1.
What is the name of excessive loss of lean muscle mass in the elderly?
Correct Answer
B. Sarcopenia
Explanation
Sarcopenia is the correct answer because it refers to the excessive loss of lean muscle mass that occurs in the elderly. This condition is associated with aging and can lead to decreased strength, mobility, and overall functional decline in older individuals. Xerostomia refers to dry mouth, edentulism is the condition of being toothless, and atrophic gastritis is the inflammation and thinning of the stomach lining, none of which are specifically related to the loss of muscle mass in the elderly.
2.
The loss of muscle can lead to lower total body _______.
Correct Answer
A. Water
Explanation
Loss of muscle can lead to lower total body water because muscles contain a significant amount of water. When muscle mass decreases, there is a reduction in the overall water content in the body. This can have various negative effects on the body, such as dehydration, impaired physical performance, and decreased metabolic efficiency. Therefore, maintaining muscle mass is important for maintaining adequate hydration and overall body water balance.
3.
In the elderly, early satiety and changes in gastric emptying are often referred to as, ____.
Correct Answer
D. Anorexia of the aging
Explanation
In the elderly, early satiety and changes in gastric emptying are often referred to as "anorexia of the aging". This term describes a condition in which older individuals experience a decreased appetite and reduced food intake. It is a common issue among the elderly and can lead to weight loss and malnutrition. Early satiety refers to feeling full quickly after eating a small amount of food, while changes in gastric emptying refer to a slower rate at which the stomach empties its contents. These symptoms contribute to the overall decrease in appetite and food intake seen in anorexia of the aging.
4.
An older patient states that they have a hard time shopping and preparing food. Which of the following is the most likely reason for this?
Correct Answer
A. Their cataracts and macular degeneration
Explanation
The most likely reason for the older patient's difficulty in shopping and preparing food is their cataracts and macular degeneration. Cataracts and macular degeneration are both eye conditions that can significantly impair vision, making it difficult to see clearly and perform tasks such as reading labels, navigating aisles, and preparing food safely.
5.
A 78 y/o client has recently been diagnosed with dehydration. Which of their following risk factors is, most likely, not attributing to their dehydration?
Correct Answer
D. Fever for two weeks
Explanation
The most likely risk factor that is not contributing to the client's dehydration is the decrease in their lean body mass. Dehydration is often caused by a lack of fluid intake or excessive fluid loss, and factors such as incontinence, diuretic use, and fever can all contribute to fluid loss. However, a decrease in lean body mass does not directly affect fluid balance and is therefore less likely to be a contributing factor to dehydration in this case.
6.
The nutritional requirements of vitamins decrease for the elderly?
Correct Answer
B. False
Explanation
- the caloric need decreases not the vitamins
7.
Which of the following is not a clinical sign of malnutrition in a 75 y/o, male patient who weighs 155 pounds?
Correct Answer
C. Weighs 150 pounds a month later
Explanation
- Weight loss greater than 5% in the past month or 10% in the past six months is indicative of malnutrition
8.
You are choosing vitamin D-rich foods for your patient, which of the following would be your least likely choice?
Correct Answer
A. Large egg yolk
Explanation
While egg yolks do contain some vitamin D, they are not as rich a source compared to the other options listed. Cod liver oil, cooked salmon, and canned sardines are generally more potent sources of vitamin D. Therefore, among the given choices, the large egg yolk would be the least likely choice for a significant vitamin D intake.
9.
The majority of a person’s calcium is stored in the _________.
Correct Answer
D. Bone
Explanation
Calcium is a mineral that is essential for the health and functioning of the human body. While calcium can be found in various parts of the body such as the blood, teeth, and cells, the majority of it is stored in the bones. The bones act as a reservoir for calcium, releasing it into the bloodstream as needed for various bodily functions. Therefore, the correct answer is bone.
10.
What percentage of the total body calcium is stored in the bone and teeth?
Correct Answer
D. 1%
Explanation
Approximately 1% of the total body calcium is stored in the bone and teeth. Calcium is an essential mineral for the body, and it plays a crucial role in maintaining strong bones and teeth. The majority of the body's calcium is found in the bones and teeth, providing structural support and strength. However, the remaining 99% of calcium is involved in other vital functions, such as muscle contraction, nerve function, blood clotting, and enzyme activity.
