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Gero Final Review
Review for final exam
| Question | Answer |
|---|---|
| T/F:Planning an exercise program for nursing home residents should be focused on improving balance to promote ambulation and decrease falls. | True |
| Absorption of meds can be delayed due to what GI effect of aging? | Gastric acids and motility. |
| This is a good way to tell when the last time a patient has seen a physician. | Tetanus shot is UTD. |
| The emergency drug of choice for bradycardia is? | Atropine |
| A common side effect of -blockers is? | Bradycardia |
| A decrease of "rituals" means an improvement in psychiatric disorder? | OCD |
| Bradycardia, cold intolerance and weight gain are symptoms of? | Hypothyroidism |
| What 3 drugs are commonly given for TB? | Isoniazid, Rifampin, and Pyrazinamide |
| Constipation can exacerbate what urinary ailment? | Incontinence |
| Vaginal dryness can be alleviated by using one of what 2 local remedies? | Estrogen cream and water soluble lubercant. |
| Decreased wound healing is often accompanied by a decrease in what lab value? | Albumin |
| T/F: Thorazine takers must protect themselves from the sun. | True |
| A common GI side effect of narcotics is? | Constipation |
| One reason UTI's are not readily diagnosed in older people is because of the normal presence of _______ in their urine. | WBC's, RBC's, and protein |
| Define Acculturation. | The process that occurs when a member of one culture group adopts the values, beliefs, expectations, and behaviors of another group, usually as an attempt to become one. |
| The assumption of negative beliefs, attitudes, or behavior toward a person or group based solely skin color is? | Racism. |
| T/F: A number of older CHF patients, especially those with chronic disease, experience failure in both ventricles. | True |
| This is the most common chronic disease in older people. | HTN |
| T/F: In order to be supported by hospice the patient must have a life expectancy of 1 year or less. | False, 6 mos or less. |
| One thing a nurse must do before working with a dying patient is? | Explore his/her own feelings and beliefs about death. |
| T/F: Education is a type of cognitive pain therapy. | True |
| Orthostatic Hypotension is frequently linked to what common geriatric ailment? | Dehydration. |
| T/F: NPH and lente insulin are more intermediate acting. | True |
| Glargine and regular insulins are both _______ acting insulins. | Rapid or fast. |
| A common cause of new incontinence is often _________. | Medications |
| T/F: As venous insufficiency progresses, the extremity becomes cyanotic and cool. | False, arterial. |
| Decreased melatonin levels are often the culprate in disturbing what cycle? | Sleep-weight |
| T/F: Old people are often abandoned by the families due to the inability to care for their many needs. | False. |
| An irregularly shaped nevusis the clinical hallmark of _______. | Melanoma |
| When assessing a patient with new onset tinnitus, what are some things you should explore? | Medications, dental problems, and allergies. |
| T/F: Hearing aids improve the ability to hear by stimulating the cochlear nerve. | False |
| T/F: Normal grief responses include feelings of hollowness in the stomach, lathargy, fatigue, weight loss, and urinary frequency. | False |
| Vasovagal syncope is common in younger folks and this is the cause of syncope in older people. | Cardiovascular problems |
| T/F: Fright, pain, and pushing up in bed are all possible causes of vasovagal syncope. | True |
| Diltiazem and Verapamil are what kind of common antihypertensive? | Ca++ channel blocker |
| Name 2 adjuvant drugs for pain control. | Anticonvulsants, antidepressants, sedatives, antiemetics, and muscle relaxers. |
| Name 4 alternative physical therapies for pain control. | Heat, cold, massage, exercise, acupressure, acupuncture, TENS, PENS. |
| Name 4 alternative cognitive/behavioral therapies for pain control. | Meditation, visual imagery, relaxation, distraction, music, aroma, hypnosis, and healing touch. |
| Name 5 members of the patient care team in a skilled nursing facility. | Doctor, PT, OT, speech/language, nurse, social services worker, activity coordinator, and dietician. |
| Two possessions that are the hallmarks for a senior citizens independence are? | Car and house. |
| What type of program or care provides short-term relief or time off for persons providing home care to ill, disabled, or fraile older adults? | Respite |
| What are the 2 mainstays of anthropometric measurements? | Height and weight. |
| Buck's traction is an example of what type of traction? | Skin (page 601) |
| This type of incontinence occurs when a chronically full bladder increases bladder pressure to a higher level than urethral resistance, causing the involuntary loss of urine. It is accompanied by hesitancy, a weak stream, and incomplete emptying. | Overflow. |
Created by:
Joshdole04
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