ways, with the most severe form being anarthria (complete ______ to
move the articulators for speech). People with dysarthria may present with slurred
speech, breathiness, slow or rapid rate of speech, limited mouth or facial movement,
monotonous voice, or weak articulation. A person who has dysarthria may be able to
read, write, and gesture normally and comprehension may remain intact - Correct Ans-
DYSARTHIA: is disturbed articulation caused by disturbance in the control of the
speech muscles. This disturbance is caused by brain lesions in motor areas in the
central nervous system or the brain stem or disruption in the coordination of information
from the basal ganglia, cerebellum, and motor neurons. Dysarthria-related lesions can
be caused by stroke, brain tumor, degenerative diseases, metabolic diseases, or toxins.

WGU

, WGU


The location of the brain lesion determines the nature of the disturbance, which can
manifest in many ways, with the most severe form being anarthria (complete inability to
move the articulators for speech). People with dysarthria may present with slurred
speech, breathiness, slow or rapid rate of speech, limited mouth or facial movement,
monotonous voice, or weak articulation. A person who has dysarthria may be able to
read, write, and gesture normally and comprehension may remain intact

APHASIA: is the ____ common language disorder in the elderly and occurs in up to a
third of the patients in an acute phase following stroke. Aphasia is an inability to express
or understand the meaning of words due to damage in the ______ areas. Damage is
most frequently due to stroke in the ___ hemisphere, but can be due to brain tumor,
trauma, infection, dementia, or surgery. In addition to _____ language, writing, reading,
and the ability to gesture also may be impaired - Correct Ans-APHASIA: is the most
common language disorder in the elderly and occurs in up to a third of the patients in an
acute phase following stroke. Aphasia is an inability to express or understand the
meaning of words due to damage in the language areas. Damage is most frequently
due to stroke in the left hemisphere, but can be due to brain tumor, trauma, infection,
dementia, or surgery. In addition to spoken language, writing, reading, and the ability to
gesture also may be impaired

CHANGES THAT MAY AFFECT THERAPEUTIC COMM:
- Visual communication- position objects within the pts ____ field. This includes
positioning yourself within their visual field when speaking with the person. This helps
the person to locate the object of conversation and to orient him or her to the topic of
conversation. When assisting elders with their care needs, it may be useful to give them
a verbal indication of the actions you are about to impart, so as to avoid startling or
scaring them needlessly. It may be necessary to assist the person in labeling objects or
to simplify what is in their visual field.
- Hearing communication- Do not ____. Project voice from the diaphragm (deepens
tone). Make use of the person's other unipaired senses. Stand in front of them if they
can lip read. Speak into the good ___. Make sure the hearing aid is turned on. Use
gestures or objects to assist communication. Limit background noise. - Correct Ans-
CHANGES THAT MAY AFFECT THERAPEUTIC COMM:
- Visual communication- position objects within the pts visual field. This includes
positioning yourself within their visual field when speaking with the person. This helps
the person to locate the object of conversation and to orient him or her to the topic of
conversation. When assisting elders with their care needs, it may be useful to give them
a verbal indication of the actions you are about to impart, so as to avoid startling or
scaring them needlessly. It may be necessary to assist the person in labeling objects or
to simplify what is in their visual field.
- Hearing communication- Do not shout. Project voice from the diaphragm (deepens
tone). Make use of the person's other unipaired senses. Stand in front of them if they
can lip read. Speak into the good ear. Make sure the hearing aid is turned on. Use
gestures or objects to assist communication. Limit background noise. Allow adequate
time for a response. Use short sentences and speak clearly. Enunciate words. Write
things out.

WGU

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