HESI Hints Only- Gerontology Latest Updated 2022 Graded A What is a more accurate measure of age than chronological age? Correct Answer-The ability to perform activities of daily living (ADL's). Th... e majority of this aged 65 and older regard their health as good or excellent Chronological age may or may not correspond to: Correct Answer-Physical, mental, social, and cultural actions and feelings Changes in the heart and lungs result in less efficient utilization of what? Correct 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. Teaching and designing rehabilitation programs for older adults should contain which 2 things: Correct Answer-Exercise and nutrition 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? Correct 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.Peripheral circulation increases or decreases with age? Correct Answer-Decreases. Why is regular assessment of the feet important in the elderly? Correct Answer-It increase the opportunity to discoed and treat skin care problems early. These problems could become more serious d/t decreased circulation Differentiation of normal and pathologic causes for skin and hair conditions is essential: Correct AnswerIe seborrheic keratosis vs melanomas What places an older adult at risk for the development of pressure ulcers? Correct Answer-Impaired mobility, impaired skin integrity, decreased peripheral circulation, and lack of physical activity What are ways to help prevent or decrease the occurrence of falls? Correct 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 Aging and systolic and diastolic blood pressures: increase or decrease with age? Physiology of blood pressure Correct 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.Why are dysrhythmias particularly serious in older adults? Correct 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. Angina symptoms in older adults may be confused with what kind of symptoms? Correct AnswerGastrointestinal symptoms. Angina symptoms may be absent or they may be confused with GI symptoms With aging, what happens to the muscles that operate the lungs? Correct 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. What makes older adults more susceptible to chronic bronchitis, emphysema, and pneumonia? Correct Answer-Declining muscle strength may impair cough efficiency. What is a major cause of respiratory disability in older adults? Correct Answer-COPD What is a major cause of death in older adults? Correct Answer-Aspiration pneumoniaWhat changes contribute to chronic constipation with age? Correct Answer-The number of enzymes in the small intestine is reduced, and simple sugars are absorbed more slowly, resulting in decreases efficiency of the digestive process. The smooth muscle content and the muscle tone of the wall of the colon decrease. Anatomic changes in the large intestine result in decreased intestinal motility. Physiologic factors, as well as abuse of over the counter laxatives, are factors Decreases in fluid intake and mobility contribute to constipation Is tooth loss a normal part of the aging process? Correct Answer-No. [Show More]
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