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NR601 – MIDTERM EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED

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NR601 – MIDTERM EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED Terms in this set (254) Which vaccines should older adults have? tetanus, diphtheria (TDAP), pneumococcal, influenza, shingles Between what ages should older adults get colorectal cancer screening? 50-75 Between what ages should older women have biennial breast cancer screening? 50-74 What are 3 health promotion topics to discuss with older adults? smoking cessation, aerobic and strength training, nutrition What is the purpose of the Beers Criteria for those 65 and older in all setting except for hospice and palliative care? reduce older adults' exposure to potentially inappropriate drugs, educate clinicians and patients, and serve as a tool to evaluate quality of care, costs, and patterns of drug use in older adults, reduce adverse drug events What is the definition of polypharmacy? older persons who take a lot of medicines What happens in the head as a normal part of aging? decreased brain wt, slower reaction time, changes in sleep cycle What happens to the eyes as a normal part of aging? decreased visual acuity, decreased adaptation to light/dark What happens to the ears as a normal part of aging? decreased hearing acuity What happens in the chest as a normal part of aging? ciliary atrophy (increased risk for infection), reduced cardiac function, increased risk of murmur and valve stenosis What happens to the arms as a normal part of aging? increased risk of skin tears, decreased thermoregulation, wrinkles, loss of body hair What happens in the abdomen as a normal part of aging? decreased liver size and renal perfusion (up to 50% less) What happens to the groin as a normal part of aging? women: menopause, vaginal atrophy, men: decreases ejaculate/reduced erectile intensity What happens to the legs as a normal part of aging? decreased bone mineral content and muscle mass Telomere are DNA proteins that shorten with age increasing the risk for cell damage. What are non-modifiable reasons for shorter telomeres? genetics, epigenetics, age What are modifiable reasons for shorter telomeres? socioeconomic status, exercise, excess wt., smoking, diet What are the components of the Rule of Fourths that impact functional decline? disease, disuse, physiologic ageing, misuse _ % of older adults have two or more chronic diseases. 60 In order to combat the Free Radical Theory of aging, once can slow the cell damage caused by these reactive molecules by eating a diet rich in antioxidants. What are the components of such a diet? fruit and veggies, dark chocolate, red wine, tea Which hormone is involved in the signs of aging associated with osteoporosis? parathyroid hormone Which hormone is involved in the signs of aging associated with orthostatic hypertension? aldosterone Which hormone is involved in the signs of aging associated with decreased muscle mass? growth hormone Which hormone is involved in the signs of aging associated with disturbed sleep cycle? melatonin Which hormone is involved in the signs of aging associated with vaginal atrophy? estrogen Which hormone is involved in the signs of aging associated with erectile dysfunction? testosterone What are the physiologic changes of aging in the Immune Theory? reduced T-cell, B-cell, lymphocyte (function) and phagocyte production; increased cytokynes: IL-6, TNF alpha, C-reactive protein

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3/27/25, 7:10
PM

NR601 – MIDTERM EXAM QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED
Terms in this set (254)


Which vaccines should older adults have? tetanus, diphtheria (TDAP), pneumococcal, influenza, shingles

Between what ages should older adults get 50-75
colorectal cancer screening?

Between what ages should older women 50-74
have biennial breast cancer screening?

What are 3 health promotion topics to smoking cessation, aerobic and strength training, nutrition
discuss with older adults?

What is the purpose of the Beers reduce older adults' exposure to potentially inappropriate drugs, educate clinicians
Criteria for those 65 and older in all setting and patients, and serve as a tool to evaluate quality of care, costs, and patterns of
except for hospice and palliative care? drug use in older adults, reduce adverse drug events

What is the definition of polypharmacy? older persons who take a lot of medicines

What happens in the head as a normal part decreased brain wt, slower reaction time, changes in sleep cycle
of aging?

What happens to the eyes as a normal part decreased visual acuity, decreased adaptation to light/dark
of aging?

What happens to the ears as a normal part decreased hearing acuity
of aging?

What happens in the chest as a normal ciliary atrophy (increased risk for infection), reduced cardiac function, increased risk
part of aging? of murmur and valve stenosis

What happens to the arms as a normal part increased risk of skin tears, decreased thermoregulation, wrinkles, loss of body hair
of aging?

What happens in the abdomen as a normal decreased liver size and renal perfusion (up to 50% less)
part of aging?

What happens to the groin as a normal women: menopause, vaginal atrophy, men: decreases ejaculate/reduced erectile
part of aging? intensity

What happens to the legs as a normal part decreased bone mineral content and muscle mass
of aging?

Telomere are DNA proteins that shorten genetics, epigenetics, age
with age increasing the risk for cell
damage. What are non-modifiable reasons
for shorter telomeres?

What are modifiable reasons for shorter socioeconomic status, exercise, excess wt., smoking, diet
telomeres?

What are the components of the Rule of disease, disuse, physiologic ageing, misuse
Fourths that impact functional decline?

______% of older adults have two or more 60
chronic diseases.




In order to combat the Free Radical Theory fruit and veggies, dark chocolate, red wine, tea
of aging, once can slow the cell

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, 3/27/25, 7:10
PM
damage caused by these reactive
molecules by eating a diet rich in
antioxidants. What are the components
of such a diet?
Which hormone is involved in the signs of parathyroid hormone
aging associated with osteoporosis?

Which hormone is involved in the signs of aldosterone
aging associated with orthostatic
hypertension?

Which hormone is involved in the signs of growth hormone
aging associated with decreased muscle
mass?

Which hormone is involved in the signs of melatonin
aging associated with disturbed sleep
cycle?

Which hormone is involved in the signs of estrogen
aging associated with vaginal atrophy?

Which hormone is involved in the signs of testosterone
aging associated with erectile dysfunction?

What are the physiologic changes of aging reduced T-cell, B-cell, lymphocyte (function) and phagocyte production; increased
in the Immune Theory? cytokynes: IL-6, TNF alpha, C-reactive protein

Which theory of aging states aging is due Neuroendocrine theory of aging
to imbalance between the nervous
and endocrine systems?

According to the neuroendocrine theory of FSH, LH, norepinephrine, PTH
aging, which hormones increase with age?

According to the neuroendocrine theory of aldosterone, calcitonin, growth hormone, renin, estrogen, prolactin, testosterone
aging, which hormones decrease with age?

Your older patient scored 12 on the mini Normal (12-14)
nutritional assessment? What is their risk?

Your older patient scored 10 on the mini At risk (8-10)
nutritional assessment? What is their risk?

Your older patient scored 4 on the mini Malnourished (0-7)
nutritional assessment? What is their risk?


How often should health promotion visits At least annually
be scheduled?

What are the age related changes to the decreased lung elastic recoil, airway caliber, expiratory flow, chest wall compliance,
respiratory system? gas exchange, respiratory muscle strength, increased dynamic airway collapse

This type of respiratory disorder obstructive
causes impeded exhalation from the
lungs and due to narrowing of the
airways or actual damage to the lung
parenchyma.
What are 4 types of obstructive airway asthma, COPD, cystic fibrosis, bronchiectasis
disease?

Which type of respiratory disease causes restrictive
a decrease in total volume of air the
lungs can hold (can be extrinsic or
intrinsic)?

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