NURS 676 Exam 1. Hiv Exam Questions with 100% Correct Answers

Transitional care model Correct Answer in hospital plan and home f/u for chronically ill high risk old ppl Rn led, multi-discipline Coordination and continuity Patients home= primary setting Goal- long term positive outcomes Young old Correct Answer 65-74 Old old Correct Answer 85+ years Old ppl in healthcare Correct Answer account for large percent of population 1/2 of office visits 2/3 healthcare money, more females Old age myths Correct Answer most live in nh It begins at age 65 Changes assoc w aging Correct Answer gradual, vary among individuals Inc risk- medication misuse, hospitalization, falls, delirium, disability, immobility Dx/interventional procedures Heterogeneity- become different physiologically as age- need to know normal to recognize disease Skin changes w age Correct Answer Loss of subcutaneous fat vulnerability to pressure sores Atrophic changes in sweat glands Thickened fingernails & toenails Generalized loss of body hair and head hair Decrease in # of functioning pigment-producing cells--graying Some remaining pigment cells enlarge-- "age spots" Skin changes increase vulnerability to infections/disorders Gi changes w age Correct Answer Atrophy of secretion mechanisms Decreasing motility of the gut Loss of strength/tone of muscular tissue & supporting structures Changes in neurosensory feedback Enzyme & hormone release Innervation of the tract Diminished response to pain & internal sensations Nervous system changes Correct Answer Increased motor response time Slower psychomotor performance Slowing intellectual performance Decreased complex learning Decreased hours of sleep Respiratory changes w age Correct Answer Airways & tissues become less elastic & more rigid with age Power of respiratory & abdominal muscles becomes reduced--hinders diaphragmatic movement Skeleton changes w age Correct Answer Decreased height and weight (after age 80) Loss of bone substance (osteopenia) Kidney changes w age Correct Answer Decreased creatinine clearance, renal blood flow and concentration ability Cardio changes w age Correct Answer In the absence of disease, the heart tends to maintain its size Heart valves tend to increase in thickness with age BP tends to go up with age Systolic stabilizes at about age 75 Diastolic stabilizes at about 65 then may gradually decline Changes in eye w age Correct Answer Decreased acuity, accommodation, color sensitivity, depth perception Hyperopia (far-sightedness) Presbyopia- hardening of lens, hard to see close up Hearing changes w age Correct Answer Degenerative changes of ossicles Obstruction of eustachian tube Atrophy of cochlear hair cells High frequency hearing loss and pitch discrimination Talking about changes w patients Correct Answer common doesnt mean normal. If they think normal wont talk about it Set expectation Geriatric d/o are normally disabilities not diseases Adls Correct Answer Dressing Eating Walking