N255

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What is haloperidol?

1st gen antipsychotic a synthetic antidepressant drug used chiefly in the treatment of psychotic conditions.

The nurse is using the Geriatric Depression Scale—Short Form (GDS-SF) to determine if an older patient has clinical depression. Which statement about the scale is correct?

A score greater than 10 suggests clinical depression. The GDS-SF is a valid and reliable tool that helps to determine if a patient has depression. A score of 10 or greater suggests clinical depression. It is available in multiple languages. The patient has to provide "yes" or "no" answers to 15 questions. The level of confusion in cognitive processing is assessed in NEECHAM confusion scale to evaluate delirium.

Which condition can be treated with haloperidol?

Delusions Haloperidol is an antipsychotic drug that can be used to treat delusions.

Which does the nurse identify as the intentional use of isolation toward older adults in a family?

Emotional abuse Emotional abuse is a type of abuse in which family members use threats, humiliation, intimidation, and isolation toward an older person. Neglect refers to the failure of the caregiver to provide for the basic needs of an older adult. Physical abuse involves the use of physical force on a person. Financial abuse refers to mismanaging or misusing someone else's property.

NEECHAM Confusion Scale

Measures level of confusion in cognitive processing, behavior and physiologic control Used to evaluate delirium

Medicare Part A (Hospital Insurance)

Medicare Part A pays for inpatient hospital care.

Medicare Part C (Medicare Advantage)

Medicare Part C allows the provision of Medicare benefits by private health insurance companies. •Replaces and covers expenses found in Part A and B •Medicare private fee-for-service plans (PFFS) •Medicare managed care plans (HMOs and PPOs) •Medicare specialty plans

Medicare—Part D Prescription Drug Coverage

Medicare Part D covers prescription drugs. A United States federal-government program to subsidize the costs of prescription drugs and prescription drug insurance premiums for Medicare beneficiaries.

Which medication is listed on the Beers Criteria for potentially inappropriate medication use in older adults?

Meperidine Meperidine is listed on the Beers Criteria for potentially inappropriate medication use in older adults. May have higher risk of neurotoxicity, including delirium, than other opioids

What is the most common type of elder abuse?

Neglect Neglect occurs when a caregiver fails to provide for an older adult's basic needs and accounts for almost half of all cases of elder abuse. Physical abuse is the use of physical force that results in bodily injury. Financial abuse occurs when the older adult's property or resources are mismanaged or misused and is more common than physical abuse. Emotional abuse is the use of threats, humiliation, intimidation, and isolation toward older adults.

Medicare Part B

Older adults pay for Medicare Part B to reimburse for 80% of ambulatory care services. The part of the Medicare program that pays for physician services, outpatient hospital services, durable medical equipment, and other services and supplies.

How can the older adult decrease the risk of falling, maintain a healthy weight, and reduce his or her risk for diabetes?

Regular exercise There are multiple advantages of maintaining appropriate levels of physical activity. Through regular exercise, the older adult can decrease the risk of falling, maintain a healthy weight, and reduce the risk for diabetes, among other benefits.

A nurse is caring for an older patient who has relocation stress syndrome. Which nursing action may increase stress in the patient?

Relocation stress is most commonly observed in older patients who are moved to a long-term health care setting. Changing the patient's room frequently may further increase stress in that patient.

The CAGE questionnaire is a screening tool for what in older adults?

The CAGE questionnaire is a screening tool for alcohol use (cut-annoyed-guilty- eye)

Why does presbyopia make walking more difficult?

The person is less aware of the location of each step. Presbyopia is farsightedness that worsens with aging. It may make walking more difficult because the person is less aware of the location of each step.

What is the most important predictor for falls?

The single most important predictor for falls is a recent history of falling. A recent knee injury, severe farsightedness, and a diagnosis of dementia may raise the risks of falling, but none of these are as important. Pg. 33

An older adult patient is being treated for depression following a recent major loss. Which type of treatment would be contraindicated in this patient?

Tricyclic antidepressant drugs Tricyclic antidepressants are contraindicated in the treatment of depression in older adults, as these drugs can cause acute confusion, severe constipation, and urinary incontinence. SSRIs along with cognitive-behavioral and reflective therapies are first-line treatments for depression in older adults.

What is the Beers criteria?

lists potentially inappropriate drugs thar lead to adverse effects in the elderly


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