Gero Test 1

Front 1

gerontology is the study of

Back 1

the process of aging

Front 2

geriatrics is

Back 2

diagnoses and tx of disease

Front 3

pre elderly age

Back 3

55-64

Front 4

young old

Back 4

65-74

Front 5

middle old

Back 5

75-84

Front 6

old old

Back 6

85-99

Front 7

centenarian

Back 7

100+

Front 8

what is NOT a normal expected outcome of aging

Back 8

disease

Front 9

ie of ADLs (5)

Back 9

bathing, dressing, eating, transferring, toileting

Front 10

ie of IADLs (4)

Back 10

shopping, cooking, laundry, finances

Front 11

what age group is the fastest growing segment of population

Back 11

old old (85-99)

Front 12

US ratio of men to women age 65+ is

Back 12

49 men : 100 women

Front 13

4 reasons women more likely to live in poverty years ago

Back 13

widowed, live alone, less education, fewer years of labor experience

Front 14

4 most common chronic conditions that limit OAs

Back 14

HTN, Heart dx, DM, resp disorders

Front 15

80% of seniors will have at least ___

Back 15

1 chronic health condition

Front 16

9 most common causes of disability in US

Back 16

DJD, chronic back pain, atherosclerosis, reps probs, hearing probs, mental or emotional probs, DM, vision probs, stroke

Front 17

when do you begin and stop routine screenings

Back 17

dependent on person and their hx

Front 18

healthy people 2020 goal

Back 18

achieve health equity, eliminate disparities, and improve the health of all groups

Front 19

studying theories for aging helps nurses with

Back 19

ADPIE

Front 20

normal aging changes in the heart

Back 20

muscle thickens and pumping rate slows

Front 21

normal aging changes in the arteries

Back 21

stiffen - atherosclerosis - hardening of arteries

Front 22

normal aging changes in the lungs

Back 22

decrease capacity (up to 40%)

Front 23

normal aging changes in the brain

Back 23

looses axons and neurons

Front 24

normal aging changes in the kidneys

Back 24

become less efficient

Front 25

normal aging changes in the bladder

Back 25

capacity declines

Front 26

normal aging changes in the body fat

Back 26

increases throughout life then slowly decreases

Front 27

normal aging changes in the muscles

Back 27

declines without exercise

Front 28

noraml aging changes in the bones

Back 28

increased mineral loss

Front 29

normal aging changes in sight

Back 29

focus starts to change at age 40, glare sensitivity at age 50, fine details diminish at age 70

Front 30

normal aging changes in hearing

Back 30

difficult to hear higher frequencies

Front 31

what does not change with age

Back 31

personality

Front 32

3 major theories of aging

Back 32

biological, psychological, sociological

Front 33

eriksons older adult stage

Back 33

integrity vs despair

Front 34

what is gerotranscendence

Back 34

shift occurs from egoism to altruism

Front 35

egoism is love of

Back 35

self

Front 36

altruism is love of

Back 36

others, meaningful relationships

Front 37

gerotranscendence is a more ___ view of world

Back 37

cosmic and transcendent or religious

Front 38

spirituality does not merely denote

Back 38

religious affiliation

Front 39

QSEN

Back 39

quality and safety education for nurses

Front 40

goal of QSEN

Back 40

prepare nurses to have knowledge, skills, and attitudes necessary to improve quality and safety of healthcare system in which they work

Front 41

QSEN prime area of concern

Back 41

improving pt safety

Front 42

3 things to consider for nsdx

Back 42

what can immediately (-) impact, what is most concerning, what may (-) affect QOL

