Final Exam

Question 1

resilience

Answer 1

successfully adapts to difficult and challenging life experiences

Question 2

hardiness

Answer 2

accepts events in life as challenges to overcome

Question 3

what can lead to cognitive problems?

Answer 3

physical health

Question 4

what is less acetylcholine at risk for?

Answer 4

alzheimer’s

Question 5

what is less dopamine and norepinephrine at risk for?

Answer 5

parkinson’s

Question 6

what is less serotonin at risk for?

Answer 6

depression

Question 7

what are some ways to maintain brain function?

Answer 7

reading, conversation, writing, video games, cross-word puzzles, scrabble, maintaining a stable environment

Question 8

the 3 d’s

Answer 8

dementia
delirium
depression

Question 9

delirium

Answer 9

sudden, abrupt with decline over hours or days, where mental status may fluctuate

Question 10

dementia

Answer 10

progressive decline, slow, over years; often unrecognized until deficits obvious

Question 11

is delirium a medical emergency?

Answer 11

yes

Question 12

what is good to assess in someone with dementia?

Answer 12

cognition
function
behavior

Question 13

what does the FAST scale help with?

Answer 13

patients with alzheimer’s

Question 14

what can be shown in stage 7 of the FAST scale?

Answer 14

• ability to speak is limited to 6 words or fewer
• speech is limited to use of a single intelligible word used over and over
• cannot walk
• loss of ability to smile

Question 15

ABC’s of behavioral analysis

Answer 15

A = antecedent
B = behavior
C = consequence

Question 16

major problem in patient’s with dementia

Answer 16

weight loss and falls

Question 17

most prevalent mental health disorder in older adults

Answer 17

depression

Question 18

is depression a normal part of aging?

Answer 18

no

Question 19

part A medicare

Answer 19

helps with hospitalization fees, there are deductibles

Question 20

part B medicare

Answer 20

helps with physician, NP, PA services

Question 21

part D medicare

Answer 21

prescription drug plan

Question 22

how would you question and elder patient about possible abuse?

Answer 22

“I notice there are several bruises on your arms. tell me about what happened”

Question 23

phases of retirement

Answer 23

remote
near
honeymoon
disenchantment (if planning hasn’t been done)

Question 24

compressed morbidity

Answer 24

when one lives a long life with a very short period of ill health before death

Question 25

what is important about palliative care?

Answer 25

to improve QOL instead of quantity of life; treat symptoms rather than the disease

Question 26

hospice care

Answer 26

program of care that supports patient and family through dying process

Question 27

6 C’s approach in hospice care

Answer 27

• care
• control
• composure
• communication
• continuity
• closure

Question 28

grief

Answer 28

individual’s response to loss

Question 29

anticipatory grief

Answer 29

response to real or perceived loss before it occurs

Question 30

acute grief

Answer 30

is a crisis; most intense in months immediately following loss

Question 31

shadow grief

Answer 31

old memories never go away completely

Question 32

complicated grief

Answer 32

can come in form of a acute grief that doesn’t significantly lessen over months and even years after loss

Question 33

disenfranchised grief

Answer 33

if loss cannot be openly acknowledged or publicly mourned

Question 34

how would you know a surviving spouse is showing positive grief?

Answer 34

• maintaining functioning
• honoring
• doing something they used to enjoy; moving forward

Question 35

characteristics of self-actualized person

Answer 35

• courage
• altruism
• humor
• continuous moral development
• self-renewal