DISEASES

Question 1

The bones, muscles, cartilage, tendons, and joints used in movement are?

1. The nervous system
2. Respiratory system
3. Reproductive system
4. Musculoskeletal system

Answer 1

Musculoskeletal system

Question 2

The system that circulates blood is also called?

1. Gastric system
2. Defense system
3. Cardiovascular system
4. Nervous system

Answer 2

Cardiovascular system

Question 3

When the health of cells has deteriorated it usually is due to a decrease in effectiveness of the ___, interfering with the supply of nutrients to them.

1. Cardiovascular system
2. Nervous system
3. Musculoskeletal system
4. Regenerative capacities

Answer 3

Cardiovascular system

Question 4

A stroke occurs when the lack of oxygen to an area of the brain causes?

1. Insomnia
2. Increased olfactory acuity
3. Ductless gland system
4. Permanent damage

Answer 4

Permanent damage

Question 5

An elderly person whose blood pressure is consistently greater the 160/90 is considered to have?

1. Hypertension
2. A severe stroke
3. A strong heart
4. Low blood pressure

Answer 5

Hypertension

Question 6

The left side of the brain controls the functions on the ___ side of the body.

1. Distal
2. Front
3. Left
4. Right

Answer 6

Right

Question 7

A disease resulting from loss of elasticity in the lung tissues causing carbon dioxide to build up is?

1. Kidney failure
2. Emphysema
3. Lung cancer
4. Pneumonia

Answer 7

Emphysema

Question 8

A progressive disease for which there is no cure, characterized by tremor, rigidity, or muscle stiffness and bradykinesia is called?

1. Diverticulitis
2. Parkinson’s Disease
3. Delirium tremens
4. Chrone’s Disease

Answer 8

Parkinson’s Disease

Question 9

Difficulty in swallowing or transferring food from the mouth to the esophagus is called?

1. Esophagitis
2. Dysphagia
3. Peptic ulcer
4. Hiatal hernia

Answer 9

Dysphagia

Question 10

The transformation process in which nutrients undergo various chemical reactions is?

1. Dysphagia
2. Diet
3. Metabolism
4. Caloric intake

Answer 10

Metabolism

Question 11

Plasma, which carries red blood cells, and lymph, which carries white blood cells, are examples of?

1. Metabolism
2. Carbohydrates
3. Body fluids
4. Liquids

Answer 11

Body fluids

Question 12

Measuring daily fasting blood sugar level and measuring the amount of glucose in the urine are tests used in the treatment of?

1. Diabetes
2. Acute vitamin deficiencies
3. Hodgkins disease
4. Rheumatic Heart disease

Answer 12

Diabetes

Question 13

Infections associated with institutionalization are referred to as ___ infections?

1. Nosocomial
2. Internal
3. Benign
4. Unnecessary

Answer 13

Nosocomial

Question 14

Decubitus ulcers, one formed, can?

1. Increase longevity
2. Become infected and form cavities of dead tissue
3. Benefit the various organs in the body
4. Stimulate resident activity

Answer 14

Become infected and form cavities of dead tissue

Question 15

The leading types of cancer among males seen in the nursing facility are cancer of the?

1. Lung and brain
2. Prostate gland and rectum
3. Brain and colon
4. Lung, colon, and rectum

Answer 15

Lung, colon, and rectum

Question 16

Falls among persons over 65 years of age account for more than ___% of deaths that result from all falls.

1. 30
2. 70
3. 95
4. 40

Answer 16

70%

Question 17

Chronic renal failure that has progressed to the stage where little or no urine is being produced is called?

1. Kidney failure
2. End stage Renal disease
3. Renal deficiency
4. Renal keratosis

Answer 17

End stage renal disease

Question 18

A study by Stilwell and O’Conner indicated that among persons studied?

1. Older people remain interested in sex
2. Older people find each other attractive
3. All of these were findings in the Stilwell and O’Conner study
4. Sexuality contributes to overall well being

Answer 18

All were findings in the Stilwell and O’Conner study

Question 19

The line between disabling mental illnesses and the day to day effects of coping with old age___?

1. Can be readily identified
2. Is often blurred
3. Can be measured
4. Is usually available on the nursing reports

Answer 19

Is often blurred

Question 20

In the nursing facility, person centered administration means focusing on?

1. Excellence in pain management
2. The quality of resident life
3. Excellence in medication administration
4. Keeping staff trained

Answer 20

The quality of resident life

Question 21

The process by which the body breaks down the foods eaten into a form usable by individual cells is?

