The Elderly Client

Question 1

Hyperpigmentation in sun-exposed areas; appear as
brown, pigmented, round or rectangular patches

Answer 1

LENTIGINES

Question 2

Vascular lesions on ears or other facial areas
due to dilation of small blood vessels

Answer 2

VENOUS LAKES

Question 3

flesh-colored pedunculated lesions

Answer 3

CUTANEOUS TAGS/SKIN TAGS

Question 4

Tan, brown or reddish flat lesions commonly found
on fair-skinned persons in sun-exposed areas.

Answer 4

SEBORRHEIC KERATOSES

Question 5

Small, round, red spots

Answer 5

CHERRY ANGIOMA

Question 6

Vivid purple patches; do not blanch when
touched

Answer 6

SENILE PURPURA

Question 7

Skin wrinkles or tents when pinched

Answer 7

SENILE TURGOR

Question 8

May also occur in facial, axillary & pubic hair

Answer 8

GRAY HAIR

Question 9

ARCUS SENILIS

Answer 9

ARCUS SENILIS

Answer 10

CATARACT

Answer 11

PTERYGIUM

Question 12

the manner of talking
to the client as if he/she is a baby or child

Answer 12

elderspeak

Question 13

• Bathing
• Dressing
• Toileting
• Transferring
• Continence
• Feeding

Answer 13

KATZ ACTIVITIES OF DAILY
LIVING

Question 14

• Ability to telephone
• Shopping
• Food preparation
• Housekeeping
• Laundry
• Mode of Transportation
• Responsibility for Own Medication
• Ability to Handle Finances

Answer 14

Lawton Scale for Instrumental
Activities of Daily Living (IADL)

Question 15

Client is made to answer 30 questions with a yes or
no response
- 0 to 10 = within normal range
- 11 or higher = possible indication of depression

Answer 15

Geriatric Depression Scale

Question 16

EYES & VISION: AGE-RELATED CHANGES
• ⬇️ tear production
• Poorer night vision
• ⬇️ tolerance to glare
• Presbyopia
• ⬇️ peripheral vision
• Blue-green colorblindness

Question 17

EARS & HEARING: AGE-RELATED CHANGES
• ⬇️ cerumen
• Presbycusis
• ⬇️ ability to hear high-frequency
sounds

Question 18

NOSE & SINUSES: AGE-RELATED CHANGES
• ⬇️ sense of smell

Question 19

MOUTH & PHARYNX: AGE-RELATED CHANGES
• ⬇️ saliva
• Mild ⬇️ in swallowing ability

Question 20

CHEST & LUNGS: AGE-RELATED CHANGES
• N° RR = 16 to 25 cpm
• ⬇️ lung expansion

Question 21

HEART & PERIPHERAL
VASCULATURE: AGE-RELATED CHANGES
• Prominent, bulging veins
• S4 heart sound & low-intensity
systolic murmur
• Absent dorsalis pedis pulse
• ⬆️ BP, ⬇️ blood vessel elasticity

Question 22

MALE & FEMALE GENITALIA: AGE-RELATED CHANGES
• Sparse pubic hair
• ⬇️ penis & testicular size
• Prostate enlarges (urinary
problems)
• ⬇️ clitoris size, labia flattens
• ⬇️ vaginal lubrication

Question 23

Test should be completed w/in 10 seconds

Answer 23

“GET UP & GO” TEST

Question 24

Seen in osteoporosis; also called, “Dowager’s hump

Answer 24

KYPHOSIS

Question 25

NEUROLOGIC: AGE-RELATED CHANGES
• Slight decline in short-term memory
• Resting tremors (in the absence of a disease)
• ⬇️ touch & vibratory sensations