Front 43

skilled nursing care found where

Back 43

hospital, nursing home

Front 44

skilled nursing care paid by

Back 44

insurance

Front 45

3 ie of retirement communities

Back 45

independent living, assisted living, nursing homes

Front 46

retirement communities paid by

Back 46

privately

Front 47

another option for OA care

Back 47

adult day care, paid privately

Front 48

rehab hospitals

Back 48

care to pt with complex needs, paid by insurance

Front 49

OA may need what drug dose

Back 49

lower

Front 50

oa fat and water in body

Back 50

fat increase, water decrease

Front 51

fat soluble drugs

Back 51

prolonged effect

Front 52

water soluble drugs

Back 52

increased concentration

Front 53

1st pass effect

Back 53

decrease liver blood supply

Front 54

protein bound drugs

Back 54

increase in free drugs

Front 55

protein bound drugs problem with

Back 55

liver or renal probs

Front 56

most accurate assessment of RF (renal function)

Back 56

GFR, Cr clearance

Front 57

what is poor indicator of renal function (2)

Back 57

Cr, BUN

Front 58

drugs rule of thumb for oa

Back 58

start low and go slow

Front 59

what causes delay in rx tx

Back 59

folk and herbal remedies

Front 60

what % skimp on meds because of $

Back 60

48%

Front 61

main way nurse can decrease polypharmacy

Back 61

assess for necessity

Front 62

medication reconciliation

Back 62

if they dont need med then stop it

Front 63

statin for high cholesterol for 95 yo causes

Back 63

more harm than good

Front 64

adverse drug events cognitive effects (4)

Back 64

delirium, depression, dementia, decreased cognintive function

Front 65

adverse drug events anticholinergic effects (2)

Back 65

central, peripheral

Front 66

central anticholinergic adverse drug effects (6)

Back 66

agitation, confusion, disorientation, poor attention, hallucinations, psychosis

Front 67

peripheral anticholinergic adverse drug effects (6)

Back 67

constipation, urinary retention, inhibit sweating, vision changes, decreased secretions, tachycardia

Front 68

statins cause

Back 68

muscle weakness

Front 69

coumadin interferes with

Back 69

green veggies cuz of vit k

Front 70

bactrim causes

Back 70

steven johnsons syndrome

Front 71

lisonpril causes

Back 71

angioedema

Front 72

angioedema

Back 72

life threatening reaction to any ACE inhibitor

Front 73

prescribing cascade

Back 73

SE interpreted as new med condition > new drug > new SE > repeat

Front 74

beers list / beers criteria

Back 74

drugs deemed inappropriate for oa

Front 75

antiinfective for UTI

Back 75

macrobid

Front 76

macrobid causes

Back 76

pulmonary toxicity

Front 77

psychotropic drugs may be considered

Back 77

chemical restraints

Front 78

underprescribing

Back 78

clietn does not benefit from med

Front 79

3 anxiolytics and hypnotics

Back 79

ativan, valium, zanax

Front 80

benzodiazepines not to be used

Back 80

for extened period of time

Front 81

3 benzodiazepines

Back 81

ativan, valium, zanax

Front 82

reversal agent for benzodiazepines

Back 82

romazicon

Front 83

reversal agent for opioids

Back 83

narcan

Front 84

antihistamines only used for

Back 84

allergy

Front 85

first choice antidepressant

Back 85

SSRI

Front 86

SSRI can cause

Back 86

hyponatremia

Front 87

first drugs for HTn

Back 87

diuretics and beta blockers

Front 88

diuretics and b blockers should be used

Back 88

in combination

Front 89

second option for cardiovascular drugs

Back 89

ace inhibitors

Front 90

ace inhibitors affect

Back 90

kidneys

Front 91

what drug has Eeyore affect

Back 91

beta blockers

Front 92

drug resistance cuz

Back 92

50% do not finish regimen

Front 93

medication adherence sounds better than

Back 93

noncompliance

Front 94

alcohol alters

Back 94

drug affects

Front 95

MASTER - M

Back 95

minimize number of drugs used

Front 96

MASTER - A

Back 96

alternatives are considered

Front 97

MASTER - S

Back 97

start low and go slow

Front 98

MASTER - T

Back 98

titrate therapy

Front 99

MASTER - E

Back 99

educate pt

Front 100

MASTER - R

Back 100

review regularly