Chapter 13 LECTURE 9 PART II Flashcards

Late Adulthood

1
Q

HEALTH SCREENINGS
-What two checkups should continue to be done?

A

Dental and eye checkups

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2
Q

HEALTH SCREENINGS
-What does physical evaluation include? (5)

A
  1. Weight
  2. Blood pressure
  3. Thyroid levels
  4. Blood glucose levels
  5. Lipid levels
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3
Q

HEALTH SCREENINGS
-What 4 things should nurses asses their older adult patients for?

A
  1. Substances abuse
  2. Over medication
  3. Sexual dysfunction
  4. Urinary incontinence
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4
Q

HEALTH SCREENINGS
-What does your body use to get rid of medications?
-What happens to their function?
-What can this lead to?

A

-Liver and Kidney
-Their function decreases with age
-Overdosing

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5
Q

HEALTH SCREENINGS
-A mammography should be done until what age?
-When should it start?
-When should it be done?

A

-74
-Around 40, but can be done earlier if there is a greater risk
-Annually

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6
Q

HEALTH SCREENINGS
-Colorectal cancer should be screened for until what age?
-When should it start

A

-75
-45

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7
Q

HEALTH SCREENINGS
-What should be a screening for women who are 65+?

A

Bone mass/osteoporosis

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8
Q

HEALTH SCREENINGS
-What should be screened for to prevent falls?

A

Fall risk and need for exercise interventions

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9
Q

HEALTH SCREENINGS
-Screen for risk factors for ____ disease

A

Cardiovascular

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10
Q

HEALTH SCREENINGS
-In terms of emotional and physical, what three things should be screened for?

A
  1. Depression
  2. Elder abuse
  3. Intimate partner violence
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11
Q

HEALTH SCREENINGS
-What is one thing nurses/health-care workers can do to prevent elder abuse?

A

They should observe interactions between older adults and the caregivers

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12
Q

SEXUALITY
-What is the most common cause of sexual dissatisfaction in older adults?

A

Lack of a partner

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13
Q

SEXUALITY
-What may men develop?

A

Erectile dysfunction

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14
Q

SEXUALITY
-What is painful intercourse called?
-In women, what may this result from?

A

-dyspareunia
-from atrophy of vaginal wall and decrease in natural lubrication

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15
Q

SEXUALITY
-What is still a sexual health problem at this age?

A

STIs

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16
Q

MEMORY LOSS
-What can be associated with aging?
-Examples?

A

-Normal memory loss and changes
-Having trouble with remembering names and faces of people

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17
Q

MEMORY LOSS
-What can temporary memory loss be caused by?

A

Depression or anxiety

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18
Q

MEMORY LOSS
-What kind of causes can confusion have?

A

Metabolic causes

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19
Q

MEMORY LOSS
-Dementia is an inevitable outcome of aging (T/F)
-What is necessary for it?

A

-FALSE; Dementia is NOT an inevitable outcome of aging
-Dementia screening

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20
Q

MEMORY LOSS
-What is the Mini-Mental State Exam (MMSE) used for?
-What specific thing can it be used to screen for?

A

-It is used to check for cognitive impairments
-Dementia

21
Q

WARNING SIGNS OF PROBLEMATIC MEMORY DECLINE
1. Memory loss that affects what?
2. Difficulty remembering ____ in _____ _____
3. ________
4. Lack of awareness of what?
5. Decrease in what? This means increased need for _____
6. Associated problems with what?

A
  1. Job functioning
  2. Steps; familiar tasks
  3. Disorientation
  4. Time, place, or date
  5. Abstract thinking; concreteness
  6. Mood, language, or personality changes
22
Q

WARNING SIGNS OF PROBLEMATIC MEMORY DECLINE
-What is disorientation?

A

-Not knowing where they are in terms of person, place, time, and sometimes situation (what happened)

23
Q

PREVENTABLE CAUSES OF MEMORY PROBLEMS
-What are the six preventable causes of memory problems?

