Falls
Functional Ability
Health Promotion
Cataracts
Hearing Loss
100

Where do most falls occur?

At home

100

True or False

Long-term memory declines during old age

False

100

What is the number one health promotion for older adults.

Prevention of falls

100

What word is commonly used to describe the opacity within the lens of a patient with cataracts.

Cloudy or cloudiness 

100

What is the most preventable cause of hearing loss?

Noise. A person should avoid continued exposure to noise levels greater than 70dB

200

List three reasons older adults are at an increased risk for falls.

Decreased strength

Impaired mobility & balance

Decreased sensory perception

Environmental hazards

Endurance limitations

200

An individual’s ability to perform the normal daily activities required to meet basic needs; fullfill usual roles in family, workplace, & community; & maintain health & well-being is defined as what?

A person's functional ability

200

List 3 barriers to health care access.

Transportation

Lack of quality health care

Social isolation

Financial limits

Limited access to healthcare facilities/workers

200

What comorbidity is a common cause of early-onset cataracts?

Diabetes

200

Name 3 ototoxic drugs classes that can be responsible for hearing loss.

Aspirin

NSAIDs

Antibiotics

Loop Diuretics

Chemotherapy Drugs

300

What is the most important component in caring for an older adult and why?

Prevention of falls because older adults have a longer recovery time & an increased risk of complication.

300

Which cognitive functions decline during middle age?

Mental performance speed

Synthesis of new information

Fluid intelligence

300

List 3 factors that would have a negative effect on the natural aging process.

Stress

Cancer

Cardiovascular Disease

Diabetes

Obesity

300

List four post-op activities that a patient should avoid because they may increase IOP.

coughing

sneezing

blowing nose

nighttime driving

300

Age-related irreversible degenerative changes of the inner ear that lead to decreased hearing ability is defined as.

Presbycusis

400

You, the nurse, are educating an older adults family on modifications they can make at home to improve safety and reduce the patient's fall risk. List four modifications that you would suggest.

Remove items that could cause pt to trip such as throw rugs & loose carpet

Place electric/extension cords against wall behind furniture

Make sure steps & sidewalks are clear & in good repair

Place grab bars near toilet & in tub/shower

Use nonskid mat in shower/tub &/or use a shower chair

Ensure adequate lighting & remove clutter

400

List 3 examples of assessment data that a nurse should collect in order to assess a patient's functional performance.

Are they continent of bowel & bladder?

What does the pts gait looks like?

Information on their eating ability. Are they able to feed themselves? Do they have any trouble swallowing?

Can they perform ADL on their own?

How do they transfer?

400

List 4 Annual Health Screenings an older adult should get.

Hearing

Fecal Occult Blood Test

Digital rectal & prostate-specific antigen (males)

DXA scanning for osteoporosis

Eye exam for glaucoma

400

What are three symptoms a patient who has cataracts may experience?


gradual decrease in vision

abnormal color perception

glaring vision that is worse at night

cloudy vision 

400

List 4 signs a patient may be experiencing hearing loss.

Frequently asking others to repeat statements

Straining to hear (turning head, leaning forward, favoring one ear)

Ringing in the ears

Failing to respond &/or answering questions incorrectly

Raising the volume of TV/radio

Withdrawing from social interactions

500

List 5 ways of preventing falls within the healthcare setting.

complete fall-risk assessments upon admission

be sure pt knows how to use the call light, that it is within reach, & encourage pt to use it

provide regular toileting & orientation of pts with cognitive impairment

provide adequate lighting

orient pt to setting so the know where their assistive devices and necessary items are

place pts with a high fall-risk near the nurses' station

keep the bed in the lowest position and lock the brakes

avoid the use of full-side rails

provide nonskid footwear

keep the floor clean, dry, & clear of clutter

500

Double jeopardy!!! 1000 points

63 

How old Dr Snow turned today!!

(24 months until free Health care!)

500

Primary vaccinations for middle & older adults include annual influenza, tetanus, diphtheria, zoster, pneumococcal, & pertussis. Name the other primary vaccine the older adult should receive. 

Varicella Vaccine

500

This procedure uses ultrasonic vibrations to dissolve the cataract lens into fragments that are then suctioned out.

Phacoemulsification

500

In this type of hearing loss the patient often speaks softly because the sound of their own voice seems loud to them.

Conductive hearing loss