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). The majority of this a
...
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). The 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.
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