<p>01. Ageism is a what?</p><p>02. What is the most beneficial legislation that has influenced healthcare for older adults?</p><p>03. Differentiate between government subsidized housing, LTC, assisted living center, and group housing plan.</p><p>04. What does Medicare A cover? Medicare B?</p><p>05. What is the political action group that represents older adults; they are volunteers?</p><p>06. Identify elderly abuser and elderly abused. Who they are, what are the behaviors that they manifest? It can be a relative.</p><p>07. What is most common response to elder abuse?</p><p>08. Different kind of theories that are related to aging processes: Free radicals, neuroendocrine, crosslink, molecular, etc.</p><p>09. Recognize normal aging processes on the different organ systems. </p><p>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)</p><p>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.</p><p>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.</p><p>12. Stage 1 pressure ulcer, what would it look like? Blister, reddened area, etc. 13. What is emphysema?</p><p>14. What is COPD? Three conditions: bronchitis, emphysema, asthma. Think of the bronchial tree, what’s going on there.</p><p>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.</p><p>16. What are the cardinal signs of CHF: Insufficient flow, difficulty breathing, edema.</p><p>17. Pernicious anemia, caused by lack of vitamin B12. This is not stored.</p><p>18. Elderly resident is pale, edematous, listless with BUN of 35 and creatinine of 4 is exhibiting what condition? Renal failure?</p><p>19. Intervention for person with Parkinson's. What is Parkinson's? What kind of diet?</p><p>20. Why does the older adult abuse alcohol?</p><p>21. What kind of caregiver provides daily meal and attends to daily needs of elderly adult? Primary caregiver</p><p>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.</p><p>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.</p><p>24. Briefest explanation for therapeutic communication is what? 25. Use of medical jargon, try not to use it why?</p><p>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?</p><p>27. Severity of pain, how to assess it? How to help patient communicate it.</p><p>28. Entering room of 85yo patient to perform assessment, initial conversation would be what?</p><p>29. Patient denies smoking, but nurse smells tobacco, what is the most effective way to confront the patient?</p><p>30. Patient says when he came to the hospital, everything got confused. What is the nurse’s best response?</p><p>31. What percent of communication is verbal? 7%</p><p>32. Chicken and fish are rich in what? Proteins</p><p>33. Definition of hypokalemia, hyperkalemia, hyponatremia, and hypocalcemia.</p><p>34. Patient information derived from pharmaceutical company...testing is performed on healthy young persons.</p><p>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?</p><p>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?</p><p>38. Recognize pneumonia. Discriminate symptoms of UTI, URI, malnutrition, etc.</p><p>39. What is most effective method of building rapport during interview?</p><p>40. What appropriate variety of communication style to use during health interview?</p><p>41. 86yo woman has age-related loss of subcutaneous fat, has lower metabolic rate, nurse will take what special precautions? ADL?</p><p>42. Difference between apical and radial pulse is what?</p><p>43. Older adult taking drugs for hypertension, to prevent falls, what is a common cause of falls? Orthostatic hypotension, how to prevent it?</p><p>44. A fall prevention exercise program for resident is focused on what?</p><p>45. What kind of advice for the family who wants to give rules to their 85yo parent who wants to drive, focus on safety?</p><p>46. Any role is based on what? Status?</p><p>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. </p><p>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?</p><p>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?</p><p>51. Why is it important for the 70yo gay man in monogamous relation to name partner with power of attorney?</p><p>52. 85yo woman with Alzheimers wanders around dining room, what is effective intervention to support nutrition?</p><p>53. 75yo man on low sodium diet, asked to bring food from home, what item most appropriate to feed him?</p><p>54. Most significant lab findings that would alert nurse to malnutrition? Albumin/protein.</p><p>55. Limits fluid at mealtime to person with CHF, what happens if you don't?</p><p>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?</p><p>57. Multiple raspberry colored bruises, senile purpura, is caused by what in the elderly?</p><p>58. Upper right thigh different in appearance in surrounding tissue, how to describe? Be specific in location, measurement, color, etc.</p><p>59. Rosecea, pruritis, scabies – know what these are.</p><p>60. Graying hair is caused by what?</p><p>61. 80yo resident has dark toenails. Fungal/Mycotic toesnails? 62. Gingivitis, what is it? Signs and symptoms.</p><p>63. Patient complains of dry mouth, nurse should inquire and assess for what?</p><p>64. Patient on long-term antibiotic therapy asks what caused thrush; what is the nurse’s best response?</p><p>65. Constipation, how to define? Firm or soft stool, etc. how many days ago?</p><p>66. Constipation in patient who is asking for what?</p><p>67. Which patient exhibiting signs of diarrhea needs enhanced skin care?</p><p>68. Cardinal signs of stress incontinence?</p><p>69. Arthritic patient may be less likely to exercise because of what? What causes pain?</p><p>70. Focus of aerobic exercise is what, especially in the elderly. Circulation? Balance?</p><p>71. 70yo woman with painful arthritic pain, beneficial exercise is what?</p><p>72. 65yo patient with diabetes type 1, says now exercises for an hour daily; nurse cautions him to do what?</p><p>73. What does balance training for the patient with hip surgery?</p><p>74. Elder recovering from stroke, does not want to use the walker “because it’s ugly”, what is best nursing intervention?</p><p>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</p><p>77. What is circadian rhythm? How to promote normal circadian rhythm? Lighting during the day</p><p>78. Isometric exercise, what do they do? What do they maintain?</p><p>79. What is fear of aging? Genetic progressive aging theory?</p><p>80. Psychosocial theories differ from biological theories in that it focuses on what?</p><p>81. The CNA needs to remember that vascular fragility will cause what during patient transfer?</p><p>82. 80 yo patient with osteoarthritis, complains of ugly hands, what can the nurse do to help?</p><p>83. What are heberdon’s nodes?</p><p>84. Patient has a flare in rheumatoid arthritis, exacerbation, what do you do? (something about no asparagus?)</p><p>85. Alter nursing care plain for pt with hiatal hernia and resulting reflux, what to do to prevent it?</p><p>86. Warfarin( coumadin), what do you do to...? What are adverse reactions of coumadin? What lab to assess? INR</p><p>87. Self-medicating errors for older adult who is living alone and type 1 diabetic who is what else?</p><p>88. Know preventive vs curative care. 89. Assess patient fluid status how? Turgor, etc…</p><p>90. Benefits of regular exercise is what? </p><p>91. Long-term goal of rehab. (Select all that apply).</p><p>92. Factors that affect timing and extent of age-related changes are what? (attitude)</p><p>93. Nurse outlines age-related changes are what? (Vascular, Respiratory, etc)</p><p>94. What is the typical profile of the caregiver: Female with full time work, etc.</p>