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Exam 3 > Chapter 33 Questions > Flashcards

Chapter 33 Questions Flashcards

1
Q 
Which of the following is NOT one of the leading causes of death in the older population?
A) Heart disease
B) diabetes
C) AIDS
D) cancer
A

AIDS

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2
Q

Geriatric patients present as a special problem for caregivers because:
A) the classic presentation of disease is often altered
B) geriatric patients tend not to understand their underlying conditions
C) their medications are rather difficult to learn
D) the typical diseases of the geriatric population are uncommon

A

the classic presentation of disease is often altered

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3
Q 
Stereotyping of elderly people that often leads to discrimination is called:
A) geritism
B) geriographics
C) oldism
D) ageism
A

ageism

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4
Q

Which of the following is NOT a common stereotype regarding geriatrics?
A) Most elderly people have dementia
B) elderly people are hard of hearing
C) geriatric patients are likely to die on an EMS call
D) elderly people are immobile

A

geriatric patients are likely to die on an EMS call

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5
Q

Which of the following is generally NOT acceptable when interviewing an older patient?
A) Do not initiate eye contact, because many geriatric patients might find this disrespectful
B) Speak slowly and distinctly
C) Give the patient time to respond unless the condition appears urgent
D) Explain what you are doing before you do it

A

Do not initiate eye contact, because many geriatric patients might find this disrespectful

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6
Q 
Which of the following is NOT considered a common condition of the elderly?
A) Hypertension
B) sinusitus
C) gastroenteritis
D) arthritis
A

gastroenteritis

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7
Q 
Geriatric patients are commonly found living in all of the following locations EXCEPT:
A) their homes
B) nursing homes
C) skilled nursing facilities
D) churches
A

churches

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8
Q

You are responding to the dementia unit at a nursing home for respiratory distress. When you arrive, you notice that the patient is experiencing mild dyspnea and has an altered mental status. What can you do to help determine if the patient’s altered mental status is appropriate for her underlying dementia?
A) As long as the patient is alert and able to answer most questions there is no need to determine if this is a normal behavior
B) Ask the patient’s roommate if this is normal behavior for the patient
C) Find a staff member who can explain the patient’s underlying mental status to you
D) because the patient already has dementia, there is no need to investigate this further

A

Find a staff member who can explain the patient’s underlying mental status to you

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9
Q 
Anatomic changes that occur as a person ages predisposes geriatric patients to:
A) airway problems
B) fungal infections
C) communicable diseases
D) mental status changes
A

airway problems

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10
Q

Which of the following statements regarding geriatrics is FALSE?
A) Chronic mental status impairment is a normal process of aging
B) Multiple disease processes and complaints can make an assessment complicated
C) Communication may be more complicated with an older adult
D) You should find and account for all patient medications

A

Chronic mental status impairment is a normal process of aging

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11
Q 
The last meal is particularly important in a patient with:
A) hypertension
B) myocardial infarction
C) COPD
D) diabetes
A

diabetes

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12
Q 
The heart rate should be in the normal adult rage for a geriatric patient but can be altered by medications such as:
A) insulin
B) beta-blockers
C) alpha-blockers
D) aspirin
A

beta-blockers

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13
Q 
Which of the following is NOT considered a typical intervention when treating an elderly patient?
A) Oxygenation
B) Administration of glucose
C) Immobilization
D) Psychological support
A

Immobilization

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14
Q 
The “E” of the GEMS stands for:
A) environmental assessment
B) events leading to the incident
C) extrication of the patient
D) emergency assessment
A

environmental assessment

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15
Q 
The alveoli in an older patient's lung tissue can become enlarged and less elastic, making it:
A) easier to inhale air
B) harder to inhale air
C) easier to exhale air
D) harder to exhale air
A

harder to exhale air

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16
Q 
\_\_\_\_\_\_ is the leading cause of death from infection in Americans older than 65 years
A) chronic bronchitis
B) pneumonia
C) endocartitis
D) influenza
A

pneumonia

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17
Q 
A patient with leg pain who complains of sudden shortness of breath, tachycarida, fever, chest pain, and a feeling of impending doom is likely experiencing a(n):
A) pulmonary embolism
B) pneumonia
C) myocardial infarction
D) aortic aneurysm
A

