Aging and Long-Term Care (10 Hours)
1)

The most common causes of vision loss among the elderly are:
 
Macular degeneration Glaucoma Cataracts Diabetic retinopathy All of the these
 
2)

Efforts to preserve the teeth may decrease the risk of:
 
Stroke Diabetes Head and neck, esophageal, and lung cancers Osteoporosis
 
3)

Common causes for Dysarthria is:
 
Stroke , Traumatic brain injury and Brain tumor Diabetes Cataracts Cigarette smoking
 
4)

Balance and Dizziness problems for elderly persons caused by degeneration of the vestibular system can be reduced through:
 
a. Vestibular Rehabilitation Therapy (VRT) b.Canalith Repositioning Procedure (CRP) c. Both a and b d. Fluid and diet management
 
5)

To re-educate the brain to identify and process signals from the vestibular system, coordinating them with information from vision and the body's perception of movement and spatial orientation is known as:
 
Vestibular Rehabilitation Therapy (VRT) Canalith Repositioning Procedure (CRP) Epley maneuver None of these
 
6)

Which of the following is NOT a goal of epidemiologic research?
 
Improve vaccine and drug development Lessen the disabling effects of disease Delay onset of progression of disease Enhance pain management All are goals of epidemiologic research
 
7)

Which of the following diseases are considered primarily age related?
 
a. Diabetes b. Cancer c. Pneumonia d. Incontinence a,b, and d
 
8)

Which of the following is NOT a risk factor for diabetes?
 
Weight Inactivity Gender Family History
 
9)

Which kind of angina can be a warning sign of impending heart attack? 
 
Stable Angina Unstable Angina
 
10)

Biological concerns for the Elderly include:
 
Teeth Loss Hearing Loss Memory impairment Chronic diseases All of the above
 
11)

The most common type of arthritis found in elderly persons:
 
Osteoarthritis Osteoporosis Pseudogout None of these
 
12)

The primary underlying cause of fractures in postmenopausal women and the elderly is:
 
Gout Osteoarthritis Osteoporosis Genetic disorder
 
13)

An inflammatory disorder that is diagnosed through blood tests: sed rate, rheumatoid factor (RF), C-reactive protein is:
 
Osteoporosis Osteoarthritis Cataracts Polymyalgia Rheumatica
 
14)

When bones rebuild themselves at an accelerated rate, the bones can become misshapen and soft. This condition is called :
 
Paget's disease of bone Polymyalgia Rheumatica Joint trauma None of these
 
15)

The only known risk factor for Paget's disease of bone are:
 
Hemochromatosis Age and heredity Fractures None of these
 
16)

'Men are more likely to get Paget's than are women'.
 
True False
 
17)

The prescribed bone-regulating medications are:
 
Bisphosphonates Calcitonin Both a and b
 
18)

Which of the following is NOT a risk factor for coronary heart disease (GHD)?
 
High HDL cholesterol High blood pressure Smoking Overweight or obesity
 
19)

A treatment technique which is usually used only for people with severe urinary incontinence who have been unable to respond to behavioral techniques or medications:
 
Long-term oxygen therapy Electrical stimulation Pelvic floor muscle exercises Fluid and diet management
 
20)

Which disease is the fourth-leading cause of death in the United States:
 
Chronic obstructive pulmonary disease Cancer Diabetes Depression
 
21)

Up to 75% of older adults who committed suicide visited a physician within a month before death.
 
True False
 
22)

Symptoms for Major Depression include:
 
a. Mostly depressed mood for over 2 weeks b. A hope for the future c. Loss of interest in usual activities d. Recurrent thoughts of death and suicide Answers a, c and d
 
23)

Not everyone with Parkinson has dementia.
 
True False
 
24)

Early signs of Alzhemier's disease include:
 
Difficulty expressing thoughts and feelings A variety of drugs are often prescribed by different doctors Possible changes in the action of the body on a drug over a period of time How a drug acts on the body All of the these
 
25)

Administering medications for the elderly is difficult because of which factors?:
 
The increased possibility of numerous illnesses A variety of drugs are often prescribed by different doctors Possible changes in the action of the body on a drug over a period of time How a drug acts on the body All of the these
 
26)

You, as a health care professional, will never need to confront a physician regarding medication management.
 
True False
 
27)

Which of the following is important for you about, in regards to what the client is taking?
 
