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WGU C475 > Jeopardy Questions > Flashcards

Jeopardy Questions Flashcards

1
Q

This tool consists of 3-item recall and Clock-Drawing Test (CDT)

A

Mini-Cog

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2
Q

This tool helps the nurse quickly identify delirium

A

Confusion Assessment Method (CAM)

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3
Q

This tool assesses sensory perception, moisture, activity, mobility nutrition & friction

A

Braden scale (Pressure Ulcer risk)

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4
Q

This list includes commonly prescribed medications which may cause increased risk to elderly patients

A

Beer’s List (Beer’s Criteria)

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5
Q

This tool assesses sleep, problems with eating, incontinence, confusion, evidence of falls, and skin breakdown

A

SPICES

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6
Q

An example of this type of prevention includes getting an annual flu shot

A

primary prevention

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7
Q

Factors include throw rugs, poor lighting, stairs and side rails

A

extrinsic risk factors for falls

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8
Q

This is a general decline in physical function, with unintentional weight loss, weak grip strength and slow walking speed

A

frailty

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9
Q

Examples include cleaning, cooking, shopping, paying bills

A

instrumental activities of daily living

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10
Q

This health-oriented initiative has a major goal of eliminating healthcare disparity between cultural groups

A

Healthy People 2010

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11
Q

People who are 65 years old & have paid in to Social Security, patients with ESRD, disabled, retired from the railroad

A

qualify for Medicare

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12
Q

This part of Medicare covers prescription drugs

A

Medicare Part D

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13
Q

It eliminates lifetime insurance caps, provides free preventive care, provides insurance plans for patients with pre-existing conditions

A

Patient Protection and Affordable Care Act

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14
Q

These benefits are reduced if a person retires early

A

Social Security benefits

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15
Q

Improve patient quality/satisfaction, improve population health and reduce healthcare costs

A

IHI Triple Aim goals

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16
Q

It brings together diverse expertise to provide better coordinated, better quality care

A

interdisciplinary team

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17
Q

A major goal is to reduce avoidable re-admissions

A

care transitions

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18
Q

This tool ensures that a patient understands medications, who to contact if problems arise, and when to follow up

A

Discharge Preparation Checklist

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19
Q

This is giving authority to a specific person for a specific task

A

delegation

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20
Q

This is a common, preventable error that occurs during transition of care

A

absent medication reconciliation

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21
Q

This person makes healthcare decisions for a patient who is unable to do so for himself

A

healthcare power of attorney

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22
Q

This is an appropriate referral when a patient has a life expectancy of 6 months or less

A

hospice

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23
Q

This is comprehensive management of physical, psychological, social & spiritual needs of patients with incurable illnesses

A

palliative care

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24
Q

This type of pain usually responds well to opioid therapy

A

nocioceptive pain

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25
Q

Includes healthcare power of attorney, the kind of treatment they want, how comfortable they want to be, how they want to be treated by others, & what they want loved ones to know

A

Five Wishes

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26
Q

Reduced hepatic & renal blood flow, lower total body water, higher percent of body fat

A

Physiologic changes in the elderly patient that affect medication dosing

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27
Q

This is an integrated group of components used by individuals to enhance communication

A

AAC

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28
Q

This is the most commonly used type of hearing aid

…also the cheapest

A

Behind-the-Ear (BTE)

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29
Q

These tones become more difficult to hear as one ages

A

high-pitched sounds

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30
Q

Decline in information processing speed, ability to perform visuospatial tasks, and decline in short-term memory

A

Normal changes in cognitive function in the older adult

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31
Q

This ethnic group may distrust healthcare personnel and believe they have less control over their own health

A

African-Americans

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32
Q

This tool is useful for assessing how well a family caregiver is coping

A

Modified Caregiver Strain Index

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33
Q

These two pain assessment tools are considered valid and reliable in the older population

A

numeric pain scale and FACES

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34
Q

This is the most extensively used cognitive assessment tool

A

MMSE (Mini Mental Status Exam)

