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Gero > Exam I > Flashcards

Exam I Flashcards

1
Q

Domains of the Geriatric Comprehensive Assessment

A 
Functional
Physical
Cognitive
Psychological
Social
Spiritual
(and other....)

(Fun Physical Conga-lines Psych-out Social Scaredy-cats)

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2
Q

The cognitive assessment focuses on which five categories?

A 
Attention
Memory
Language
Visual-spatial skills
Executive capacity

(Alma Mar Loves Vampire Erections)

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3
Q

Tools for assessing ADLs and IADLs

A 
Katz index (ADLs)
Barthel index (ADLs)
Lawton IADLs
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4
Q

Tools for assessing cognition

A

Mini Mental Status Exam (MMSE)

Montreal Cognitive Assessment (MoCA)

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5
Q

Tools for assessing psychological domains

A

Discussion around “successful aging” (QOL)

Geriatric Depression Scale (GDS)

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6
Q

Tools for social assessment

A

Lubben Social Network Scale

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7
Q

Tools for spiritual assessment

A

FICA Spirituality Assessment

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8
Q

Tools for assessing sleep

A

The Pittsburgh Sleep Quality Index

Insomnia Severity Index

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9
Q

Tools for assessing confusion/delirium

A

Nursing Delirium Symptom Checklist (NuDeSC)

Confusion Assessment Method

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10
Q

Tools for assessing mobility

A

Get Up and Go

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11
Q

Benefits of the Comprehensive Geriatric Assessment

A
  1. Less likely to die during hospitalization
  2. Less likely to experience deconditioning
  3. More likely to live at home 6 mo post-discharge
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12
Q

Three areas to focus on during nutritional assessment

A

Caloric intake
Liquid intake
Calcium intake

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13
Q

Poor outcomes associated with geriatric syndromes

A 
Disability
Dependence
Decreased QOL
Need for nursing home
Death
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14
Q

SPICES

A 
Sleep problems
Problems with eating/feeding
Incontinence
Confusion
Evidence for falls
Skin breakdown
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15
Q

What is SPICES used as?

A

A framework for assessing older adults. Focuses on six common “marker conditions” of geriatric syndromes.

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16
Q

Risk factors for developing a geriatric syndrome

A 
Older age
Functional impairment
Cognitive impairment
Impaired mobility
DM
Malnutrition and low weight
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17
Q

What is the #1 nursing intervention for geriatric syndromes?

A

PREVENTION

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18
Q

Three common sleep problems

A

Insomnia
Sleep apnea
Restless leg syndrome

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19
Q

Two markers of malnutrition

A

Sarcopenia (overall loss of muscle tissue)

Cachexia (wasting away of body, usually associated with terminal illness)

20
Q

Complications associated with malnutrition

A

Delayed healing
Increased risk for pressure ulcer development
Functional and cognitive decline
Deterioration in QOL

21
Q

Four types of chronic urinary incontinence

A 
Stress UI (leakage w/ increased IAP)
Urge UI (sudden abrupt need)
Overflow UI (incomplete emptying)
Functional UI (environmental)
22
Q

Cardinal signs of delirium

A 
Sudden onset
Cognition fluctuates throughout day
Incoherent, disorganized speech
Reduced focus, attention
Insomnia
Medical emergency
23
Q

Cardinal signs of dementia

A 
Gradual onset
Normal attention
Clear cognition
Sun downing and reversed sleep
Short term memory deficit
24
Q

Three types of delirium

A

Hypoactive (lethargy, apathy, slowed speech)
Hyperactive (irritability, restlessness, agitation)
Mixed

25
Q

What stage pressure ulcers are considered a “near miss event?”

A

Stage III & Stage IV

26
Q

Stage I Pressure Ulcer

A

Non-blanchable erythema, intact skin

27
Q

Stage II Pressure Ulcer

A

Partial-thickness kin loss with exposed dermis

May present as blisters

28
Q

Stage III Pressure Ulcer

A

Full-thickness skin loss

Adipose, rolled edges, slough/eschar?, tunneling?, undermining?

29
Q

Stage IV Pressure Ulcer

A 
Full-thickness skin and tissue loss
Exposed bone, fascia, muscle, tendon, ligament, cartilage, bone
Slough/eschar
Rolled edges
Tunneling/undermining
30
Q

Atypical presentations of MI

A 
Decreased functional status
Confusion/anxiety
Fatigue
Dyspnea and SOB INSTEAD OF PAIN
Nausea
31
Q

Atypical presentations of HF

A

Decreased functional status
Confusion/anxiety
Weakness

TYPICAL ASSESSMENT FINDINGS:
Crackles
Weight gain
Peripheral edema

32
Q

Atypical presentations of infection

A

Decreased functional status
Confusion/falls
Decreased appetite
Lack of fever

33
Q

Atypical presentations of pneumonia

A

Confusion/delirium
Weakness
Decreased appetite

TYPICAL ASSESSMENT FINDINGS:
Tachypnea
Tachycardia
Dullness in percussion over lung fields

-often leads to hypoxemia and sepsis-

34
Q

Atypical presentations of UTI

A

Decreased functional status
Confusion/delirium
Falls
Sudden onset urinary incontinence

-often leads to sepsis and shock-

35
Q

Atypical presentations of acute abdominal concerns

A 
Confusion
Agitation
Lethargy
Mild discomfort
Constipation
Absent/vague pain
36
Q

Atypical presentations of depression

A

Lack of sadness
Appetite changes
Sleep disturbances
Preoccupation with somatic symptoms

37
Q

Outcomes of atypical presentations

A 
Delayed treatment
Delayed diagnosis
Severe outcomes
Increased length of stay
Decreased QOL
Missed diagnoses
38
Q

What are cataracts?

A

Clouding of the normally clear lens of the eye

39
Q

S/S of cataracts

A

Blurry vision
Changes in color
Glare
Decreased vision

40
Q

Risk factors of cataracts

A

Age
DM
Smoking
Sun damage

41
Q

What is glaucoma?

A

Blocked drainage leading to increased optic pressure that damages the optic nerve

42
Q

S/S of glaucoma

A

Loss of peripheral vision

Elevated pressure in eye

43
Q

Risk factors of glaucoma

A 
Age
Infection
Tumor
DM
Hereditary
44
Q

What is retinal detachment?

A

A painless separation of the retina, causing sudden loss of vision.
NOT NORMAL AGING

45
Q

S/S of retinal detachment

A

Curtain over visual field and sudden vision loss

46
Q

Medications that affect hearing

A 
NSAIDS
Aspirin
IV Abx
IV Loop Diuretics
Quinine
Chemo

Gero (1 decks)

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