Exam 1

Question 1

Geriatric Failure to Thrive

Answer 1

Syndrome manifested by >5% wt loss

Question 2

GFTT 11 D’s

Answer 2

Disease
Dementia
Delirium
Drinking
Drug use
Dysphagia
Deafness
Depression
Desertion
Destitiution
Despair

Question 3

Error Theory

Answer 3

Errors in DNA/RNA occurs with aging

Question 4

Free Radical Theory

Answer 4

damages by free radicals that cause cellular injury and aging

Question 5

Cross Linkage

Answer 5

Proteins impede metabolic processes and cause trouble with nutrients getting to cells/removing waste

Question 6

Wear and tear

Answer 6

cells wear out

Question 7

Hayflick Limit

Answer 7

cells divide until no longer able to

Question 8

Immunity/Autoimmune

Answer 8

Faulty immunological function linked to well being

Question 9

Neuroendocrine

Answer 9

Problems with endocrine gland feedback system causes disease

Question 10

DNA Related

Answer 10

genes responsible for aging–telomeres as bio clock

Question 11

Disengagement

Answer 11

Gradual withdrawal serves to maintain equilibrium

Question 12

Activity

Answer 12

Remaining occupied and involved is necessary

Question 13

Continuity

Answer 13

Personality influences roles and life satisfaction. Past coping patterns recur

Question 14

Age Stratification

Answer 14

age cohorts are influenced by their historical context and similar beliefs, attitudes, expectations of life course

Question 15

Person environment

Answer 15

Function affected by ego strength, mobility, health, congnition, sensory perception, environment

Question 16

Jung’s Theory of Individualism

Answer 16

personality consists of an ego and personal and collective unconsciousness

Question 17

TX for failty

Answer 17

prevent sarcopenia

Question 18

How does the nurse prevent sarcopenia?

Answer 18

muscle-strengthening, resistance training, nutritional program. NOT appetite stimulants

Question 19

medicaid

Answer 19

low income and LT care

Question 20

Part A medicare covers

Answer 20

In pt and any hospitalizations

Question 21

Part B medicare covers

Answer 21

80 %

Question 22

Part D medicare

Answer 22

discount meds

Question 23

The nurse notes a white ring around the pupil. The nurse knows this to be

Answer 23

acrus senilus

Question 24

presbyopia

Answer 24

loss of near vision

Question 25

ectropion

Answer 25

inner eyelid turns outward

Question 26

entropion

Answer 26

inner eyelid turns inward

Question 27

glaucoma is characterized by

Answer 27

increased intraocular damage and optic nerve damage

Question 28

Closed angle acute glaucoma

Answer 28

pupillary blockage limits flow of aqueous humor

Question 29

SX of closed angle acute glaucoma

Answer 29

severe unilateral eye pain blurred vision seeing halos around lights red eye

Question 30

TX closed angle acute glaucoma

Answer 30

diamox to open flow to eye hyperosmotic IV agent surgery to restore flow

Question 31

Chronic glaucoma affects

Answer 31

peripheral vision

Question 32

SX of chronic glaucoma

Answer 32

``` tired eyes headaches misty vision seeing halos firm eye ```

Question 33

TX for chronic glaucoma

Answer 33

No cure reduce the IOP surgery

Question 34

Meds for chronic glaucoma

Answer 34

carbonic anhydrase inhibitor alpha adrengergic miotics

Question 35

Cataracts is characterized by

Answer 35

clouding of the lens | light doesn't transmit to the retina

Question 36

Size of cataract is related to..

Answer 36

degree of loss of function

Question 37

SX of cataracts

Answer 37

gradual loss of vision initial complaints of vision being fuzzy sensitivity to glare halo effect

Question 38

TX of cataracts

Answer 38

surgery -- artificial lens

Question 39

Post op care for cataract surgery

Answer 39

antibx drops preop patch for 24 hrs avoid IOP

Question 40

Age related Macular Degeneration

Answer 40

damage or breakdown of macula the area of the eye that focuses

Question 41

Dry ARMD is characterized by

Answer 41

thinning of the macula

Question 42

Wet ARMD is characterized by

Answer 42

exudative

Question 43

Which type of ARMD is slower progression?

Answer 43

Dry

Question 44

Which type of ARMD is better prognosis?

Answer 44

Dry

Question 45

Cause of ARMD

Answer 45

abnormal blood vessels that hemorrhage

Question 46

The nurse is caring for a pt with chronic glaucoma and notes the pt's iris has a brown pigmentation. Which medication does the nurse recognize as the cause?

Answer 46

Prostaglandin analogue

Question 47

DX of ARMD

Answer 47

amsler grid

Question 48

Which vitamins does the nurse know may slow the progression of ARMD?

Answer 48

C, E, betacarotene

Question 49

Four stages of diabetic retinopathy

Answer 49

mild nonproliferative moderate nonproliferative severe nonproliferative proliferative

Question 50

mild nonproliferative

Answer 50

microaneurysms in retina

Question 51

moderate nonproliferative

Answer 51

blockage of blood vessels

Question 52

severe nonproliferative

Answer 52

blockage of many blood vessels, retina deprived of circulation

Question 53

proliferative

Answer 53

advanced stage, new blood vessels abnormal

Question 54

proliferative retinopathy

Answer 54

abnormal new blood vessels easily break causing macular edema and blurred vision

Question 55

Vision during Retinal Detachment

Answer 55

spots moving across eye, blurred vision, light flashes, curtain drawing

Question 56

Which type of frequency is lost first in hearing?

Answer 56

High pitch

Question 57

Normal hearing

Answer 57

lowest sound audible to human ear

Question 58

Slight loss

Answer 58

soft whisper, quiet library

Question 59

Mild loss

Answer 59

living room, quiet office

Question 60

Moderate loss

Answer 60

refrigerator, light breeze

Question 61

severe loss

Answer 61

busy traffic, noisy restaurant

Question 62

Care of hearing aids

Answer 62

frequent clean, battery changed weekly, kept in cool dry place

Question 63

Meiner's disease

Answer 63

vertigo, tinnitus, and hearing loss

Question 64

Loss of smell can be a precursor to

Answer 64

Parkinson's