HESI Hints Only- Gerontology New 2023-2024
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Quiz :What is a more accurate measure of age than chronological age? -
Answer :The ability to perform activities of daily living (ADL's). The majority of
this aged 65 and older regard their health as good or excellent
Quiz :Chronological age may or may not correspond to: - Answer :Physical,
mental, social, and cultural actions and feelings
Quiz :Changes in the heart and lungs result in less efficient utilization of what?
- Answer :Of oxygen, which reduces the individual's capacity to maintain
physical activity for long periods of time. Physical training for older people can
significantly reduce blood pressure, and increase aerobic activity.
Quiz :Teaching and designing rehabilitation programs for older adults should
contain which 2 things: - Answer :Exercise and nutrition
Quiz :Old people often complain that they cannot get to sleep at night and do
not sleep soundly even after they fall asleep. Why is this? - Answer :This is
because they have shorter stage sod sleep, particularly shorter cycles between
1 and 4 and REM sleep. Stage 4 is deep sleep. They are easily awakened by
environmental stimuli. They often compensate by napping during the day
which leads to further disruption of night sleep. A common response is the us
elf prescription sleeping pills, which can create further problems of
disorientation.
Quiz :Peripheral circulation increases or decreases with age? -
Answer :Decreases.
Quiz :Why is regular assessment of the feet important in the elderly? - Answer
:It increase the opportunity to discoed and treat skin care problems early.
These problems could become more serious d/t decreased circulation
Quiz :Differentiation of normal and pathologic causes for skin and hair
conditions is essential: - Answer :Ie seborrheic keratosis vs melanomas
, Quiz :What places an older adult at risk for the development of pressure
ulcers? - Answer :Impaired mobility, impaired skin integrity, decreased
peripheral circulation, and lack of physical activity
Quiz :What are ways to help prevent or decrease the occurrence of falls? -
Answer :Install adequate lighting, paint the edges of stairs a bright color, place
a bell on any residents cats; cats move quickly and can get underfoot, wear
proper footwear that supports the foot and contributes to balance, shoes
made of non slippery materials
Quiz :Aging and systolic and diastolic blood pressures: increase or decrease
with age?
Physiology of blood pressure - Answer :Both SBP and DBP increase with age,
but systolic increase more than the DBP.
Physiology of BP: expressed as a ratio of systolic to diastolic. Systolic refers to
the level of the BP during the contraction phase; whereas diastolic refers to the
stage when the chambers of the heart are filling with blood.
Quiz :Why are dysrhythmias particularly serious in older adults? -
Answer :Older adults cannot tolerate decreased C.O., which can result in
syncope, falls, and transient ischemia attacks. Pulse may be rapid, slow, or
irregular.
Quiz :Angina symptoms in older adults may be confused with what kind of
symptoms? - Answer :Gastrointestinal symptoms. Angina symptoms may be
absent or they may be confused with GI symptoms
Quiz :With aging, what happens to the muscles that operate the lungs? -
Answer :The muscles that operate the lungs lose elasticity so that respiratory
efficiency is reduced. Vital capacity- the amount of air brought into lungs at
one time, decreases. Breathing may become more difficult after strenuous
exercise. The rate of decline has been found to be slower in more active
people. The nurse should encourage older people to remain physically active
for as long as possible.
Quiz :What makes older adults more susceptible to chronic bronchitis,
emphysema, and pneumonia? - Answer :Declining muscle strength may impair
cough efficiency.
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