Unit one questions :

1-Define the following concepts:

A. Ageing
B. Life expectancy
C. Ageism
D. Gerontology
E. Geriatric nursing
F- Geriatrics

2-Put true or false:

1- Ageing begins the day we are born ( )
2- Hereditary factor is one of the age theories ( )
3- The young old aged 75 to 84 years ( )
4- The cohort effects are changes not due to aging ( )
5- Illness such as diabetes is one of the secondary changes due to aging ( )
6- There is a single measure of how "old" a person is ( )
7- Aging is highly individualized ( )
8- Aging does not proceed at different rates in different people ( )
9- Chronology is a poor measure of aging ( )5- The older adult population: is a
heterogeneous group ( )
10- Functional age is a better measure of age than chronological age ( )
11- Gerontology refers to the study of all aspects of the aging process, including
economic, social, clinical, and factors, and their effects on the older adult and
on society ( )
3-Complete the following sentences:
1-Theories of ageing………,……..,………,………
2- Changes due to ageing classified to…………,………
3-Development in ………,……..,………and ……... have improved life
expectancy.
4-The aging process is………………………
5-Aging Begin--------------------
6- Many theories of aging include:
7- Chronological age refers to -------------------------
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 8-The young-old aged ---------------------
9-The middle-old ---------------------
10-The old-old ---------------------
11-The elite-old ---------------------
12-Biological Aging involves -------------------------------
13- Functional age, refers to -------------------------------------------------
14-Clinical gerontology is the study of ---------------------------------------------
15- Theories of Aging are -----------------------------------------
16- Life Expectancy is -----------------------------
17- Life span is --------------------------------------
18-Healthy life expectancy ---------------------------------
19-Wellness is influenced by many factors including ---------, ----------, ---------,
------------, -----------------
4--Matching the following:
1- Biological aging A. The older adults are frail, senile and
unhappy
2- Myths B. Involve the loss of cells over time

3- One of ageing theories C. Number of years a person has lived

4- Chronological age D. Focuses on abnormal older adults

conditions and its treatment
5- Geriatrics E. Change in structure of connective tissue

5-Give short account :

1- Social impact of ageing population
2- Factors can influence the wellness
3- Changes not due to ageing
4- Changes due to ageing
5- Myths about the older adults.

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 D- Match
(A) (B)
Geriatrics It is the negative attitudes toward the
elderly that are based on conceptions
of older people as being in less than
a full command of their mental
faculties

1- Aging It is the medical specialty that deals

with the physiology of aging and
with the diagnosis and treatment of
diseases affecting the aged.
2- Ageism It is the study of aging persons and
the process of aging.

unit two:Aging related changes

put (T) if the statements is true or put(F) if the statement is false:-

1-In older adult, sleep is less deep than sleep in younger people ( )

2-Kyphosis is less common in elderly person ( )

3-Decreased sensitivity to touch in old age due to reduce fat layer ( )

4-Old age with vision change has increase in ability to focus on objects
at different distances ( )

5-Long-term memory is better than short-term memory with ageing (

)

6-constipation and fecal incontinence is less common in normal ageing

changes .( )

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7-Genitourinary system changes in geriatric include increased retention and
decreased nocturia .( )

8-Taste change in geriatric include decreased sensitivity to sweetness and

salt. ( )

Complete the following:-

1-Nursing intervention for the vision change in elderly person include:-

A-…………………… B-…….………….. C-………………….

D-……………….

2-Sensory changes of aging include:-

A-…………………… B-……………….. C-………………….

D-……………..

3Physical changes related to (normal) aging:-

A-…………………… B-……………….. C-…………………

D-………………..

4-Sleep disturbance in older adults may be due to :-

A-…………………... B-………………. C-…………………

D-………………..

5-Sleep disturbances in older adults may be due to :-

A-…………………… B-………………. C-…………………

D-………………

Give short account:-

1-Nursing intervention for endocrina system changes .

2-Nursing intervention for old adults with sleep change.

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 3-Nursing intervention for cardiovascular system changes.

4-Discuss the changes which occur in renal system for geriatric.

5-Nursing intervention for gastrointestinal system ageing changes.

6-Nursing intervention for respiratory system changes.

7-List some integumentary system changes.

