INSTRUCTIONS Frailty in the older adult: Will you recognize the signs?
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- You will receive your CE certificate of earned contact hours and an answer key to review your results.There is no minimum passing grade.
- Registration deadline is March 31, 2016.
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Frailty in the older adult: Will you recognize the signs?
General Purpose: To provide information about the distinguishing characteristics and care management of frail older adults. Learning Objectives: After reading this article and taking the test, you should be able to: 1. Identify factors associated with frailty syndrome and their significance. 2. Select assessment techniques and care management strategies for frail older adults.
- Which statement about frailty in older adults is accurate?
- Frailty increases the risk of chronic disease.
- The incidence of frailty is greater in men.
- Frailty results from dysregulation of interacting body systems.
- Hospitalization rates are inversely proportional to the degree of frailty.
- The proximate causes of frailty are thought to be a loss of function associated with
- inflammation and malnutrition.
- endocrine disorders.
- sarcopenia and osteoporosis.
- falls and hospitalizations.
- Recognizing potentially frail older adults in clinical practice
- increases the probability of hospitalization.
- can reduce healthcare costs.
- prevents frailty from impacting the family.
- reduces the need for social services.
- An 85-year-old woman who has decreased muscle mass and walks with a slow shuffle but whose weight is unchanged is considered
- average for her age.
- Inadequate nutrition and chronic pain are considered
- causative factors for frailty.
- normal in a prefrail person.
- influential factors in the progression of frailty.
- key components of the frailty syndrome.
- The catalyst for a robust older adult to become frail is
- advancing age.
- loss of reserve and resilience.
- comorbid disease states.
- poverty and malnutrition.
- Which statement is correct about unintentional weight loss and sarcopenia?
- Sarcopenia is a minor aspect of frailty syndrome.
- Loss of appetite is related to impaired response to insulin.
- Anorexia of aging may cause unintentional weight loss.
- Decreased apoptosis at the cellular level causes muscle atrophy.
- What is the primary message of the frailty cycle for clinicians?
- Decreased energy expenditure exacerbates the anorexia of aging.
- Edentulism is the cause of most unintentional weight loss.
- Older adults choose more nutrient-poor foods due to cost.
- Low serum levels of vitamins and minerals are associated with anorexia.
- The research connecting cognitive impairment to frailty suggests
- dementia is caused by inflammation.
- AD is associated with persistent pain.
- a link between the stress response in the hippocampus and the frail brain.
- chronic anemia is a precursor to frail brain.
- Which statement about inflammation is accurate?
- Anemia and diabetes are unrelated to inflammation.
- Many chronic diseases are associated with inflammation and predispose frailty.
- Frailty is caused by reduced levels of proinflammatory factors.
- Proinflammatory factors have little effect on muscle injury and repair.
- Which factor is not independently associated with frailty?
- mineral deficiencies
- It is especially important to screen an older adult for frailty
- prior to age 70 as a baseline.
- during all routine visits.
- at the request of family members.
- following exacerbation of a chronic illness.
- The FFI
- has not been researched for efficacy.
- requires answers to only five simple questions.
- requires the presence of at least three of five criteria.
- is based on the CGA.
- Mood, cognition, and incontinence are elements assessed by the
- FRAIL scale.
- Self-rating frailty questionnaires
- are objective only when completed by a family member.
- rarely provide valuable screening information.
- require the provider to supply information on medications.
- have a risk of nonresponse.
- Which of these factors was imperative in determining W's frailty status?
- the CGA
- a history of chronic disease
- limited physical activity
- cognitive decline
- Physical activity prescribed for the frail older adult
- should include primarily aerobic exercise.
- can reverse sarcopenia and frailty.
- should not be encouraged if the patient is unsteady.
- is the primary treatment for frail brain.