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93 Cards in this Set
- Front
- Back
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1. Ann suffers from Presbycusis. She has a more difficult time hearing ___ bc they are produced by ___ freq sounds
a. Vowels, higher, b. Vowels, lower c. Consanants, higher d. Consanants lower |
c. Consanants, higher
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2. Andrew has a hard time reading at night bc he has senile miosis. Senile miosis is____
a. A loss of photo chemicals in rods b. Reduction in pupil size c. Increase in size of lens d. Incrase in size of cornea |
b. Reduction in pupil size
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3. As alex ages his auditory evoked potential changes so that its latency is ____, and amplitude is____
a. Longer, greater b. Longer smaller c. Shorter greater d. Shorter smaller |
b. Longer smaller
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4. Alice has both cataracts and presbyopia. Both involve the____ of the eye
a. Cornea b. Fovea c. Lens d. Peripheral retina e. Vitreous humor |
c. Lens
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5. As aaron ages he has a more difficult time focusing on close objects bc_____
a. Increase in number of inclusion bodies b. Decrease in size of pupils c. Decrease in number of rods d. Hardening of lens e. Hardening of cornea |
d. Hardening of lens
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6. Bc of alzheimers, Adreanne shows a deficit in her sense of
a. Vision b. Hearing c. Touch d. Taste e. Smell |
e. Smell
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7. Alfred is 75, hes is more lilkey to have which
a. Diabetic retinopathy b. Macular degernation c. Glacucoma d. Cataracts e. No teeth |
d. Cataracts
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8. Johns Dr tells him he has arcus senilis. This is
a. A substance that builds up around neurons in alzys b. A decrease in thickness of the retina c. A decrease in curvature of the cornea d. A decrease in curvature of the lnes e. Grey ring forms around the cornea |
e. Grey ring forms around the cornea
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9. Alvin Is taking salicylates and aminoglycosides. Both drugs can produce side effects involving
a. Vision b. Hearing c. Taste d. Smell e. Touc |
b. Hearing
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10. When prescribing a med to a pt, a clinician should try to start ___, go ___, but don’t stop too soon
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a. LOW AND SLOW
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11. Seniors are at greater risk for adverse drug rxn bc seniors tend to have
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multiple chronic diseases, multiple rx meds, multiple prescribes
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12. Aging can cause significant affects on drugs in the following aspects except
a. Distribution of lipid soluble drugs b. Distribution of water soluble drugs c. GI absorption d. Hepatic metabolism e. Renal elimination |
c. GI absorption
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13. Age related changes in enamel include
a. Become more permeable b. Become thickers c. Becomes more translucent d. Organic component increases e. None |
f. C AND D
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14. With aging, the pulp chamber changes. Which of the following describes age related changes of molars
a. Floor and ceiling become thinner and more uneven b. The floor and ceiling of chambers thicken evenly c. The floor and ceiling become thicker unevenly d. Floor and ceiling unaffected |
c. The floor and ceiling become thicker unevenly
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15. Cancers most frequently found in which age groups
a. <18 b. 20-40 c. 40-59 d. 60-89 e. 90+ |
d. 60-89
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16. Oral dryness is a consequence of aging
a. T/f |
F
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17. The increase in cementum thickness occurs primarily in
a. Around CEJ b. Around tooth apex c. Around pulp horns d. Around apical half of tooth e. Around anatomical defects on root |
d. Around apical half of tooth
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18. Which of the following systemic disorders may present w hypercementosis
a. Diabetes b. Osteoperosis c. Hypertension d. RA e. PAgets |
e. PAgets
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19. Histologically, the oral mucosa in older ppl has
a. Diminished keratination b. Thicker lingual ep c. More elastic fibers d. All e. None |
a. Diminished keratination
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20. Perio disease in old ppl
a. Present w increased sign of inflammation b. Progresses more slowly than in younger ppl c. Presents w pain and discomfort in early stages d. All e. B and C |
b. Progresses more slowly than in younger ppl
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21. Xerostomia is often an adverse result of medication. Which of the following does not include dry mouth as a symptom
a. Pagets b. Parkinsons c. Srojens d. Dehydration e. Diabetes |
e. Diabetes
