NR-601 Primary Care of the Maturing & Aged Family Practicum
Midterm Exam
What age dose lens elasticity reduce?
Correct Answer:
42-50 y.o.
Vestibular sensitivity gradually increases until what age?
Correct Answer:
About 60 y.o
At what age does menopause usually occur?
Correct Answer:
50 y.o.
Body composition changes in older adults
Correct Answer:
percent of body water- decreased percent of body fat- increased 1 / 4
Brain changes in older adults
Correct Answer:
decreased in weight by 7%- atrophy
sleep changes in older adults
Correct Answer:
Markedly reduced stage 3 and 4 sleep More frequent awakenings; reduced sleep efficiency
vision changes in older adults
Correct Answer:
Lens accommodation- Markedly reduced after age 40-50 years Amount of light reaching the retina-Diminished by up to 70% Color perception- Reduced intensity (especially of blues and greens)
hearing changes in older adults
Correct Answer:
Acuity declines beginning about age 12 years, with decline steepest in high frequencies (>5000 Hertz [cycles/second])
- / 4
Taste/smell changes in older adults
Correct Answer:
Number of taste buds-Reduced by 70% Changes in preferences- Increased tolerance for very sweet and very salty foods (as a result of reduced perception)
cardiac function changes in older adults
Correct Answer:
Maximum heart rate-Reduced from about 195 to about 155 beats per minute Reduced cardiac output during stress-Predisposes to heart failure during sepsis, pneumonia, surgery
Renal perfusion changes in older adults
Correct Answer:
Decreased by 50%
bone mineral content changes in older adults
Correct Answer:
Diminished by 10%-30%
prostate gland anatomy changes in older adults
Correct Answer:
Size increases by 100%
- / 4
sexual function changes in older adults
Correct Answer:
men-Reduced intensity and persistence of erections; decreased ejaculate and ejaculatory flow women- Menopause; reduced lubrication; vaginal atrophy
Influenza vaccine
Correct Answer:
advised yearly for adults 65 y.o. or older
TDAP vaccine
Correct Answer:
- dose after age 65 y.o and Td every 10 years
Varicella recombinant (Shingrix) vaccine
Correct Answer:
- doses 2-5 months apart. Give to those who had zoster (65 and older)
Pneumonoccocal vaccine
Correct Answer:
- dose of PPSV23 (Polysaccharide, Pneumovax); consider 1 dose PCV 13 in
- / 4
high-risk patients (65 and older)- if Pneumovax given before 65 should repeat