Geri Hesi Hints Questions and Answers

Geri Hesi Hints Biologic theories - Answer- Hint: The concept of aging is shifting from frail and dependent to healthy living. The majority of those aged 65 and older regard their health as good or excellent. The ability to perform activities of daily living (ADLs) is a more accurate measure age than chronologic age Physiologic Changes - Answer- Hint: Changes in the heart and lungs result in less efficient utilization of O2, which reduces an individual's capacity to maintain physical activity for long periods. Physical training for older people can significantly reduce blood pressure and increase aerobic capacity. NCLEX-RN questions may ask about teaching and designing rehabilitation programs for older adults. The answer should contain something about exercise and nutrition Hint: Older people often complain that they cannot get to sleep at night and do not sleep soundly even after they fall asleep. This is because they have shorter stages of sleep, particularly shorter cycles between stages 1 and 4 and REM sleep (stage 4 is deep sleep). They are easily awaken by environmental stimuli. They often compensate by napping during the day, which leads to further disruptions of night sleep. A common response is the use of prescription sleeping pills, which can create still further problems of disorientation, etc Integumentary System - Answer- Hint: Peripheral circulation decreases as one ages. Regular assessment of the feet is very important because it increases the opportunity to discover and treat skin problems early. These problems could become more serious because of decreased circulation Hint: Differentiation of normal and pathologic causes for skin and hair conditions is essential; for example, seborrheic keratosis (raised lesions that are normal in aging) from melanomas Musculoskeletal System - Answer- Impaired mobility, impaired skin integrity, decreased peripheral circulation, and lack of physical activity place older adults at risk for development of pressure ulcers Hint: The following are ways to help prevent or decrease the occurrence of falls= -install adequate lighting -wear proper footwear that supports the foot and contributes to balance; shoes should be made of non slippery materials -place a bell on any resident cats; cats move quickly and can get underfoot -paint the edges of stairs a bright color Cardiovascular System - Answer- Hint: Both systolic and diastolic BPs tend to increase with normal aging, but the elevation of systolic is greater. Remember the physiology of blood pressure, which is expressed as a ratio of systolic to diastolic pressure. Systolic refers to the level of BP during the contraction phase, and diastolic refers to the stage when the chambers of the heart are filling with blood