Gero Exam 1 Nurs 375 Questions With Complete Solutions
acute care facility Correct Answers provide care for acute
conditions and critical health problems, do not prevent
functional decline or promote independence
-ex: ER, urgent care
Adherence in chronic illness Correct Answers how well pt
manages tx plan
-use of five As to assist pt w self management aspects of their
chronic disease: Assess (situation), advise (explain tx options),
agree(to follow plan of care), assist( in care, getting resources),
and arrange( keeping fam in the loop or sending all the notes to
a long term care facility)
IMPORTANT TO:
1) advise pt of importance of tx plan
2) est. agreement w tx plan
3) arrange followup
advances fam planning Correct Answers planning requires
anticipating negative situations like dependency, disability,
incapacity, and death & exploring options to be taken
-critial time for discussion = when fam member shows signs of
deterioration / dx of degenerative disease like alzheimers
-talk ab what ifs
- express good intentions and willingness to listen
-help fam members communicate concerns honestly
-------dont want negligence just bc you weren't honest w pt.------
,advocacy of the OA. Correct Answers nurses advocacy
important for ensuring the OA continue to control their lives
ageism Correct Answers systematic stereotyping of and
discrimination against people because they are old
aging dos not necessarily result in disease and disability...
meaning Correct Answers just bc they're older doesn't mean
they're disabled
ANA definition of geriatrics in 1966 Correct Answers
concerned with the assessment of nursing needs of older people;
planning and implementing nursing care to meet those needs;
and evaluating the effectiveness of such care
ANA established division of geriatric nursing practice Correct
Answers 1966
antithyroid drugs Correct Answers Propylthiouracil (PTU)
Methimazole (Tapazole) (not commonly used)
-inhibit synthesis of thyroid hormone
-improvement in 1-2wk
-good results in 4-8wk
-therapy for 6-15 mo.
Area Agencies on Aging (AAA) Correct Answers -created
1973 - amendment to older americans act
-purpose= plan + implement social service programs at local
level
-- nutrition services through congregate meal sites and home
delivered meals
,-recreational opportunities
-chore service
-legal assistance
-transporttion
-info and referral
AS THE INTERVIEWER Correct Answers -goal directed
interviewing process helps pt. share important info
-guided reminiscence can elicit valuable data and promote
supportive therapeutic relationship
-work w pt. to est. organization of interview
-consider personal space requirements
-use touch to convey respect, caring, and sensitivity
assessment concerns due to age related changes Correct
Answers -Decreased response to stress (something introduced
to body takes longer to respond than in normal adult)
-Altered pharmacokinetic and pharmacodynamic responses to
drugs
-Decreased immune response (need for vaccines)
Increased risk for syncope (bc body takes longer to adjust;
hypotension)
Increased insulin resistance and glucose intolerance (d/t alt.
