Gerontology Final EXAM QUESTIONS WITH ANSWERS

Gerontology Final EXAM QUESTIONS |\ |\ |\ |\




WITH ANSWERS |\




a. Falling is NOT inevitable with aging but increases with age >__
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years. b. Younger and middle aged individuals fall more outdoors
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and older individuals fall indoors. c. Highest rates are in women
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across the lifespan because they live longer, have osteoporosis
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and have a wider ______ d. The most common cause is tripping
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during ambulation - CORRECT ANSWERS ✔✔85, pelvis
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a. ___% of falls are from bed, 18" bed is safer b. Most frequently
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occurring accident in LTC c. Falls are often associated with
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sedation, confusion, and/or confinement in unfamiliar
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environment - CORRECT ANSWERS ✔✔22 |\ |\ |\ |\




a. 6th leading cause of death in 75+ for accidents related to falls
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b. ____ fractures increases death rate by 8x in 75+ c. Mortality
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rate is 15% higher the year following the hip fracture - CORRECT
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ANSWERS ✔✔Hip |\




True/False Females fall more than men because they live longer,
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greater postural sway, weaker, higher incidence of osteoporosis
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and pathological fracture. Caucasians and Oriental women fall
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more often - CORRECT ANSWERS ✔✔True
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a. <75 (turn/trip) and fall
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b. >75 (turn/trip) and fall - CORRECT ANSWERS ✔✔trip, turn
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,Which of the following is false with regards to Fall Prevention
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being a Major Concern with Older Adults?
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a. Results in more substantial injuries
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b. Impacts ADL performance
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c. Loss of Independence
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d. Decreased Cost of Care
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e. Poorer Prognosis
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f. Stresses Family and Staff Resources
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g. Increases need for home health, Skilled Nursing Facility
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h. Impacts quality of life - CORRECT ANSWERS ✔✔d. Decreased
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Cost of Care
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Multifactorial Causes of Falling |\ |\ |\




a. Multisystem/Pathological Causes
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b. Aging, disease and disease interaction
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c. (Extrinsic/Intrinsic) Risk factors
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i. Muscle weakness, decreased ROM, sensory impairment, poor
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balance, poor posture, impaired gait, acute illness, cognition,
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pain |\




d. (Intrinsic/Extrinsic) Risk factors
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i. Environment, social support, nutrition, economics, footwear,
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polypharmacy |\

,e. Occupation (task)
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f. Lack of practice—balance perturbed by challenging tasks,
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activities - CORRECT ANSWERS ✔✔Intrinsic, extrinsic
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Predictors of Falls |\ |\ |\




a. Weak ankle ___, knee extensors/flexors, and hip abductors.
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b. Decrease in ___-legged stance time (less than 5 seconds= high
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fall risk)
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c. Difficulty in sit-to-stand transfers (gluteus maximus, quads)
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d. Previous falls
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e. Strong Correlation with gait speed and fall risk because when
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you walk slower it's hard to keep your balance - CORRECT
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ANSWERS ✔✔DF, one |\ |\




IX. __________ Affecting Balance a. Cardiovascular, CVA,
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Parkinson's, Diabetes, AD |\ |\ |\




X. __________Affecting Balance a. Diuretics, Anti-hypertensives,
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Anti-histamines, Psychotrophics (antidepressants, analgesics, |\ |\ |\ |\


sedatives) - CORRECT ANSWERS ✔✔Diseases, medications|\ |\ |\ |\ |\




Which of the following is the Best Evidence to Prevent Falls
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a. Combo of exercise, visual and environmental hazards
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, b. Individualized exercise by trained professionals including
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endurance, strengthening, balance and gait training - CORRECT
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ANSWERS ✔✔a. Combo of exercise, visual and environmental
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hazards |\




Individualized 2nd |\




Records fear of falling, short version has 7 items
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a. Falls Efficacy Confidence Scales
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b. (FES-I)Activities-specific Balance Confidence Scale - CORRECT
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ANSWERS ✔✔a. Falls Efficacy Confidence Scales |\ |\ |\ |\ |\




Records fear of falling, ABC scores help categorize the functional
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level across a wide range of capabilities, 16 questions answered
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0-100% to how confident (you can perform activity without
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falling) |\




a. Falls Efficacy Confidence Scales
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b. (FES-I)Activities-specific Balance Confidence Scale - CORRECT
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ANSWERS ✔✔b. (FES-I)Activities-specific Balance Confidence
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Scale


i. ___ ____: evidence for decreasing fall risks, improving balance
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and muscle strength for prevention
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ii. True/False Balance exercises alone have NOT decreased falls or
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fall risks. You must have a multifactorial approach and address
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impairments. - CORRECT ANSWERS ✔✔Tai Chi, True |\ |\ |\ |\ |\ |\




Which of the following is FALSE?
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a. Footwear and floor surface: Shoes are better than barefoot.
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