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GERI |! exam |! 4 |! (geriatrics) |! questions |!
with |! solutions
what |! does |! mental |! health |! mean? |! - |! Correct |! answer |! ✔indicates |! a |! capacity |! to |! cope |! effectivley |! with |! and |! manage |! lifes |! stresses |! in |! an |! effort |! to |! achieve |! a |! state |! of |! emotional |! homeostasis why |! does |! older |! adults |! have |! more |! of |! a |! advantage |! emotional |! homeostasis? |! - |! Correct |! answer |! ✔they |! have |! more |! experience |! with |! coping, |! problem |! solving, |! and |! managing |! crisis |! by |! virtue |! of |! the |! years |! they |! have |! lived. how |! is |! cognitive |! function |! in |! later |! life? |! - |! Correct |! answer |! ✔it |! is |! highly |! indivualized, |! based |! on |! personal |! resources, |! health |! status, |! and |! the |! unique |! expierence |! of |! the |! indivuals |! life. what |! age |! group |! has |! the |! highest |! rate |! of |! suicide? |! - |! Correct |! answer |! ✔people |! age |! 65 |! and |! older what |! percentage |! of |! the |! older |! adult |! commits |! suicide? |! - |! Correct |! answer |! ✔20%
how |! does |! depression |! affect |! the |! older |! adult? |! - |! Correct |! answer |! ✔depression |! increases |! in |! prevalance |! and |! intensity |! with |! age -- |! depression |! in |! femals |! is |! higher why |! does |! suicide |! and |! depression |! occur |! in |! older |! adults? |! - |! Correct |! answer |! ✔multiple |! losses, |! altered |! sensory |! functions, |! and |! alterations, |! discomforts |! and |! demands |! asscoiated |! with |! illnesses |! that |! older |! adult mental |! health |! in |! the |! older |! adult? |! - |! Correct |! answer |! ✔mental |! health |! in |! old |! age |! implis |! a |! satisfaction |! and |! intrest |! in |! life. promoting |! mental |! health |! in |! older |! adults? |! - |! Correct |! answer |! ✔maintain |! activities |! and |! intrest |! that |! they |! find |! satisfying -- |! self |! worth |! reinforced |! -- |! security |! (adequate |! income, |! safe |! housing, |! meet |! basic |! human |! needs, |! and |! support |! nd |! assistance) --connection |! with |! others -- |! optiumum |! physical |! health |! ( |! diet |! and |! excercise) principles |! for |! mental |! health |! - |! Correct |! answer |! ✔strengthen |! the |! indivuals |! capacity |! to |! manage |! the |! condition eliminate |! or |! minimize |! the |! limiations |! imposed |! by |! the |! condtion
feeling |! of |! being |! a |! burden changes |! in |! sleep changes |! in |! hygenic |! measures physical |! problems( |! headache, |! indigestion) what |! can |! symptoms |! of |! depression |! mimic |! in |! another |! disease? |! - |! Correct |! answer |! ✔it |! can |! mimic |! demetia ( |! so |! carefull |! assessment |! is |! crucial |! to |! avoid |! misdiagnosis) treatment |! for |! depression |! in |! older |! adults? |! - |! Correct |! answer |! ✔psychotherapy |! and |! antidepressants electroconvulsive |! therapy nonpharmacuetical |! ( |! acupressure, |! acupuncture, |! guided |! imagery, |! light |! therapy) good |! basic |! health |! practices |! (proper |! nutrition, |! and |! regular |! excecise, |! can |! have |! a |! positive |! impact |! of |! the |! mood) what |! needs |! to |! be |! done |! for |! the |! older |! adult |! when |! going |! on |! a |! new |! medication? |! - |! Correct |! answer |! ✔BEERS |! criteria, |! to |! see |! if |! any |! medication |! interacts |! with |! there |! new |! medication. what |! are |! some |! risks/signs |! for |! suicide? |! - |! Correct |! answer |! ✔health |! problems poor |! sleep |! quality medication |! misuse self |! starvation
engaging |! in |! activities |! that |! oppoe |! a |! therapuetic |! need walking |! through |! dangerous |! area driving |! while |! intoxicated what |! to |! do |! for |! the |! older |! adult |! who |! is |! suicidal? |! - |! Correct |! answer |! ✔close |! observation careful |! protection prompt |! therapy enviorment |! should |! be |! made |! afe treatment |! of |! underlying |! depression |! should |! be |! supported willingness |! to |! listen and |! discuss |! thoughts |! and |! feelings what |! can |! cause |! anxiety |! in |! older |! adults? |! - |! Correct |! answer |! ✔adjustments |! to |! physical, |! emotional, |! and |! social |! limitations |! in |! old |! age |! and |! the |! new |! problems |! that |! frequently |! are |! encountered |! due |! to |! aging anxiety |! reactions |! in |! older |! adults? |! - |! Correct |! answer |! ✔somatic |! complaints rigidity |! in |! thinking |! and |! behavior insomnia fatigue hostility
