WGU C475 study guide for care of the older adult c475 Latest Version With Questions and Correct Correct Answerwers Guaranteed A+
- Five Rights of Medication Administration - Correct Answer right patient, right drug
,right dose, right route, right time
- types of assessments: Physical , Cognitive and Functional - Correct Answer Physical
- assess physical health. It includes VS, assess for pain, BP problems, irregular
heartbeat, abnormal breath sounds, etc.
Functional - assessing what the older adult can still do for him or herself. Bathing, eating, dressing, etc.
Cognitive - addresses thought processing, thinking and reasoning skills.Normal cognitive changes - Decline in information processing speed, divided attention, sustained attention, ability to perform visuospatial tasks, and short-term memory.
AAC (Augmentative and Alternative Communications - Correct Answer refers to all forms of communication that enhances or supplements speech and writing. AAC can enhance (augment) and replace (alternate) conventional forms of expression for people who can not communicate through speech, writing or gestures.
active aging - Correct Answer based on the human rights of older people - principles of independence, participation, dignity, care and self fulfillment
adherence in low literacy patients - Correct Answer color code medication bottles or use organizer that separates daily doses into morning, noon, evening and night
ADL's vs IADL's - Correct Answer ADL - Activities of daily living such as bathing, dressing, trCorrect Answerferring, walking, eating, and continence.IADL - Activities R/T independent living such as meal preparation, money mgmt., shopping, housework, telephone use.
African AmericCorrect Answer - Correct Answer 2nd larges minority populations.religion/spirituality plays important role in health and wellness.Equate good luck, good fortune, and good health with being right with God.Closer ties with extended families and rely on their close family ties for support.Distrustful of health care personnel
African AmericCorrect Answer - top five health disparities - Correct Answer gonorrhea, congenital syphilis, 1 / 4
new cases of AIDS, deaths due to HIV infection.
Age related changes which may affect therapeutic communication - Correct Answer Visual acuity Hearing loss Speech and language difficulties
Ageism - Correct Answer prejudice towards elderly
Among older adults living in the community, when and where do most falls occur? - Correct Answer most falls occur during usual activities such as walking. Indoor falls occur most often in the bathroom, bedroom, and kitchen.
Analyze a given policy or legislative act that promotes or hinders the independence and autonomy of older adults. - Correct Answer Patient Protection and Affordable Care Act - eliminates lifetime limits for health insurance coverage for essential services, eliminates the ability of insurance companies to rescind coverage, free preventative care, development of a prevention and public health fund, increases access to affordable care, and quality improvement and risk reduction.
Asian AmericCorrect Answer - Correct Answer still practice holistic (naturalistic) medicine and may incorporate this as an adjunct to Western medicine.
Majority of influence comes from Confucianism Follows a naturalistic perspective, defining health and illness as a balance between the individual and the world around the individual.
Treatments may involve - acupuncture, moxibustion (burning of herbal leaves on or near the body), cupping (the use of warmed glass jars to create suction on certain parts of the body), massage, herbal remedies, movement and concentration exercises (tai chi)
Some elders may forgo life sustaining treatment because of the principles of ren. Ren is the golden rule of Chines decision making "Do not do to others what you do not want done to yourself".
Asian AmericCorrect Answer - top 5 disparities - Correct Answer new cases of TB, congenital syphilis, no pap test among females > 18, exposure to particulate matter, and carbon monoxide exposure
Assistive technology is designed to fill the patient's gap in functional ability. This goes back to the ADLs and IADLs. What can they do and what can they not do. Can we put something in place to help them? - Correct Answer any item, piece of equipment or product system, that is used to increase, maintain or improve functional capabilities of individuals with disabilities. 2 / 4
AUDIT - Alcohol Use Disorders Identification Test - Correct Answer 10 item screening test developed by the World Health Organization and is sensitive for deterring alcohol dependence and abuse
Baby Boomers - Correct Answer large group of people born between 1946-1964.Considered more affluent, better educated and healthier. Baby boomers have entered the older age group as of 2011
Baby Boomers unique characteristics that make them a challenge for healthcare professionals - Correct Answer expect and demand excellence in geriatric care. Health disparities exist among minority elder group.
Barthel Index - Correct Answer designed to measure functional levels of self-care and mobility, and it rates the ability to feed and groom oneself, bathe, go to the toilet, walk (or propel a wheelchair), climb stairs, and control bowel and bladder.A detailed assessment will provide information for appropriate nursing interventions, that is, those designed to promote ability and compensate for and prevent further disability for that individual.
BEER's List of Inappropriate drugs to use in older adults - Correct Answer Benzodiazepines are mentioned quite a bit.
Amitriptyline (Elavil), chlordiazepoxide-amitriptyline (Limbitrol), and perphenazine- amytriptyline (Triavil) Strong anticholinergic and sedation effects
Diphenhydramine (Benadryl) May cause confusion and sedation;
All barbiturates, except when used to control seizures Highly addictive, Meperidine (Demerol) May cause confusion
Short-acting nifedipine (Procardia and Adalat) Potential hypotension and constipation
Clonidine (Catapres) Potential for orthostatic hypotension and CNS adverse effects
Mineral oil Potential for aspiration and adverse effects; Methocarbamol (Robaxin), carisoprodol (Soma), chlorzoxaxone (Paraflex), cyclobenzaprine (Flexeril), oxybutynin (Ditropan) Anticholinergic effects, sedation, weakness
Short-acting dipyridamole (Persantine) Orthostatic hypotension Methyldopa (Aldomet) and methyldopa-hydrochlorothiazide (Aldoril) May cause bradycardia and exacerbate depression in older adults
Care TrCorrect Answeritions four conceptual domains/pillars - Correct Answer Medication self management 3 / 4
Use patient centered health record PCP/Specialist follow up Knowledge of red flags
Communication with a delirious elder - Correct Answer discussions simple and questions concise.Use large print calendars and clocks to assist with orientation.Pictures of family may assist in reorienting.Well lit room.Offer frequent reassurance.Avoid physical restraints Use distraction and soothing conversation.
Communication with DEMENTIA - Correct Answer Make sure the person is attending to you prior to beginning the conversation.Face the person Speak slowly and clearly.Eye level Reduce or limit background noise.Break tasks into small manageable steps and provide simple and clear directions ( one step at a time may be needed ) Praise efforts.Use concrete terms and familiar words.Offer simple choices.Allow adequate time to respond.Do not argue or attempt to reason with someone regarding delusions or hallucinations.Encourage discussion of life events, traditions, memories.Use large print calendards Label items Establish a familiar environment
Compare Healthy people initiative 2000 and 2010 - Correct Answer Healthy People Initiative 2000 - initiated by the U.S. Public Health Service to reduce preventable death and disability for AmericCorrect Answer.
Healthy People Initiative 2010 - health care objectives designed to increase the quality and quantity of years of healthy life of AmericCorrect Answer and to eliminate health disparities.
Compare the benefits and limitations Medicare and Medicaid - Correct Answer The are government sponsored healthcare programs. Medicare is primarily for seniors 65 and older and disabled individuals who qualify for social security. Severe disabilities and ESRD are also eligible.Medicaid is assistance program that covers low to no income families/individuals.Some may be eligible for both.
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