Assessment of Older Women

Question 1

According to Erickson’s, the developmental task of later life is ego integrity versus ego despair and is dependent on:

Answer 1

having achieved previous tasks leading to a sense of wholeness and cohesion of self

Question 2

When considering Maslow’s Hierarchy of Needs, the clinician should ensure that:

Answer 2

the basic needs are met, with understanding that these basic needs need to be met before higher levels of health are achievable

Question 3

What are the common health risks associated with Older Women? (3 items)

Answer 3

1- Polypharmacy and aging
2- Complications following hospitalizations
3- Nutrition and dehydration risks

Question 4

Polypharmacy is described as taking ____ or more medications daily.

Answer 4

5

Question 5

Women > age 51 should get a minimum of _____mg calcium per day.

Answer 5

1200

Question 6

The average fluid intake, unless medically contraindicated, is about ____ to ____ cc per day.

Answer 6

1500-2500

Question 7

_______ __ deficiency has been linked to increased falls due to decreased muscle stregthn

Answer 7

Vitamin D

Question 8

The diminished sense of taste, ______ is common after age 70.

Answer 8

hypogeusia

Question 9

_______ intelligence (information and skills gained from experience) remains stable as a person ages, whereas ______ intelligence (flexible reasoning and problem solving) and speed of processing declines

Answer 9

Crystalized; Fluid

Question 10

What are some risk factors for Alzheimer’s disease? (3 items)

Answer 10

1- cardiometabolic diseases (diabetes, metabolic syndrome, obesity)
2- depression
3- sleep disorders

Question 11

_______ is the most common metabolic disease in older women; about 50%b of women will be affected in their lieftime

Answer 11

Osteoporosis

Question 12

What are the major risk factors for osteoporosis (5 items)?

Answer 12

1- advancing age
2- female sex
3- white or Asian race
4- family history
5- thin body habitus

Question 13

What are the common GYN disorders in older women?

7 items

Answer 13

1- atrophic vaginitis
2- pelvic support devices and pelvic organ prolapse
3- vulvar carcinoma
4- invasive vaginal cancer
5- cervical cancer
6- endometrial cancer
7- ovarian cancer

Question 14

This disorder is the most common genital tract malignancy and the fourth most common cancer after breast, lung and colorectal

Answer 14

Endometrial cancer

Question 15

Risk factors for OSA include?

Answer 15

1- BMI >30
2- Hypertension
3- Cigarettes’ smoking
4- Large neck size

Question 16

Loss of urine with increased intraabdominal pressure, such as sneezing, laughing or exercising

Answer 16

Stress Incontinence

Question 17

Unable to get to the bathroom

Answer 17

Functional Incontinence

Question 18

How often should a bone mineral density screening be done?

Answer 18

No more than every 2 years

Question 19

What are the indications for stopping cervical cytology after age 66?

Answer 19

Discontinue with evidence of adequate negative prior screenings and no history of CIN 2 or higher.

Question 20

What are adequate negative cervical screenings considered?

Answer 20

Three consecutive negative cytology results or two consecutive negative results within the previous 10 years, with the most recent being performed with the past 5 years

Question 21

How often should TSH be tested for in the Older Women?

Answer 21

Every 5 years