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35
Q

These 2 tools are are commonly used to assess ADLs

A

Katz Index and Barthel Index

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36
Q

This type of assessment focuses on the patient’s abilities

A

functional assessment

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37
Q

These 2 components of health promotion are the most widely encouraged

A

exercise & nutrition

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38
Q

This is the leading cause of unintentional injury deaths

A

falls

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39
Q

This can include delays in seeking treatment, withdrawal, malnutrition, or frequent changes in healthcare providers

A

possible signs of elder abuse

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40
Q

This is recommended to be given once at age 65 and at age 75, if not given for 5 years

A

pneumococcal vaccine

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41
Q

This is a form of secondary prevention, where the goal is to detect disease at an early stage

A

health screening

42
Q

Examples include pencil grips, splints, adaptive eating utensils, canes

A

What are “low tech” assistive technology devices

43
Q

This is designed to fill the patient’s functional gap

A

assistive technology

44
Q

These include chronic illnesses, normal changes of aging, health disparities and issues related to cultural diversity

A

possible barriers to learning in the older adult population

45
Q

This is the level of educational materials which should be used by nurses working with older adults

A

5th grade level

46
Q

Recommendations include linking use of technology to the individual’s lifestyle, using mnemonics, and repeated short training sessions

A

guidelines for introducing technology to the older adult

47
Q

This refers to non-medical assistance with ADLs

A

custodial care

48
Q

This is an assistance program that is jointly financed by states and the federal government, for low-income individuals

A

Medicaid

49
Q

Participation is not mandatory, and premiums must be paid by the covered individual

A

Medicare Part B

50
Q

Approximately 75% of poor elderly are women who rely on this as their major source of income

A

Social Security

51
Q

This Medicare coverage gap for prescription drugs is scheduled to be closed by 2020

A

donut hole

52
Q

This is the strategy used by prescribers to help prevent adverse drug reactions in older patients

A

start low, go slow

53
Q

This is how an older adult should be addressed

A

By his or her last name (Mr. or Mrs. ___)

54
Q

This is a respectful way to speak to a patient who is in a wheelchair

A

kneeling or bending to eye level

55
Q

This is the most common form of age-related hearing loss

A

presbycusis

56
Q

Techniques include gently calling out to the patient when entering the room, and alerting them when you will be touching them

A

ways we should communicate with patients who have visual impairments

57
Q

This is most likely to be the perpetrator of elder abuse

A

family members

58
Q

The 2 main categories of restraints

A

chemical and physical

59
Q

History of this is a major risk factor for falls

A

prior history of falling

60
Q

This type of exercise is best for increasing muscle strength

A

resistance training

61
Q

Potential adverse outcomes of this include ADRs (Adverse Drug Reactions), increased cost and non-compliance

A

polypharmacy

62
Q

Risk factors include BMI of less than 24, impaired sensation, immobility

A

pressure ulcers

63
Q

This type of incontinence occurs when the patient is unable to get to the bathroom due to physical or mental conditions

A

functional incontinence

64
Q

This is an acute confusional state which develops over hours or days

A

delirium

65
Q

This is reported to be a contributing factor in 40% of nursing home admissions

A

falls

66
Q

This is a new loss of independence typically associated with decreased mobility & performance of ADLs

A

functional decline

67
Q

As people age, their quality of life depends on their ability to maintain these two factors

A

autonomy & independence

68
Q

This tool from the CDC measures the number of healthy days in a given month

A

health-related quality of life (HRQOL)

“Healthy Days Measures”

69
Q

These are the 4 distinguishers of well-being

A

physical, psychological, social, and spiritual well-being

70
Q

This behavioral determinant may be the primary factor for promoting optimal aging

A

physical activity

71
Q

This is the single most important preventable risk factor to human health in developed countries

A

smoking

72
Q

This is frequently used to relieve dyspnea at end-of-life

A

morphine 2.5-5 mg po every 4 hours

73
Q

This order is considered to be more descriptive & positive than the DNR order

A

AND (allow natural death)

