NURS 209 Gerontological Nursing Questions With Complete
Solutions
1. Power of Attorney
2. Advance Directive
- living will
- not legally binding, just a guideline for SDM
3. Do Not Resuscitate (DNR)
________ Motor Neuron Disease causes detrusor muscle
overactivity, while _____ MND causes sphincter weakening
Correct Answers upper
lower
________ UI is usually just a dribble, while ________ UI is a
large volume of urine leakage Correct Answers Stress =
dribble, small volume
Urge = larger volume, a true 'accident'
_________ is more common in people with farsightedness,
while _______ is increased in people with far OR
nearsightedness Correct Answers MD = farsightedness
Glaucoma = far AND near (i'll knock you into a coma far and
near)
- dry eyes, blurry vision- constipation- oily skin (seborrheic
dermatitis)- increased sweaty- urinary and sexual dysfunction-
Cognitive impairment (in 1/3 of pts: Impulsivity, poor emotion
,regulation)- Hallucinations, delusions- sleep difficulties- loss of
smell- weight loss
these are all symptoms of Correct Answers parkinsons! PLUS
motor symptoms (tremors, bradykinesia, postural)
"TOILETED" UI risk factor acronym Correct Answers T: thin
vaginal epithelium (atrophic). O: obstruction (ie stool, kidney
stones). I: Infection, inflammation. L: limited mobility. E:
environment (washroom accessibility). T: therapeutic
medications (pharmacy). E: Endocrine. D: Delirium
10^5 cfu/mL (colony forming unit) of organisms in a urine
sample requires treatment if the patient also has....
a) Bacteriura
b) Suprapubic pain and frequency
c) Positive nitrate
d) Leukocytosis Correct Answers B! These symptoms indicate
a potential UTI
Not a): bacteria in urine doesn't inherently require antibiotics:
may just be asymptomatic bacteriuria
2 big questions to ask a pt about falls Correct Answers 1. Have
you had a history of falls?
2. Do you have a fear of falling?
2 Classes of Causes of Hearing Loss Correct Answers 1.
SENSORINEURAL Causes: damage to the nerves in the ear,
*intrinsic* damage within the inner ear
,- aging
- ototoxicity
- loud noises
- tumor
2. CONDUCTIVE Causes: *extrinsic* causes: outer and middle
ear dysfunction
- Obstruction (Impacted earwax, foreign object)
- Fluid
- Allergies
- Ruptured Eardrums
BOTH:
- genetic
- virus/infection of ear
- head trauma
2 Diagnostic Tests for UI (key quizbit) Correct Answers 1.
Urodynamic Testing
- a bunch of different tests (testing electrical muscle/nerve
activity, using cathethers to test intrabladder pressure, PVR)
- seek to understand any abnormalities of filling, storage, or
voiding
2. Cystoscopy
- camera visualization of GU system
- looks for inflamed area, diverticuli, stones or tumors
2 Hypotheses of Alzheimer's Disease Correct Answers 1.
*Amyloid Cascade Hypothesis*
, - accumulation of excess Extracellular amyloid b-peptide protein
deposits
- excess Intracellular neurofibrillary tangles deposits
= causes inflammation, wacky Ca2+ levels, free radicals,
neurotoxicity.
2. *Cholinergic Hypothesis*
- low Acetylcholine neurotransmitter levels
= poor nerve impulse transmission
2 Shingles Complications Correct Answers Postherpetic
neuralgia (PHN):
pain 90 or more days after rash
onset.
--> Allodynia (painful response to nonpainful stimuli)
Trigeminal (facial) nerve involvement:
--> ocular inflammation
--> Ramsey Hunt syndrome: facial palsy + facial rash +
involvement of outer ear or tympanic membrane (ie tinnitus,
vertigo, deafness, problems
with balance, and facial paresis)
2 subtypes of Frontotemporal Dementia Correct Answers 1.