8-Nursinsg intervention for endocrine system change.

Unit three: Health and Wellness

Define:

➢ Elder Abuse
➢ Neglect

List the following:-

• Health problems of the aged
1. …………………………………
2. ………………………………..
3. ………………………………..
4. ………………………………….
• Social health problems
1. …………………………………
2. ………………………………..
3. ………………………………..
4. ………………………………….

• common psychological disorders health problems

1. …………………………………
2. ………………………………..
3. ………………………………..
4. ………………………………….

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• Factors that affect the older adult population
1. …………………………………
2. ………………………………..
True or false

➢ The abuse may be of a physical nature, it may be psychological ( )

➢ Some people are still sexually active in late adulthood. ( )
➢ Elder Abuse Psychological, Financial and Sexual ( ).

(unit four) Health needs for the older adults

List the following:
1- Common health needs for the older adults are
1……………. 2…………….3………………….. 4…………………

2-Factors which affecting nutritional needs of the elderly people are

1…………………………2……………………… 3………………….

3-Psychosocial factors which affect nutritional needs of elderly people are

1…………………2……………………..3………………..4………………

4-Diatery planning that should take into consideration for elderly are

1………………2………………3………………..4………………

5-Reasons for noncompliance of medication of the elderly are

1……………….2………………….3……………………4………………

6- General nutrition education for the elderly to maintain body wt include :

1………………2………………..3……………….

7- The risk factors for falling for older adults:

1……………..2…………….3…………………..4…………..
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8- Causes of social isolation or (risk factors places the older adult client in social
isolation):

1……………..2…………………..3……………..4………..

9- Community health nurses role to assess social isolation between elderly

1………..2…………….3…………………………..4……………

10- Psychological and Emotional needs of the elderly

1……………..2……………..3………………4………..

11- Older adults need an environment that is characterized by

1……………..2…………………3………………

12- Measures to prevent bathroom hazards:

1……………..2………………….3…………….4…………

II- Put (T) if the statement is true or put (F) if the statement is false

1- A soft blue light is useful at night in the bedroom ( )

2-A recommended room temperature for an older adult should be lower than 24c
( ).

3- Increased intake of dietary fiber, vitamin D intake and calcium supplement

would be helpful for elderly ( )

4- Low levels of social support are associated with higher rates of health
problems ( )

5- Several diffuse lighting sources rather than a few bright ones for elderly’s
environmental ( ) .

6- Sharply contrasting colors are helpful in defining doors and stair ( ).

7- The elderly people need to be dependent in making decision and managing

their own lives to meet self respect & dignity ) (

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 8- Furnishings should be appealing, functional and comfortable for the elderly( )

9- Non slip surfaces are essential for tubs and shower floors to prevent bathroom
hazard for the elderly ( ) .

10- A dignity death as to choice where to be burred as emotional need and aright
for elderly ( ).

III- Choose the correct answer:

A-physiological factors which affect nutritional needs include the following

except

1-Dental problem 2- sensory loss

2- Substance abuse 4- Decrease digestive enzymes

B-Dietary planning for elderly should consider

1-Low fat diet 2- high fiber diet

3- Limit intake of alcohol and sugar 4- all of the above

C- Elderly people need special environment for special loss and changes

1- Personal 2- normalizing

3- Appropriate environment 4-all of the above

D-All of the following are important for elderly to compensate social needs
except :

1- Social support network 2-Need for companion& social interaction

2- Need for belonging intimacy 4-Spirituality and preparing for death
E- Reasons for non-compliance of medication are

1- Lack of finances & desire to avoid unpleasant side effects

2- Complexity of drug regimens 4 Inadequate supervision

3- All of the above

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 GIVE SHORT ACCOUNT

1. Recommendation to prevent bathroom hazards

2. Explain psychological needs of older adult

3. List the reasons of older adult for non compliance of medication

4. What are the causes of increasing the risk for falling of older adult

5. Role of the community health nurse in dietary planning for the older adult

PUT (T) IF THE STATEMENT IS TRUE OR PUT (F) IF THE

STATEMENT IS FALSE

1. Recommended room temperature for an older adult should not be more than 24c
( )
2. Bright light is useful for older adult at night in the bedroom
( )
3. The elderly people need to be dependent in making decision to meet self respect
& dignity ) (
4. Medication side effects may increase the risk for falling of older adult ( )
5. Older adult need personal appropriate environment for their special losses ( )

COPLETE THE FOLLOWING

1. Older ………….more likely to live alone than are …………….

2. Nutritional needs in older adults may be affected by …………….
,………………. And …………… factors
3. The risk for falling is increased in older adult because of …………………
,……….......,…………………...