74
Q

This is the cultural and/or public display of grief through one’s behaviors

A

mourning

75
Q

This is often the biggest barrier in determining the patient’s wishes for end-of-life care

A

initiating the conversation about end-of-life

76
Q

This factor is expected to have the greatest impact on health policy in the US over the next decades

A

rapidly increasing elderly population

77
Q

This is one of the most common role changes faced by the aging person

A

retirement

78
Q

Adult day care, live at home with a family member, provide a paid caregiver when family are away, assisted living, long term care facility

A

living options for clients with mild to moderate dementia

79
Q

Ensure the pathway to the bathroom is clear and well lit; consider a bedside commode or urinal

A

ways to ensure safety in clients with urinary frequency

80
Q

Control of symptoms and the ability to maintain meaningful activities/relationships has the biggest impact on _____

A

Quality of Life

81
Q

This is a 13 question tool used to assess individuals of any age that have assumed the caregiver role

A

Modified Caregiver Strain Index

82
Q

This tool assesses Sleep disorders, Problems eating or feeding, Incontinence, Confusion, Evidence of Falls, Skin Breakdown

A

SPICES

83
Q

Sensory perception, moisture, activity, mobility, nutrition, friction and shear

A

factors assessed in the Braden Scale

84
Q

Fluid and electrolyte imbalance, infection, CHF, medication, pain, sleep deprivation, hypoxia

A

potential causes of delirium in the elderly

85
Q

There are the two types of assessments the nurse needs to complete on the elderly

A

Physical Assessment (your objective examination of the patient) and Functional Assessment (your assessment of the patient’s ability to complete ADLs or care for themselves)

86
Q

Decrease in hepatic blood flow, decreased renal blood flow and urine excretion, and change in body fat composition

A

factors that affect medication dosing

87
Q

This allows access to patient records by multiple providers

A

Electronic Health Record

88
Q

Examples include pencil grips, splints, cane, walker

A

low tech assistive devices

89
Q

Examples include computers, braille readers, robotic assistants

A

high tech assistive devices

90
Q

Reduced vision, reduced hearing, impaired cognition, side effects of medication, stress, pain, depression

A

factors that can impact learning

91
Q

Techniques include making sure the education is relevant to the patient’s lifestyle, blocking a generous amount of time to educate the patient, repeating training sessions as needed, making the environment comfortable for client, using cues and nmemonics

A

techniques used to introduce technology to the elderly

92
Q

The process of creating the most accurate list possible of all medications a patient is taking — including drug name, dosage, frequency, and route — and comparing that list against the physician’s admission, transfer, and/or discharge orders, with the goal of providing correct medications to the patient at all transition points

A

medication reconciliation

93
Q

This is a combination of computer science, information science and nursing science designed to support the practice of nursing and delivery of nursing care

A

Nursing Informatics

94
Q

Physician, nurse(s), pharmacist, therapists, social worker, dietitian

A

members of a multi-disciplinary healthcare team

95
Q

Educating the patient and family on medication(s), signs and symptoms to report to the doctor, and when/ where to follow-up can help reduce________

A

re-hospitalization

96
Q

“Actions designed to ensure the coordination and continuity of health care as patients transition between different locations or different levels of care within the same location.”

A

The American Geriatric Society’s definition of transitional care

97
Q

This occurs in less than 1% of patients who use opioids for pain relief

A

addiction

98
Q

This type of pain is best treated with opioids and NSAIDs

A

nociceptive pain

99
Q

This type of pain is best treated with tricyclic antidepressants and anticonvulsants

A

neuropathic pain

100
Q

This is the person chosen to make healthcare decisions when the client can no longer make them for himself/herself

A

Power of Attorney for Health Care

101
Q

These are interventions used to reduce dyspnea in the dying patient

A

What is morphine, oxygen, elevating the head of the bed, fan at the bedside, anti-anxiety meds (i.e. Ativan), medications to dry up secretions (i.e. Scopolamine)

102
Q

The definition of palliative versus hospice care

A

Hospice = palliative + life expectancy less than 6 mo

WGU C475 (3 decks)

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