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Aging Exam 2
| Term | Definition |
|---|---|
| What is an instruction directive? | A list of interventions that the patient does or does not want in certain circumstances |
| what are the features of presbycusis | High frequency hearing loss, difficulty hearing high pitched sounds, mumbled or slurred sounds, difficulty hearing conversations when there is background noise |
| If a patient comes to the hospital by his wife or family member and he is confused, is the family or wife able to make the decisions for him? | Yes, they are able to make decisions for what is best for the patient |
| If a patient has an eye exam and it reveals a dark shadow in front of the retina, what will be the next step? | Surgical extraction of the lens and a lens implant. |
| what is tinnitus? | older people or people who have been around loud noises for long periods of time experience ringing in the ears. Patients perception of sound may be affected. Patient may have hearing loss. |
| what is a mini-cog test? | An instrument designed to assess cognitive function |
| Can hyperlipidemia increase the risk for peripheral neuropathy? | No |
| If a patient presents to be sleeping on and off, confused, does not recognize their family, has some urinary incontinence, what are these signs of? | Delirium |
| If there is SOME cognitive decline in a patient, such as not being independent in their everyday activities, what may this be described as? | Mild cognitive impairment |
| Patient presents with memory loss and unable to find her words, what exam would you use to assess her? | Mini mental state exam |
| If w patient comes in with decreased urinary output, what might you conclude? | Dehydration |
| If a patients mucous membranes are moist, what may you conclude? | They’re not dehydrated |
| What are the signs of Major depressive disorder? | Chronic headaches over a course of 2-3 weeks to a month |
| What are the treatments of depression? | Somatic therapies, Lifestyle changes, psychosocial interventions, collaborative care interventions. |
| What should you not do to treat depression? | Do not use methods that are not proven |
| For a geriatric patient, what are the major signs of depression? | loss of energy and fatigue |
| What is the short form of the geriatric depression scale? | A tool used to screen older adults for depression, 15 questions, takes 5-7 minutes, and a score of 5 or more is a positive screen for depression |
| When would you admit a patient and possibly use ECT therapy? | Patient is having suicidal thoughts or trying to harm themselves |
| DSM-5 Criteria for delirium | Change in cognition if the disturbance develops over a short period of time, hours to days, and if there is a history or laboratory findings of some kind of medical conditions |
| If a patient is agitated or trying to climb out of bed, what can this be considered | hyperactive |
| How do you distinguish between delirium and dementia? | Delirium can potentially be reversible |
| What are some risk factors of delirium in patients in acute hospital units (such as ICU)? | Infection and mild depression |
| what tool would be used to screen for delirium? | Geriatric depression scale |
| What tool would you use for a patient that is unable to talk? | Nursing Delirium Screening Scale |
| If you have a foreign patient who does not speak english, what tool would you use to screen the patient? | Confusion Assessment Method |
| If a patient is brought into the hospital and has progressive memory loss, not able to perform everyday activities, slowly declining, and is not making the correct decisions, what would the doctor see on an MRI? | Extracellular accumulation of amyloid beta proteins and Neurofibrillary plaques (tangles in the brain) |
| what are the signs of Lewy Body dementia? | Patient is not attentive, starting to lose sleep, getting slower in daily activities, trembling or unsteady hands, gait is unsteady (walking), cognitive and neurological differences |
| What will a nurse ask the patient to do to test for visual spatial function? | Place the short and long hands on a clock to a specific time |
| which group of patients are at risk for overhydration? | Patients with chronic mental illness |
| A patient is brought to the ER by family member with decreased pulse, dry mucous membranes, and decreased urine output. What can you conclude? | patient is dehydrated |
| which bony prominence should you always remember to check in your older patient? | soles of the feet (heels) |
| What score would you see on the Braden scale if your risk is at risk for developing a pressure ulcer? | Max score is a 23, so if a patient is at risk, 18 or less |
| Patient is admitted for dehydration and has a nonblanchable erythema, which stage pressure ulcer is this? | Stage 1 |
Created by:
mkozej001
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