EXAM 1

Question 1

Medicaid

Answer 1

“title 19”, income based insurance used to pay for SNF. qualify only if less than $2000 in assets.

Question 2

Medicare

Answer 2

federal insurance, all pts over 65 are eligible. there is a premium. does not cover longer than 100 day long term care stays

Question 3

Social Security

Answer 3

major source of income for those over 65 years of age or with disability

Question 4

SPICES

Answer 4

Sleep disorders
Problems with eating
Incontinence
Confusion
Evidence of falls
Skin breakdown

Question 5

IADLs assessment

Answer 5

Lawton-Brody
laundry, telephone, finances, housekeeping, shopping, transportation, meds, food prep
best score= 8

Question 6

ADLs assessment

Answer 6

KATZ
bathing, transferring, dressing, continence, feeding, toileting
best score= 6

Question 7

3 components to assessment

Answer 7

Interview and health history,
Physical exam,
Functional assessments

Question 8

MDS

Answer 8

minimum data set, under RAI, in assisted livings

Question 9

OASIS

Answer 9

outcome and assessment info set. mandated in home care

Question 10

OBRA

Answer 10

responsible for reform in nursing facilities. contains resident bill of rights. survey and certification

Question 11

comorbidities

Answer 11

when an older adult experiences multiple chronic conditions/illnesses

Question 12

IADL

Answer 12

instrumental activities of daily living (shopping, telephone use, laundry, transportation, food prep, finances, housekeeping)

Question 13

ADL

Answer 13

activities of daily living (brushing teeth, bathing, dressing, toileting)

Question 14

Neglect

Answer 14

refusal or failure to fulfil obligations to an older adult

Question 15

Exploitation

Answer 15

illegal or improper use of an older adult’s finances, property, or assets

Question 16

Sarcopenia

Answer 16

age related changes to muscle. decreased tissue mass, decreased strength + stamina, increased twitching + spasms

Question 17

arteriosclerosis

Answer 17

normal. hardening of arterial wall

Question 18

atherosclerosis

Answer 18

abnormal. plaque buildup inside artery wall

Question 19

risk factors for falls

Answer 19

gait and balance

Question 20

kyphosis

Answer 20

hump at thoracic area of spine, hunchback

Question 21

xerosis

Answer 21

dry skin

Question 22

pressure ulcer assessment scales

Answer 22

Braden scale and Norton risk assessment scale

Question 23

risk factors for interviewing older adults

Answer 23

visual deficit
hearing deficit
pain
anxiety
multiple health problems
reduced energy
tendency to reminisce

Question 24

risk factors for venous ulcers

Answer 24

pregnancy, obesity, varicose veins, previous DVT

Question 25

risk factors for arterial ulcers

Answer 25

diabetes, hypertension, smoking, previous vascular disease

Question 26

risk factors for neuropathic diabetic ulcers

Answer 26

diabetes, neuropathy, trauma, prolonged pressure

Question 27

risk factors for pressure ulcers

Answer 27

limited mobility, shearing, friction, moisture, protein deficiency

Question 28

ptosis

Answer 28

loss of eyelid tone

Question 29

myopia

Answer 29

nearsighted, can see close

Question 30

hyperopia

Answer 30

farsightedness, can see far

Question 31

delirium

Answer 31

acute confusion, common w stimulus overload
RN: ORIENT

Question 32

strabismus

Answer 32

weak eye muscles

Question 33

arcus senilis

Answer 33

ring of fat deposits in cornea, turns it yellow

Question 34

presbyopia

Answer 34

decreased focus on close objects
normal visual change

Question 35

functional assessments

Answer 35

environmental
physical
psychological
socioeconomical

Question 36

xerosis

Answer 36

dry skin

Question 37

pruritis

Answer 37

itching