Deck 21: Older Adult Health

Question 1

Albert, 79 years old, lives alone in his own home. He has diabetes, glaucoma, and nocturia from an enlarged prostate. A nurse is completing a fall risk assessment screening tool with Albert. The nurse wants to help Albert fall proof his home. Which suggestion would be most beneficial to Albert?

A) The bathroom and bedroom have automatic night lights
B) Cupboards are arranged with commonly used items within easy reach
C) Stairs are free of obstacles and clutter
D) The phone is easy to reach from the bed

Answer 1

The bathroom and bedroom have automatic night lights

Question 2

A nurse is planning the home care requirements for Mrs. Johal, who had a cerebral vascular accident (CVA) and has lost the use of her left arm. Mr. Johal, 69 years old, still runs his family business with other relatives. What level of support would be appropriate for Mrs. Johal to ensure aging-in-place? Select all that apply.

A) Speech-language pathology
B) Personal care
C) Community adult day care
D) Homemaking

Answer 2

Personal care
Community adult day care
Homemaking

Question 3

Albert, 79 years old, lives alone in his own home. He has diabetes, glaucoma, and nocturia from an enlarged prostate. A nurse is completing a fall risk assessment screening tool with Albert. The nurse knows that older people living in the community experience one or more falls each year. What is one example of a modifiable risk factor for falls that the nurse can discuss with Albert?

A) Biological make-up
B) Improper lighting
C) Socian environments
D) Review of medications

Answer 3

Review of medications

Question 4

Which continent has the largest proportion of older adults?

A) Europe
B) Asia
C) Africa
D) North America

Question 5

Albert, 79 years old, lives alone in his own home. He has diabetes, glaucoma, and nocturia from an enlarged prostate. A nurse is completing a fall risk assessment screening tool with Albert. What health promotion strategy can the nurse suggest to Albert that will decrease his risk for a fall?

A) Join a senior's fitness program
B) Add contrasting colour strips to first and last steps to identify change of level
C) Hire a neighbourhood kid to clear snow and ice from walkways
D) Get a panic button service installed in the home

Question 6

Which of the following conditions is the most common in the older adult population?

A) Depression
B) Alzheimer's disease
C) Sexually transmitted infections
D) Cardiovascular disease

Question 7

Which of the following sexually transmitted infections are increasingly being observed in the older adult population? Select all that apply.

A) Chlamydia
B) Gonorrhea
C) HIV
D) Hepatitis

Question 8

Which Canadian region has the highest percentage of people 65 years and older?

A) Western provinces
B) Atlantic provinces
C) Central provinces
D) Northern provinces

Question 9

Jake Chrisoff, 70 years old, has Alzheimer's and his wife, Barbara, is his main caregiver. A nurse is doing a home visit to assess the situation. Barbara shares with the nurse that she is feeling housebound because she doesn't drive. What would be an appropriate strategy for the nurse to suggest that is consistent with an age-friendly community?

A) "Perhaps a neighbour could watch Jake while you go out"
B) "Call a taxi and arrange for a friend to stay with Jake"
C) "Ask your daughter to drive you to appointments"
D) "This is the contact number for a volunteer and an informal network of drivers"

Question 10

Jake Chrisoff, 70 years old, has Alzheimer's and his wife, Barbara, is his main caregiver. A nurse is doing a home visit to assess the situation. The nurse explains to Barbara the importance of :aging-in-place. What example illustrates this tenet?

A) Dress Jake because he can't manage buttons
B) Take Jake for daily walks
C) Cut Jake's food for him and feed him
D) Put Jake in an adult diaper rather than use a toileting routine

Question 11

What is the definition of a baby boomer?

A) Someone who is born between 1925 - 1950
B) Someone who is born between 1910 - 1965
C) Someone who is born between 1945 - 1965
D) Someone who is born between 1950 - 1970

Question 12

Which of the following represents an official language minority?

A) Cantonese-speaking seniors living in British Columbia
B) French-speaking seniors living in Quebec
C) Italian-speaking seniors living in New Brunswick
D) English-speaking seniors living in Quebec

Question 13

What proportion of the world's population will be composed of older people by 2036?

A) 1 in 4
B) 1 in 6
C) 1 in 8
D) 1 in 2

Question 14

What percentage of older adults live in institutions?

A) 8
B) 13
C) 26
D) 32

Question 15

Which of the following is an example of an innovative practice in health care for Indigenous older adults?

A) Joint programs with youth in preparing culturally appropriate food
B) Offline education for community-based health care providers
C) Increasing social isolation of seniors living at home
D) Bringing chronic disease self-management to urban regions

Question 16

What is the correct term used to describe stereotyping those that are simply older in age?

A) Ageism
B) Sexism
C) Classism
D) Fatalism

Question 17

Approximately what percentage of older adults have Alzheimer's Disease?

A) 35%
B) 60%
C) 15%
D) 5%

Question 18

Jake Chrisoff, 70 years old, has Alzheimer's and his wife, Barbara, is his main caregiver. A nurse is doing a home visit to assess the situation. What comment by the nurse demonstrates preservation of Jake's personhood?

A) "Barbara, Jake doesn't know it's his birthday so a celebration isn't necessary"
B) "I recommend isolating Jake to de-escalate his agitation or restlessness"
C) "Jake, tell me about your life on the cattle ranch"
D) "I wouldn't recommend maintaining Jake's tradition of reading the paper with his morning coffee because he can't follow the story lines anymore"

Question 19

Which one of the following represents one of the eight domains of age-friendly communities?

A) Respect and social exclusion
B) Outdoor spaces and buildings
C) Communication and misinformation
D) Unemployment

Question 20

Which of the following statements are true of age friendly communities? Select all that apply.

A) They make environments inclusive of older adults
B) They increase access to the social determinants of health
C) They create divisiveness between populations
D) They correct inequities

Question 21

Describe the domains of an age-friendly community and provide an example for each feature.

Question 22

List the activities that a CHN may engage in as part of a fall assessment with the older adult

Question 23

Although many older adults are aware of Canada's Food Guide, food choices are related to health status and functional ability. List the factors that contribute to inappropriate food choices. Discuss what the CHN can discuss as part of a nutritional assessment.

Question 24

What percentage of new immigrant seniors were unable to speak English or French between 2001 and 2009?

A) 25%
B) 15%
C) 50%
D) 80%

Question 25

What are some issues that represent challenges and opportunities for improvement with aged care?

Question 26

Which of the following statements is true about immigrant seniors and their health?

A) They are more likely to receive home care
B) They require less help with activities of daily living
C) They experience social isolation
D) They have lower rates of hypertension

Question 27

Discuss why social isolation is a significant problem among older adults and what CHNs can do about this issue.

Question 28

Which of the folowing are public policy initiatives for older adults in Canada? Select all that apply.

A) Public pensions
B) Healthy eating
C) Health care
D) Caregiving

Question 29

Which of the following is an immunization that should be recommended for older adults on a yearly basis?

A) Diptheria
B) Influenza
C) Hepatitis A
D) Cholera

Question 30

Which of the following is a common underlying health problem that can alter sexual desire and performance in older adults?

A) Incontinence
B) Lupus
C) Using no medications
D) Stiff bones