Deck 4: Managing Chronic Diseases and Promoting Well Being in Old Age

Question 1

Compared to young adults, older persons:

A) are more likely to cause accidents due to speeding.
B) are less likely to die from injuries sustained in an accident.
C) have more auto accidents per mile driven.
D) have more accidents due to drunken driving.

Answer 1

C

Question 2

Which of the following has not been found after regular use of combined HRT among older women?

A) replenishment of bone density to pre-menopausal levels
B) improved cholesterol levels
C) fewer episodes of hot flashes
D) relief of vaginal dryness

Answer 2

A

Question 3

In a National Health Interview survey, what percentage of older adults had not obtained care from a dentist in the previous five years?

A) about 30%
B) 50%
C) 75%
D) less than 10%

Answer 3

A

Question 4

Risk factors for falls include all of the following except:

A) multiple diseases.
B) being overweight.
C) unfamiliar environments.
D) fear of falling.

Question 5

Which of the following conditions has not been found to be higher among newer cohorts of elders compared to older cohorts?

A) edentulousness (total tooth loss)
B) diabetes
C) hiatus hernia
D) AIDS

Question 6

The effectiveness of health promotion programs with older adults can be enhanced by:

A) utilizing social support.
B) providing opportunities for intergenerational activities.
C) utilizing available resources.
D) all of the above.

Question 7

Which of the following represents the most common IADL limitation for older adults?

A) home management
B) money management
C) meal preparation
D) grocery shopping

Question 8

All of the following are related to good health outcomes except:

A) avoiding alcohol.
B) not smoking.
C) exercising regularly.
D) sleeping 7-8 hours nightly.

Question 9

Older people with incontinence:

A) make up about 50% of men over age 65.
B) should be examined for reversible causes.
C) can generally be treated with medications only.
D) consume more fluids.

Question 10

The major risk factor for cardiovascular disease is:

A) hypotension.
B) hypertension.
C) atherosclerosis.
D) diabetes.

Question 11

Which of the following represents the most common ADL limitation for older adults?

A) bathing
B) eating
C) walking
D) making a phone call

Question 12

Age-related physiological changes and the effects of many medications are the primary reason why older people:

A) generally stop driving.
B) prefer driving at night.
C) are at greater risk of injury and death in accidents.
D) prefer driving cars with higher power air bags.

Question 13

Osteoporosis is a major risk factor for:

A) significant weight loss in older people.
B) problems with bladder control.
C) fractures in the neck or the femur.
D) strokes.

Question 14

Older people with diabetes are more likely than elders without diabetes to:

A) be Caucasian.
B) be underweight.
C) have a longer life expectancy.
D) report ADL limitations.

Question 15

The most common site of fractures are:

A) vertebrae.
B) ankle.
C) leg.
D) wrist.

Question 16

The best way to prevent falls among older people in their homes is to:

A) move them to a nursing home.
B) make physical modifications to the home.
C) give them medications to control their balance.
D) encourage slowing down of their activity level.

Question 17

Older people who take multiple medications:

A) make up only 10% of the population aged 65 and older.
B) are more likely to be hospitalized for medication complications.
C) are usually very effective in keeping track of their medications.
D) have supplemental medical insurance that completely covers the cost of drugs.

Question 18

Risk factors for falls include all of the following except:

A) inactivity.
B) visual impairments.
C) medications that can cause postural hypotension.
D) overexertion.

Question 19

Examples of improved environmental design that can help older drivers include(s):

A) airbags that have lower power.
B) devices that limit the maximum possible speed.
C) wider rearview mirrors.
D) A & C.

Question 20

As people age:

A) the incidence of acute diseases increases.
B) the incidence of chronic conditions increases.
C) older men are more likely than women to develop chronic diseases.
D) functional health declines significantly.

Question 21

Co-morbidity has been found in 50 percent of older men, far higher than the rates in women of the same age.

Question 22

The primary goal of "Healthy People 2010" for older Americans is to:

A) improve their quality of life.
B) extend their life expectancy.
C) increase medical services aimed at older adults.
D) improve the health of older women.

Question 23

A daily, brisk, 30-minute walk has the following benefits to older adults except:

A) boosts HDL cholesterol.
B) increases joint mobility for people with osteoarthritis.
C) lowers metabolic rate.
D) avoids obesity.

Question 24

Which age group is most likely use physician services?

A) 55-64 year olds
B) 65-74 year olds
C) 75-84 year olds
D) those over age 85

Question 25

Approximately what percent of newly diagnosed people with HIV are over age 50?

A) 15%
B) 25%
C) 35%
D) 48%

Question 26

COPD is 3-4 times more common among older men than in older women.

Question 27

The most common OTC (over the counter) medication used by older adults is:

A) aspirin.
B) antacid.
C) cold medicine.
D) diuretic.

Question 28

Once older adults enter the dental care system, their average number of annual visits is similar to that of younger people.

Question 29

Adult on-set diabetes is more common among white elders than among African American and Hispanic elders.

Question 30

Hypertension is more common among African Americans than among whites.

Question 31

Health promotion programs strictly work toward facilitating less disease among older adults.

Question 32

The symptoms of diabetes are difficult to detect in older people.

Question 33

Most driving accidents caused by older adult drivers occur at low speeds.

Question 34

Recognizing the benefits of exercise for preventing further deterioration of chronic conditions, more than half of today's elders participate in regular physical activities.

Question 35

The most important treatment for arthritis is to limit any physical activity.

Question 36

Health promotion programs should attempt to improve the general environment as well as individual health practices.

Question 37

Constipation is a normal part of the aging process.

Question 38

Older people with multiple chronic conditions rate their quality of life lower than do their physicians.

Question 39

For drivers aged 65 to 74, motor vehicle accidents are the leading cause of injury-related deaths.

Question 40

After age 70, men are less likely than women to report limitations with ADLs.

Question 41

What does the term "health status" refer to?

Question 42

________ is defined as impairments in the ability to complete multiple daily tasks.

Question 43

More than ________ percent of persons age 70 and over have at least one chronic condition.

Question 44

Medicare covers prevention services.

Question 45

________ results from blockage of an artery supplying blood to a portion of the heart muscle.

Question 46

Compare the ADL and IADL limitations among older men and women.

Question 47

Why do older adults rate their health positively?

Question 48

Identify the gender, ethnic, and racial differences in diabetes.

Question 49

Discuss the potential reasons for higher rates of accidents among older drivers.

Question 50

Heart disease, cancer, and strokes accounted for ________ percent of all deaths among people over age 65 and older in 2004.