treatment |! for |! paranoia |! in |! older |! adults? |! - |! Correct |! answer |! ✔--corrective |! lenses, |! hearing |! aids, |! supplemental |! income, |! new |! housing, |! and |! a |! stable |! enviorment |! are |! potential |! interventions --psychotherapy |! and |! medications |! can |! be |! used |! when |! improvement |! is |! not |! achieved |! --nurse |! ensure |! pts |! do |! not |! become |! withdrawn |! from |! the |! rest |! of |! the |! world |! because |! of |! self-imposed |! isolation. monitoring |! medications |! in |! older |! adults? |! - |! Correct |! answer |! ✔medications |! used |! to |! treat |! psychatric |! disorders |! can |! brig |! significant |! improvements |! to |! patients what |! are |! some |! adverse |! effects |! of |! these |! medications? |! - |! Correct |! answer |! ✔anorexia constipation falls incontinence |! anemia lethargy sleep |! disturbances confusion what |! is |! a |! important |! thing |! with |! starting |! medications? |! - |! Correct |! answer |! ✔start |! low |! and |! go |! slow
promoting |! a |! positive |! self-concept |! in |! older |! adults? |! - |! Correct |! answer |! ✔-- |! all |! people |! need |! to |! feel |! that |! their |! lives |! have |! had |! meaning |! and |! that |! there |! is |! jope. some |! activities |! to |! promote |! a |! positive |! self |! concept |! in |! older |! adults? |! - |! Correct |! answer |! ✔--activities |! such |! as: |! life |! review |! discussions, |! taping |! oral |! histories, |! and |! compiling |! a |! scrapbook |! of |! life |! events, |! help |! the |! pt |! have |! a |! sense |! of |! self |! worthabout |! their |! lives, |! but |! also |! provide |! a |! sense |! of |! history |! and |! legacy |! for |! younger |! generation nursing |! interventions |! for |! helping |! promote |! a |! positive |! self-concept? |! - |! Correct |! answer |! ✔help |! pt |! particapate |! in |! relevant |! activities |! --engage |! in |! meaningful |! social |! interactions --opportunities |! to |! do |! for |! others --exercise |! -- |! maintain |! religious |! and |! cultural |! practices |! --respected |! as |! individuals managing |! behavioral |! problems |! in |! older |! adults? |! - |! Correct |! answer |! ✔behavioral |! problems |! are |! actions |! that |! are |! annoying, |! disruptive, |! harmful, |! or |! generally |! deviate |! from |! the |! norm |! and |! that |! tend |! to |! be |! recurrent |! in |! nature. what |! can |! contribute |! to |! behavioral |! problems? |! - |! Correct |! answer |! ✔-altered |! cognitive |! status, |! who |! are |! incapable |! of |! thinking |! rationally |! and |! making |! good |! judgements
low |! or |! high |! blood |! glucose |! surgery stress what |! is |! the |! onset |! like |! for |! delirium? |! - |! Correct |! answer |! ✔rapid; |! change |! noted |! within |! day |! or |! days what |! happens |! to |! the |! mental |! status |! with |! delirium? |! - |! Correct |! answer |! ✔short |! term |! memory |! impaired |! more |! than |! long |! term disoriented |! confused distorted |! thinking incoherent |! speech suspicious |! of |! others illusions, |! hallucinations what |! is |! the |! LOC |! with |! delirium? |! - |! Correct |! answer |! ✔changed, |! can |! be |! highly |! agitated |! or |! very |! dull what |! is |! the |! behavior |! with |! delirium? |! - |! Correct |! answer |! ✔hyperactive be |! less |! active |! than |! normal or |! fluctuate |! between |! both |! extremes