1. Digestion
2. Dieting
3. Processing
4. Metabolism

Answer 21

Metabolism

Question 22

Combined with oxygen, nutrients permit individual cells to perform chemical reactions that?

1. Destroy vitamins
2. Produce energy
3. Stop chemical reactions
4. Facilitate chemical reactions

Answer 22

Produce energy

Question 23

Peripheral vascular disease commonly refers to the increased resistance in the blood vessels?

1. Primarily in the head
2. In the chest region
3. Chrohn’s disease
4. In the extremities

Answer 23

In the extremities

Question 24

When the heart muscle itself suffers from a lack of oxygen due to blockages in the arteries that usually supply it, it is know as?

1. Coronary artery disease
2. Decreased blood flow
3. Decreased blood supply
4. Progressive organ failure

Answer 24

Coronary artery disease

Question 25

Blood being backed up in the circulatory system causing fluids to leak out of the bloodstream is symptomatic of? 1. Risk of heart attack 2. Anorexia 3. Congestive heart failure 4. An aging resident with kidney infection

Answer 25

Congestive heart failure

Question 26

Because tuberculosis can be transmitted through secretions or when a resident coughs, it is considered? 1. An old person's disease 2. The onset of MRSA 3. An infectious disease 4. A lung disease

Answer 26

An infectious disease

Question 27

The primary problem resulting in glaucoma is? 1. Pressure due to failure of fluids to drain normally 2. Reduction in the level of aqueous humor 3. Changes in the retina 4. Shrinkage of the lens of the eye

Answer 27

Pressure due to failure of fluids to drain normally

Question 28

The digestive system is referred to as the alimentary tract or the ? 1. The digestive tract 2. Upper and lower intestine 3. Bowels 4. Gastrointestinal tract

Answer 28

Gastrointestinal tract

Question 29

Sharp buning abdominal pain 1-4 hours after eating, nausea, weight loss, and blood in stools can be symptoms of? 1. Increased risk of stroke 2. Fats 3. Excessive protein 4. An ulcer

Answer 29

An ulcer

Question 30

Carbohydrates can be broken down readily into fuel for the body. Two common sources are? 1. Starches and sugars 2. Minerals and vitamins 3. Sodium and its substitutes 4. Calcium and iron

Answer 30

Starches and sugars

Question 31

During the years 1993-2008, the percent of residents in US nursing facilities who had psychological diagnoses ___? 1. Increased to 47% up from 37% 2. Remained steady 3. Declined 4. Rose, then fell back

Answer 31

Increased to 47% up from 37%

Question 32

Gastrostomy tubes fro residents needing long-term tube feeding may be preferred over nasogastric tubes because there is no chance that fluids may be ? 1. Leaked 2. Over controlled 3. Lost 4. Aspirated