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4. The furniture of the older adult should be ……………….. , …………………,
and ………………….
5. Sharply ……………. colors are helpful to the older adult in defining doors and
stairs
Complete the following:

1. Roles and responsibilities within Specialist Geriatric Team

a. …………………………………………………………….

b. ………………………………………………………………

c. ………………………………………………………………

2. Educational Approach for older adult

a. ………………………………………………………………

b. ………………………………………………………………

c. ………………………………………………...……………

3. Components of Systematic geriatric assessment

a. ………………………………………………………………

b. ………………………………………………………………

c. ………………………………………………………………

4. Team of a comprehensive geriatric assessment

a. ………………………………………………………………

b. ………………………………………………………………

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c. ………………………………………………………………

d. ………………………………………………………………

5. Aim of elderly assessment

a. ………………………………………………………………

b. ………………………………………………………………

c. ………………………………………………………………

Put (√) or (X):

1. Geriatric Team Each hospital should have a specialist consists of

Consultant Geriatrician,Clinical nurse specialist ,Physiotherapist
,Occupational therapist ,Speech and languagetherapist ( )

2. primary prevention among older adults to prevent and reduce the

harmful effects ( )

3. primary prevention strategies to help maintain the health and quality of

life of older adults ( )

4. There are three types of interventions in rehabilitation ( )

5. The community health nurse may function as care manager, teacher only
()

Give short note about :

1. Explain nursing management of elderly people?

2. Explain nursing assessment of geriatric people?

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 3. Differentiate between primary and secondary prevention among older
adult?

4. .List types of health services for older adult?

5. Responsibilities of the nurse working with older in the community?

Complete the following questions:

1- Osteoporosis prevention includes ……………… , ………….. , ……………

…………….. , ……………..
2- In a primary health care set-up, a trained physician, nurse and a physiotherapist
should be able to ………………………………
3- Level of prevention includes ………………… ,………….. , ………….
4- Soft interventions consists of …………………… , ………………… ,
………………
5- Prevention and management of elder abuse includes ……………….. ,
…………………… , …………………….

Matching:
1- Geriatric Clinic a- Specialty clinics
2- Early detection and treatment is an b- Primary prevention
important step in
3- Bad health habits includes c- Management of symptoms.
4- Immunization is an important step d- Secondary prevention
in
5- Teaching and Counseling includes e- Lack of exercise
f- Physiotherapist

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 Give short account:
1- Secondary prevention.
2- List the components of multi-disciplinary Geriatric Assessment.
3- Evaluation of newly discovered risk factors.
4- Injury prevention.

Unit 6
Define the following
1-Stroke
2- Transient ischemic attack (T IA)
3- Alzheimer disease

2 - Complete the following:

1. Non modifiable factors of stroke includes ………….. ,………….. ,……….
.,………
2. Modifiable factors of stroke includes ………….,………..,……….,……..
3. Reduction of risk factor for cardiovascular disease in old age includes
………….. ,……………..,…………..,…………
4. Nursing interventions of stroke includes ……….,……….,………..,………..
5. Nursing interventions of cardiovascular problem includes
…………….,………….,………….,………..
6. Causes of secondary diabetes mellitus in old age includes
………..,…………..,………..
7. Common chronic diseases in old people includes…….,……..,………,……..

3-Put (True) side correct answer and put (false) side incorrect answer:
1. In case of geriatric cardiovascular problem should give low salt low fat
nutrition ( )

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 2.Secondary diabetes mellitus is the Most common type in older people
( )
3- Non-modifiable risk factors for stroke are smoking, obesity, diet, etc.

( )

4 -Give short account

a-Signs and symptoms of Alzheimer disease in old age

b-Management and nursing intervention of diabetes mellitus in old age

c- Nursing intervention for Alzheimer disease in geriatric

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