Exam 2

Question 1

Requirements of an assessment of an older adult

Answer 1

• patience
• good listening skills
• observation skills for details (notice cues)
• non-judgemental approach
• ability to ask difficult questions
• understand the normal changes in older adults

Question 2

Important to assess is patient’s medical/social history

Answer 2

• what happened to their family
• who is involved in their decision making
• Do they have any advance directives

Question 3

Flow of Review of Systems (ROS)

Answer 3

• begin with system that has chronic/acute illness

- use open ended questions to start and then move towards specific questions

Question 4

SATA: Geriatric syndromes

Answer 4

1) Falls and gait abnormalities
2) Frailty
3) Delirium
4) Urinary incontinence
5) Sleep Disorders
6) Pressure ulcers

Question 5

FANCAPES

Answer 5

Fluids
Aeration
Nutrition
Communication
Activity
Pain
Elimination
Social Skills

Question 6

SPICES

Answer 6

tool used for determining areas where further assessment is needed
-not used as a stand alone

Question 7

KATS adls

Answer 7

1) bathing
2) dressing
3) toileting
4) transferring
5) feeding
6= full function; 4 = moderate impairment; <2 = severe impairment

Question 8

What is FAST used for?

Answer 8

Functional Stages of Alzheimer’s Dementia is used to stage people w/ dementia and/or alzheimer’s

Question 9

FAST: Stage 1

Answer 9

Normal adults - no decline

Question 10

FAST: stage 2

Answer 10

Normal older adult - mild memory loss (forget keys, purse, etc.)

Question 11

FAST: stage 3

Answer 11

Early dementia: apparent to ppl around them (forget bdays or what their boss says)

Question 12

FAST: stage 4

Answer 12

Mild dementia - difficulty w/ money and planning things

Question 13

FAST: stage 5

Answer 13

Moderate dementia - difficult to survive on their own, difficulty dressing, poor decision making/assessment skills

Question 14

FAST: stage 6

Answer 14

Moderately Severe Dementia - sleeping during day and staying up at nights, forgets names, aggressive and violent, they are scared

Question 15

FAST: stage 7

Answer 15

Severe dementia - (qualifies for hospice), speaks 5-6 words daily, loss of ability to walk, talk, etc. CAN EASILY CONTRACT INFX

Question 16

Communicating w/ pt w/ Moderately severe dementia

Answer 16

use shorter, slower sentences, and rephrasing

Question 17

Why do we use the Mini-Cog Assessment?

Answer 17

To screen for cognitive impairment

Question 18

Steps to Mini-Cog

Answer 18

1) say 3 words
2) have them repeat the words
3) have them draw 11:10 on an analog clock in a circle
4) have them repeat the 3 words

Question 19

Why is 11:10 used for the clock drawing test

Answer 19

can be used to visualize constructional Apraxia which is an indication of Alzheimer’s disease

Question 20

Importance of Mood assessment tool

Answer 20

people become very depressed in a nursing home

Question 21

Safety of older Adults…

Answer 21

allows older person to live w/out fear of attack, accident, or imposed inference

Question 22

Vulnerability

Answer 22

threats to the patient

Question 23

If the power goes out, who do you assess first?

• alcoholic
• impaired circulation
• DMT2
• adrenal/thyroid dysfunction
• inadequate supervision
• uses sedatives/amtidepressants

Answer 23

alcoholic

Question 24

Driving in older adults

Answer 24

Stopping driving is a serious, life-changing decision

Question 25

Aging in place

Answer 25

the ability to live in one’s own home and community safely, independently, and comfortably