midterm quiz - physical assessment

Question 1

It is based on technical competence in physical assessment, knowledge of the normal changes and disease associated with aging, as well as good communication skills.

Answer 1

Physical assessment of Older Adult

Question 2

reviews each body system by first taking a history and then conducting a physical examination.

Answer 2

Physical assessment with a “systems” approach

Question 3

can occur at all ages, these diseases are associated with people in their older years, and comprehensive assessment will include taking a cardiac history and performing a physical examination.

Answer 3

Diseases of Circulatory system

Question 4

occurs when urine leaks as pressure is put on the bladder, such as during exercise, coughing, sneezing, laughing, or lifting heavy objects.

Answer 4

Stress incontinence

Question 5

happens when people have a sudden need to urinate and cannot hold their urine long enough to get to the toilet.

Answer 5

Urge incontinence

Question 6

happens when small amounts of urine leak from a bladder that is always full.

Answer 6

Overflow incontinence

Question 7

occurs in many older people who have normal bladder control.

Answer 7

Functional incontinence

Question 8

In conducting a comprehensive assessment with an older adult, asking about sexual function is inappropriate. Be sensitive and respectful of privacy because this is clearly a very personal area of human function. TRUE OR FALSE

Answer 8

FALSE (asking about sexual function is appropriate.

Question 9

Age-related changes for men include increase in the speed and duration of erection, in women there is a decrease in vaginal lubrication. TRUE OR FALSE

Answer 9

FALSE (Age-related changes for men include DECREASE in the speed and duration of erection)

Question 10

Age-related diseases such as Alzheimer’s disease and Parkinson’s disease and other health problems such as stroke can lead to cognitive changes including…

Answer 10

memory loss, lack of spatial orientation, agnosia, apraxia, dysphagia, aphasia and delirium.

Question 11

The most common disease of dementia

Answer 11

Alzheimer’s disease

Question 12

The most common disease of dementia

Answer 12

Alzheimer’s disease

Question 13

Most common musculoskeletal health problems

Answer 13

osteoarthritis, osteoporosis

Question 14

Commonly used assessment tool for the risk of falls is the

Answer 14

Morse Fall Scale

Question 15

What is >45 and higher in morse fall risk assessment chart?

Answer 15

High Risk

Question 16

What is 25-45 in Morse fall risk assessment chart?

Answer 16

Moderate risk

Question 17

What is 1-24 in morse fall risk assessment chart?

Answer 17

low risk

Question 18

What is 0 in morse fall risk assessment chart?

Answer 18

no risk malamang

Question 19

provides a quick assessment of an older person’s mobility and overall function.

Answer 19

Up and Go test

Question 20

The nurse should measure a distance of 10 feet from the person’s chair and ask him or her to rise, walk to the line, turn, walk back, and sit down. An average time to do this is 10 seconds. Greater than 10 seconds may indicate functional problems with ambulation TRUE OR FALSE

Answer 20

TRUE

Question 21

The other senses are smell, taste and touch. Taste and smell are interrelated. TRUE OR FALSE

Answer 21

TRUE

Question 22

Older adults with decreased mobility and extended bed rest are at low risk for skin damage and breakdown. TRUE OR FALSE

Answer 22

FALSE (high risk malamang)

Question 23

usually understood in relation to the qualities of attention, memory, language, and executive capacity

Answer 23

Cognitive function

Question 24

Cognitive Assessment tools

Answer 24

Mini Mental State Examination (MMSE)

Question 25

is a permanent progressive decline in cognitive function

Answer 25

Dementia

Question 26

is the most common form of dementia.

Answer 26

Alzheimer’s disease

Question 27

is possible only on autopsy with Dementia.

Answer 27

Definitive diagnosis

Question 28

is possible only on autopsy with Dementia.

Answer 28

Definitive diagnosis

Question 29

Standardized psychological assessment tool. Performing this assessment requires little time and only a pencil and blank sheet of paper
Scoring of this tool is simple and self-explanatory

Answer 29

Mini Mental State Examination (MMSE)

Question 30

The MMSE can be used to assess 6 areas of mental abilities, including:

Answer 30

-orientation to time and place — knowing the date and where you are
-attention / concentration
-short-term memory (recall)
-language skills
-visuospatial abilities —
visual and spatial relationships between objects
-ability to understand and follow instructions

Question 31

the MMSE test consists of a series of tasks such as:

Answer 31

-memorizing a few objects and then repeating the list back later
-copying a drawing
-writing a short sentence that is grammatically correct, such as “The dog sat on the floor”
-correctly identifying the current day of the week, followed by the date, the month, the season and the year
-correctly identifying where you are

Question 32

scores of 26 or higher in MMSE Score being traditionally considered

Answer 32

normal

Question 33

Scores less than 9 in MMSE Score generally indicate

Answer 33

severe impairment

Question 34

scores between 10 and 20 in MMSE Score indicate

Answer 34

moderate dementia

Question 35

score in the 19 to 24 range in MMSE Score

Answer 35

People with early stage Alzheimer’s disease

Question 36

Fulmer SPICES

Answer 36

Sleep disorders
Problems with eating or feeding
Incontinence
Confusion
Evidence of falls
Skin breakdown