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Gerontology > Module 4 > Flashcards

Module 4 Flashcards

0
Q

Rehab measures are directed towards

A

Preventing premature disability

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1
Q

The WHO defines health as

A

Complete physical, mental and social well being not merely the absence of disease

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2
Q

Those who rate there health as poor were __ to ___ times more likely to die

A

2 to 3

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3
Q

Older or younger adults have higher anxiety

A

Older

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4
Q

2 home assessment screening tools

A

Home Falls And Accident Screening Tool (HOME FAST) and Stopping Elderly Accidents, Deaths and Injuries (STEADI)

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5
Q

Older adult needs __ times the amount of light to function

A

3

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6
Q

What is a restraint

A

Any physical or chemical measure that can be used to limit patient activity or control an individual’s behavior

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7
Q

3 main areas to consider when considering use of restraints

A

Reduce the chance of falls, maintain medically necessary treatment, prevent disruptive patient behavior and wandering

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8
Q

Physical restraints do not decrease the risk of falls true or false

A

True

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9
Q

Physical restraints may increase the risk of patient injury true or false

A

True

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10
Q

Which piece of legislation included the right to be free from restraints

A

Omnibus Reconciliation act of 1987

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11
Q

There must be informed consent by the individual or responsible party for restraint use true or false

A

True

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12
Q

Orders for restraints are limited to a ___ period

A

24 hour

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13
Q

You should asses restraint usage or discontinuation every ____

A

8 hrs

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14
Q

Assessment of restraints on agitated patients occur every ___

A

4 hrs

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15
Q

FDA recommends removing restraints every __

A

2 hours

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16
Q

What is the max score on the LEFS

A

80

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17
Q

The higher the number on the LEFS the

A

Higher function

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18
Q

The Oswestry Low Back Pain Disability questionnaire has how many questions for how many points each

A

10 and 10

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19
Q

The higher the score on the Oswestry the higher the

A

Disability

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20
Q

The neck disability index score of over ___ indicates complete disability

A

34

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21
Q

The Disabilities of the Arm, Shoulder and Hand has __ questions with ___ being the max score

A

30 and 100

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22
Q

The higher the DASH score the more

A

Disability

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23
Q

G code modifier is used for

A

Indicating severity level or functional limitation

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24
Q

What is the most definitive test for function

A

There is none

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25
Q

The examples of functional assessments are

A

Physical performance test, multi directional reach test, two minute walk test, fukada step test and berg balance

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26
Q

What are the four components of function

A

Physical, social, mental, emotional

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27
Q

The Holmes and Rahe Life Events Scale assesses

A

Stress levels

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28
Q

The mini mental state exam assesses

A

Memory, recall, orientation, attention, language and visual-spatial skills

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29
Q

The maximum score on the mini mental state exam is

A

30

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30
Q

A score below ___ on the MMSE indicates cognitive decline

A

24

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31
Q

The geriatric depression scale has how many questions

A

30

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32
Q

The questions for the geriatric depression scale are in a ____ format that asks questions about the past ___

A

Yes or no, week

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33
Q

The short form GDS has how many questions

A

15

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34
Q

GDS score range that is normal

A

0-4

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35
Q

GDS score range that indicates mild depression

A

5-8

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36
Q

GDS score that indicates moderate depression

A

9-11

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37
Q

GDS score indicating severe depression

A

12-15

38
Q

The zung self reporting tool measures

A

Depression

39
Q

The Holmes and Rahe Life Events scale asks questions through what time frame

A

One year before to one year in the future

40
Q

The Holmes and Rahe score of 180 or less indicates

A

Mild stress or < 40% probability of developing a stress related disorder or serious illness in the next year

41
Q

Holmes and Rahe score of 180-300

A

Indicates moderate stress or a 40% chance of developing a serious illness in next year

42
Q

Holmes and Rahe score over 300

A

Indicates severe stress or an 80% chance of serious illness in next year

43
Q

The Barthes index is used for

A

To assess the ability of an individual to perform ADLs without a caregiver

44
Q

The Barthel index was really designed for

A

Use with institutionalized adults

45
Q

How many ADL activities are there on the Barthel Index

A

15

46
Q

Barthel index score minimum to be appropriate for discharge

A

60

47
Q

Barthel index score 60-79 indicates

A

Will require 2 hrs of assistance with ADLs

48
Q

A Barthel index score of over 80 will

A

Require 2 hours of assistance with self care

49
Q

The balance evaluation system test has a high

A

Inter rater reliability

50
Q

The BESTest has how many items

A

36

51
Q

The BESTest is both ___ and ___

A

Sensitive and specific

52
Q

What are the 6 sections on the BESTest

A

Biomechanical constraints, stability limits and verticality, anticipatory postural adjustments, postural response, sensory orientation and stability in gait

