Test Bank for C475 Care of The Older Adult
True or False: Only 5% of of the Elderly are institutionalized. - ANSWER:TRUE!
80% have one or more chronic illnesses
50% have greater than two chronic illnesses
What is Ageism? - ANSWER:Discrimination, or negative attitudes by others that
accompanies old age
What is important to remember about Medicare? - ANSWER:It does NOT cover
everything.
For those who are disables or over 65yo.
There are several parts (A, B, C & D)
What is Elder abuse? - ANSWER:Physical, psychological, neglect, sexual and financial
abuse.
What are some examples of evidence of elder abuse? - ANSWER:Bruising in different
stages of healing
Repetitive falls/fractures
Cigarette burns
Unexplained STD's/STI's
True or False: The primary caregiver is the most likely to be the abuser. -
ANSWER:True, typically they are financially dependent and the abuser may have an
existing mental health issues.
Define Psychological abuse. - ANSWER:Intimidation, putting down, manipulation, etc.
Define Neglect. - ANSWER:Malnourished, pressure ulcers, poor hygiene, withholding
meds, or overmedicating
Define Financial abuse. - ANSWER:POA unlawfully taking over money/assets. Taking
advantage of elder financially.
What is the difference between Limited POA and Durable POA? - ANSWER:Limited
POA - control over 1 aspect
Durable POA - control over all aspects, elder still has control until deemed
incompetent. This can be changed.
*These are both different than guardianship.
What is important to remember when interviewing an elder about abuse? -
ANSWER:BE DIRECT.
Do you feel safe?
Have you been sexually abused?
, Are you being well-cared for?
Do you have enough foods?
Do you receive your medications?
Describe guardianship. - ANSWER:This is a court appointed guardian for an elder
who is incompetent to make own decisions. Complete authority!
True or False: DNR orders are a prescription for no CPR. - ANSWER:True, you either
do CPR or you don't.
What is an appropriate question to ask to assess cultural needs? - ANSWER:What do
you think helps people (you) get better?
True or False: Depression is over-diagnosed in the elder community. -
ANSWER:FALSE, Depression is missed in the elder community because symptoms are
dismissed and labeled as confusion.
What does a striking personality changes/actue delirium indicate in the elderly? -
ANSWER:A response for an acute illness!!!!
What is important to remember when assessing the elderly as compared to an
adult? - ANSWER:Manifestations of illness change with age.
Biologic reserves and defense mechanisms do not work as well.
Assess holistically.
What is the GOULD assessment used for? - ANSWER:Functional assessment
completed when patient is discharged from hospital to home or LTC.
What are the symptoms of a UTI in the elderly? - ANSWER:Urgency, anorexia,
incontinence, and DELIRIUM! No painful urination.
What are then general physiologic changes of aging? - ANSWER:Lose 30% of body
cells
Decreased intracellular fluid
Decreased height/weight
Decreased metabolic rate
Decreased immune function
Decreased cardiac/respiratory reserves
Decreased thyroid, renal and gastric function
True or False: Elders lose 30-50% of GFR. - ANSWER:True, they are prone to
electrolyte imbalance and medication toxicity.
What is important to remember when assessing the integumentary system of
elders? - ANSWER:Reduced bulk and vascularity of dermis
Decreased secretion of sebaceous and sweat glands
Loss of hair pigment
True or False: Only 5% of of the Elderly are institutionalized. - ANSWER:TRUE!
80% have one or more chronic illnesses
50% have greater than two chronic illnesses
What is Ageism? - ANSWER:Discrimination, or negative attitudes by others that
accompanies old age
What is important to remember about Medicare? - ANSWER:It does NOT cover
everything.
For those who are disables or over 65yo.
There are several parts (A, B, C & D)
What is Elder abuse? - ANSWER:Physical, psychological, neglect, sexual and financial
abuse.
What are some examples of evidence of elder abuse? - ANSWER:Bruising in different
stages of healing
Repetitive falls/fractures
Cigarette burns
Unexplained STD's/STI's
True or False: The primary caregiver is the most likely to be the abuser. -
ANSWER:True, typically they are financially dependent and the abuser may have an
existing mental health issues.
Define Psychological abuse. - ANSWER:Intimidation, putting down, manipulation, etc.
Define Neglect. - ANSWER:Malnourished, pressure ulcers, poor hygiene, withholding
meds, or overmedicating
Define Financial abuse. - ANSWER:POA unlawfully taking over money/assets. Taking
advantage of elder financially.
What is the difference between Limited POA and Durable POA? - ANSWER:Limited
POA - control over 1 aspect
Durable POA - control over all aspects, elder still has control until deemed
incompetent. This can be changed.
*These are both different than guardianship.
What is important to remember when interviewing an elder about abuse? -
ANSWER:BE DIRECT.
Do you feel safe?
Have you been sexually abused?
, Are you being well-cared for?
Do you have enough foods?
Do you receive your medications?
Describe guardianship. - ANSWER:This is a court appointed guardian for an elder
who is incompetent to make own decisions. Complete authority!
True or False: DNR orders are a prescription for no CPR. - ANSWER:True, you either
do CPR or you don't.
What is an appropriate question to ask to assess cultural needs? - ANSWER:What do
you think helps people (you) get better?
True or False: Depression is over-diagnosed in the elder community. -
ANSWER:FALSE, Depression is missed in the elder community because symptoms are
dismissed and labeled as confusion.
What does a striking personality changes/actue delirium indicate in the elderly? -
ANSWER:A response for an acute illness!!!!
What is important to remember when assessing the elderly as compared to an
adult? - ANSWER:Manifestations of illness change with age.
Biologic reserves and defense mechanisms do not work as well.
Assess holistically.
What is the GOULD assessment used for? - ANSWER:Functional assessment
completed when patient is discharged from hospital to home or LTC.
What are the symptoms of a UTI in the elderly? - ANSWER:Urgency, anorexia,
incontinence, and DELIRIUM! No painful urination.
What are then general physiologic changes of aging? - ANSWER:Lose 30% of body
cells
Decreased intracellular fluid
Decreased height/weight
Decreased metabolic rate
Decreased immune function
Decreased cardiac/respiratory reserves
Decreased thyroid, renal and gastric function
True or False: Elders lose 30-50% of GFR. - ANSWER:True, they are prone to
electrolyte imbalance and medication toxicity.
What is important to remember when assessing the integumentary system of
elders? - ANSWER:Reduced bulk and vascularity of dermis
Decreased secretion of sebaceous and sweat glands
Loss of hair pigment
