نموذج استرشادي لمادة تمريض المسنين1
Part I: write (T) if the statement is true, and write (F) if the statement is false:
NO. | Statement | T / F |
1. | The role of gerontological nurse as a advocator the nurse has an important role in helping the individuals stay well. | |
2. | Life expectancy is the average number of years that a person is expected to live. | |
3. | Senility is a period of one’s life during which the greatest amount of aging occurs. | |
4. | Giggle incontinence is an involuntary response to laughter. It usually affects elderly. | |
5. | Urinary incontinence increased frequency of urination with scant amounts of urine being passed. | |
6. | Urinary tract infection is an infection involving the kidneys, ureters, bladder, or urethra. | |
7. | The bursae are fluid-filled synovial sacs located at various points around the joints. | |
8. | Osteoporosis is the major cause of disability in older adults. | |
9. | Xerostomia can lead to inadequate diet and dental caries. | |
10. | With ageing the pancreas decreases in overall weight, and some tissue is replaced. | |
11. | Pneumonia is a common complication of influenza in the elderly. A “flu” shot helps to prevent influenza and pneumonia. | |
12. | Heart failure a condition that occurs when the heart is unable to pump enough blood to meet the body’s metabolic demands. | |
13. | The influenza vaccination is made mid-yearly and contains the influenza viruses most likely to be infectious that year. | |
14. | Abnormal rhythms (arrhythmias), such as atrial fibrillation, are more common in older people. They may be caused by heart disease. | |
15. | Calcium loss (i.e., hypocalcemia) must be monitored closely in elderly patients receiving diuretics. | |
16. | Neglect the person shows sunken eyes, excessive thirst, incontinence and bed sores. | |
17. | Ridicule and threatening behavior are indicators of social abuse | |
18. | Sexual abuse is sexual contact without consent or by force or threat of force. | |
19. | The patient has the right to have an advance directive. | |
20. | The patient has the right to ask and be informed of the existence of business relationships among the hospital. | |
21. | Continuity theory suggests ways of maintaining activity in the presence of multiple losses associated with the aging process. | |
22. | According to activity theory, declining health, loss of roles, and other obstacles to maintaining an active life are to be resisted and overcome instead of being accepted. | |
23. | The basic personality and patterns of behavior changed as aging progresses. | |
24. | Oral nutritional supplements are generally liquid preparations that are high in energy, protein, High-calorie, nutrient-rich supplements and fiber for people who are unable to eat. | |
25. | Supplements are designed to replace meals but should be provided between meals and at bedtime. |
Part II: Read the following statements and circle only one best answer:
1- One of the following consider characteristics of aging process:
- Increase of health status.
- Decrease risk for diseases.
- Increased mortality with age.
- Decrease physiological changes.
2- The length of time that has passed since birth this term refers to:
- Functional age.
- Chronologic age.
- Biological age.
- Psychological age.
3- Strategies for successful aging are the following:
- Inactive engagement with life.
- Impaired social connection
- Get regular check-up.
- Health care services decline.
4- Symptoms of urinary tract infection include:
- Vaginal and rectal pain.
- Urinary stones.
- Burning with urination.
- Involuntary loss of urine.
5- Normal change affecting the urinary system include:
- Delayed in micturation reflex.
- Infrequent urination.
- Increase glomerular filtration.
- Strong odor to urine.
6- Diagnosis of urinary incontinence include:
- Physical examination.
- Complete blood count.
- Stress test.
- Pelvic examination.
7- Symptoms of peptic ulcer include :
- Change in person’s thinking.
- Loss of appetite and weight loss
8- Risk factors for constipation in elderly is:
- Hypercalcemia
- High fluid intake,
- High dietatry fiber
- High vit A intake
9-Which one of the following is function of musculoskeletal system?
- Paine in the oral mucosa.
- Protection for vital organs.
- Burning sensation of the tongue.
- Hormonal regulators of calcium.
10-The changes in the musculoskeletal system is:
- a) Decreasing body weight
- b) Hiatus hernia.
- c) Decreasing height
- d) Normal separation
11-The most prominent early symptom of chronic bronchitis among elderly is:
- Use of accessory muscles when breathing
- Increase in pulse and respiratory rates
- Exertional dyspnea
- the expectoration of thick, white mucus.
12-The first indicators of an asthmatic attack among elderly:
- chest tightness” or an audible wheeze
- Profuse diaphoresis
- productive cough
- Cyanosis in nail beds or around the lips
13- Management of moderate asthma among elderly
- beta adrenergics drug
- oral corticosteroid
- Anti-inflammatory drug
- bronchodilators
14-For cardiovascular diseases dietary sodium is restricted to approximately:
- 2 to 3 g/day.
- 1 to 3 g/day.
- 2 to 4 g/day.
- 1 to 4 g/day.
- Age – changes of the blood include:
- There is less fluid in the bloodstream, so blood volume increases.
- The speed with which red blood cells are produced in response to stress or illness is reduced.
- Certain white blood cells important to immunity (neutrophils) stay at the same level.
- The ability to resist infection increases
16-Recommended time for elderly exposure to sun:
- 15 minutes/day
- 30 minutes/day
- 40 minutes/day
- 50 minutes/day
- The daily recommended amount of non-caffeinated fluid that older adults consume to maintain adequate hydration status:
- 1500-2000 ml /day
- 2000-2500 ml /day
- 2000-3000 ml /day
- 2000-4000 ml /day
- Indicators relating to the caregiver (abuser):
- Behaves aggressively.
- Improper fitting or damaged dentures
- Elder unawareness of monthly income.
- Humiliation
- Risk factors of elderly abuse:
- Physical health
- High level of education.
- Cognitive impairment
- Social interaction
- Consequence of elder abuse:
- Physical health.
- Good hygiene.
- Over-sedation, substance abuse.
- Independency
21-Advocacy refers to:
- the concept that each person has a right to make independent choices and decisions.
- loyalty and a supporting of the needs and interests of others
- keeping promises or being true to another.
- ethical obligation to good stewardship of both the patient’s and the organization’s funds.
22-Veracity means:
- The fairness of an act or situation.
- Truthfulness and refers to telling the truth.
- Keeping promises or being true to another.
- Respect clients right to privacy.
- Biologic theories of aging include
- genetic theory.
- activity theory.
- continuity theory.
- disengagement theory.
24- Examples of natural defense that can countract the effect of free radical:
- Polyunsaturated fats
- Vitamins C and E
- Protein
- Mineral
25- Examples of psychosocial theories include:
- disengagement theory.
- free radical theory.
- cross-linking theory
- immune theory.