01. Ageism is a what?
02. What is the most beneficial legislation that has influenced healthcare for older adults?
03. Differentiate between government subsidized housing, LTC, assisted living center, and group housing plan.
04. What does Medicare A cover? Medicare B?
05. What is the political action group that represents older adults; they are volunteers?
06. Identify elderly abuser and elderly abused. Who they are, what are the behaviors that they manifest? It can be a relative.
07. What is most common response to elder abuse?
08. Different kind of theories that are related to aging processes: Free radicals, neuroendocrine, crosslink, molecular, etc.
09. Recognize normal aging processes on the different organ systems.
10. The 80yo who teaches Sunday school and delivers food for Meals on Wheels is following what kind of theory? (Disengagement theory, Activity theory, etc)
10. Nurse keeps environment warmer for older adult because they are more sensitive to cold, why? Metabolic rate, decreased peripheral vascular system, decrease subcutaneous tissue, etc.
11. Heat exhaustion – what happen mostly to older adults? Why can't they tolerate too much heat? Why are elderly at high risk for heat exhaustion? Capillary fragility, etc.
12. Stage 1 pressure ulcer, what would it look like? Blister, reddened area, etc. 13. What is emphysema?
14. What is COPD? Three conditions: bronchitis, emphysema, asthma. Think of the bronchial tree, what’s going on there.
15. What is MI? Related to the elderly. Chest pain because part of heart is not receiving oxygen because of blockage in coronary artery, causing tissue death and pain.
16. What are the cardinal signs of CHF: Insufficient flow, difficulty breathing, edema.
17. Pernicious anemia, caused by lack of vitamin B12. This is not stored.
18. Elderly resident is pale, edematous, listless with BUN of 35 and creatinine of 4 is exhibiting what condition? Renal failure?
19. Intervention for person with Parkinson's. What is Parkinson's? What kind of diet?
20. Why does the older adult abuse alcohol?
21. What kind of caregiver provides daily meal and attends to daily needs of elderly adult? Primary caregiver
22. Unpaid caregivers are so significant to the successful health maintenance of the elder adult, the nurse coordinator should do what? Provide positive feedback and praise.
23. Amount of activity for elderly, walking and swimming even as little as how many minutes a day is beneficial? As little as 15 min.
24. Briefest explanation for therapeutic communication is what? 25. Use of medical jargon, try not to use it why?
26. Receptive and expressive aphasia, differentiate between the two and the best communication method for the nurse to use with the patient with receptive aphasia?
27. Severity of pain, how to assess it? How to help patient communicate it.
28. Entering room of 85yo patient to perform assessment, initial conversation would be what?
29. Patient denies smoking, but nurse smells tobacco, what is the most effective way to confront the patient?
30. Patient says when he came to the hospital, everything got confused. What is the nurse’s best response?
31. What percent of communication is verbal? 7%
32. Chicken and fish are rich in what? Proteins
33. Definition of hypokalemia, hyperkalemia, hyponatremia, and hypocalcemia.
34. Patient information derived from pharmaceutical company...testing is performed on healthy young persons.
35. Older adult patient is being given an oral preparation of medication. The age related concentration of gastric acid can do what to the medication?
36. Medication ingestion, digestion, metabolism, absorption, and excretion with the elderly. How would you know about them for the elderly to get correct dose? (This is Q 34 in Test 5 study guide) 37. Pain, how do you chart? Be comfortable with at least one tool. 1 and 2 is mild versus 10 is what?
38. Recognize pneumonia. Discriminate symptoms of UTI, URI, malnutrition, etc.
39. What is most effective method of building rapport during interview?
40. What appropriate variety of communication style to use during health interview?
41. 86yo woman has age-related loss of subcutaneous fat, has lower metabolic rate, nurse will take what special precautions? ADL?
42. Difference between apical and radial pulse is what?
43. Older adult taking drugs for hypertension, to prevent falls, what is a common cause of falls? Orthostatic hypotension, how to prevent it?
