MA Ch. 40-Assisting with Life Span Specialties: Geriatrics Exam

The term geriatric generally refers to a person who is ________ years of age or older. 55 60 65 70

65

What percentage of people over the age of 80 have reported major loss or impairment of the sense of smell, resulting in decreased appetite and interest in food? 25 percent 30 percent 50 percent 75 percent

75 percent

________ tended to have fewer children and to start their families later than the previous generation. Millennials Hippies GenXers Baby boomers

Baby boomers

Which of the following is NOT true of aging and memory? Getting enough sleep helps improve the brain's response time. Physical exercise helps improve memory function. Knitting and crocheting stimulate the brain. Keeping the brain active with crossword puzzles does little to aid memory function.

Keeping the brain active with crossword puzzles does little to aid memory function.

Which of the following can increase medication compliance in the geriatric population? Providing a pill organizer Providing a printed list of the medications Explaining why the medications are necessary All of these

Providing a pill organizer Providing a printed list of the medications Explaining why the medications are necessary

All of the following are digestive system changes associated with aging EXCEPT ________. increased absorption of drugs and alcohol decreased absorption of minerals and vitamins increased flatulence increased chance of aspiration

increased absorption of drugs and alcohol

To cope with urinary urgency, older adult patients may decrease their fluid intake. However, this may lead to ________. increased risk of constipation electrolyte imbalance increased risk of urinary tract infections All of these

increased risk of constipation electrolyte imbalance increased risk of urinary tract infections

An older adult patient diagnosed with diabetes mellitus should be observed closely for signs of ________. infection kidney stones increased physical activity hot flashes

infection

Cognitive ability may be altered by all of the following EXCEPT ________. health status normal aging genetics physical activity

normal aging

The medical assistant should not view the traditions of other ethnic groups as ________. wrong ridiculous misguided All of these

wrong ridiculous misguided

It is estimated that in 2050 older adults will make up ________ percent of the population. 10 20 25 30

20

Changes that occur in the cardiovascular system with aging may cause orthostatic hypotension, a ________ mmHg drop in blood pressure that occurs when an individual changes positions. 10 to 20 20 to 30 30 to 40 40 to 50

20 to 30

The average life expectancy for an individual born in 1900 was approximately ________ years. 79 75 68 47

47

Patients diagnosed with ________ or dementia who live in extended-care facilities are usually on a locked or secured unit for safety. Alzheimer's disease shingles delirium hepatitis

Alzheimer's disease

________ refers to a dilation of the wall of the aorta that can rupture and lead to death if left untreated. Alzheimer's disease Aortic aneurysm Atrophic urethritis Benign prostatic hyperplasia

Aortic aneurysm

________ facilities are designed for residents who cannot live independently but who do not require 24-hour care. Assisted-living Extended-care Palliative care Hospice

Assisted-living

Which of the following is an example of ageism? Treating an older adult patient respectfully Assuming an older adult patient who is forgetful has Alzheimer's disease Finding out information about an older adult patient's life Making sure an older adult patient fully understands instructions

Assuming an older adult patient who is forgetful has Alzheimer's disease

Which of the following can help strengthen respiratory muscles and prevent respiratory infection in older adult patients? Deep breathing exercises Activities that increase endurance Both Deep breathing exercises and Activities that increase endurance None of these

Both Deep breathing exercises and Activities that increase endurance

Which of the following is NOT a common urinary system problem experienced by older adult patients? Incomplete bladder emptying Frequent urination at night Increased urinary urgency Decreased urinary frequency

Decreased urinary frequency

The abbreviation DNR stands for ________. Do Not Recover Do Not Resuscitate Do Not Reinstate Do Not Retract

Do Not Resuscitate

Which of the following is NOT a common area of struggle for patients with dementia? Forgetting the correct words for everyday objects Failing to repeat questions Failing to maintain concentration on tasks Losing interest in favorite activities

Failing to repeat questions

Which of the following should a medical assistant avoid when communicating with an older adult patient? Providing the patient with plenty of time to respond to questions Finishing sentences for the patient Looking directly at the patient when speaking to him or her Speaking clearly in a normal tone of voice

Finishing sentences for the patient

________ is elevation of the pressure in one of the chambers of the eye that can decrease vision and lead to blindness. Glaucoma Hypothyroidism Osteoarthritis Osteoporosis

Glaucoma

Which of the following procedures should be conducted to rule out other causes of dementia when a person is suspected of having Alzheimer's disease? MRI PET scan Blood profile All of these

MRI PET scan Blood profile

________, a disorder common among older adult patients, is characterized by loss of calcium from the bones and often results in bone fractures. Osteoarthritis Malnutrition Osteoporosis Lymphocytic leukemia

Osteoporosis

Which statement about older adults and sex is TRUE? Older adults often lose their desire for sex as they age. Older adults often become more interested in sex as they age. Older adults are often more open to discussing sex than younger adults. Patterns of sexual interest exhibited by older adults mirror lifelong patterns.

