Aggressive Skin Cancer Risk Factors
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Questions and Answers

What is the most common skin problem experienced by older adults?

  • Xerosis (correct)
  • Lentigine
  • Dermatosis papulosa nigra
  • Seborrheic keratosis

    • Which age-related change in the skin makes older adults more prone to skin tears?

  • Shifting of subcutaneous fat
  • Decreased Langerhans cells
  • 20% loss of thickness in the dermis (correct)
  • Thickening and fragmentation of elastin fibers

    • What is the recommended psychological treatment for patients with herpes zoster?

  • Topical corticosteroids
  • Selective serotonin reuptake inhibitors (SSRIs)
  • Oral antiviral medications
  • Cognitive-behavioral therapy (CBT) (correct)

    • In older women, vaginal Candida albicans infections are commonly due to:

    <p>Reduced efficiency of eccrine glands</p> Signup and view all the answers

    Which type of skin cancer is most associated with chronic sun exposure?

    <p>Squamous cell carcinoma</p> Signup and view all the answers

    Which of the following is NOT a major risk factor for the aggressive skin cancer described in the text?

    <p>Genetic predisposition</p> Signup and view all the answers

    Which of the following is a less common cause of the aggressive skin cancer described in the text?

    <p>All of the above are mentioned as less common causes</p> Signup and view all the answers

    Which of the following best describes the appearance of the aggressive skin cancer lesion?

    <p>A firm, irregular, fleshy, pink-colored nodule that becomes reddened and scaly</p> Signup and view all the answers

    Which of the following treatments is NOT mentioned in the text for the aggressive skin cancer?

    <p>Surgical excision</p> Signup and view all the answers

    What is recommended for individuals, especially those living in sunny climates?

    <p>Regular screening by a dermatologist</p> Signup and view all the answers

    Which of the following is an effective preventive measure for xerosis (dry skin) in older adults?

    <p>Applying occlusive moisturizers after showering</p> Signup and view all the answers

    In the management of skin tears in older adults, which of the following is the most appropriate initial step?

    <p>Clean the wound with saline and approximate the edges</p> Signup and view all the answers

    Which of the following psychological interventions is most effective in managing the emotional impact of herpes zoster (shingles) in older adults?

    <p>Cognitive-behavioral therapy</p> Signup and view all the answers

    In an older woman, the presence of vaginal Candida albicans (yeast infection) may be indicative of which underlying condition?

    <p>Undiagnosed or poorly controlled diabetes</p> Signup and view all the answers

    Which of the following statements accurately compares the risk factors associated with basal cell carcinoma and squamous cell carcinoma?

    <p>Basal cell carcinoma is more prevalent in light-skinned individuals and is associated with chronic sun exposure, while squamous cell carcinoma is not.</p> Signup and view all the answers

    In the context of skin tear management, what is the primary focus of a comprehensive risk assessment?

    <p>General health assessment only</p> Signup and view all the answers

    What is the essential factor that differentiates MyPlate for Older Adults from the standard MyPlate?

    <p>Energy requirements</p> Signup and view all the answers

    When managing xerosis, what is a key consideration to prevent skin dryness?

    <p>Regular use of moisturizers</p> Signup and view all the answers

    For older women experiencing vaginal Candida albicans infections, what is a common preventive measure?

    <p>Wearing loose-fitting cotton underwear</p> Signup and view all the answers

    Among the different types of skin cancer, which type is commonly associated with chronic sun exposure?

    <p>Squamous cell carcinoma</p> Signup and view all the answers

    What is the primary reason for xerosis occurring primarily in the extremities, especially the legs?

    <p>The thinner epidermis of older skin in extremities</p> Signup and view all the answers

    Why is it important to control bleeding and prevent haematoma formation in the management of skin tears?

    <p>To reduce the risk of infection</p> Signup and view all the answers

    How does xerosis affect nutrient transfer between the dermal and epidermal layers of the skin?

    <p>Reduces nutrient transfer due to separation of dermal and epidermal surfaces</p> Signup and view all the answers

    In the context of herpes zoster, how can reactivation of the varicella-zoster virus negatively impact the immune system?

    <p>By weakening immune defenses</p> Signup and view all the answers

    What is the potential consequence of inadequate fluid intake on xerosis in the elderly?

    <p>Aggravation of xerosis due to systemic dehydration</p> Signup and view all the answers

    Which of the following is a key factor in the development of pressure ulcers?

    <p>Prolonged pressure on bony prominences</p> Signup and view all the answers

    What is the purpose of a 'care bundle' in the context of pressure ulcer prevention?

    <p>To provide a standardized set of evidence-based interventions</p> Signup and view all the answers

    According to the Centers for Medicare and Medicaid Services (CMS), the development of a stage/category 3 or 4 pressure ulcer is considered a:

    <p>Never event (preventable serious medical error)</p> Signup and view all the answers

    What is the significance of the 'ABCDE' mnemonic in the context of skin cancer?

    <p>It helps identify the danger signs for skin cancer</p> Signup and view all the answers

    Which of the following statements about the financial implications of pressure ulcers is true?

    <p>Hospitals no longer receive additional reimbursement for treating pressure ulcers acquired during a patient's stay</p> Signup and view all the answers

    Which systemic disease is poor oral health NOT recognized as a risk factor for in older adults?

    <p>Arthritis</p> Signup and view all the answers

    What connection has been identified between poor oral health and mortality in older adults?

    <p>A correlation with increased mortality</p> Signup and view all the answers

    In the video 'Staging Pressure Injuries - Wound Care for Nurses,' how are pressure injuries defined?

    <p>Damage to underlying tissue over time</p> Signup and view all the answers

    Why is the terminology 'Pressure Ulcer' not used in relation to pressure injuries?