Answer 32

Aspirated

Question 33

``` Diabetes occurs when the body is unable to metabolize ___ because of a problem with a hormone called insulin. 1. Vitamins 2. Minerals 3 Glucose 4. Potassium ```

Answer 33

Glucose

Question 34

Anemia occurs when there is a difficulty with the ___ blood cells, resulting in the body not getting enough oxygen. 1. White 2. Red 3. White and red 4. Disease fighting

Answer 34

RED

Question 35

The skin, the acid composition of gastric juices, and the urine are ___ that help protect the body. 1. Barrier-type defenses 2. Ineffective-type defenses 3. Immune defenses 4. Internal organs

Answer 35

Barrier-type defenses

Question 36

Whenever foreign material or ___ enter the body, the components of the immune system recognize this and mobilize for an attack response. 1. Antighesis 2. Antigens 3. Antidotes 4. Antibacterial

Answer 36

Antigens

Question 37

Redness surrounding areas of skin that may become infected is called the ___. 1. Action 2. Antiallergic 3. Offense 4. Inflammation

Answer 37

Inflammation

Question 38

The tough, dry, wrinkled skin sometimes observed among elderly persons may work to ___ the barrier effect of the skin. 1. Improve 2. Diminish 3. Rejuvenate 4. Heighten

Answer 38

Diminish

Question 39

The formation of a skin ulcer can occur when ___. 1. The body's chemical defense mechanism suddenly degrades 2. The weight of the body exerts unusual pressure on internal soft tissue 3. Patients reach advanced age 4. Patients' diets are altered

Answer 39

The weight of the body exerts unusual pressure on internal soft tissue

Question 40

Residents most at risk of developing pressure sores are those ___. 1. With poor personal hygiene 2. With excessive fat tissue 3. Who have poor dentition 4. Who are immobile

Answer 40

Who are immobile

Question 41

The percentage of US nursing home residents who were chair bound in 2008 was just over / 1. 95% 2. 10% 3. 25% 4. 50%

Answer 41

50%

Question 42

Hypothermia is often difficult to diagnose because symptoms may be similar to ___. 1. Mild anorexia 2. A minor stroke 3. A massive heart attack 4. Advanced cancer symptoms

Answer 42

A minor stroke

Question 43

The proportion of resident in US nursing facilities 1993-2008 who received special skin care ___. 1. Nearly doubled 2. Remained the same 3. Decreased 4. Increased four fold

Answer 43

Nearly doubled

Question 44

Joints are the points in the body at which ___. 1. Bones are always fused 2. The ends of two bones meet 3. Breaks have earlier occurred 4. Ulcers form

Answer 44

The ends of two bones meet

Question 45

There is some consensus among researchers that during the aging process the total amount of bone in the body ___. 1. Decreases 2. Increases 3. Becomes elevated 4. Remains stable

Answer 45

Decreases

Question 46

The proportion of residents in US nursing homes during 1993-2008 who were incontinent remained about ___. 1. More than 90% 2. Too few to meaningfully measure 3. 10% 4. 50%

Answer 46

50%

Question 47

Orthostatic hypotension is ___. 1. Decreased blood pressure on standing 2. Excessive irritability 3. Decreased irritability 4. Degenerative bone disease leading to weakening of the bones

Answer 47

Decreased blood pressure on standing

Question 48

In addition to removing waste materials from the blood stream, the kidneys also help regulate the ___. 1. Amount of body fluids 2. Ductless gland system 3. Pituitary gland 4. Thalamus gland

Answer 48

Amount of body fluids

Question 49

Itchy and dry skin, mental confusion, weakness, muscle cramps, nausea, vomiting, and diarrhea can all be symptoms of ___. 1. Oncoming chronic renal failure 2. Hyperactive kidneys 3. Excessive rate of urine production 4. Constant urine production

Answer 49

Oncoming chronic renal failure

Question 50

Patients unable to urinate can be ___ periodically following fluid intake. 1. Advised 2. Ambulated 3. Catheterized 4. Rejoined

Answer 50

Catheterized

Question 51

During midlife women experience cessation of egg production, and hence of menstruation, called ___. 1. Menopause 2. Hysterectomy 3. Genital prolapse 4. Prostatitis

Answer 51

Menopause

Question 52

An elderly male nursing facility resident with painful urination and blood in the urine should be checked for ___. 1. Rectal cancer 2. Dermal cancer 3. Prostatitis 4. Dysphagia

Answer 52

Prostatitis

Question 53

The incidence of heart attack or stroke during sexual intercourse ___. 1. Is a major concern for nursing home physicians 2. Has been identified as a valid health issue 3. Is very low 4. Has been declining during the past decade

Answer 53

Is very low

Question 54

Fantasizing, avoidance of eye contact, fidgeting, insomnia, isolation from others, and hostile or dependent behaviors are thought to be manifestations of ___. 1. Personal abilities 2. Repressive staff 3. Anxiety 4. Exploratory behavior

Answer 54

Anxiety

Question 55

Psychotropic drugs exert an effect primarily on the ___. 1. Brain 2. Digits 3. Internal organs 4. Extremities

Answer 55

Brain

Question 56

Nearly ___ of all residents in US nursing homes in 2008 were receiving psychoactive drugs. 1. 10% 2. One fourth 3. Three fourths 4. Two thirds

Answer 56

Two thirds

Question 57

There are losses incoming residents inevitably experience, and ___. 1. These can never be understood 2. They are most difficult to identify 3. There are also gains 4. They are quickly forgotten

Answer 57

There are also gains

Question 58

Anger and anxiety typically associated with being admitted to a nursing facility can lead to ___. 1. An easy adjustment 2. Admission associated depression 3. Hyperactivity 4. Relief

Answer 58

Admission associated depression

Question 59

The number of facilities receiving citations for improper restraint use in 2008 was about ___ than in 1993. 1. 5% less 2. One third less 3. Out of proportion 4. Dramatically more

Answer 59

One third less

Question 60

Experience suggests that it is important to identify a depression on top of ___. 1. Dementia 2. Advanced psychosis 3. Early Alzheimer's 4. Advanced Alzheimer's

Answer 60

Dementia