11.
Which of the following foods has the least amount of calcium in it (per serving)?
Correct Answer
D. Cottage cheese
Explanation
Cottage cheese has the least amount of calcium per serving compared to the other options.
12.
Which of the following substances is required for cellular division and the maintenance of the myelin sheath?
Correct Answer
C. Vitamin B12
Explanation
Vitamin B12 is required for cellular division and the maintenance of the myelin sheath. It plays a crucial role in the synthesis of DNA, which is essential for cell division. Additionally, it is involved in the production and maintenance of the myelin sheath, which is a protective covering around nerve cells. Vitamin B12 deficiency can lead to impaired cell division and damage to the myelin sheath, resulting in various neurological symptoms.
13.
Which of the following is required as a coenzyme in the metabolism of protein, fat, and other biochemical reactions?
Correct Answer
D. Vitamin B6
Explanation
Vitamin B6 is required as a coenzyme in the metabolism of protein, fat, and other biochemical reactions. Coenzymes are small molecules that assist enzymes in carrying out their functions. Vitamin B6 plays a crucial role in the metabolism of amino acids, the building blocks of proteins, by helping to convert them into usable forms. It is also involved in the metabolism of fats and carbohydrates. Additionally, vitamin B6 is necessary for the synthesis of neurotransmitters and the regulation of gene expression. Calcium, vitamin D, and vitamin B12 are not directly involved in these metabolic processes.
14.
You are teaching an older patient about the importance of hydration. How many cups of water will you recommend for this client?
Correct Answer
B. 8
Explanation
Based on the information provided, the recommended number of cups of water for an older patient is 8. This is because proper hydration is important for overall health, especially for older individuals who may be more prone to dehydration. Drinking enough water helps maintain bodily functions, supports digestion, and prevents complications such as urinary tract infections. Therefore, recommending 8 cups of water ensures that the patient stays adequately hydrated.
15.
Which of the following classifications of dysphagia are incorrectly matched?
Correct Answer
C. Delivery- difficulty moving food from the stomach into the intestines.
Explanation
- Delivery- difficulty moving food from the esophagus into the stomach.
16.
Which of your following patients is at the greatest risk for dysphagia?
Correct Answer
B. 67 male with GERD
Explanation
Patients with GERD (gastroesophageal reflux disease) are at the greatest risk for dysphagia. GERD is a condition where stomach acid flows back into the esophagus, causing irritation and inflammation. This can lead to the narrowing of the esophagus, making it difficult for food to pass through and resulting in dysphagia. The other patients mentioned do not have conditions directly associated with dysphagia.
17.
High doses of _______ have been showing to delay the progress of Alzheimer’s disease.
Correct Answer
D. Vitamin E
Explanation
High doses of vitamin E have been shown to delay the progress of Alzheimer's disease.
18.
In the elderly, alcohol abuse is a huge risk factor for ________.
Correct Answer
A. Vitamin deficiency
Explanation
Alcohol abuse in the elderly can lead to a lack of proper nutrition and absorption of essential vitamins, including vitamin deficiency. Alcohol can interfere with the body's ability to absorb and utilize vitamins, leading to a deficiency. This can result in various health issues, including weakened immune system, cognitive impairment, and an increased risk of developing chronic diseases such as cardiovascular disease and osteoporosis. Therefore, alcohol abuse is a significant risk factor for vitamin deficiency in the elderly.
19.
Which of the following nursing interventions is inappropriate for clients with swallowing difficulties?
Correct Answer
B. Encouraging talking while eating
Explanation
Encouraging talking while eating is inappropriate for clients with swallowing difficulties because talking while eating increases the risk of choking and aspiration. Clients with swallowing difficulties need to focus on their eating and swallowing without any distractions, including talking. This intervention can also lead to inadequate chewing and swallowing of food, which can further exacerbate the swallowing difficulties.
20.
Your 73 y/o depressed patient is suffering from unintentional weight loss. Which of the following is the least likely cause of their weight loss?
Correct Answer
A. Cushing’s disease
Explanation
- Cushing’s causes weight gain