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22. Approx what percentage of adults over 65 are edentulous
a. Ten b. Twenty c. Thirty three d. Fifty e. Seventy 5 |
c. Thirty three
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23. What percent of ppl in nursing homes
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5%
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24. Whats the median age of diagnosis of oral cancer
a. 20-25 b. 35-40 c. 45-50 d. 60-65 e. 70-75 |
d. 60-65
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25. Poor oral health in LTC facilities has been reported to be associated w
a. Increased tooth loss and CAD b. Increase number of aspirations pneumonias and fever c. Increased fevers and spontaneous tooth loss d. Increase perio disease and spontaneous tooth loss e. Increase gingival inflammation and aspiration pneumonias |
b. Increase number of aspirations pneumonias and fever
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26. The center for disease control identifies older adults as ppl
a. 50+ b. 60+ c. 65+ d. 70+ e. 75+ |
a. 50+
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27. The percentage of the population 65yrs and older is close to
a. 5% b. 13% c. 20% d. 25% e. 3% |
b. 13%
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28. When screening new pts the skilled interviewer will avoid
a. Making eye contact b. Postive body posture c. Negative reactions that could be interpreted as disapproval d. Making disparaging comments or sounds e. None |
f. C and D
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29. By 2030 the percentage of the pop 65 + is expected to be close to
a. 5% b. 13% c. 20% d. 25% e. 33% |
c. 20%
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30. Currently those 65 yrs plus accound for what percentage of the total dollars spent for meds
a. 5% b. 33% c. 42% d. 55% e. 73% |
c. 42%
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31. An avg ambulatory person 65 plus yrs uses how many rx drugs each yr
a. 5-6 b. 2-3 c. 4-5 d. 12-17 e. More then 7 |
b. 2-3
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32. AS discussed in class, in seniors taking more then 5 drugs, approx how many adverse drug events in the elderly are predictable
a. 5% b. 13% c. 42% d. 73% e. 95% |
e. 95%
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33. The renal function of an 80 yr old is approx what percentage of a 20 yr old
a. 5% b. 25% c. 50% d. 75% e. 95% |
c. 50%
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34. Cochlear implants involve
a. Removing old cochlea and putting in artificial one b. Special hearing aid implanted in inner ear c. Special hearing aid implanted in middle ear d. Direct stimulation of auditory cortex e. Direct stim of aud nerve |
e. Direct stim of aud nerve
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35. Pts w presbycusis have a tough time hearing ____ frequencies, bc the relevant part of the basilar membrane that degenerates the most is ____ the middle ear
a. High, close to b. Lowe, far c. High, far d. Low, close e. None |
a. High, close to
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36. Drugs that produce auditory side effects are
a. Salicylates b. Aminoglycosides c. Certain anti cancer drugs d. A and B e. All |
e. All
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37. Aging produces the following changes in auditory evoked potentials
a. Longer latency, great amplitude b. Longer latency, shorter amp c. Shorter latency, greater amp d. Shorter latency, smaller amp e. None |
b. Longer latency, shorter amp
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38. As we age our critical flicker frequency:
a. Increases b. Decrease c. Same |
b. Decrease
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39. Senile miosis is
a. A loss of pigmentation in the iris b. A reduction In pupil size c. An increase in size of lens d. Increase in size of cornea e. Reduction in size of anterior chamber |
b. A reduction In pupil size
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40. Ms I is a non ambulatory pt who was brought to your office from a nearby nursing home w a toothache. She seems a bit confused when questioned about her health history. Her escort left the office and will return when treatment is completed. No med records were provided for this pt. Most appropriate action of this dentists would be to
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a. Wait for the phone call from the pts attendant, obtain additional info, attept to contact caretaker, who may provide an accurate history, then extract the tooth
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41. Medications and the severity of prescribing it for the elderly is identified in the
a. Geriatric dosage book b. Drug info book c. Beers list d. Merk Manual of old e. Old balls |
c. Beers list
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42. The recommended age when u can stop asking your pts about their sexual and drug history
a. 49 b. 55 c. 59 d. 67 e. 75 f. None |
f. None
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43. In 1900, the avg life expectancy was
a. 23 b. 47 c. 38 d. 52 e. 65 |
b. 47
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44. In 2002 the avg life expectancy was
a. 76 b. 83 c. 45 d. 52 e. 65 |
a. 76