Prescription medications Over the counter medications Herbal and vitamin supplements All of the above
 
28)

To help prevent drug interactions, as a health care worker, you need to:
 
a. Document well all of the drugs the patient is taking, or has recently taken--prescription, OTC, herbal, etc. b. Frequently review the patient's drug list to be sure that each drug is still needed. c. Not worry about patients in a high-risk clinical settings with critically ill patients because they will get the needed attention from the physician. d. Both a and b
 
29)

The client should not use garlic if he/she is taking which medications?
 
a. Coumadin b. Aspirin c. Tagamet Both a and b
 
30)

Medication noncompliance can lead to:
 
Possible decline in health Need for additional medical treatment Increased hospitalizations Death All of the these
 
31)

The FDA warns that seniors should not eat (FDA 2001):
 
Raw fin fish and shellfish, including oysters, clams, mussels, and scallops. Raw or unpasteurized milk or cheese,meat or poultry. Unpasteurized or untreated fruit or vegetable juice. All of these
 
32)

The scientific word for how bacteria can be spread from one food product to another is:
 
Cachexia Cross-contamination infections Malnutrition
 
33)

Which of the following is associated with problem-focused coping?
 
It operates through a variety of cognitive acts, such as reinterpretation of the past or humor A more benign emotional reaction is created Older folks are more likely to use this strategy because many of the stresses that confront them are not in their control to change. There is no longer any reason to be threatened.
 
34)

All coping strategies are adaptive.
 
True False
 
35)

Which of the following coping mechanisms are positive ones?
 
Regression Conversion Projection Repression None of the above
 
36)

Approximately what percentage of older people live in poverty?
 
7% 9% 14% 26%
 
37)

According to Holmes and Rahe the most stressful event in a person's life is:
 
The death of a child Having a terminal disease The death of a spouse Pain
 
38)

Compared to seniors who aren't married, married elderly persons have:
 
Higher levels of morale Greater life satisfaction, mental and physical health Better economic resources, social integration and support Lower rates of institutionalization All of the these
 
39)

The majority of people 65 and older get regular exercise through physical leisure activities.
 
True False
 
40)

Which kind of neighborly support will most influence whether or not elderly people have positive interaction with one another?
 
High helpers--those willing to help anyone regardless of reciprocation Mutual helpers--those willing to help based on reciprocal exchange Isolates, or the disengaged--those who seldom participate in helping processe
 
41)

Elder participation in leisure activities is dependent on :
 
Past experience in leisure and work Finances The individual's retirement situation All of these
 
42)

Recreational programming and opportunities should be based primarily on the individual's:
 
Education Health status Interest Previous activity pattern
 
43)

Elder abuse is a term referring to any knowing, intentional, unintentional, or negligent act by a caregiver or any other person that causes harm or a serious risk of harm to a vulnerable adult.
 
True False
 
44)

Which of the following are symptoms of potential emotional or psychological abuse of an elderly person?
 
Evasiveness Lack of interest in social contacts Uncommunicative and unresponsive Unreasonably fearful or suspicious All of the above
 
45)

You should not report abuse of the elderly if you only suspect it.
 
True False
 
46)

Alternatives for long-term care include:
 
Moving in with family members Hiring professional caregivers Entering a nursing home/skilled nursing facility All of the above
 
47)

Because of the clear need, long-term care decisions are easy to make.
 
True False
 
48)

A special care facility designed to comfort and support patientswith limited life expectancy and their families:
 
Hospice Assisted-living facilities (ALF) Health Maintenance Organizations None of these
 
49)

Which of the following is NOT good advice for a caregiver?
 
It is as necessary to care for the caregiver as it is to care for a loved one. Have a sense of humor Recognize when you are no longer able to care for your loved one. Try not to ask for help too often.
 
50)

Factors that contribute to the physical and emotional stress that family caregivers experience include:
 
Internal sources of stress that comes with providing care to a chronically ill relative External sources of stress such as transporation and financial pressures associated with caregiving. Chronic stress in never knowing what challenge will come next. All of the these
 
51)

A mid-step between independent living and nursing home placement for minimally impaired seniors who choose not to live with their children or other relatives:
 
Hospice Nursing Home Assisted-living facilities (ALF) None of these
 
52)

Medicare :
 
It is a government health insurance program Involves eligibility requirements of citizenship or five years of legal residency Includes the fee-for-service plan and Medicare Advantage Plans. All of these
 
53)

The Original Medicare Plan is a fee-for-service plan that covers all health care services, supplies, drugs, and covers all of one's health care costs.
 
True False
 
54)

To join a Medicare Advantage Plan, one must have:
 
a. Medicare Part A b. Medicare Part B c. Medicare Part D d. Both a and b
 
55)

If a senior chooses not to take Medicare at age 65, but at age 70 decides it is time to take it, Medicare will charge a penalty.
 
True False