Deck 14: The Geriatric Patient

Question 1

A person with Parkinson's disease will exhibit:

A) an ability to perform daily living activities unimpeded.
B) an expressive face.
C) normal gait.
D) pill rolling.

Answer 1

pill rolling.

Question 2

Which of the following is NOT a contributing reason to malnutrition in the elderly?

A) Inability to cook and prepare food
B) Ingestion of a multivitamin
C) Severe depression
D) Swallowing disorders

Answer 2

Ingestion of a multivitamin

Question 3

Which of the following is considered a risk factor for skin breakdown?

A) Checking the skin often
B) Clean,dry skin
C) Frequent turning while in bed
D) Presence of infection in the patient

Answer 3

Presence of infection in the patient

Question 4

The use of an alarm system to prevent a patient from falling or wandering is considered a restraint alternative.

Question 5

Matching
Match the pathological condition of the ear with its description.
Ménière's disease

A)Rare,benign tumor of the eighth cranial nerve located in the internal auditory canal
B)Abnormal growth of bone in the middle ear resulting in deafness
C)Blockage of the endolymphatic duct of the ear and a subsequent buildup of fluid in the inner ear
D)Dizziness and/or vertigo with a change in head position
E)Inflammation of the inner ear that may be either in both ears or one ear

Question 6

All of the following are skin effects due to aging EXCEPT:

A) easy bruising.
B) reduced elasticity and flexibility.
C) hair loss on the body.
D) thickening of the subdermal fat layer.

Question 7

What should you do if a patient displays alterations in sleep habits,anger,fatigue,fear,ability to make decisions,concentration,loneliness,weakness,and weight?

A) Consult the PT and physician immediately.
B) Monitor the patient for 1 to 2 weeks and if things don't get better,consult the PT and physician.
C) Recommend a good sleep aid.
D) Tell the patient that everything will be okay as long as they work harder.

Question 8

A family member taking money from an elderly person is not considered elder abuse.

Question 9

To reduce falls in the home of a patient with impaired vision,which of the following should NOT be done?

A) Minimize clutter.
B) Move cords from places where they can be a fall hazard.
C) Obtain more floor and area rugs.
D) Use an assistive device if applicable when up and around.

Question 10

An Amsler grid is used to detect which of the following pathological diseases of the eye?

A) Age-related macular degeneration
B) Cataracts
C) Glaucoma
D) Retinal detachment

Question 11

The Kübler-Ross stages of dying include all of the following EXCEPT:

A) anger.
B) bargaining.
C) depression.
D) surrender.

Question 12

Which of the following is NOT a physiological effect of aging?

A) Decreased cardiac output
B) Feelings of isolation
C) Reduction in lung elasticity
D) Thickening of arteries and capillaries

Question 13

It is recommended to develop regular exercise routines in order to fatigue patients with dementia to prevent them from wandering.

Question 14

Matching
Match the pathological condition of the ear with its description.
Labyrinthitis

A)Rare,benign tumor of the eighth cranial nerve located in the internal auditory canal
B)Abnormal growth of bone in the middle ear resulting in deafness
C)Blockage of the endolymphatic duct of the ear and a subsequent buildup of fluid in the inner ear
D)Dizziness and/or vertigo with a change in head position
E)Inflammation of the inner ear that may be either in both ears or one ear

Question 15

Adding a pressure-relieving cushion to a wheelchair is one way to prevent pressure ulcers.

Question 16

Matching
Match the pathological condition of the ear with its description.
The Geriatric Patient

A)Rare,benign tumor of the eighth cranial nerve located in the internal auditory canal
B)Abnormal growth of bone in the middle ear resulting in deafness
C)Blockage of the endolymphatic duct of the ear and a subsequent buildup of fluid in the inner ear
D)Dizziness and/or vertigo with a change in head position
E)Inflammation of the inner ear that may be either in both ears or one ear

Question 17

Matching
Match the pathological condition of the ear with its description.
Acoustic neuroma

A)Rare,benign tumor of the eighth cranial nerve located in the internal auditory canal
B)Abnormal growth of bone in the middle ear resulting in deafness
C)Blockage of the endolymphatic duct of the ear and a subsequent buildup of fluid in the inner ear
D)Dizziness and/or vertigo with a change in head position
E)Inflammation of the inner ear that may be either in both ears or one ear

Question 18

To reduce the chance of falling at night when going to the bathroom,it is recommended that an elderly person quickly get out of bed and walk briskly to the bathroom.

Question 19

When working with patients with dementia,it is important to do all of the following EXCEPT:

A) use group exercise.
B) use simple,brief instructions.
C) use the person's name frequently.
D) use your irritation to facilitate a therapeutic reaction.

Question 20

Matching
Match the pathological condition of the ear with its description.
Benign paroxysmal positional vertigo

A)Rare,benign tumor of the eighth cranial nerve located in the internal auditory canal
B)Abnormal growth of bone in the middle ear resulting in deafness
C)Blockage of the endolymphatic duct of the ear and a subsequent buildup of fluid in the inner ear
D)Dizziness and/or vertigo with a change in head position
E)Inflammation of the inner ear that may be either in both ears or one ear