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45. What percent of ppl over 65 have alzheimers
a. 1% b. 9% c. 25% d. 50% e. 99% |
b. 9%
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46. In 2050 the avg life expectancy is expected to be
a. 76 b. 83 c. 120 d. 98 e. 65 |
b. 83
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47. Many drugs have a geriatric dose recommendation. When providing abx premed prophy the recommended dose for old ppl is
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a. The adult dose
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48. The pharmacokinetics and distribution of lipophilic drug use in old ppl is important bc
a. Elderly have more muscle b. Incresae body water c. Increased fat d. Decrease CO |
c. Increased fat
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49. By 2030 the percentage of the pop 65 yrs plus is expected to be close to
a. 5% b. 13% c. 20% d. 25% e. 33% |
c. 20%
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50. Compared to the 1980s the rate of disability among those 65 plus has
a. Decresaed b. Increased c. Stable d. All e. None |
a. Decresaed
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51. _____ is greater among persons 65 plus of age then among ppl of any other age
a. Heterogentity b. Physical ability c. Homo d. Heterosex e. Cognitive Ability |
a. Heterogentity
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52. Studys have found that as aging increases
a. Activities of daily living increase b. Visual acuity declines c. Number of headaches increases d. Presbycusis decreses e. Incidence of anosmia decreases |
b. Visual acuity declines
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53. For those aged 75+ whats the ratio of females to males
a. 5:1 b. 1:1.5 c. 2.5:1 d. 1:2.5 e. 1:5 |
c. 2.5:1
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54. Which of the following symptoms was described as needing to be managed at the end of ones life
a. Elation b. Sweating c. Weight loss d. Energy e. All |
c. Weight loss
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55. As the pop of those 65+ rapidly increases, the percentage residing in a LTC facility will
a. Remain close to 5% b. Increase during the next 20 yrs c. Decrease in next 20 yrs d. Remain close to 15% e. 5-15% |
a. Remain close to 5%
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56. Which of the following programs does not cover payment for hospice care
a. Medicare b. Medicaid c. Health insurance d. All e. None |
e. None
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57. The best description of hospice is
a. A place b. A philosophy c. Form of payment at the end of life care d. All e. None |
f. Apparently B and E it was ecc
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58. In order to qualify for hospice care, ones expected life expectancy must b
a. 1 month or less b. 1 yr or less c. 3 months or less d. 6 months or less e. None |
d. 6 months or less
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59. Which of the following statements regarding edentulism in the US general population is thought to be true
a. Percentage of dentulous ppl will remain stable thru 2030 b. The percentage of the pop under 65 will decrease c. Percentage of ppl 65+ that are edentulous will increase d. Percent of edentulous persons stable in all groups e. Number of edentulous ppl will remain stable for the next 30 yrs |
e. Number of edentulous ppl will remain stable for the next 30 yrs
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60. Less than 10% of those aged 65 yrs and older are discharged from the hospital to a nursing home
a. T/F |
T
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61. Rather than to describe an older person by age, its recommended to describe them by their
a. Last dental visit b. Denate status c. Functional status d. Income e. DMFT score |
c. Functional status
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62. Prior to treatment, u asses the pt to be unable to consent to treatment, what do u do
a. Treat as if mental capacity were present b. Don’t worry about consent c. Obtain constent from a responsible party d. Complete procedudre w a mentally capable person present e. None |
c. Obtain constent from a responsible party
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63. An Acute sudden onset of changes in cognition describes
a. Dementia b. Alzheimers c. Delirium d. Depression e. A and B |
c. Delirium
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64. Eighty yr olds don’t age any faster than thirty yr olds
a. T/F |
T
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65. Based on the table from class, the anticipated life span for a female born today is close to
a. 49 b. 65 c. 77 d. 79 e. 85 |
e. 85
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66. How many yrs is a 65 yr old male expected to live
a. 5 b. 10 c. 12 d. 15 e. 20 |
d. 15
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67. How many yrs is a 65 yr old female expected to live
a. 5 b. 10 c. 15 d. 20 e. 25 |
d. 20
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68. The KEY reason ppl are living longer today is a result of
a. Medical advances b. Pharmaceuticals c. Sanitation d. Environmental health e. Hormonal changes |