Patterns of sexual interest exhibited by older adults mirror lifelong patterns.

Which of the following is an environmental risk factor for older adults? Removal of area rugs Polishing of floors Use of several small area lights Installation of grab bars by toilets

Polishing of floors

________ is a sensory disorder associated with aging that is characterized by impairment of hearing, especially inability to hear high-pitched sounds. Presbycusis Pertussis Presbyopia Proboscis

Presbycusis

Which of the following is an age-related visual impairment associated with inability to focus on near objects? Presbyopia Myopia Presbycusis Otitis media

Presbyopia

Which of the following changes associated with aging is related to the nervous system? Decreased muscle strength Problems with balance Slower movements Decreased estrogen

Problems with balance

Which of the following statements about aging is TRUE? As adults age they are certain to lose their memories. Older adults are better with age at separating fact from fiction. Retrieval of information from long-term memory may be slower in older adults. It becomes easier for older adults as they age to process new information.

Retrieval of information from long-term memory may be slower in older adults.

________ memory is information gained through the senses that lasts a few seconds. Sensory Short-term Long-term Second

Sensory

________ is a reawakening of the dormant chicken pox virus that causes skin rash and can lead to prolonged pain. Parkinson's disease Prostate cancer Shingles Stroke

Shingles

Forgetting the name of someone a patient just met at an event is an example of what type of memory loss? Short-term Long-term Sensory Concise

Short-term

________ is (are) a blockage or bleeding of a blood vessel in the brain that leads to weakness, loss of sensation, difficulty talking, and other neurological problems. Glaucoma Cataracts Stroke Urinary incontinence

Stroke

Which of the following is a way to relieve sundowner syndrome? Surround the patient with familiar objects. Establish a routine. Control the noise level. All of these

Surround the patient with familiar objects. Establish a routine. Control the noise level.

Which of the following may be TRUE of a patient with Alzheimer's disease-related memory changes? The patient is still able to perform familiar tasks easily. The patient solves abstract problems more easily. The patient's judgment remains unimpaired. The patient becomes disoriented as to time and place.

The patient becomes disoriented as to time and place.

Why are older adult patients sometimes called "tea and toasters"? They enjoy social gatherings with other seniors. They are only able to digest tea and toast. They belong to a generation that enjoyed afternoon tea time. They may eat only small meals of tea and toast or crackers throughout the day.

They may eat only small meals of tea and toast or crackers throughout the day.

Decrease in cardiac output and circulation are age-related ________ changes. cardiovascular digestive integumentary respiratory

cardiovascular

Clouding in the lens of the eye that impacts vision is called ________. cataracts aortic aneurysm glaucoma hypothyroidism

cataracts

A form of confusion characterized by symptoms that last longer than three months is ________. systemic confusion acute confusion mechanical confusion chronic confusion

chronic confusion

A Medigap policy helps offset some of the health care costs that Medicare does not cover such as ________. copayments coinsurance deductibles All of these

copayments coinsurance deductibles

A patient who lies in bed for several hours out of the day is at risk for ________, the breaking down of skin from prolonged pressure on the area. decubitus ulcers cataracts chronic lymphocytic leukemia stroke

decubitus ulcers

All of the following are common causes of dementia EXCEPT ________. stroke Parkinson's disease brain tumor diabetes mellitus

diabetes mellitus

Older adults have ________ acute illnesses than younger adults. more severe fewer more less severe

fewer

In a person with ________, a condition that can lead to complications such as anemia, heart failure, and increased mental confusion, the thyroid gland is underactive. hyperthyroidism hypothyroidism hypogonadism hypotrophism

hypothyroidism

The loss of a life partner may cause ________ confusion. systemic mechanical familial psychosocial/environmental

psychosocial/environmental

Baby boomers are also sometimes referred to as ________. millennials the hippie generation Gen Xers the sandwich generation

the sandwich generation

Older adults may have fragmented sleep, which means ________. they wake up often in the middle of the night they take fewer naps during the day they feel well-rested they are in deep REM sleep cycle

they wake up often in the middle of the night

When calling patients to the examination room, the medical assistant should ________. call the patient by their first name use a formal means of address employ pet names such as honey or dear All of these

use a formal means of address