health care of older adult (exam 1)

Question 1

stereotyping the elderly

Answer 1

ageism

Question 2

acute onset, generally reversed if caught early, happens with infection or big change

Answer 2

delerium

Question 3

long term memory problems that are non-reversible. usually have irritability and agitation

Answer 3

dementia

Question 4

states what a patient wants in an event where they pass or can’t communicate

Answer 4

living will

Question 5

type of advanced directive where someone is assigned to the patient if they cant talk or make decisions

Answer 5

durable power of attorney

Question 6

person selected to make decisions for the patient (medical, financial)

Answer 6

power of attorney

Question 7

common conditions in older adults, tend to be multi-faceted

Answer 7

geriatric syndromes

Question 8

field of medicine in the older population. physiology, pathology, diagnosis and management

Answer 8

geriatrics

Question 9

study of biologic, psychologic, and sociologic sciences in caring for the older adult

Answer 9

gerontology

Question 10

theory about normal aging changes
damage due to environmental and behavioral factors

Answer 10

functional consequences theory

Question 11

physical changes in the older adult

Answer 11

dec. cardiac output, dec. arterial wall elasticity (HTN), inc. residual volume, dec. strength, bone loss, urgency to void

Question 12

psychosocial changes in elderly

Answer 12

stress/coping, living change, carrying O2, wear foley

Question 13

what tool is used to measure cognition in elderly

Answer 13

mini mental status exam

Question 14

what tells us what meds to avoid in the elderly

Answer 14

Beers criteria

Question 15

what is an issue in elderly involving lots of CVAs and complications from them

Answer 15

vascular dementia

Question 16

what is the acronym for depression symptoms

Answer 16

SIG E CAPS

Question 17

SIG E CAPS meaning

Answer 17

depression symptoms
-Sleep disturbed
-Interest lost
-Guilt
-Energy loss
-Concentration loss
-Appetite loss
-Psychomotor issues
-Suicidal thoughts

Question 18

depression with severe symptoms that interfere with daily life

Answer 18

major depression

Question 19

depression that lasts at least 2 years, may have major depression and alternate with less severe depression

Answer 19

persistent depressive disorder

Question 20

what meds are good for depression in older adults

Answer 20

SSRIs and SNRIs

Question 21

avoid what antidepressant meds in the elderly

Answer 21

tricyclic and MAOIs

Question 22

what is the diagnostic tool to determine delirium?

Answer 22

confusion assessment method

Question 23

acute confusion with a rapid onset, common complication of hospitalization

Answer 23

delirium

Question 24

characteristics of hyperactive delirium

Answer 24

-increased psychomotor activity (pacing)
-rapid speech
-irritability
-restlessness

Question 25

characteristics of hypoactive delirium

Answer 25

-lethargy (sleepy) -slowed speech -decreased alertness -apathy

Question 26

characteristics of mixed delirium

Answer 26

shifts between hyperactive and hypoactive states

Question 27

a clinical syndrome of cognitive, functional, and behavioral changes

Answer 27

dementia

Question 28

subtle onset, slow progression, memory impairments, disturbance in one other area of cognition

Answer 28

dementia

Question 29

what is dementia with lewy bodies

Answer 29

younger people (40s-50s) more rapid

Question 30

what kind of dementia is from tumors?

Answer 30

neoplastic

Question 31

what kind of dementia is in MS patients, myelin sheath deteriorates

Answer 31

demyelinating

Question 32

what kind of dementia is from meningitis or syphillis?

Answer 32

infectious

Question 33

what kind of dementia is from increased ammonia levels due to liver failure?

Answer 33

metabolic

Question 34

what is the geriatric triad?

Answer 34

-falls -incontinence -changes in cognitive status

Question 35

what makes it mandated by law to immediately report suspected abuse, neglect, or exploitation

Answer 35

ohio revised code

Question 36

what establishes rules for department of health to receive, review, or investigate allegations of abuse or neglect of a resident

Answer 36

ohio administrative code

Question 37

what is the most common type of abuse, can be intentional or non-intentional, not meeting the needs of the elderly

Answer 37

neglect

Question 38

use of physical force that may result in bodily injury, physical pain, or impairment

Answer 38

physical abuse

Question 39

infliction of pain, anguish, or distress through verbal or non-verbal acts

Answer 39

psychological/emotional abuse

Question 40

non-consensual sexual contact with an elderly incapable of giving consent

Answer 40

sexual abuse

Question 41

taking advantage of elderly for monetary or personal benefit

Answer 41

financial abuse

Question 42

intentional or unintentional not meeting the needs of elders physical and mental well being

Answer 42

caregiver neglect

Question 43

personal disregard or inability to perform self-care

Answer 43

self neglect

Question 44

willful desertion of an elder

Answer 44

abandonment

Question 45

disregard of contractual arrangement resulting in abuse in neglect

Answer 45

institutional mistreatment

Question 46

what is a 13 question tool that measures caregiver strain

Answer 46

modified caregiver strain index

Question 47

supplemental housing based on income

Answer 47

section hosuing

Question 48

what are advanced directives

Answer 48

umbrella term, directions or special wishes of patients if they are unable to communicate them themselves

Question 49

what act ensures every pt. has to have info about advanced directives (document if refused)

Answer 49

patient self determination act