53
Q

The mini BEST has how many items

A

14 items from 4 of the 6 sections

54
Q

Which two sections are excluded in the mini bestest

A

Bio mechanical constraints and stability and verticality

55
Q

How many tasks from each section are included in the mini BESTest

A

3 tasks each accept there are 5 from the stability in gait section

56
Q

Each item in the BESTest is scored from

A

0 to 2

57
Q

What is the max score on mini BESTEst

A

28 indicating high balance performance

58
Q

Physical performance test is a valid measure for

A

Frailty

59
Q

How many items are on the physical performance test

A

9

60
Q

The physical performance tests involves performing

A

Everyday tasks for time

61
Q

Physical performance test max score is

A

36

62
Q

A score under ___ on the physical performance test indicates that he person cannot function in the community

A

17

63
Q

A score of ____ to ___ on the physical performance test indicates mild frailty

A

25-32

64
Q

A score of __ to ___ indicates moderate frailty on the physical performance test

A

17-24

65
Q

Score of ___ to ___ indicates not frail on physical performance test

A

32 to 36

66
Q

Short physical performance battery test has __ types of tests

A

3

67
Q

The short physical performance battery is on a scale of

A

0 to 12

68
Q

A score of equal to or less than __ on the short physical performance battery test indicates high risk of mobility disability

A

10

69
Q

Berg balance test has how many tasks

A

14

70
Q

Each item on berg balance is scored on a __ point scale

A

5

71
Q

Scoring of ___ to ___ indicates wheelchair bound on berg balance

A

0 to 20

72
Q

Score of __ to ___ indicates walking with assistance on berg balance

A

21 to 40

73
Q

A score of __ to __ on berg balance indicates independent

A

41 to 56

74
Q

The modified gait abnormality rating scale has how many items

A

7

75
Q

Higher score on the GARS-M indicate

A

Poorer performance

76
Q

In the functional reach test those that could not reach past 25.4 c, were

A

Twice as likely to fall

77
Q

In the functional reach test those that could not reach past 15.2 cm were

A

4 times more likely to fall

78
Q

In the functional reach test those that could not reach at all were

A

8 times more likely to fall

79
Q

In 5 times sit to stand, those ages 60-69 normal values were

A

12 seconds

80
Q

In 70-79 age group, the five times sit to stand score norms are

A

13 seconds

81
Q

In five times sit to stand the 80-90 age group should have a score of

A

15 seconds

82
Q

In Normal individuals the TUG score is

A

Less than 10 seconds

83
Q

The usual adult walking speed is

A

1.2-1.3 m/s

84
Q

The community ambulatory walks at a pace of

A

.8 m/s

85
Q

The household ambulatory at risk for falls pace is

A

.5 m/s

86
Q

In the Balke test the treadmill speed is at a speed of

A

3 mph

87
Q

In the Balke test the grade is initially set at

A

10%

88
Q

In the Balke test every __minutes grade is increased ___% increments for first _ stages

A

2 minutes, 3.5%, 6

89
Q

In the Balke test for the remainder of stages after 6 there is a steady 3 mph pace up to ___% or until exhaustion

A

22.5%

90
Q

The 5 red flags for metastatic cancer

A

History of cancer, age over 50 or less than 17, night pain or pain at rest, unexplained weight loss, failure to improve over expected time period

91
Q

The four red flags for infection within the disk

A

Immunocompromised patient, prolonged fever over 100, history of IV drug use, history of recent UTI, cellulitis or pneumonia

92
Q

5 red flags for undiagnosed vertebral fracture

A

Prolonged use of corticosteroids, mild trauma over age of 50, age over 70, history of osteoporosis and recent trauma

93
Q

Red flags for dangerous abdominal aortic aneurysm

A

Pulsating mass in abdomen, history of atherosclerotic vascular disease, throbbing pulsating back pain at rest or with recumbemcy, age over 60

Gerontology (12 decks)

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