Med Surg Lecture quiz

An older adult is considered to be over the age of...

65

The term dementia refers to:

A progressive loss of intellectual function most commonly related to Alzheimer's disease.

When discussing the prevention of cardiac disease, nutrition, falls, and depression, it is important to discuss...

Exercise

Older adults go through musculoskeletal changes which puts them at an increase risk for:

Falls

According to the "disengagement theory," people who are aging:

Gradually withdraw from society.

Fecal occult blood tests

Guiac tests

Stress incontinence

Happens with sneezing, coughing, or laughing

The normal range for interocular pressure is:

10 to 22 mm Hg

When administering medications to older adults, it is important for the nurse to keep in mind that:

Absorption, transport, and elimination of medications tends to decrease with age because of altered liver and kidney functions and decreased circulation.

A patient with three school-age children cares for her older adult mother who has Alzheimer's disease. Her mother's condition has become progressively worse to the point where she can no longer safely stay at home alone. A nursing diagnosis of *caregiver role strain* is made. Which nursing intervention is appropriate?

Access community support to provide opportunity for the caregiver to do errands and spend time with her children.

Improve patient appetite

Appearance, proper lighting, eat with other people

Which relates directly to assessment of adequate circulation to the brain?

Assessment for vertigo or syncope

What determines osteoporosis?

Bone density tests

Kyphosis

Causes the individual to stoop forward

The most common response of the older adult to psychosocial changes such as loss of independence, spouse and friends is:

Depression

Older adults often have an atypical response to illness or infection. What is an *atypical* response in previously active and alert older adults that is best to report?

Disorientation, weakness, or incontinence

Which would *least* likely be an appropriate nursing diagnosis for an older adult male with neurologic problems?

Impaired urinary elimination

Which change is suggested of osteoporosis?

Increased curvature of the spine and decreased height

The primary reason for decreased sexual activity in many older adults is:

Lack of a sexual partner

Hypothyroidism

Leads to weight gain

Which statement is reality rather than a myth concerning older adults?

Most older people have at least one chronic condition and rate their health as "good."

Non-insulin dependent diabetes is most common with:

Older adults

What disease distorts tactile sensations?

Peripheral neuropathy

Aging often causes a decrease production of intrinsic factor from the stomach thus interfering with the body's ability to utilize vitamin B12. What disease will develop from this deficiency?

Pernicious anemia

Push fluid to remove secretions to help with

Pneumonia

Too many meds

Polypharmacit

Ageism

Prejudice against older adults

Farsightedness resulting from a loss of elasticity of the lens of the eye is called:

Presbyopia

Venus stasis is:

Standing in one place for too long. Blood pools in the lower extremities

Assisting an older adult who has trouble swallowing

Tell them to tilt chin down

Sleep disturbances may also be a normal part of aging resulting from changes in:

The Reticular Formation (RF) in the brainstem, and extending into the cerebral cortex.

Which statement best describes demographic changes in relation to the aging population in the United States?

The older adult population is growing twice as fast as the rest of the population.

Which is the least likely result of normal aging?

There is increased resistance to infection due to improved immune response.