44. A fall prevention exercise program for resident is focused on what?
45. What kind of advice for the family who wants to give rules to their 85yo parent who wants to drive, focus on safety?
46. Any role is based on what? Status?
47. Older man who retires from work changes his role status, has to make role adjustments. There’s a man who retired from business and son now runs the business.
48. 65yo man is so lost without his wife and is planning to retire to sell home and move. Why is this not a good idea?
49. Sexuality is what in the elderly? 50. Some persons have found relief from post-menopausal discomfort by using pseudoestrogen, what are they? What kind of food?
51. Why is it important for the 70yo gay man in monogamous relation to name partner with power of attorney?
52. 85yo woman with Alzheimers wanders around dining room, what is effective intervention to support nutrition?
53. 75yo man on low sodium diet, asked to bring food from home, what item most appropriate to feed him?
54. Most significant lab findings that would alert nurse to malnutrition? Albumin/protein.
55. Limits fluid at mealtime to person with CHF, what happens if you don't?
56. How many pounds increase per liter of water drunk? If the person has gain of 4.4 lbs, how much is this fluid retention?
57. Multiple raspberry colored bruises, senile purpura, is caused by what in the elderly?
58. Upper right thigh different in appearance in surrounding tissue, how to describe? Be specific in location, measurement, color, etc.
59. Rosecea, pruritis, scabies – know what these are.
60. Graying hair is caused by what?
61. 80yo resident has dark toenails. Fungal/Mycotic toesnails? 62. Gingivitis, what is it? Signs and symptoms.
63. Patient complains of dry mouth, nurse should inquire and assess for what?
64. Patient on long-term antibiotic therapy asks what caused thrush; what is the nurse’s best response?
65. Constipation, how to define? Firm or soft stool, etc. how many days ago?
66. Constipation in patient who is asking for what?
67. Which patient exhibiting signs of diarrhea needs enhanced skin care?
68. Cardinal signs of stress incontinence?
69. Arthritic patient may be less likely to exercise because of what? What causes pain?
70. Focus of aerobic exercise is what, especially in the elderly. Circulation? Balance?
71. 70yo woman with painful arthritic pain, beneficial exercise is what?
72. 65yo patient with diabetes type 1, says now exercises for an hour daily; nurse cautions him to do what?
73. What does balance training for the patient with hip surgery?
74. Elder recovering from stroke, does not want to use the walker “because it’s ugly”, what is best nursing intervention?
75. Elder complains cannot fall asleep and tosses, what is best advice? Get up, read a book, then fall asleep again. 76. Decrease fluid intake in evening for what? To prevent nocturia
77. What is circadian rhythm? How to promote normal circadian rhythm? Lighting during the day
78. Isometric exercise, what do they do? What do they maintain?
79. What is fear of aging? Genetic progressive aging theory?
80. Psychosocial theories differ from biological theories in that it focuses on what?
81. The CNA needs to remember that vascular fragility will cause what during patient transfer?
82. 80 yo patient with osteoarthritis, complains of ugly hands, what can the nurse do to help?
83. What are heberdon’s nodes?
84. Patient has a flare in rheumatoid arthritis, exacerbation, what do you do? (something about no asparagus?)
85. Alter nursing care plain for pt with hiatal hernia and resulting reflux, what to do to prevent it?
86. Warfarin( coumadin), what do you do to...? What are adverse reactions of coumadin? What lab to assess? INR
87. Self-medicating errors for older adult who is living alone and type 1 diabetic who is what else?
88. Know preventive vs curative care. 89. Assess patient fluid status how? Turgor, etc…
90. Benefits of regular exercise is what?
91. Long-term goal of rehab. (Select all that apply).
92. Factors that affect timing and extent of age-related changes are what? (attitude)
93. Nurse outlines age-related changes are what? (Vascular, Respiratory, etc)
94. What is the typical profile of the caregiver: Female with full time work, etc.