Unit 18 - Geriatrics
1.You are examining an older man who is dressed in several layers of clothing. You should
A. remove his clothing only if you can move him to a warm place.
B. do a less-than-complete examination.
C. remove as much of his clothing as necessary to examine him properly.
D. perform an exam through his clothing.
Answer: C
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2.If you think a person is having difficulty hearing you, you should
A. raise your voice and shout at the patient.
B. talk while facing away from the patient.
C. talk while facing the patient or speak directly into his or her ear.
D. assume the patient cannot understand you, so there is no need to try to communicate with him or her.
Answer:C
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3.Osteoporosis is a condition in which older patients
A. suffer from hearing and vision changes.
B. become more senile.
C. suffer a decrease in bone density.
D. are unable to control their bowel or bladder.
Answer: C
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4.List four techniques for communicating with older patients.
Answer: Identify yourself; look directly at the patient; speak slowly and distinctly; explain what you are going to do in clear, simple language; listen to the patient; show the patient respect; do not talk about the patient in front of the patient; be patient.
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5.Hip fractures can often be identified by which sign?
A. The injured leg is shortened and externally rotated.
B. The injured leg is lengthened and internally rotated.
C. The injured leg is shorted and internally rotated.
D. The injured leg is lengthened and externally rotated.
Answer:A
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6.Disabilities that occur with age include
A. hearing loss.
B. sight impairment.
C. slowed movements.
D. all of the above.
Answer:D
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7.What is the common infectious disease seen in older patients that can quickly result in death?
A. tuberculosis
B. pneumonia
C. whooping cough
D. emphysema
Answer: B
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8.Common causes of altered mental status in geriatric patients include all of the following except:
A. a lack of adequate oxygen to the brain.
B. low blood glucose level.
C. traumatic injuries.
D. hypothermia.
Answer:C
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9.What is the role of the EMR in caring for patients with a chronic condition?
A. Quickly learn how to use the medical equipment utilized by the patient.
B. Ensure adequate airway, breathing, and circulation.
C. Begin disconnecting the equipment to speed up transport to the hospital.
D. Inform the caregiver that he or she can leave.
Answer: B
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10.What are three types of mental problems frequently seen in older patients?
Answer: Depression, suicidal thoughts, and dementia or Alzheimer disease
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