Exam 1

Question 1

What are the 7 major domains of the CGA?

Answer 1

Functional Assessment
Physical assessment
cognitive assessment
psychological assessment
social assessment
spiritual assessment
other

Question 2

T or F

Age is linear, and follows a predictable course

Answer 2

False

Question 3

what are the most frequently occurring conditions reported in older adults?

Answer 3

hypertension
arthritis
diabetes
heart disease
cancer
sinusitis

Question 4

T or F

Older adults mistake health problems for normal aging

Answer 4

true

Question 5

How does the comprehensive geriatric assessment differ from a standard medical evaluation?

Answer 5

takes advantage of an interdisciplinary team
emphasizes functional status and quality of life
focuses solely on older adults with complex health issues

Question 6

What is the highest priority of the CGA

Answer 6

prevention of decline in the independent performance of ADLs

Question 7

When an older adult receives care from a specialist interdisciplinary team they are…

Answer 7

less likely to die during hospitalization
less likely to experience deconditioning
more likely to be living in their homes at 6 months post discharge

Question 8

what are the CGA steps

Answer 8

data collection
discussion among team
develop care plan
implement care plan
monitor response to care plan
revise plan as needed

Question 9

examples of ADLs

Answer 9

eating, dressing, bathing, grooming, walking/transferring, toileting

Question 10

examples of IADLs

Answer 10

housework, preparing meals, taking medications, managing money, shopping for groceries or clothing, use of telephone, transportation within the community

Question 11

what tools assess ADLs

Answer 11

Katz and Barthel

Question 12

what tool assesses IADLs

Answer 12

Lawton

Question 13

Skills to use during physical assessment

Answer 13

respect, preference and language
warmth
pace
eliminate distractions (noise)
glasses, hearing aids
ability to following directions
mobility

Question 14

tools for cognitive function

Answer 14

MMSE (mini mental status examination)

mini cog

Question 15

Cognitive functioning is understood in relation to the following

Answer 15

attention
memory
language
visual spatial skills
executive capacity

Question 16

what two keys areas make up the psychological assessment

Answer 16

Quality of life-successful aging

Depression

Question 17

tool for assessing depression

Answer 17

geriatric depression scale (GDS)

Question 18

T or F

positive experiences/perception is usually described as successful aging

Answer 18

true

Question 19

what tool assesses social

Answer 19

Lubben

Question 20

T or F

older adults with low quantity and low quality social relationships have a higher morbidity and mortality risk

Answer 20

true

Question 21

tool for spiritual assessment

Answer 21

FICA

Question 22

what are other assessments that could be incorporated into the GCA

Answer 22

SPICES (risk for geriatric syndromes)
abuse/neglect/mistreatment
malnutrition/unintentional weight loss
poly pharmacy 
home/environment and community based resources

Question 23

what are SPICES

Answer 23

skin breakdown
poor nutrition
incontinence 
confusion 
evidence of falls
sleep

Question 24

effects of atypical presentation

Answer 24

delayed treatment
delayed diagnosis
severe outcomes if ignored 
increased length of stay
decreased QOL
missed diagnosis

Question 25

Myocardial Infarction

Answer 25

``` Fatigue Dyspnea (SOB instead of pain) confusion/anxiety diminished ability to manage at home if any pain - vague ```

Question 26

heart failure

Answer 26

change in functional status confusion anxiety weakness

Question 27

Infection

Answer 27

``` changes in mental status no fever diminished shivering response white cell counts slow to respond falls and confusion ```

Question 28

Pneumonia

Answer 28

cognitive impairment weakness poor appetite

Question 29

UTI

Answer 29

change in mental status fall change in baseline functioning new onset of urinary incontinence

Question 30

Acute Abdomen

Answer 30

Absent or vague pain confusion, agitation or lethargy mild discomfort or constipation changes in diet

Question 31

Depression

Answer 31

``` lack of sadness or sadness appetite changes sleep disturbance preoccupation with somatic symptoms like appetite or sleep changes not a normal part of aging ```

Question 32

Atypical Key points

Answer 32

early recognition is essential lack of fever is most common presentation pneumonia/bronchitis and complicated UTI most common ED