A
  1. Drug toxicity
  2. Depression
  3. Metabolic problems
  4. Sensory problems
  5. Nutritional deficiencies
  6. Illness
24
Q

PREVENTABLE CAUSES OF MEMORY PROBLEMS
-What are 3 metabolic problems?

A
  1. Kidney dysfunction
  2. Liver dysfunction
  3. Hypoglycemia
25
Q

PREVENTABLE CAUSES OF MEMORY PROBLEMS
-What are 3 sensory problems?

A
  1. Difficulty hearing
  2. Difficulty seeing
  3. Difficulty sensing information
26
Q

PREVENTABLE CAUSES OF MEMORY PROBLEMS
-What are 3 common nutritional deficiencies?

A
  1. Dehydration
  2. Vitamin B12 deficiency
  3. Iron deficiency
27
Q

PREVENTABLE CAUSES OF MEMORY PROBLEMS
-What are common illnesses?

A

Pneumonia and other infections

28
Q

DEPRESSION
-Older adults have an increased risk of experiencing what?

A

Depression

29
Q

DEPRESSION
-Depression should automatically be expected to appear in the older adult (T/F)

A

FALSE; depression should NOT be automatically expected to appear in the older adult

30
Q

DEPRESSION
-Side effects of medications may do what?

A

Mimic depression

31
Q

DEPRESSION
-What can depression trigger?

A

Physical illness

32
Q

DEPRESSION
-What are 4 causes of depression?

A
  1. Loneliness
  2. Social isolation
  3. Declining health
  4. Loss of significant other
33
Q

CLINICAL DISEASE
-What is good health in older people defined as?

A

The absence of disease or disability

34
Q

CLINICAL DISEASE
-What results from aging?

A

Normal body changes

35
Q

CLINICAL DISEASE
-What are 5 examples of normal body changes that happen with age?

A
  1. Thinning & graying of hair
  2. Muscle & bone density loss
  3. Wrinkling & thinning of the skin
  4. Shrinking
  5. Presbyopia → issues with seeing close as a part of aging
36
Q

CLINICAL DISEASE
-Most older adults have what?

A

At least one chronic condition

37
Q

CLINICAL DISEASE
-What are comorbidities?

A

The simulatenous presence of two or more diseases

38
Q

PHYSICAL ACTIVITY
-What can significantly slow the aging process?

39
Q

PHYSICAL ACTIVITY
-How many hours per week should be dedicated to exercise?

40
Q

PHYSICAL ACTIVITY
-What decreases with age?
-What does this mean?

A

-resting metabolic rate
-fewer calories are burned during a resting state

41
Q

PHYSICAL ACTIVITY
-What can muscle-strengthening exercises do?

A

Increase the amount of metabolically active tissue

42
Q

PHYSICAL ACTIVITY
-What are regular balance exercises?
-What can doing these result in?

A

-practicing walking backward and sideways
-fewer falls

43
Q

PHYSICAL ACTIVITY
-What can physical activity have a protective effect on?

A

Cognitive function

44
Q

TEACHING TECHNIQUES
-The learner must be what?

A

Motivated to learn

45
Q

TEACHING TECHNIQUES
-Teaching must be relevant to what?
-It must be appropriate to what?

A

-learner
-the developmental stage and abilities of the learner

46
Q

TEACHING TECHNIQUES
-What should be considered when teaching? (3)

A
  1. Visual & hearing issues
  2. Short sessions
  3. Keep it simple
47
Q

TEACHING TECHNIQUES
-If the older adult has hearing issues, what should the nurse do?

A

Maintain eye-contact, talk slowly, and do NOT scream

48
Q

TEACHING TECHNIQUES
-If the older adult has vision issues, what can the nurse do?

A

Make sure they have glasses, increase font size on their phone

49
Q

TEACHING TECHNIQUES
-How is learning enhanced?

A

If mutual respect exists between the teacher and learner