geriactric

Question 1

Urge incontinence results from

Answer 1

overactivity of the detrusor muscle

MC type

Question 2

Three main causes of fecal incontinence?

Answer 2

impaction
rectosphincter dysfunction
reservoir incontinence

Question 3

3 examples of signs of polypharmacy?

Answer 3

1. decreased alertness
2. falls
3. feeling dizzy

Question 4

3 ways in which diseases present in geriatric pts?

Answer 4

• muted or delayed “typical” symptoms
• Loss of fxn
• no sx/ “silent”

Question 5

_____ is the Leading cause of institutionalization among the elderly

Answer 5

urinary incontinence

Question 6

_____ are the most common perpetrators of financial exploitation of elders

Answer 6

family members

Question 7

frailty is caracterized by 3 of the following….

Answer 7

muscle weakness
fatigue
decline in activity
slow/unsteady gait
unintentional weight loss

Question 8

Get up and go test; how long should it take?

Answer 8

arise from a chair, stand still momentarily, walk forward 10 feet, turn around, walk back to chair, turn and sit down

** should take less then 20 seconds**

Question 9

What is our number 1 responsibility in regards to their ADLs?

Answer 9

promoting safety

Question 10

OR fraility is defined by ______

Answer 10

need help in 2 or more ADLs

Question 11

If evidence of elder abuse is found, the record should contain a note regarding measures taken to ________

Answer 11

notify appropriate authorities

Question 12

Does a negative digital rectal exam r/o impaction?

Answer 12

NO. get KUB

Question 13

Look for what 2 signs of elder abuse?

Answer 13

the caregiver’s refusal to allow visitors to see an elder alone

an elder’s report of being hit, slapped, kicked, or mistreated

Question 14

______ is more medications than actually needed

Answer 14

Polypharmacy

Question 15

Stage 2 tx?

Answer 15

dressing to provide moist environment

Question 16

If involuntary wt. loss, consider_______

Answer 16

imaging (Ct Chest, abd, pelvis)

Question 17

_____ may signal underlying neurological diseases

Answer 17

mania

Question 18

Stage 3 and 4 tx?

Answer 18

Consider wound vac, antibiotics if indicated, debridement, possible surgery

Question 19

Stress incontinence is caused by…..

Answer 19

coughing or sneezing

Question 20

_____ is underutilized in geriatric depression?

Answer 20

psychotherapy

Question 21

______ typically means the refusal or failure to provide an elderly person with such life necessities as food, water, clothing, shelter, personal hygiene, medicine, comfort, personal safety, and other essentials included in an implied or agreed-upon responsibility

Answer 21

Neglect

Question 22

length of hospice care??

Answer 22

6 months or less

Question 23

What is the main cause of polypharamcy?

Answer 23

lack of communication between providers

Question 24

Who has the highest rate of suicide?

Answer 24

white men older than 65

Question 25

_____ is weariness or tiredness from exertion or stress

Answer 25

fatigue

Question 26

Traumatic grief and bereavement-related depression may require ________

Answer 26

short-term therapy with: antidepressants sedatives anxiolytics

Question 27

Overflow incontinence may be caused by.....

Answer 27

may be caused either by hypotonicity of the detrusor muscle or obstruction of the bladder outlet

Question 28

Stage 1 tx?

Answer 28

protective measures + transparent film

Question 29

instrumental ADLs?

Answer 29

``` bathing continence dressing feeding/eating mobility toileting transfers ``` **BCDF TMT All others are physical ADLs

Question 30

_____ is Loss of “physical reserve” with increasing risk of loss of physical function and independence or. . .

Answer 30

frailty

Question 31

to avoid polypharmacy, its important to counsel our pts to ______

Answer 31

update their medicatino list after every doctor visit

Question 32

pts that are bed bound should be moved every ____ hours to aovid _____

Answer 32

2 H; pressure leading to ischemia

Question 33

What is the msot common example of an instructive directive?

Answer 33

living will