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Chapter 11 Geriatric Considerations - Test

front 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

back 1

no data

front 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.

back 2

False

front 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

back 3

C) Cancer, heart disease, and strokes

front 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

back 4

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

front 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

back 5

E) a, b, and c

front 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

back 6

D) a and b

front 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

back 7

D) all of these are indicators of elder abuse

front 8

Arthoplasty is indicated in persons with _____ disease.

back 8

joint

front 9

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

back 9

Depression

front 10

True or False?

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

back 10

True

front 11

True or False?

The hips and ankle are the most commonly replaced joints.

back 11

False

Hips and knees

front 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.

back 12

True

front 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 _____.

back 13

prosthesis

front 14

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

back 14

lentigines

front 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

back 15

C) Esophageal motility increases

front 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

back 16

C) malnutrition or dehydration

front 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

back 17

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

front 18

True or False?

Liver size increases with age.

back 18

False

front 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

back 19

C) Lentigines

front 20

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

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

back 20

B) Macules

front 21

An artificial substitute for a missing part

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

back 21

E) prosthesis

front 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

back 22

A) Actinic keratosis

front 23

A sensory nerve that is stimulated by changes in pressure

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

back 23

D) Baroreceptor

front 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

back 24

A) Hallucination

front 25

Administration of excessive medications or of many drugs together

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

back 25

E) Polypharmacy

front 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

back 26

D) Alzheimer disease

front 27

A morbid sadness, dejection or melancholy

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

back 27

C) Depression

front 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

back 28

B) Dementia

front 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

back 29

A) Kyphosis

front 30

Inability to control urinary function

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

back 30

B) Urinary incontinence

front 31

Loss of ability to focus on near objects

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

back 31

D) Presbyopia

front 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

back 32

E) Geriatrics

front 33

Plastic repair of joints

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

back 33

C) Arthroplasty