pulmonary embolism

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18
Q 
A drop in blood pressure with a charge in position is referred to as:
A) orthostatic hypotension
B) metastatic hypotension
C) malignant hypotension
D) psychogenic hypotension
A

orthostatic hypotension

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19
Q 
Which of the following is not considered a risk factor for geriatric patients to develop heart failure?
A) Hypertension
B) coronary artery disease
C) atrial fibrillation
D) palpitations
A

palpitations

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20
Q

All of the following are true of delirium EXCEPT:
A) it may have metabolic causes
B) the patient may be hypoglycemic
C) it develops slowly over a period of years
D) the memory remains mostly intact

A

it develops slowly over a period of years

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21
Q 
An 82-year-old woman has slurred speech, weakness on the left side of her body, visual disturbances, and a headache. This patient is likely to be suffering from a:
A) myocardial infarction
B) stroke
C) diabetic emergency
D) spinal cord injury
A

stroke

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22
Q 
The brain decreases in terms of \_\_\_\_\_\_ and volume as a person ages
A) length
B) width
C) size
D) weight
A

weight

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23
Q 
Older people develop an inability to differentiate colors and have:
A) increased sensitivity to light
B) decreased eye movement
C) decreased daytime vision
D) decreased night vision
A

decreased night vision

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24
Q 
\_\_\_\_\_\_ and long-term exposure to loud noises are the main factors that contribute to hearing loss
A) heredity
B) injury
C) infection
D) medications
A

heredity

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25
Q

Which of the following statements regarding dementia is FALSE?
A) Patients may have anxiety about going to the hospital
B) some patients are confused and angry
C) there may be a decreased ability to communicate
D) due to memory loss, they are able to adapt easily to changes in their daily routine

A

due to memory loss, they are able to adapt easily to changes in their daily routine

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26
Q

Which of the following statements about changes to the gastrointestinal system is correct?
A) Gastric secretions are reduced as a person ages
B) dental loss is not a normal result of the aging process
C) blood flow to the liver is increased as a person ages
D) gastric mobility increases and results in an increase in gastric emptying

A

dental loss is not a normal result of the aging process

27
Q 
All of the following are common specific gastrointestinal problems in the elderly EXCEPT:
A) ulcerative colitis
B) diverticulitis
C) peptic ulcer disease
D) gallbladder disease
A

ulcerative colitis

28
Q 
A patient with an abdominal aortic aneurysm most commonly complains of abdominal pain that radiates to the:
A) chest
B) lower legs
C) back
D) shoulders
A

back

29
Q

Changes to the kidney and genitourinary tract in elderly patients can cause all of the following EXCEPT:
A) urinary incontinence
B) urinary retention
C) an increased response to sodium deficiency
D) enlargement of the prostate

A

an increased response to sodium deficiency

30
Q 
Which of the following is NOT a factor that affects the development of osteoperosis?
A) Hypertension
B) smoking
C) level of activity
D) alcohol consumption
A

hypertension

31
Q 
\_\_\_\_\_\_ is a progressive disease of the joints that destroys cartilage and leads to joint spurs and stiffness
A) osteoperosis
B) osteosarcoma
C) osteoarthritis
D) osteoplegia
A

osteoarthritis

32
Q 
All of the following are considered to be reasons for medication noncompliance EXCEPT:
A) financial challenges
B) patient disagrees with the diagnosis
C) impaired cognitive ability
D) inability to open pill bottles
A

patient disagrees with diagnosis

33
Q

Which of the following statements regarding depression is true?
A) Treatment typically involves medication, because counseling typically does not work
B) older adults in skilled nursing facilities are less likely to develop depression
C) it generally does not interfere with ability to function in the elderly
D) it is diagnosed three times more commonly in women than in men

