Jeopardy Questions Flashcards
This tool consists of 3-item recall and Clock-Drawing Test (CDT)
Mini-Cog
This tool helps the nurse quickly identify delirium
Confusion Assessment Method (CAM)
This tool assesses sensory perception, moisture, activity, mobility nutrition & friction
Braden scale (Pressure Ulcer risk)
This list includes commonly prescribed medications which may cause increased risk to elderly patients
Beer’s List (Beer’s Criteria)
This tool assesses sleep, problems with eating, incontinence, confusion, evidence of falls, and skin breakdown
SPICES
An example of this type of prevention includes getting an annual flu shot
primary prevention
Factors include throw rugs, poor lighting, stairs and side rails
extrinsic risk factors for falls
This is a general decline in physical function, with unintentional weight loss, weak grip strength and slow walking speed
frailty
Examples include cleaning, cooking, shopping, paying bills
instrumental activities of daily living
This health-oriented initiative has a major goal of eliminating healthcare disparity between cultural groups
Healthy People 2010
People who are 65 years old & have paid in to Social Security, patients with ESRD, disabled, retired from the railroad
qualify for Medicare
This part of Medicare covers prescription drugs
Medicare Part D
It eliminates lifetime insurance caps, provides free preventive care, provides insurance plans for patients with pre-existing conditions
Patient Protection and Affordable Care Act
These benefits are reduced if a person retires early
Social Security benefits
Improve patient quality/satisfaction, improve population health and reduce healthcare costs
IHI Triple Aim goals
It brings together diverse expertise to provide better coordinated, better quality care
interdisciplinary team
A major goal is to reduce avoidable re-admissions
care transitions
This tool ensures that a patient understands medications, who to contact if problems arise, and when to follow up
Discharge Preparation Checklist
This is giving authority to a specific person for a specific task
delegation
This is a common, preventable error that occurs during transition of care
absent medication reconciliation
This person makes healthcare decisions for a patient who is unable to do so for himself
healthcare power of attorney
This is an appropriate referral when a patient has a life expectancy of 6 months or less
hospice
This is comprehensive management of physical, psychological, social & spiritual needs of patients with incurable illnesses
palliative care
This type of pain usually responds well to opioid therapy
nocioceptive pain
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
Five Wishes
Reduced hepatic & renal blood flow, lower total body water, higher percent of body fat
Physiologic changes in the elderly patient that affect medication dosing
This is an integrated group of components used by individuals to enhance communication
AAC
This is the most commonly used type of hearing aid
…also the cheapest
Behind-the-Ear (BTE)
These tones become more difficult to hear as one ages
high-pitched sounds
Decline in information processing speed, ability to perform visuospatial tasks, and decline in short-term memory
Normal changes in cognitive function in the older adult
This ethnic group may distrust healthcare personnel and believe they have less control over their own health
African-Americans
This tool is useful for assessing how well a family caregiver is coping
Modified Caregiver Strain Index
These two pain assessment tools are considered valid and reliable in the older population
numeric pain scale and FACES
This is the most extensively used cognitive assessment tool
MMSE (Mini Mental Status Exam)
These 2 tools are are commonly used to assess ADLs
Katz Index and Barthel Index
This type of assessment focuses on the patient’s abilities
functional assessment
These 2 components of health promotion are the most widely encouraged
exercise & nutrition
This is the leading cause of unintentional injury deaths
falls
This can include delays in seeking treatment, withdrawal, malnutrition, or frequent changes in healthcare providers
possible signs of elder abuse
This is recommended to be given once at age 65 and at age 75, if not given for 5 years
pneumococcal vaccine
This is a form of secondary prevention, where the goal is to detect disease at an early stage
health screening
Examples include pencil grips, splints, adaptive eating utensils, canes
What are “low tech” assistive technology devices
This is designed to fill the patient’s functional gap
assistive technology
These include chronic illnesses, normal changes of aging, health disparities and issues related to cultural diversity
possible barriers to learning in the older adult population
This is the level of educational materials which should be used by nurses working with older adults
5th grade level
Recommendations include linking use of technology to the individual’s lifestyle, using mnemonics, and repeated short training sessions
guidelines for introducing technology to the older adult
This refers to non-medical assistance with ADLs
custodial care
This is an assistance program that is jointly financed by states and the federal government, for low-income individuals
Medicaid
Participation is not mandatory, and premiums must be paid by the covered individual
Medicare Part B
Approximately 75% of poor elderly are women who rely on this as their major source of income
Social Security
This Medicare coverage gap for prescription drugs is scheduled to be closed by 2020
donut hole
This is the strategy used by prescribers to help prevent adverse drug reactions in older patients
