Geriatrics

1. When caring for the older adult, it is important to:

-treat the client as an individual with a unique history of his/her
2. When administering a mental status examination to a patient with delirium, the nurse
should:
-choose a place without distracting stimuli
3. Comprehensive geriatric assessment
-multidisciplinary evaluation in which multiple problems of the older people
-prevention for decline in performance of ADLs, screen for functional impairments,
screen for preventable diseases
4. Which of the following best describes dementia?
-loss of cognitive abilities, impairing ability to perform ADLs
5. If there is fall what are the implementations/nursing care?
-direct care, physiologic, psychosocial and indirect care
6. What is the best resource for identifying inf0rmation regarding an older adult current
functional ability?
-neighbor who visits daily and helps the persons to store weekly
7. When carry for an older adult patient, the following intervention to accommodate usual
changes with age
-adequate lighting and un cluttered walkway
8. Care for adults with pressure ulcer
- Frequent repositioning safety
9. Most appropriate nursing follow-up care
-bathing
10. Which of the following would suspect the nurse the elder adult was abused?
-don’t hurt me
11. A reason of medications problem among elderly
-regular use of laxative
12. Best response for those older adults with cardiac problems
-increased stress
13. Most common mood disorder among older adults
-depression
14. Why are there respiratory changes among older adults?
-aging kung is more rigid in structure that is harder to inflate
15. ..
16. ..
17. Medications, slower mobility, lack of proper fluid intake and poor diet can contribute to
what common symptom in the elder population?
-urinary incontinence
18. ….
19. Common disorder among older adult?
-depression
20. Dementia and depression are related to?
-Alzheimer’s disease
21. -
22. ….
 23. Why is there delayed dry absorption among older adults?
-reduction in intestinal blood flow
24. Absorption of medication in elderly is affected?
-reduction in gastric ph
25. Which organ is responsible for drug metabolism?
-liver
26. …
27. Does OTC drugs need Rx?
-no
28. What happens to elderly tissue?
-Atrophy, muscles loss mass and becomes lumpy and rigid
29. Significant change in vital organs?
-heart, lungs and kidney
30. How will we take care of elderly with problems in hearing?
-hearing aids
31. What sound are difficult to be heard by the older adults?
-higher frequency, high-pitch sounds
32. When adm9nistering furosemide what intervention should be made?
-don’t administer patients with low bp

 Older adult intelligence decreases significantly? Yes

 Will behavior change? Yes
 Will personality change with age? No
 Is memory loss normal in older adults? Yes

Enumeration

Geriatric Syndrome Physiologic Effects

 Falls Reduced muscle bulk strength

 Delirium Decrease glucose tolerance
 Pressure Ulcer Endocrine Dysfunction
 Under feeding Fluid shift and diaphoresis
Calcium, potassium and sodium depletion
Risk factors for Geriatric Syndrome Immunologic impairment
 Depression
 Functional decline
 Delirium
 Imbalance
 Pain
 Weakness and dizziness
 Dependence for ADLs
 Inadequate care giver support
 Access to healthcare