Chapter 11 Geriatric Considerations - Test

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1

Describe the normal changes of aging as related to the following body systems

A) Integumentary system
B) Cardiovascular system
C) Pulmonary system
D) Hepatic system
E) Gastrointestinal system

...

2

True or False?

Confusion and other symptoms of dementia are to be expected in an elderly patient, since they are part of the normal aging process.

False

3

Eighty percent of deaths in persons over age 65 are due to:

A) Trauma, peritonitis, and emphysema
B) Fractures, chemical abuse, and schizophrenia
C) Cancer, heart disease, and strokes
D) Diabetes mellitus, arthritis, and hypertension

C) Cancer, heart disease, and strokes

4

When the radiographer must schedule an elderly patient for a difficult diagnostic examination, it is best to schedule the examination for:

A) Evening hours so that the patient has the day to rest
B) Early morning hours so that the patient can have breakfast as close to the usual time as possible
C) In the middle of the day so that traffic is less hectic
D) At a time that is convenient for the radiographer

B) Early morning hours so that the patient can have breakfast as close to the usual time as possible

5

Physiologic changes that come with aging that the radiographer should consider as he works with the elderly patient include:

A) Loss of the sensation of pain
B) Loss of sensitivity to heat or cold
C) Diminishing cough reflex
D) Loss of the sense of humor
E) a, b, and c

E) a, b, and c

6

Assessment of the elderly should include:

A) Ability to see and hear
B) Ability to move without assistance
C) Level of understanding
D) a and b
E) a, b, and c

D) a and b

7

All of the following are caregiver indicators of elder abuse except:

A) Caregiver is flirtatious in an inappropriate sexual approach to the patient
B) Caregiver responds for the elder, preventing the patient from responding
C)Caregiver lacks affection toward the patient
D) all of these are indicators of elder abuse

D) all of these are indicators of elder abuse

8

Arthoplasty is indicated in persons with _____ disease.

joint

9

_____ is a common and debilitating emotional problem of the aged person.

Depression

10

True or False?

With aging, baroreceptors in the aorta and internal carotid arteries become less sensitive to blood volume and pressure changes.

True

11

True or False?

The hips and ankle are the most commonly replaced joints.

False

Hips and knees

12

True or False?

Cultural sensitivity will ensure that the patient's beliefs and values are respected, thus enabling the best patient care during imaging procedures.

True

13

The joints of many elderly persons become very painful because of degenerative joint disease, and an operative procedure is done to replace the diseases joint with a _____.

prosthesis

14

With aging, brown macules called senile _____ appear on the backs of the hands, on the forearms, and on the face.

lentigines

15

All of the following are normal changes of aging related to the gastrointestinal system, except:

A) The swallowing reflex becomes less effective
B) abdominal muscles weaken
C) Esophageal motility increases
D) Tone of the internal anal sphincter decreases
E) gastric secretion, absorption, and motility decrease

C) Esophageal motility increases

16

Which of the following is a sign of neglect in an elderly patient?

A) scratches
B) elderly patient is withdrawn or secretive
C) malnutrition or dehydration
D) bruising on the breast or genital area
E) unusual bank account activity or unpaid bills

C) malnutrition or dehydration

17

All of the following are normal changes of aging to the integumentary system, except:

A) the vascularity of the dermis decreases
B) hair loses its pigment and begins to gray
C) seborrheic keratoses and actinic keratoses may develop
D) skin on the back of the hands and forearms becomes thickened
E) The skin wrinkles, becomes lax, and loses turgor

D) skin on the back of the hands and forearms becomes thickened

18

True or False?

Liver size increases with age.

False

19

Round, flat, brown highly pigmented spots on the skin caused by increased deposition of melanin; often occur on the exposed skin of the elderly

A) Actinic keratosis
B) Macules
C) Lentigines
D) Baroreceptor
E) prosthesis

C) Lentigines

20

Small, flat blemishes or discolorations that are flush with the skin surface

A) Actinic keratosis
B) Macules
C) Lentigines
D) Baroreceptor
E) prosthesis

B) Macules

21

An artificial substitute for a missing part

A) Actinic keratosis
B) Macules
C) Lentigines
D) Baroreceptor
E) prosthesis

E) prosthesis

22

A slow, localized thickening of the outer layers of the skin as a result of chronic, excessive exposure to the sun

A) Actinic keratosis
B) Macules
C) Lentigines
D) Baroreceptor
E) prosthesis

A) Actinic keratosis

23

A sensory nerve that is stimulated by changes in pressure

A) Actinic keratosis
B) Macules
C) Lentigines
D) Baroreceptor
E) prosthesis

D) Baroreceptor

24

A sensory impression (sight, sound, touch, smell, or taste) that has no basis in external stimulation

A) Hallucination
B) Dementia
C) Depression
D) Alzheimer disease
E) Polypharmacy

A) Hallucination

25

Administration of excessive medications or of many drugs together

A) Hallucination
B) Dementia
C) Depression
D) Alzheimer disease
E) Polypharmacy

E) Polypharmacy

26

An illness characterized by dementia, confusion, memory failure, disorientation, restlessness, speech disturbances and an inability to carry out purposeful; onset usually occurs in persons aged 55 or older

A) Hallucination
B) Dementia
C) Depression
D) Alzheimer disease
E) Polypharmacy

D) Alzheimer disease

27

A morbid sadness, dejection or melancholy

A) Hallucination
B) Dementia
C) Depression
D) Alzheimer disease
E) Polypharmacy

C) Depression

28

Organic mental syndrome characterized by general loss of intellectual abilities and involving impairment of memory, judgment, and abstract thinking

A) Hallucination
B) Dementia
C) Depression
D) Alzheimer disease
E) Polypharmacy

B) Dementia

29

An abnormal condition of the vertebral column in which there is increased convexity in the curvature of the thoracic spine

A) Kyphosis
B) Urinary incontinence
C) Arthroplasty
D) Presbyopia
E) Geriatrics

A) Kyphosis

30

Inability to control urinary function

A) Kyphosis
B) Urinary incontinence
C) Arthroplasty
D) Presbyopia
E) Geriatrics

B) Urinary incontinence

31

Loss of ability to focus on near objects

A) Kyphosis
B) Urinary incontinence
C) Arthroplasty
D) Presbyopia
E) Geriatrics

D) Presbyopia

32

The branch of medicine that deals with all aspects of aging, including pathological and social problems

A) Kyphosis
B) Urinary incontinence
C) Arthroplasty
D) Presbyopia
E) Geriatrics

E) Geriatrics

33

Plastic repair of joints

A) Kyphosis
B) Urinary incontinence
C) Arthroplasty
D) Presbyopia
E) Geriatrics

C) Arthroplasty