Chp 26 EMR

1. Which of the following would you identify as a normal change related to aging?

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Thickening of the heart muscle

Increased lung elasticity

Increased movement through the digestive system

Loss of the ability to learn

Thickening of the heart muscle

2. In older adult women, the risk of fractures is increased because their:

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Pain sensation is diminshed

Tolerance to glare is reduced

Bones become less dense

Level of activity declines

Bones become less dense

3. The emergency medical services (EMS) system for which you work deals with a large older adult population. When talking with other emergency medical responders (EMRs) about this population, which statement indicates a lack of knowledge about this older group?

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"Older people might not really tell you how sick they feel."

"You need to expect that they won't be able to remember things."

"They are at a greater risk for breathing problems."

"Older adults experience sensory changes that put them at risk."

"You need to expect that they won't be able to remember things."

4. Which of the following might be a sign of possible elder abuse?

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A patient who has someone providing care in the home 24 hours a day.

A patient who has been to the emergency department three times in 2 weeks.

A patient who has lost weight due to an underlying medical problem.

A patient who has experienced one fall in the last 12 months.

A patient who has been to the emergency department three times in 2 weeks.

5. You are caring for a patient with Down syndrome. Which of the following health problems might you find? Select all that apply.

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Heart disease

Hearing loss

Thyroid disorders

Skeletal problems

Vision difficulties

Heart disease

Hearing loss

Thyroid disorders

Skeletal problems

Vision difficulties

6. You are caring for an older adult patient who has a loss of visual field. Which of the following would you most likely observe?

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The need to wear glasses to see

The use of a white cane

The need to turn the head to see

The use of other senses to compensate

The need to turn the head to see

7. You are called to the home of a patient who is receiving chemotherapy and radiation therapy as a treatment for cancer. When providing care for this patient, which of the following is more important.

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Inspecting the skin for rashes

Noting the degree of hair loss

Evaluating the severity of vomiting

Observing standard precautions

Observing standard precautions

8. Which of the following would you expect to find in a patient with cystic fibrosis?

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Fluid overload

Constipation

Frequent coughing

Loss of appetite

Frequent coughing

9. You are providing care to a patient with multiple sclerosis. Which of the following would you need to keep in mind?

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This disorder is a progressive genetic disorder.

Its symptoms appear and disappear over a period of years.

The condition primarily affects skeletal muscles

Eventually, the patient will require assisted ventilation.

Its symptoms appear and disappear over a period of years.

10. You are caring for a child with autism. Which of the following would you least expect to find?

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Consistent, direct staring at you

Repetition of behaviors

Intense focusing on one object

Negative response to touch

Consistent, direct staring at you

11. Which of the following best reflects the focus of hospice care?

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The goal is to cure the patient using advanced medical technologies.

The emphasis is on providing comfort, not cure, to the patient and family.

Pain relief is provided though medication administered through needles.

Care is provided to terminally ill patients in the final 12 months of life.

The emphasis is on providing comfort, not cure, to the patient and family.

12. Which of the following is the most appropriate to keep in mind when caring for an older adult population

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Provide quick, short explanations about what you're doing.

Handle the patient's skin gently to prevent tearing.

Apply additional pressure when administering ventilations.

Use an oropharyngeal airway (OPA) for the responsive patient.

Handle the patient's skin gently to prevent tearing.

13. Which of the following would you identify as a mental illness? Select all that apply.

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Depression

Panic disorder

Autism

Down syndrome

Cerebral palsy

Depression

Panic disorder

Autism

14. Which of the following is considered a type of elder abuse?

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Family member uses the patient's money to purchase the patient's medications.

Patient has numerous old and new bruises on his inner arms.

Caregiver takes the patient to a senior center daily.

Patient is clean and dressed appropriately for the weather.

Patient has numerous old and new bruises on his inner arms.

15. Which condition is consider the least severe disorder in the autism spectrum disorder (ASD)?

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Asperger syndrome

Attention-deficit-hyperactivity disorder (ADHD)

Autism

Alzheimer's disease

Asperger syndrome