recovery |! for |! delirium? |! - |! Correct |! answer |! ✔disease |! can |! be |! reveresed |! and |! normal |! mental |! status |! restored |! if |! cause |! is |! treated |! promptly |! ----can |! be |! emergency, |! get |! help |! as |! soon |! as |! possible -- |! find |! underlying |! causes |! and |! treat |! it |! Safety what |! is |! some |! causes |! of |! dementia? |! - |! Correct |! answer |! ✔damage |! to |! the |! brain |! tissue |! due |! to |! alzheimers |! or |! other |! degenerative |! diseases |! -circulatory |! problems -lack |! of |! oxygen -infection -trauma -hydrocephalus -tumor -alcholism what |! is |! the |! onset |! of |! dementia? |! - |! Correct |! answer |! ✔slow; |! months |! to |! years |! before |! symptoms |! are |! evident what |! is |! the |! mental |! status |! like |! in |! dementia? |! - |! Correct |! answer |! ✔poor |! short |! and |! long |! term |! memory |! disoriented confused difficulty |! finding |! proper |! word |! to |! use
personality |! change, |! depression, |! motor |! problems, |! delusions, |! speech |! problems, |! infections treatment |! for |! alzheimers |! disease? |! - |! Correct |! answer |! ✔no |! treatment |! to |! prevent |! or |! cure |! alzheimers what |! falls |! in |! the |! brain |! with |! people |! who |! have |! alzheimers? |! - |! Correct |! answer |! ✔acetylcholine |! falls |! sharply |! in |! people |! with |! alzhimers |! disease, |! medications |! that |! stop |! or |! slow |! the |! enzyme |! (Acetycholinesterase) |! that |! breaks |! down |! acetycholine |! have |! been |! developed |! to |! help |! with |! alzheimers |! -- |! it |! helps |! slow |! the |! progression examples |! of |! other |! drugs |! that |! help |! alzheimers |! disease? |! - |! Correct |! answer |! ✔donepezil |! (aricept) rivastigmine |! (exelon) galantamine |! (reminyl) vascular |! dementia |! - |! Correct |! answer |! ✔cause- |! results |! from |! mall |! cerebral |! infarctions history- |! of |! a |! heart |! attack |! or |! stroke |! (something |! vascular)
onset- |! is |! more |! rapid |! and |! progresses |! more |! predictably |! that |! alzhemers |! disease risk |! factors- |! smoking, |! hypertension, |! hyperlipidemia, |! inactivity, |! history |! of |! stroke |! or |! cardiovascular |! disease Lewy's |! body |! dementia |! - |! Correct |! answer |! ✔asscoiated |! with |! subcortical |! pathology |! and |! the |! prescense |! of |! lewys |! body |! substance |! in |! the |! ceberal |! cortex --people |! with |! this |! dementia |! have |! fluctuations |! in |! mental |! status, |! decompensate |! rapidly |! when |! they |! expiernce |! a |! medical |! condition |! -- |! often |! misdiagnosed |! with |! other |! forms |! of |! dementia ensuring |! patient |! safety |! when |! caring |! for |! a |! person |! with |! dementia? |! - |! Correct |! answer |! ✔pt |! safety |! is |! the |! number |! one |! thing -a |! safe |! structured |! enviorment |! is |! essential --items |! to |! trigger |! memory |! (photographs) --noise, |! activity |! and |! lighting |! levels |! can |! overstimulate |! the |! pt |! and |! further |! decreases |! function --cleaning |! solutions, |! presicides, |! medications |! need |! to |! be |! locked |! up --windows |! need |! to |! be |! locked |! or |! nonremovable |! screens |! to |! protect |! them |! from |! falling |! from |! windows --protective |! gates |! can |! be |! installed |! to |! prevent |! pt |! from |! wandering |! away --alarms |! and |! bells what |! is |! another |! safety |! consideration |! when |! caring |! for |! dementia? |! - |! Correct |! answer |! ✔abuse,
what |! is |! important |! with |! family |! members |! when |! providing |! physical |! care |! to |! the |! older |! adult |! with |! dementia? |! - |! Correct |! answer |! ✔consitency |! in |! caregivers |! allows |! the |! caregiver |! to |! become |! familiar |! with |! a |! patients |! unique |! behaviors |! and |! more |! quickly |! recognize |! a |! deviation |! from |! the |! individuals |! norm. respecting |! the |! older |! adult |! with |! dementia? |! - |! Correct |! answer |! ✔special |! attention |! must |! be |! paid |! to |! maintaining |! and |! promoting |! the |! following |! qualities: --individuality --independence --freedom --dignity --connection what |! are |! intervention |! for |! supporting |! the |! patients |! family? |! - |! Correct |! answer |! ✔the |! physical, |! emotional, |! and |! socioeconomic |! burden |! of |! caring |! for |! a |! cognitively |! impaired |! relative |! can |! be |! immense |! --respite --network |! with |! support |! groups --counseling |! -nurse |! reviews |! basic, |! specific |! care |! techniques |! like |! bathing, |! lifting, |! managing |! inappropriate |! behaviors
