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HESI Hints Only- Gerontology 2021/2022 $13.49   Add to cart

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HESI Hints Only- Gerontology 2021/2022

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What is a more accurate measure of age than chronological age? Correct answer- The ability to perform activities of daily living (ADL's). The majority of this aged 65 and older regard their health as good or excellent Chronological age may or may not correspond to: Correct answer- Physical, ...

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  • April 8, 2022
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  • 2021/2022
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HESI Hints Only- Gerontology

What is a more accurate measure of age than chronological age? Correct answer- The
ability to perform activities of daily living (ADL's). The majority of this aged 65 and older
regard their health as good or excellent

Chronological age may or may not correspond to: Correct answer- Physical, mental,
social, and cultural actions and feelings

Changes in the heart and lungs result in less efficient utilization of what? Correct
answer- Of oxygen, which reduces the individual's capacity to maintain physical activity
for long periods of time. Physical training for older people can significantly reduce blood
pressure, and increase aerobic activity.

Teaching and designing rehabilitation programs for older adults should contain which 2
things: Correct answer- Exercise and nutrition

Old people often complain that they cannot get to sleep at night and do not sleep
soundly even after they fall asleep. Why is this? Correct answer- This is because they
have shorter stage sod sleep, particularly shorter cycles between 1 and 4 and REM
sleep. Stage 4 is deep sleep. They are easily awakened by environmental stimuli. They
often compensate by napping during the day which leads to further disruption of night
sleep. A common response is the us elf prescription sleeping pills, which can create
further problems of disorientation.

Peripheral circulation increases or decreases with age? Correct answer- Decreases.

Why is regular assessment of the feet important in the elderly? Correct answer- It
increase the opportunity to discoed and treat skin care problems early. These problems
could become more serious d/t decreased circulation

Differentiation of normal and pathologic causes for skin and hair conditions is essential:
Correct answer- Ie seborrheic keratosis vs melanomas

What places an older adult at risk for the development of pressure ulcers? Correct
answer- Impaired mobility, impaired skin integrity, decreased peripheral circulation, and
lack of physical activity

What are ways to help prevent or decrease the occurrence of falls? Correct answer-
Install adequate lighting, paint the edges of stairs a bright color, place a bell on any
residents cats; cats move quickly and can get underfoot, wear proper footwear that
supports the foot and contributes to balance, shoes made of non slippery materials

, Aging and systolic and diastolic blood pressures: increase or decrease with age?
Physiology of blood pressure Correct answer- Both SBP and DBP increase with age,
but systolic increase more than the DBP.
Physiology of BP: expressed as a ratio of systolic to diastolic. Systolic refers to the level
of the BP during the contraction phase; whereas diastolic refers to the stage when the
chambers of the heart are filling with blood.

Why are dysrhythmias particularly serious in older adults? Correct answer- Older adults
cannot tolerate decreased C.O., which can result in syncope, falls, and transient
ischemia attacks. Pulse may be rapid, slow, or irregular.

Angina symptoms in older adults may be confused with what kind of symptoms? Correct
answer- Gastrointestinal symptoms. Angina symptoms may be absent or they may be
confused with GI symptoms

With aging, what happens to the muscles that operate the lungs? Correct answer- The
muscles that operate the lungs lose elasticity so that respiratory efficiency is reduced.
Vital capacity- the amount of air brought into lungs at one time, decreases. Breathing
may become more difficult after strenuous exercise. The rate of decline has been found
to be slower in more active people. The nurse should encourage older people to remain
physically active for as long as possible.

What makes older adults more susceptible to chronic bronchitis, emphysema, and
pneumonia? Correct answer- Declining muscle strength may impair cough efficiency.

What is a major cause of respiratory disability in older adults? Correct answer- COPD

What is a major cause of death in older adults? Correct answer- Aspiration pneumonia

What changes contribute to chronic constipation with age? Correct answer- The number
of enzymes in the small intestine is reduced, and simple sugars are absorbed more
slowly, resulting in decreases efficiency of the digestive process.
The smooth muscle content and the muscle tone of the wall of the colon decrease.
Anatomic changes in the large intestine result in decreased intestinal motility.
Physiologic factors, as well as abuse of over the counter laxatives, are factors
Decreases in fluid intake and mobility contribute to constipation

Is tooth loss a normal part of the aging process? Correct answer- No.

What can prevent tooth loss? Correct answer- Good dental hygiene, good nutrition, and
dental care

Why do older people tend to feel full before the entire meal is consumed and thus
appear to eat smaller quantities of food at mealtime? Correct answer- This is because
the digestive system of older people feature a decrease in the contraction time of the

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