Care of Older Adults Exam 2 Questions with VERIFIED Answers
(Guaranteed Success)
Q1: Falls
Answer: Unplanned descent w/ or w/out personal injury, results in individual coming to rest on floor
strongest assoc: previous fall, weakness, gait/balance impairment, meds (BP, narcotics) ~hard convos
to have w/ them
Q2: Co-morbidities
Answer: More than one chronic disease sequence of disease presentation may be considered
(obese->HTN- >DM-> heart disease) inc complexity of managing disease in pt.
Q3: Complications of Chronic Disease
Answer: Cancers: chronic pain DM: eye, renal, nerve damage Obesity: BMI>30 Polypharmacy acute care
needs in presence of chronic disease: HTN, COPD
Q4: Inter-professional Care
Answer: NICHE Program- Nurses Improving Care for the Hospitalized Elderly ACE units- Acute Care of
Elderly PACE prog- Programs of All-inclusive care of elderly (living in comm but nursing home eligable
Waiver Prog- need same care but dont want to be in nursing home $$ Adult Care Right level of care at
right time- independent living comm, ALF, home care, rahab
Q5: Geriatric Syndromes
Answer: Common health condition in an older adult that doesn't fit into category or a specific disease
or clearly identified disease very prevalent multifactorial assoc w/ morbidity(state of chronic disease)
and mortality(chronic disease relating in death) ~polypharmacy, falls delirium, anxiety&depression, UI,
sleep disorders, dysphagia, pressure ulcers
, Q6: Characteristics of Geriatric Syndromes
Answer: older age (80-90) baseline cog impairment baseline functional impairment(gait, assistive
device) frailty(one who is independent) more than one geriatric syndrome poor health outcomes (CHF,
COPD, heart disease)
Q7: Urinary Incontinence
Answer: Involuntary leakage of urine to degree that it troubles a person requires assessment and
tx(not just containment), often neglected Causes: delirium/dementia, infection,
psych(anxiety/depression), pharm, funct impair(cant get there), stool impaction (press on bladder;
stress)
Q8: Urge Incontinence
Answer: Bladder muscles contract at the wrong time "overactive bladder"
Q9: Stress Incontinence
Answer: more common in women due to multiple pregnancies; muscles arent as strong & urine leaks
out when you strain (sneeze, cough, laugh)
Q10: Functional Incontinence
Answer: Aware they "need to go" but cant get to the bathroom
Q11: Overflow Incontinence
Answer: More common in neurological disorders; cant tell bladder is full (bad controlled DM, pelagic)
Q12: Interventions for Incontinence
Answer: Assessment (bladder diary), behavior (bladder prog), lifestyle mod, cath, continence products,
pharm (flomax, detrol, ditropan), surgery (stress incont->tuck muscles back up[not always effective]),
non-surg (kegels)
(Guaranteed Success)
Q1: Falls
Answer: Unplanned descent w/ or w/out personal injury, results in individual coming to rest on floor
strongest assoc: previous fall, weakness, gait/balance impairment, meds (BP, narcotics) ~hard convos
to have w/ them
Q2: Co-morbidities
Answer: More than one chronic disease sequence of disease presentation may be considered
(obese->HTN- >DM-> heart disease) inc complexity of managing disease in pt.
Q3: Complications of Chronic Disease
Answer: Cancers: chronic pain DM: eye, renal, nerve damage Obesity: BMI>30 Polypharmacy acute care
needs in presence of chronic disease: HTN, COPD
Q4: Inter-professional Care
Answer: NICHE Program- Nurses Improving Care for the Hospitalized Elderly ACE units- Acute Care of
Elderly PACE prog- Programs of All-inclusive care of elderly (living in comm but nursing home eligable
Waiver Prog- need same care but dont want to be in nursing home $$ Adult Care Right level of care at
right time- independent living comm, ALF, home care, rahab
Q5: Geriatric Syndromes
Answer: Common health condition in an older adult that doesn't fit into category or a specific disease
or clearly identified disease very prevalent multifactorial assoc w/ morbidity(state of chronic disease)
and mortality(chronic disease relating in death) ~polypharmacy, falls delirium, anxiety&depression, UI,
sleep disorders, dysphagia, pressure ulcers
, Q6: Characteristics of Geriatric Syndromes
Answer: older age (80-90) baseline cog impairment baseline functional impairment(gait, assistive
device) frailty(one who is independent) more than one geriatric syndrome poor health outcomes (CHF,
COPD, heart disease)
Q7: Urinary Incontinence
Answer: Involuntary leakage of urine to degree that it troubles a person requires assessment and
tx(not just containment), often neglected Causes: delirium/dementia, infection,
psych(anxiety/depression), pharm, funct impair(cant get there), stool impaction (press on bladder;
stress)
Q8: Urge Incontinence
Answer: Bladder muscles contract at the wrong time "overactive bladder"
Q9: Stress Incontinence
Answer: more common in women due to multiple pregnancies; muscles arent as strong & urine leaks
out when you strain (sneeze, cough, laugh)
Q10: Functional Incontinence
Answer: Aware they "need to go" but cant get to the bathroom
Q11: Overflow Incontinence
Answer: More common in neurological disorders; cant tell bladder is full (bad controlled DM, pelagic)
Q12: Interventions for Incontinence
Answer: Assessment (bladder diary), behavior (bladder prog), lifestyle mod, cath, continence products,
pharm (flomax, detrol, ditropan), surgery (stress incont->tuck muscles back up[not always effective]),
non-surg (kegels)