Behavioural FTD (aka Pick's Disease)
- personality & emotional changes
- caused by more FRONTAL lobe damage
2. Language FTD:
- primary progressive aphasia, semantic dementia
- caused by more TEMPORAL lobe damage
Solutions
1. Power of Attorney
2. Advance Directive
- living will
- not legally binding, just a guideline for SDM
3. Do Not Resuscitate (DNR)
________ Motor Neuron Disease causes detrusor muscle
overactivity, while _____ MND causes sphincter weakening
Correct Answers upper
lower
________ UI is usually just a dribble, while ________ UI is a
large volume of urine leakage Correct Answers Stress =
dribble, small volume
Urge = larger volume, a true 'accident'
_________ is more common in people with farsightedness,
while _______ is increased in people with far OR
nearsightedness Correct Answers MD = farsightedness
Glaucoma = far AND near (i'll knock you into a coma far and
near)
- dry eyes, blurry vision- constipation- oily skin (seborrheic
dermatitis)- increased sweaty- urinary and sexual dysfunction-
Cognitive impairment (in 1/3 of pts: Impulsivity, poor emotion
,regulation)- Hallucinations, delusions- sleep difficulties- loss of
smell- weight loss
these are all symptoms of Correct Answers parkinsons! PLUS
motor symptoms (tremors, bradykinesia, postural)
"TOILETED" UI risk factor acronym Correct Answers T: thin
vaginal epithelium (atrophic). O: obstruction (ie stool, kidney
stones). I: Infection, inflammation. L: limited mobility. E:
environment (washroom accessibility). T: therapeutic
medications (pharmacy). E: Endocrine. D: Delirium
10^5 cfu/mL (colony forming unit) of organisms in a urine
sample requires treatment if the patient also has....
a) Bacteriura
b) Suprapubic pain and frequency
c) Positive nitrate
d) Leukocytosis Correct Answers B! These symptoms indicate
a potential UTI
Not a): bacteria in urine doesn't inherently require antibiotics:
may just be asymptomatic bacteriuria
2 big questions to ask a pt about falls Correct Answers 1. Have
you had a history of falls?
2. Do you have a fear of falling?
2 Classes of Causes of Hearing Loss Correct Answers 1.
SENSORINEURAL Causes: damage to the nerves in the ear,
*intrinsic* damage within the inner ear
,- aging
- ototoxicity
- loud noises
- tumor
2. CONDUCTIVE Causes: *extrinsic* causes: outer and middle
ear dysfunction
- Obstruction (Impacted earwax, foreign object)
- Fluid
- Allergies
- Ruptured Eardrums
BOTH:
- genetic
- virus/infection of ear
- head trauma
2 Diagnostic Tests for UI (key quizbit) Correct Answers 1.
Urodynamic Testing
- a bunch of different tests (testing electrical muscle/nerve
activity, using cathethers to test intrabladder pressure, PVR)
- seek to understand any abnormalities of filling, storage, or
voiding
2. Cystoscopy
- camera visualization of GU system
- looks for inflamed area, diverticuli, stones or tumors
2 Hypotheses of Alzheimer's Disease Correct Answers 1.
*Amyloid Cascade Hypothesis*
, - accumulation of excess Extracellular amyloid b-peptide protein
deposits
- excess Intracellular neurofibrillary tangles deposits
= causes inflammation, wacky Ca2+ levels, free radicals,
neurotoxicity.
2. *Cholinergic Hypothesis*
- low Acetylcholine neurotransmitter levels
= poor nerve impulse transmission
2 Shingles Complications Correct Answers Postherpetic
neuralgia (PHN):
pain 90 or more days after rash
onset.
--> Allodynia (painful response to nonpainful stimuli)
Trigeminal (facial) nerve involvement:
--> ocular inflammation
--> Ramsey Hunt syndrome: facial palsy + facial rash +
involvement of outer ear or tympanic membrane (ie tinnitus,
vertigo, deafness, problems
with balance, and facial paresis)
2 subtypes of Frontotemporal Dementia Correct Answers 1.
Behavioural FTD (aka Pick's Disease)
- personality & emotional changes
- caused by more FRONTAL lobe damage
2. Language FTD:
- primary progressive aphasia, semantic dementia
- caused by more TEMPORAL lobe damage