A

it is diagnosed three times more commonly in women than in men

34
Q 
Elderly pedestrians struck by a vehicle commonly suffer injuries to the:
A) chest
B) abdomen
C) extremities
D) back
A

extremities

35
Q 
All of the following are common predisposing events that can lead to suicide in the elderly EXCEPT:
A) death of a loved one
B) hallucinations
C) alcohol abuse
D) physical illness
A

hallucinations

36
Q 
Elderly people are more likely to experience burns because of:
A) altered mental status
B) inattention
C) compromised neurologic status
D) all of the above
A

all of the above

37
Q

Signs and symptoms of possible abuse include all of the following EXCEPT:
A) chronic pain with no medical explanation
B) no history of repeated visits to the emergency department or clinic
C) depression or lack of energy
D) self-destructive behavior

A

no history of repeated visits to the emergency department or clinic

38
Q 
Because the brain tissue shrinks with age, older patients are more likely to sustain:
A) basilar skull fractures
B) depressed skull fractures
C) open head injuries
D) closed head injuries
A

closed head injuries

39
Q

The most important piece of information to establish, immediately when responding to skilled nursing facility is determining:
A) when someone last saw the patient
B) which nurse is overseeing patient care
C) what is wrong with the patient
D) how often this patient is transported to the hospital

A

what is wrong with the patient

40
Q 
MRSA is commonly found on which of the following?
A) Decubitus ulcers
B) feeding tubes
C) indwelling catheters
D) all of the above
A

all of the above

41
Q

In most states, for a DNR to be considered valid it must have been signed within the last:
A) 12 months
B) 18 months
C) 24 months
D) DNRs are valid regardless of the timeframe

A

12 months

42
Q 
Burns in elderly abuse typically result from which of the following?
A) Cigarettes
B) matches
C) hot liquids
D) all of the above
A

all of the above

43
Q

Clues that might indicate elderly abuse would include all of the following EXCEPT:
A) bruises on the buttocks and lower back
B) weight gain
C) wounds in various stages of healing
D) lack of hygiene

A

weight gain

44
Q

Using the patient’s __________ shows respect and helps the patient to focus on your questions.

A

Name

45
Q

Hip fractures are more likely to occur when bones are weakened by ___________ or infection.

A

Osteroposis

46
Q

_______ is a useful therapy for many geriatric problems, including vague complaints of weakness or dizziness.

A

Oxygen

47
Q

_______ is an inflammation/infection of the lung from bacterial, viral, or fungal causes.

A

Pneumonia

48
Q

The core body temperature should be assessed to determine the presence of a(n) _____________.

A

Fever

49
Q

__________ refers to stiffening of the blood vessel wall.

A

Arteriosclerosis

50
Q

Severe blood loss can occur when a(n) _________ bursts.

A

Aneurysm

51
Q

With ___________ heart failure, fluid backs up into the lungs.

A

Left-sided

52
Q

_________ is the gradual hearing loss that occurs as we age.

A

Presbycusis

53
Q

An older person may have a decreased sense of ________ and ________ perception from the loss of end nerve fibers.

A

Touch;pain

54
Q

________ is a condition in which small pouches protrude from the colon.

A

Diverticulitis

55
Q

________ __________ form when a patient is lying or sitting in the same position for a long time.

A

Pressure ulcers

56
Q

As you get older, the brain shrinks, leading to higher risk of ________ _______ following head trauma.

A

Cerebral bleeding

57
Q

_______ _________ may help determine if a loss of consciousness occurred before an accident.

A

Bystander information

58
Q

Dentures may cause a(n) _________ ___________ in a trauma patient.

A

Airway obstruction

59
Q

When assessing the abdomen, remember that elderly patients have a _________ __________ _________ and may not show signs of rigidity in abdominal trauma.

A

Flaccid abdominal wall

60
Q

Patients with _________ will require padding in order to keep the patient supine.

A

Kyphosis

61
Q

In addition to hip fractures, elderly people with osteoporosis are at risk for ________ fractures.

A

Pelvic

62
Q

_________ __________ are facilities that serve patients who need 24-hour care; they are sometimes a step down from a hospital.

A

Nursing homes

63
Q

_________ ___________ are specific legal papers that direct relatives and caregivers about what kinds of medical treatment may be give to patients who cannot speak for themselves.

A

Advance directives

Exam 3 (22 decks)

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