1. Older adults or elderly over the age of ? are considered geriatric population-
: 65 years
2. -they have a weaker immune system, so they do not mount a strong immune response
-this weaker immune system, health problems may be present, but present in an atypical manner not with the usual symptom
unique to geriatric patients
3. no evidence of fever in elderly?: EX) an elder may have an overwhelming infection, but not have normal reactions
-Often they can have sepsis and have a low or normal temperature.
4. What are the OTHER signs of illness in our >65YOA population?: Decreased appetite, decreased activity, or changing mental
status
5. Polypharmacy: The use of many different drugs concurrently in treating a patient, who often has several health problems.
6. Elders: have an increased risk of skin breakdown and pressure sores due to the fact that they have decreased
subcutaneous fat
7. A geriatric assessment: -a thorough health assessment at least annually.These can be done by the primary care providers,
but often are not because of the time involved
-medical, social, and environmental factors that affect the wellbeing of the geriatric patient
-Medicare actually allows for an annual health wellness visit
-Studies have shown that patients who participate in this annual health wellness visit actually have a lower mortality rate
8. The goals of the geriatric assessment are: identify problems early, to intervene, to improve the quality of life for patients, to
optimize their health outcomes and through identifying problems early.
When developing plans, they should be patient-centered collaborative plans of care.
-Nutrition needs to be a part of every geriatric assessment
9. The components of a geriatric assessment are: functional status, fall risk, medication review, nutrition, vision and
hearing, cognition, mood or mental status, and ability to care for oneself as well as toileting and immunization needs.
10. Screening vision in the elderly: a simple Snellen test can be done in the office. A formal vision exam does not need to be done
unless the Snellen result is abnormal or the patient complains of visual changes
11. Elderly and BMI: normal BMI is 23 to 30.: A BMI less than 22 kilograms per meter squared is associated with
increased mortality and a sign of malnutrition.
-they have enough money to actually purchase food?
-Do they have someone who can help them with the shopping? Do they have trans- portation to go and get food? Are they able t
safely prepare meals by themselves?
, NURS 5333 Family 1 Test 3 Geriatrics Questions and Answers 2025
How many meals a day do they eat? Do they get any assistance? Do they have any meals on wheels?
12. objective assessment is comparing the current weight to a previous weight: Weight loss of greater than or equal to
5% in one month or greater than
or equal to 10% over a six-month period is an indication of a problem and needs to be further assessed
13. Assessing fall risk: it's simple to just ask the patient if they have had a fall in the last year. Those who have fallen in the
last year have a 2.8 times higher risk of a subsequent fall. If this is the case, then safety needs to be addressed, and there
needs to be measures implemented to avoid subsequent falls.
14. Mood or the presence of depression can be assessed simply through simple PHQ-2.: If the score is greater than
three, then one would want to do the more extensive PHQ-9. These questionnaires can be completed at every visit.
15. assessing a patient's social situation, you want to look for social isolation-
: asking the patient if they have someone available to help them in an emergency, or if they are sick. If the answer is no, then
it points you to a lack of social support and that needs to be addressed.
- ask the patient if they're aware what kind of social services are available for them.
16. functional assessment means assessing the ability to perform activities of daily living and safe ambulation: -the Get Up
and Go Test. This test involves asking the patient to get up from the chair without using their arms, walking 10 feet, turning
around and walking back to the chair and then sitting down again not using their arms. They should be able to complete this
activity in less than 12 seconds.
17. Functional Assessment: ADLs: -functional ability is to ask them if they're able to dress themselves, do they need help
with bathing and do they need help with toileting?
-Included in the functional assessment is the use of any assistive devices, such as canes, walkers, or wheelchairs
-Medication review
18. assessment on any geriatric patient .: -Should be done at least once a year.
-Medication should be reviewed always when a patient establishes care with a new provider, and it's important to also repeat
the medication review after a hospitaliza- tion
-the patient should be instructed to bring a bag with all of their medications to their initial visit or to their annual health
wellness visit
-Those seniors at highest risk for polypharmacy are the ones that see multiple providers, see multiple specialists in addition to
their primary care provider and have had a recent hospitalization or self-treat with multiple over-the-counter medications tha
may interfere or interact with their prescribed medications