Solutions
__ is associated with increased health care costs, functional
impairments, and disability.
A. Obesity
B. Malnutrition
C. Dysphagia
D. Aspiration Correct Answer A
Overweight and obesity are associated with increased health
care costs, functional impairments, disability, chronic disease,
and nursing home admission. Overweight and obese individuals
are also at risk for malnutrition as a result of chronic illness or
diets inadequate in appropriate nutrients. Malnutrition is a
recognized geriatric syndrome and a serious challenge for health
professionals in all settings. Dysphagia is a serious problem and
has negative consequences, including weight loss, malnutrition,
dehydration, aspiration pneumonia, and even death. Aspiration
(the misdirection of oropharyngeal secretions or gastric contents
into the larynx and lower respiratory tract) is common in older
adults with dysphagia and can lead to aspiration pneumonia.
,__ is the application of limited knowledge about one person with
specific characteristics to other persons with the same
characteristics.
A. Ethnicity
B. Stereotyping
C. Ethnocentrism
D. Health disparities Correct Answer B
Stereotyping also limits the recognition of the heterogeneity of a
group. Ethnicity is belonging to or deriving from the cultural,
racial, religious, or linguistic traditions of a people or country.
Ethnocentrism is the belief in the inherent superiority of one's
ethnic group accompanied by the devaluation of other groups.
Health disparities refer to the differences in the state of health
and health outcomes among people.
__ is the use of multiple medications that can increase the risk
for drug interactions and increase the risk for an adverse event.
A. Pharmacokinetics
B. Chronopharmacology
C. Pharmacodynamics
D. Polypharmacy Correct Answer D
,Polypharmacy is the use of approximately five or more
medications or the use of multiple medications for the same
problem, which can lead to an increase risk for drug interactions
and increase the risk of adverse events. Pharmacokinetics refers
to the movement of a drug in the body from the point of
administration to excretion. Chronopharmacology is the
relationship between the biological rhythms of the body and
variations pharmacokinetics and pharmacodynamics.
Pharmacodynamics refers to the interaction between a drug and
the body.
A 90-year-old client has early dementia and wants to stay in her
home for as long as possible. Which of the following
technologies would be appropriate for this client? (select all that
apply)
A. Telemedicine
B. SmartSoles
C. Motion sensors
D. QuietCare system Correct Answer B, D
SmartSoles, shoe insoles with an embedded GPS device, are
being developed and may be an aid to locate individuals with
dementia who wander from their homes. The QuietCare 24-hour
monitoring system uses an ordinary home security infrastructure
to monitor the house and transfers information about the
occupant's daily living activities, triggering when a normal
, routine is broken. Caregivers and family can perform virtual
check-ins with their older relative over the Internet.
Telemedicine is defined as "the use of electronic information
and telecommunication technologies to support long-distance
clinical health care, patient and professional health-related
education, public health, and health administration." Smart
medical homes are being studied as a way to aid in the
prevention and early detection of disease through the use of
sensors and monitors.
A client has been complaining of headaches, poor vision in dim
lighting, sensitivity to glare, and impaired peripheral vision, and
he has a fixed and dilated pupil. He probably has which one of
the following disorders?
A. Cataracts
B. Diabetic retinopathy
C. Glaucoma
D. Macular degeneration Correct Answer C
Signs of glaucoma can include headaches, poor vision in dim
lighting, increased sensitivity to glare, "tired eyes," impaired
peripheral vision, a fixed and dilated pupil, and frequent changes
in prescriptions for corrective lenses. Lens opacity reduces
visual acuity, halos are seen around objects, vision is blurred,
and the perception of light and color is decreased are all
symptoms of cataracts. Generally, no symptoms are recognized