Chapter 17 EMR – Flashcards

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question
Which of the following statements regarding depression in geriatric patients is correct?
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Depression is the most common psychiatric condition experienced by older patients and occurs more frequently in women than in men.
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An elderly person who is hearing-impaired:
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may be able to hear a low-pitched voice but not a high-pitched voice.
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Which of the following medical conditions cause the MOST number of deaths in the elderly population?
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cardiovascular diseases and respiratory diseases
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What would MOST likely happen if two doctors who are seeing the same patient for different conditions do not communicate effectively with each other?
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A. Medications prescribed by one doctor may interfere with the action of medications prescribed by the other doctor.
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Suicide in the elderly population:
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occurs most frequently in men and results in more deaths per attempt because they choose more lethal means than do younger patients.
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Which of the following is NOT a technique used for communicating with older patients?
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speaking slowly and loudly
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You are helping EMTs load an elderly man into the ambulance when the patient tells you that he cannot see and that he left his eyeglasses in his living room. The patient is stable and is being transported for a minor fall. You should:
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ask the EMTs to wait until you can retrieve the patient's glasses.
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Patients with cancer usually request emergency medical service (EMS):
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when complications from cancer cause an acute condition.
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Which of the following statements regarding the aging process is correct?
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The natural process of aging results in a gradual decline in the functioning of all body systems.
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Effective ways of communicating with a hearing-impaired person include all of the following, EXCEPT:
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getting close to the person's ear and shouting.
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Dementia is MOST accurately defined as:
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a progressive and usually irreversible decline in mental functions.
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Upon entering the residence of an elderly woman who complains of nausea and weakness, you see a pair of eyeglasses on an adjacent end table and a small dog sitting calmly near the patient. As you approach the patient, you should:
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introduce yourself and ask her if she can see.
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After fracturing a bone, it is common for geriatric patients to:
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experience little pain and not realize the seriousness of their injury.
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When assessing geriatric patients, it is important to remember that:
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they may not experience classic signs and symptoms of many medical conditions.
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The MOST common cause of dementia in the elderly is:
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Alzheimer disease.
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If you are called to a residence to assist a chronically ill patient whose problem is likely the result of malfunctioning home healthcare equipment, you should:
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enlist the help of people who regularly take care of the patient and are familiar with the equipment.
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The sign language expression for "help" is communicated by:
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placing your clenched fist in the palm of your open hand.
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The MOST effective way to minimize the incidence of elder abuse is to
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promptly report its signs and symptoms to the proper authorities.
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When communicating with a hearing-impaired person using sign language, placing the tips of your index fingers together means:
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hurt.
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You will achieve a greater rapport with older patients if you:
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treat each person as an individual.
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Which of the following is the LEAST common cause of altered mental status in elderly patients?
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intentional drug overdose
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An advance directive is MOST accurately defined as a:
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document that provides instructions to medical caregivers regarding the care the patient wants if he or she is unable to communicate.
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An elderly person who has a malnourished appearance has MOST likely experienced:
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neglect.
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You are caring for a 76-year-old man who complains of breathing difficulty. During your assessment, you note that he has hearing aids in both ears. You should:
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ensure that he can hear you by speaking slowly and clearly.
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You arrive at an assisted living center where a cancer patient has experienced an altered mental status. Responding paramedics are approximately 6 minutes away. While caring for this patient, it is MOST appropriate to:
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provide supportive care and prepare him for transport.
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The presence of a white cane in an elderly person's residence indicates that he or she MOST likely has:
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visual impairment.
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A patient with a hip fracture typically presents with:
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shortening of the injured leg with the toes pointed outward.
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Because many elderly patients have a weakened immune system, they are especially susceptible to:
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pneumonia.
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if you must move a visually impaired patient, it is MOST important to
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tell him or her what is happening and why.
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You respond to the residence of an 80-year-old woman who fell. When you enter the patient's home, you find her sitting on the couch. She is wearing several layers of clothing and complains of pain to her left arm, shoulder, and hip. Responding emergency medical technicians (EMTs) are en route to the scene. After ensuring a patent airway and adequate breathing and circulation, you should:
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. carefully remove enough clothing so that you can conduct a complete full-body assessment.
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A geriatric patient is MOST accurately defined as a person who:
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is older than 65 years.
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A 71-year-old severely depressed man tells you that he is contemplating killing himself because his wife of 50 years recently passed away. It is MOST important for you to:
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provide emotional support and arrange for prompt transport.
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When performing your primary assessment of an elderly patient who fell at home, it is MOST important to:
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consider that a medical condition may have caused the fall.
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Elder abuse is hard to detect because:
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those at highest risk are also isolated from public view if they are confined to their homes or an assisted care facility. Correct
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Hospice programs are designed to:
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provide pain relief and other supportive care to patients experiencing a terminal condition.
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A person with osteoporosis has:
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a loss of bone strength resulting from a lack of calcium.
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