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NURS 445 Exam – Questions With Definite Solutions

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NURS 445 Exam – Questions With Definite Solutions

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NURS 445
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_______ is the basis of an individualized plan of comprehensive assessment
care for geriatrics


what are the six categories of the cognitive, functional, physical, social, psychological, spiritual
comprehensive geriatric assessment?


what is polypharmacy? concurrent use of multiple medications


what is a geriatric syndrome? a common health condition in an older adult that is not a
discrete disease


what are the five main geriatric syndromes? polypharmacy, sleep disorders, falls, pressure injuries, urinary
disorders


________ is how drugs are absorbed, pharmacokinetics
metabolized, and eliminated


________ is how drugs work in the body pharmacodynamics


_______ and ____ ____ alter the processes of aging, chronic diseases
pharmacokinetics and pharmacodynamics


why is polypharmacy so significant of an increases mortality, morbidity, and cost of healthcare
issue? (what does it increase?) (3)


the _________ is when a medication side effect prescribing cascade
is treated by adding another medication


what are six risk factors of polypharmacy? prescribing cascade, multiple providers, multiple pharmacies,
older age, transitions of care, isolation


sometimes the _______ is the only thing older bottle label
adults have to go off of for prescription
instructions


what are four warning signs of medication nonspecific complaints, timeline, falls, sudden changes in
issues? ADLs

, what are eight ways you can assess for brown bag assessment, gait, adherence tests, take-home
medication issues? administration record, literacy screening, swallowing status,
BEERS criteria, collateral history


what are five things you can do to diagnose deduction, lab results, creatinine clearance, adherence, trial
a medication issue or misuse? discontinuation


_____ is one of the most reversible causes of polypharmacy
iatrogenic harm (harm caused by the
healthcare system)


what are four interventions for ensuring knowing appropriate choices and doses, foster medication
proper medication use? literacy, decrease unnecessary or harmful meds, medicare D


______ are among the most common adverse falls
events that threaten older adult's
independence and quality of life


is falling a normal consequence of aging? no, its a geriatric syndrome


Falls increase with ______ and ______ age and frailty


what are five consequences of falls? death, injury, decline in functional status, nursing home
placement, being bed-bound


what are four modifiable risk factors for gait, medication, environment, acute and chronic illnesses
falls?


what are four non-modifiable risk factors for gender, age, medical Hx, >80 y/o
falls?


what are five ways to assess for falls risks? tug test, get up and go test, get a fall Hx, 4-stage balance
test, Johns Hopkins fall scale


what are five general things that can prevent exercise, home safety, falls precautions in hospital and nursing
falls? facilities, falls TIPS, HELP program


what is the most common adverse event in falls
hospitals?


what are four different types of falls? accidental, environmental, anticipated physiological and
unanticipated physiological


what are five physical implications of urinary increased fall risk, fractures, skin breakdown, UTIs, disrupted
incontinence? sleep


what are seven psychological implications depression, anxiety, feelings of loss of control, dependency,
of urinary incontinence? shame, guilt, impaired self-esteem


what are two social implications of urinary social isolation, avoidance of activities
incontinence?


what are six options for behavioral hydration management, prompted voiding, bladder training,
management of urinary incontinence? pelvic muscle rehab, biofeedback, bowel function
management
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