c. Sanitation
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69. Majority of denate older adults have not seen a dentist in 5 yrs +
a. T/F |
F
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70. What doesn’t decline w age
a. Accomodation b. Visual field c. Tear production d. Depth perception e. All decline w age |
e. All decline w age
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71. The physiologic basis of age related skin wrinkling is due to
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a. Decreased tissue elasticity and decresed subcutaneous fat
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72. Which is an age relted physiologic change
a. Decreased HCl in GI b. Incresed brain mass c. Incresaed gastric acid d. Decresed gastic acid e. Increase liver size |
f. A and D ecc
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73. One of the principle of geriatric medicine is that old ppl tend to have altered presentation of disease. Which of the following is an example
a. Root caries b. Dry mouth c. MI d. Adult onset diabetes e. All |
c. MI
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74. When working w a hearing impaire pt , to ensure optimal communication, one of th best things u need to do is
a. Scream into good ear b. Overarticulate and speak loud c. Get their attn d. Speak only w individual’s caregiver e. Talk as slow as possible |
c. Get their attn
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75. A characteristic symptom of a person w xerostomia is that they wake up in the morning w a dry mouth
a. T/F |
F…apparently
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76. Which is the preferred salivary subsitiue used by xerostomic pts
a. Water b. Salivart c. Moisure mist d. Methycellulose e. Polyprolene |
a. Water
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77. Whats the most common chronic condition affecting old ppl
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a. Arthritis
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78. Given the avg life expectancy of a 65yr old man is 15 yrs (will live to 80) what is the approximate avg life expectancy for a 75 yr old man
a. 5yrs b. 10yrs c. 15yrs d. 1yr e. 25yrs |
b. 10yrs no idea why
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79. If a pt has no mental capcity to consent to treatment, what do u do
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a. Obtain consent from a responsible party
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80. Incapacity is defined as having limited or impaired ability
a. To reason b. To remember c. To plan for future d. All e. A and B |
d. All
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81. What percent of older ppl takes an avg of 10 or more meds per yr
a. 10% b. 25% c. 50% d. 75% e. 95% |
c. 50%
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82. Most old ppl have regular contact w their children
a. t/f |
T
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83. Studies have found as u age
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a. The incidence of anosmia INCREASES
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84. You have been asked to select the colors to redecorate your office. Having some knowledge of age related vision changed u decie to
a. Eliminate gray and browns b. Include greens and blues c. Highlight the pastels d. Reduce yellows and blues e. Use high gloss paints |
d. Reduce yellows and blues
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85. Many old ppl are concerned and often complain about memory loss, however, most don’t have memory deficits
a. t/f |
T
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86. Compared to age 20, how much ligt enters ones eye at age 90
a. Same b. About 2/3rd mores c. About 2/3rd less d. About 1/3rd less e. Abouve 1/3rd more |
c. About 2/3rd less
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87. As we age our licker frequency
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a. Decreases slowly after age 20-25
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88. The fastest growing segment of the elderly are those aged
a. 55-64 b. 65-74 c. 74-84 d. 85+ e. 100+ |
d. 85+
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89. Which of the following makes speech more intelligible
a. Consonants b. Vowels c. Slowness d. Articulation e. All |
a. Consonants
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90. The key to implementing advanced directives is to
a. Having a tightly knit fam b. Having good commiunication w friends and fam c. Being competent when directives are needed d. Working w health care professionals |
c. Being competent when directives are needed
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91. A useful way to asses ones competency is based on their acceptance or rejection of treatment
a. T/f |
F
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92. Order of informed consent
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a. Guardian -> spouse -> parent -> sibling -> friend
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93. Majority of old ppl consider themselves to have no disabilities
a. t/f |
T
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