NUR 230 Gerontological Health Final Exam Study Guide
UPDATED ACTUAL Questions and CORRECT Answers
gerontology study of older adults
geriatrics medical treatment and care of old age
medicare insurance for certain groups, including the elderly, with diffferent parts for
inpatient care, longer-term care, and medication coverage. all 65+ and have paid
medicare taxes are eligible
medicaid insurance aid for lower income through state/federal funding, max $2000 assets
acute care focus on immediate problems, some health promotion aspects may be forgotten,
be aware that it can be dangerous for older adults to
subacute care too sick to stay at home but not sick enough for a hospital, goal to reach highest
level of functioning
rehabilitation process to improve symptoms and allow patient to return to original residence
CBRF community-based residence facility, ~5 people live together with 3hrs nursing
care/week
AFH adult family home, ~3-4 together with 7hrs nursing care/wk
RCAC resident care apartment complex, assisted living with room/board, and 28
hours/week of nursing care
SNF skilled nursing facility for mor complex medical needs
primary care prevention/promotion
secondary care detection/testing
tertiary care care of a problem
quarternary care limit disability, prevent unnecessary treatment
OBRA omnibius budget reconciliation act: sets up regulations for LTC facilities and CNA
regulations
advanced directives legal documents created when competent to make healthcare decisions/assign a
POA for the future
, ombudsman a legal advocate for residents in long-term care facilities, not paid, not a
government worker
competency able to handle own affairs
incompetency not able to handle affairs, must be declared by a court, gives power to POA
living will A document that indicates what medical intervention an individual wants if he or
she becomes incapable of expressing those wishes.
POUST physician orders for life-sustaining treatment: specific to patients, honors them,
addresses variables
five wishes document AD
1 who makes decisions
2 what treatment is allowed
3 level of comfort wanted
4 how you want to be treated
5 what loved ones can know
SPICES sleep, problems with eating, incontinence, confusion, idk what E is but it has to do
with falls, skin problems
functional assessment determines baseline ability, need for assistance, and possible interventions
ADL activity of daily living
IADLs instrumental activities of daily living, not technically necessary but still a big part
of normal life
hendrich II fall risk model checks for 8 risk factors of confusion, depression, altered elimination, dizziness,
gender, anticonvulsants, benzodiazepines, and gait/balance issues
age spots uneven pigmentation
seborrhetic keratoses thick brown raised lesions
cherry angiomas increased vascularity in dermis
skin tags small tumors
dermatoporosis chronic fragility of skin
stage 1 ulcer redness/irritation that doesn't go away with pressure
UPDATED ACTUAL Questions and CORRECT Answers
gerontology study of older adults
geriatrics medical treatment and care of old age
medicare insurance for certain groups, including the elderly, with diffferent parts for
inpatient care, longer-term care, and medication coverage. all 65+ and have paid
medicare taxes are eligible
medicaid insurance aid for lower income through state/federal funding, max $2000 assets
acute care focus on immediate problems, some health promotion aspects may be forgotten,
be aware that it can be dangerous for older adults to
subacute care too sick to stay at home but not sick enough for a hospital, goal to reach highest
level of functioning
rehabilitation process to improve symptoms and allow patient to return to original residence
CBRF community-based residence facility, ~5 people live together with 3hrs nursing
care/week
AFH adult family home, ~3-4 together with 7hrs nursing care/wk
RCAC resident care apartment complex, assisted living with room/board, and 28
hours/week of nursing care
SNF skilled nursing facility for mor complex medical needs
primary care prevention/promotion
secondary care detection/testing
tertiary care care of a problem
quarternary care limit disability, prevent unnecessary treatment
OBRA omnibius budget reconciliation act: sets up regulations for LTC facilities and CNA
regulations
advanced directives legal documents created when competent to make healthcare decisions/assign a
POA for the future
, ombudsman a legal advocate for residents in long-term care facilities, not paid, not a
government worker
competency able to handle own affairs
incompetency not able to handle affairs, must be declared by a court, gives power to POA
living will A document that indicates what medical intervention an individual wants if he or
she becomes incapable of expressing those wishes.
POUST physician orders for life-sustaining treatment: specific to patients, honors them,
addresses variables
five wishes document AD
1 who makes decisions
2 what treatment is allowed
3 level of comfort wanted
4 how you want to be treated
5 what loved ones can know
SPICES sleep, problems with eating, incontinence, confusion, idk what E is but it has to do
with falls, skin problems
functional assessment determines baseline ability, need for assistance, and possible interventions
ADL activity of daily living
IADLs instrumental activities of daily living, not technically necessary but still a big part
of normal life
hendrich II fall risk model checks for 8 risk factors of confusion, depression, altered elimination, dizziness,
gender, anticonvulsants, benzodiazepines, and gait/balance issues
age spots uneven pigmentation
seborrhetic keratoses thick brown raised lesions
cherry angiomas increased vascularity in dermis
skin tags small tumors
dermatoporosis chronic fragility of skin
stage 1 ulcer redness/irritation that doesn't go away with pressure
