WGU Care of the Older Adult - C475
Healthy People 2010 Ans: develop a set of health care objectives designed to increase the quality and quantity of years of healthy life of Americans and to eliminate health disparities
barriers to physical activity Ans: lack of access to safe areas to exer...
WGU Care of the Older Adult - C475
Healthy People 2010 Ans: develop a set of health care objectives designed to increase the
quality and quantity of years of healthy life of Americans and to eliminate health disparities
barriers to physical activity Ans: lack of access to safe areas to exercise, pain, fatigue, and
impairment in sensory function and mobility
risks for poor nutrition Ans: multiple chronic illnesses, may have tooth or mouth problems that
may interfere with their ability to eat, may be socially isolated, may have economic hardship,
may be taking multiple medications that can cause changes in appetite or gastrointestinal
symptoms, and may need assistance with self-care
falls Ans: leading cause of unintentional injury death in older adults in this country
Polypharmacy Ans: the taking of multiple drugs concurrently, whether prescribed or OTC
tetnus shot Ans: recommended re-vaccination after 10 years in the elderly
Mini Mental State Examination Ans: This exam test the elderlys orientation, registration,
attention and calculation, recall(memory) and visou spatial skills. If the patient score less than
twenty indicates cognitive impairment. Aids in detecting dementia
CAGE questionnaire Ans: • Cut down: Refers to attempts by the client to cut down on drinking
• Annoyance: Related to suggestions by friends or family to cut down on drinking
• Guilt: Relates to client guilt about drinking
• Eye opener: Relates to the need for a drink in the morning to get going
Elder abuse reporting Ans: may include physical, sexual, psychological, and financial
exploitation, neglect, and violation of rights
Report to adult protective service
In nursing homes and assisted living facilities must be reported to the Long-Term Care
Ombudsman Program in most states.
Modified Caregiver Strain Index Ans: tool that can be used to quickly screen for caregiver strain
with long-term
family caregivers. It is a 13-question tool that measures strain related to care provision
Reciprocity Ans: ability to be true to one's self while respecting and supporting the values and
views of another
Patient Self-Determination Act of 1990 Ans: this law requires that patients are provided the
opportunity to express their preferences regarding lifesaving or life-sustaining care on entering
any health care service, including hospitals, long-term care centers, and home care agencies. The
, law also requires that adequate information be supplied to the patient so that he or she can make
informed decisions regarding self-determination
advanced directives Ans: Decisions regarding life-saving or life-sustaining care are recorded in
legal documents known as__________
living will Ans: alternative documents that direct preferences for end-of-life care issues,
providing an "if...then..." plan
autonomy Ans: independent; not controlled by others; self-governing
self-determination Ans: The patient right that is the right to decide
healthy aging Ans: the ability to maintain three key behaviors: low risk of disease and disease-
related disability, high mental and physical function, and active engagement of life
vaccination recommendations Ans: annual flu
pneumonia, revaccination after 5 years if 75 or older
Boosters for tetanus every 10 years
Framingham Heart Study Ans: risk factors associated with coronary heart disease:
Age greater than or equal to 50 for men and 60 for women
• Hypertension
• Smoking
• Obesity
• Family history of premature CHD
• Diabetes (considered to be a CHD risk-equivalent, i.e., carries the same risk of a coronary event
as known CHD)
• Sedentary lifestyle
• Abnormal lipid levels
Dementia screening Ans: The Mini Mental State Examination (MMSE)
Smoking cessation Ans: The 5 As Ask about smoking status at each health care visit.
Advise client to quit smoking.
Assess client's willingness to quit smoking at this time.
Assist client to quit using counseling and pharmacotherapy.
Arrange for follow-up within one week of scheduled quit date.
The 5 Rs Relevance:
Ask the client to think about why quitting may be personally relevant for him or her.
Risks of smoking are identified by the client.
Rewards of quitting are identified by the client. Roadblocks or barriers to quitting are identified
by the client.
Repetition of this process at every clinic visit. Most people who successfully quit smoking
require multiple attempts.
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