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NUR 257 EXAM 1 (GERIATRICS) WITH CORRECT ANSWERS 2026 How often should a breast cancer screening be done? ( correct answers ) Every year Functional ( correct answers ) no longer able to perform usual activities Social ( correct answers ) changes in roles (retirement, birth of a grandchild) Biological ( correct answers ) how the body may change chronological terms ( correct answers ) late life is recognized as beginning sometimes between the ages of 50 & 65 super centenarians ( correct answers ) older adults who have reached age 110 and beyond centenarians ( correct answers ) people 100 years old or older
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How often should a breast cancer screening be done? ( correct answers ) Every year Functional ( correct answers ) no longer able to perform usual activities Social ( correct answers ) changes in roles (retirement, birth of a grandchild) Biological ( correct answers ) how the body may change chronological terms ( correct answers ) late life is recognized as beginning sometimes between the ages of 50 & 65 super centenarians ( correct answers ) older adults who have reached age 110 and beyond centenarians ( correct answers ) people 100 years old or older those in between ( correct answers ) born between 1915 and 1945 Baby boomers ( correct answers ) people born between 1946 and 1964 healthy aging ( correct answers ) related to the functional status, socioeconomic factors, marital status, who is important to the person Older adults should increase dietary intake of complex carbs and fiber containing food to ( correct answers ) 5 or more vaginal and cervical cancer screening ( correct answers ) stops at age 60- 65 HIV screening ( correct answers ) AS NEEDED How often should a a physical exam be done? ( correct answers ) yearly - more frequently if there is a chronic illness
Dietary fat should be reduced to ___? ( correct answers ) no more than 30% Saturated fat should be reduced to ____? ( correct answers ) less than 10% How often should older adults exercise? ( correct answers ) 3- times/week How long should older adults spend in the sun? ( correct answers ) 10- minutes 2-3 times/week Calcium intake for older adults ( correct answers ) 1000-1500 mg daily Culture ( correct answers ) shared and learned values, beliefs, expectations and behaviors of a group of people Health disparity ( correct answers ) differences in health outcomes among groups What terms should you not use with older adults? ( correct answers ) old lady/man, sweetie, honey, geezer How should you not talk to older adults? ( correct answers ) Exaggerated speech "baby talk" demeaning emotional tone Culturally appropriate things to do ( correct answers ) Ask for physical touch assess their culture do not prolong eye contact w/ asians signs that death is approaching ( correct answers ) decreased appetite cold extremities decrease in vitals decreased output incontinence respiratory rattles (death rattles) pt seeing/hearing deceased loved ones restlessness What should you do when someone is actively dying? ( correct answers ) Encourage talking to pt don't sit them up few visitors keep them comfortable - pain meds (morphine)
Common s/s that an older adult has an infection? ( correct answers ) Decreased LOC/confusion Priority concerns with older adults ( correct answers ) increased stress on the heart hydration malnutrition When transferring a pt to another facility, home, etc. what is important? ( correct answers ) continuum of care How do older adults need to protect their skin when outside in the sun? ( correct answers ) long sleeve shirts umbrellas for shade sunscreen What causes stress on the heart? ( correct answers ) Constipation death of a loved one surgery How to promote wellness ( correct answers ) vaccines check ups breast exams colorectal cancer socialization physical activity diet Vaccines ( correct answers ) TDAP FLU Shingles - x2 at age 50- What to do when a patient from another culture is not following plan care? ( correct answers ) Asses why make sure they understand ask about their preferences 3rd generation theory ( correct answers ) reminiscing life review Ways to reminisce ( correct answers ) listen without correction or criticism be patient actively listen use props & triggers such as photographs life review ( correct answers ) it takes a person through their life in a structured & chronological order What meds lower blood pressure? ( correct answers ) Beta blockers - lols
Therapeutic communication for elderly ( correct answers ) don't give advice no standing over them actively listening no why questions don't minimize feelings allow to reminisce Bill of rights ( correct answers ) right to voice grievance right to refuse meds/tx/interventions right to who has access medical records confidentiality Stages of widowhood ( correct answers ) Reactionary Withdrawal Recuperation Exploration Integration Reactionary phase ( correct answers ) response to lost Withdrawal phase ( correct answers ) Depression, withdrawing from daily life Recuperation phase ( correct answers ) Trying to return back to normal activity Exploration phase ( correct answers ) begin new things, adventures Integration phase ( correct answers ) Return back to society HIV/AIDS teaching ( correct answers ) Everyone gets education safe sex no needle sharing ABCs - abstinence, be faithful, wear condoms PPE Can other infections can happen with HIV ( correct answers ) Yes - yeast infections most common ADLs (activities of daily living) ( correct answers ) bathing, dressing, eating, and getting around the house IADLs (instrumental activities of daily living) ( correct answers ) preparing meals, shopping, managing money, using telephone, doing homework, laundry and taking medications
Geriatric Syndromes ( correct answers ) Falls and gait abnormalities Frailty Delirium Urinary incontinence Sleep disorders Pressure ulcers signs and symptoms of frailty ( correct answers ) weight loss, fatigue, muscle weakness, slow or unsteady gait, and declines in activity Common bereavement reactions ( correct answers ) self neglect, isolation, withdrawal, not being able to talk about the grief, increased heart stress