start low, go slow
This is how an older adult should be addressed
By his or her last name (Mr. or Mrs. ___)
This is a respectful way to speak to a patient who is in a wheelchair
kneeling or bending to eye level
This is the most common form of age-related hearing loss
presbycusis
Techniques include gently calling out to the patient when entering the room, and alerting them when you will be touching them
ways we should communicate with patients who have visual impairments
This is most likely to be the perpetrator of elder abuse
family members
The 2 main categories of restraints
chemical and physical
History of this is a major risk factor for falls
prior history of falling
This type of exercise is best for increasing muscle strength
resistance training
Potential adverse outcomes of this include ADRs (Adverse Drug Reactions), increased cost and non-compliance
polypharmacy
Risk factors include BMI of less than 24, impaired sensation, immobility
pressure ulcers
This type of incontinence occurs when the patient is unable to get to the bathroom due to physical or mental conditions
functional incontinence
This is an acute confusional state which develops over hours or days
delirium
This is reported to be a contributing factor in 40% of nursing home admissions
falls
This is a new loss of independence typically associated with decreased mobility & performance of ADLs
functional decline
As people age, their quality of life depends on their ability to maintain these two factors
autonomy & independence
This tool from the CDC measures the number of healthy days in a given month
health-related quality of life (HRQOL)
“Healthy Days Measures”
These are the 4 distinguishers of well-being
physical, psychological, social, and spiritual well-being
This behavioral determinant may be the primary factor for promoting optimal aging
physical activity
This is the single most important preventable risk factor to human health in developed countries
smoking
This is frequently used to relieve dyspnea at end-of-life
morphine 2.5-5 mg po every 4 hours
This order is considered to be more descriptive & positive than the DNR order
AND (allow natural death)
This is the cultural and/or public display of grief through one’s behaviors
mourning
This is often the biggest barrier in determining the patient’s wishes for end-of-life care
initiating the conversation about end-of-life
This factor is expected to have the greatest impact on health policy in the US over the next decades
rapidly increasing elderly population
This is one of the most common role changes faced by the aging person
retirement
Adult day care, live at home with a family member, provide a paid caregiver when family are away, assisted living, long term care facility
living options for clients with mild to moderate dementia
Ensure the pathway to the bathroom is clear and well lit; consider a bedside commode or urinal
ways to ensure safety in clients with urinary frequency
Control of symptoms and the ability to maintain meaningful activities/relationships has the biggest impact on _____
Quality of Life
This is a 13 question tool used to assess individuals of any age that have assumed the caregiver role
Modified Caregiver Strain Index
This tool assesses Sleep disorders, Problems eating or feeding, Incontinence, Confusion, Evidence of Falls, Skin Breakdown
SPICES
Sensory perception, moisture, activity, mobility, nutrition, friction and shear
factors assessed in the Braden Scale
Fluid and electrolyte imbalance, infection, CHF, medication, pain, sleep deprivation, hypoxia
potential causes of delirium in the elderly
There are the two types of assessments the nurse needs to complete on the elderly
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)
Decrease in hepatic blood flow, decreased renal blood flow and urine excretion, and change in body fat composition
factors that affect medication dosing
This allows access to patient records by multiple providers
Electronic Health Record
Examples include pencil grips, splints, cane, walker
low tech assistive devices
Examples include computers, braille readers, robotic assistants
high tech assistive devices
Reduced vision, reduced hearing, impaired cognition, side effects of medication, stress, pain, depression
factors that can impact learning
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
techniques used to introduce technology to the elderly
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
medication reconciliation
This is a combination of computer science, information science and nursing science designed to support the practice of nursing and delivery of nursing care
Nursing Informatics
Physician, nurse(s), pharmacist, therapists, social worker, dietitian
members of a multi-disciplinary healthcare team
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________
re-hospitalization
“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.”
The American Geriatric Society’s definition of transitional care
This occurs in less than 1% of patients who use opioids for pain relief
addiction
This type of pain is best treated with opioids and NSAIDs
nociceptive pain
This type of pain is best treated with tricyclic antidepressants and anticonvulsants
neuropathic pain
This is the person chosen to make healthcare decisions when the client can no longer make them for himself/herself
Power of Attorney for Health Care
These are interventions used to reduce dyspnea in the dying patient
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)
The definition of palliative versus hospice care
Hospice = palliative + life expectancy less than 6 mo