--help |! family |! cope |! with |! thier |! feelings |! they |! may |! have |! when |! dealing |! with |! this |! pt what |! is |! the |! goals |! of |! care |! for |! chronic |! conditions? |! - |! Correct |! answer |! ✔healing |! implies |! the |! mobilization |! of |! the |! body, |! mind, |! and |! spirit |! to |! control |! symptoms, |! promote |! a |! sense |! of |! well-being, |! and |! enhance |! the |! quality |! of |! life. goals |! of |! chronic |! care |! continued... |! - |! Correct |! answer |! ✔maintain |! or |! improve |! self-care |! capacity manage |! the |! disease |! effectivley boost |! the |! bodys |! healing |! abilities prevent |! complications delay |! deterioration |! and |! decline achieve |! the |! highest |! possible |! quality |! of |! life |! die |! with |! comfort |! and |! dignity maximizing |! the |! benefits |! of |! chronic |! care? |! - |! Correct |! answer |! ✔the |! difference |! of |! how |! the |! person |! approaches |! and |! manages |! care |! activities |! EX; |! with |! a |! similar |! diagnosis |! and |! care |! requirements, |! one |! individual |! may |! remain |! an |! active |! participant |! in |! society, |! enjoying |! a |! high |! quality |! of |! life, |! whereas |! another |! may |! become |! a |! homebound |! prisoner |! to |! the |! disease. selecting |! a |! appropriate |! physician? |! - |! Correct |! answer |! ✔pt |! should |! have |! contact |! with |! the |! speacialist |! who |! is |! knowlegable |! about |! state |! of |! the |! art |! practices |! related |! to |! the |! condition.
inspire nurture guide increasing |! knowledge |! - |! Correct |! answer |! ✔nurses |! should |! encourage |! patients |! to |! obtain |! as |! much |! information |! as |! they |! can |! to |! maintain |! a |! file |! on |! their |! condition -most |! newspapers |! carry |! current |! information |! on |! health |! conditions, |! libraries |! also locating |! a |! support |! group |! - |! Correct |! answer |! ✔support |! groups |! are |! importan |! for |! persons |! with |! chronic |! conditions |! -obtain |! valuable |! information, |! but |! also |! gaining |! perspective |! from |! those |! living |! with |! similar |! situations -- |! most |! can |! be |! located |! through |! the |! internet, |! local |! newspapers, |! telephone |! directories, |! refferal |! agencys making |! smart |! life |! style |! choices |! - |! Correct |! answer |! ✔to |! help |! maximize |! their |! health |! and |! quality |! of |! life |! they |! need |! to |! comply |! with: -prescribed |! treatment |! plan -regular |! excercise -stress |! management -assertiveness |! in |! protecting |! ones |! own |! needs |! -development |! of |! a |! healing |! attitude |! and |! mind |! set |! to |! live |! positively |! with |! the |! condition
factors |! affecting |! the |! course |! of |! chronic |! care |! - |! Correct |! answer |! ✔the |! status |! of |! the |! person |! may |! change reducing |! self |! care |! ability |! -status |! of |! the |! caregiver |! may |! change, |! limiting |! the |! degree |! to |! which |! the |! pt |! defecits |! can |! be |! compensated what |! is |! defense |! mechanism? |! - |! Correct |! answer |! ✔the |! lifestyle |! changes, |! frustrations, |! and |! losses, |! commonly |! experienced |! by |! persons |! who |! must |! live |! chronic |! conditions |! may |! cause |! certain |! reactions |! to |! emerge |! that |! could |! disrupt |! the |! flow |! of |! care what |! are |! some |! examples |! when |! defense |! mechanisms |! may |! be |! used? |! - |! Correct |! answer |! ✔denial anger depression regression what |! do |! these |! reactions |! indicate |! for |! the |! pt? |! - |! Correct |! answer |! ✔it |! indicates |! that |! the |! patients |! ego |! strength |! is |! threatened |! and |! that |! extra |! support |! is |! needed. what |! to |! do |! for |! these |! patients |! using |! defense |! mechanisms? |! - |! Correct |! answer |! ✔dont |! react |! to |! the |! pts |! behavior |! caregivers |! need |! to |! understand |! its |! origin |! and |! help |! the |! pt |! work |! through |! it |! by |! providing |! a |! oppurtunity |! to |! vent |! frustrations |!