aging pancreas)
atypical presentation of illness Correct Answers -OA will not
always exhibit expected or classic s/s
-more commonly one of blunted or atypical s/s
-presenting s/s may be unrelated to actual problem
-expected s/s may not be present at all
, back up care Correct Answers assistance with routine activities
provided only at the request of the main caregiver
barriers to access and use of respite services Correct Answers -
lack of awareness
-apprehension
-caregiver attitudes
-timing
-finances
-care receiver resistance
-energy required to use the program
-program inflexibility and bureaucracy
Benefits and Entitlements for OA Correct Answers -senior
discounts
-subsidized housing
-supplemental nutrition assistance program (SNAP)
- congregate meal sites/ meals on wheels
-energy assistance
-veterans benefits
Beta-Adernergic Blockers for hyperthyroid Correct Answers
symptomatic relief of thyrotoxicosis
-blocks effects of SNS stimulation
propranolol (inderal)
atenolol (tenormin)
cardiac manifestations of hypothyroidism Correct Answers -
CV probs may be significant in pt w preexisting CV disease
- decr cardiac contractility and output
-incr serum cholesterol and triglycerides
acute care facility Correct Answers provide care for acute
conditions and critical health problems, do not prevent
functional decline or promote independence
-ex: ER, urgent care
Adherence in chronic illness Correct Answers how well pt
manages tx plan
-use of five As to assist pt w self management aspects of their
chronic disease: Assess (situation), advise (explain tx options),
agree(to follow plan of care), assist( in care, getting resources),
and arrange( keeping fam in the loop or sending all the notes to
a long term care facility)
IMPORTANT TO:
1) advise pt of importance of tx plan
2) est. agreement w tx plan
3) arrange followup
advances fam planning Correct Answers planning requires
anticipating negative situations like dependency, disability,
incapacity, and death & exploring options to be taken
-critial time for discussion = when fam member shows signs of
deterioration / dx of degenerative disease like alzheimers
-talk ab what ifs
- express good intentions and willingness to listen
-help fam members communicate concerns honestly
-------dont want negligence just bc you weren't honest w pt.------
,advocacy of the OA. Correct Answers nurses advocacy
important for ensuring the OA continue to control their lives
ageism Correct Answers systematic stereotyping of and
discrimination against people because they are old
aging dos not necessarily result in disease and disability...
meaning Correct Answers just bc they're older doesn't mean
they're disabled
ANA definition of geriatrics in 1966 Correct Answers
concerned with the assessment of nursing needs of older people;
planning and implementing nursing care to meet those needs;
and evaluating the effectiveness of such care
ANA established division of geriatric nursing practice Correct
Answers 1966
antithyroid drugs Correct Answers Propylthiouracil (PTU)
Methimazole (Tapazole) (not commonly used)
-inhibit synthesis of thyroid hormone
-improvement in 1-2wk
-good results in 4-8wk
-therapy for 6-15 mo.
Area Agencies on Aging (AAA) Correct Answers -created
1973 - amendment to older americans act
-purpose= plan + implement social service programs at local
level
-- nutrition services through congregate meal sites and home
delivered meals
,-recreational opportunities
-chore service
-legal assistance
-transporttion
-info and referral
AS THE INTERVIEWER Correct Answers -goal directed
interviewing process helps pt. share important info
-guided reminiscence can elicit valuable data and promote
supportive therapeutic relationship
-work w pt. to est. organization of interview
-consider personal space requirements
-use touch to convey respect, caring, and sensitivity
assessment concerns due to age related changes Correct
Answers -Decreased response to stress (something introduced
to body takes longer to respond than in normal adult)
-Altered pharmacokinetic and pharmacodynamic responses to
drugs
-Decreased immune response (need for vaccines)
Increased risk for syncope (bc body takes longer to adjust;
hypotension)
Increased insulin resistance and glucose intolerance (d/t alt.
aging pancreas)
atypical presentation of illness Correct Answers -OA will not
always exhibit expected or classic s/s
-more commonly one of blunted or atypical s/s
-presenting s/s may be unrelated to actual problem
-expected s/s may not be present at all
, back up care Correct Answers assistance with routine activities
provided only at the request of the main caregiver
barriers to access and use of respite services Correct Answers -
lack of awareness
-apprehension
-caregiver attitudes
-timing
-finances
-care receiver resistance
-energy required to use the program
-program inflexibility and bureaucracy
Benefits and Entitlements for OA Correct Answers -senior
discounts
-subsidized housing
-supplemental nutrition assistance program (SNAP)
- congregate meal sites/ meals on wheels
-energy assistance
-veterans benefits
Beta-Adernergic Blockers for hyperthyroid Correct Answers
symptomatic relief of thyrotoxicosis
-blocks effects of SNS stimulation
propranolol (inderal)
atenolol (tenormin)
cardiac manifestations of hypothyroidism Correct Answers -
CV probs may be significant in pt w preexisting CV disease
- decr cardiac contractility and output
-incr serum cholesterol and triglycerides