    <p>Because they do not appear as ulcers on the skin</p> Signup and view all the answers

    Which of the following is NOT listed as a bony area susceptible to pressure injuries in the video?

    <p>Knee</p> Signup and view all the answers

    What is the characteristic of a Stage I pressure injury according to the video?

    <p>Superficial damage with intact skin</p> Signup and view all the answers

    Why is oral hygiene worse in older adults dependent on caregivers according to the text?

    <p>As a result of being less self-sufficient in bodily care assistance</p> Signup and view all the answers

    Which pair of conditions are directly linked in the text?

    <p><strong>Diabetes and periodontal disease</strong></p> Signup and view all the answers

    What is a significant predictor of caloric intake for older adults during meals?

    <p>Presence of others</p> Signup and view all the answers

    Which demographic group in the United States is the fastest-growing food-insecure population according to the text?

    <p>Older adults</p> Signup and view all the answers

    Which factor is associated with increased likelihood of food insecurity among older adults?

    <p>Living with a grandchild</p> Signup and view all the answers

    Why may easily accessible transportation be limited for older adults, affecting their food access?

    <p>Closure of neighborhood food stores</p> Signup and view all the answers

    Which situation could make it difficult for an older adult to reach the market according to the text?

    <p>Using public transportation</p> Signup and view all the answers

    Which of the following is the most important consideration in a comprehensive risk assessment for skin tears in older adults?

    <p>Assessing the patient's cognitive status and ability to participate in care</p> Signup and view all the answers

    What is the recommended per-meal high-quality protein intake for older adults to improve muscle protein synthesis and maintenance?

    <p>20-35 g</p> Signup and view all the answers

    Which of the following is the most significant consequence of inadequate protein intake in older adults?

    <p>Decreased muscle mass and strength</p> Signup and view all the answers

    Which of the following is the primary reason for the increased prevalence of xerosis (dry skin) in the extremities, especially the legs, of older adults?

    <p>Reduced blood circulation to the extremities</p> Signup and view all the answers

    What is the most significant impact of energy-protein deficiencies on the immune system in older adults?

    <p>Reduced production of T cells</p> Signup and view all the answers

    What is a critical consideration when conducting a comprehensive risk assessment for the 85-year-old widow in Case Study #1?

    <p>Identifying potential sources of social support</p> Signup and view all the answers

    Which nutritional factor plays a crucial role in healthy aging and preventing muscle loss in older adults like the 85-year-old widow?

    <p>Adequate protein intake</p> Signup and view all the answers

    In the context of calorie requirements for older adults, what is the primary purpose of tailoring caloric intake for individuals like the 85-year-old widow?

    <p>Sustaining energy levels and health</p> Signup and view all the answers

    How does protein intake for older adults contribute to maintaining health and well-being in individuals similar to the 85-year-old widow?

    <p>Promoting faster recovery from surgeries</p> Signup and view all the answers

    Why is monitoring calorie requirements crucial for older adults like the 85-year-old widow who has multiple health conditions?

    <p>To ensure proper nutrition without unnecessary excess or deficiencies</p> Signup and view all the answers

    Which of the following factors should be considered in a comprehensive risk assessment for malnutrition in older adults?

    <p>All of the above</p> Signup and view all the answers

    What is the recommended daily protein intake for healthy older adults?

    <p>1.2 grams per kilogram of body weight</p> Signup and view all the answers

    Which of the following is NOT a potential consequence of malnutrition in older adults?

    <p>Improved quality of life</p> Signup and view all the answers

    What is the recommended calorie intake range for healthy older adults?

    <p>1,800 to 2,200 calories per day</p> Signup and view all the answers

    Which of the following is a key factor in promoting healthy aging and preventing malnutrition in older adults?

    <p>Maintaining a balanced diet with adequate protein and calorie intake</p> Signup and view all the answers

    What factor should be considered when calculating the protein requirements for older adults?

    <p>Decreased lean body mass</p> Signup and view all the answers

    When determining the calorie requirements for older adults, the primary consideration should be:

    <p>Basal metabolic rate reduction</p> Signup and view all the answers

    In a comprehensive risk assessment for skin tears, what aspect should be evaluated first?

    <p>Gait and balance stability</p> Signup and view all the answers

    Why is it important to consider shifting of subcutaneous fat when assessing nutritional requirements for older adults?

    <p>To understand body composition changes</p> Signup and view all the answers

    What should be the focus when evaluating the nutritional needs of older adults to optimize healthy aging?

    <p>Emphasizing micronutrient-rich foods</p> Signup and view all the answers

    Which of the following is a reliable indicator of dehydration in older adults?

    <p>Dry mucous membranes and longitudinal furrows on the tongue</p> Signup and view all the answers

    Which of the following is a key factor in conducting a comprehensive risk assessment for dehydration in older adults?

    <p>All of the above</p> Signup and view all the answers

    Which of the following statements regarding nutritional requirements for older adults is true?

    <p>All of the above</p> Signup and view all the answers

    Which of the following age-related changes contributes to an increased risk of dehydration in older adults?

    <p>All of the above</p> Signup and view all the answers

    In the context of promoting healthy aging, which of the following interventions is most crucial for preventing dehydration in older adults?

    <p>All of the above</p> Signup and view all the answers

    Which of the following is NOT typically included in a comprehensive nutritional assessment for an older adult?

    <p>Assessment of cognitive function and mental health</p> Signup and view all the answers

    What is the primary reason for the increased risk of dysphagia (difficulty swallowing) in older adults?

    <p>Decreased muscle tone and coordination in the swallowing mechanism</p> Signup and view all the answers

    Which of the following is a key factor in maintaining adequate protein intake for older adults?

    <p>Providing a variety of protein-rich foods, such as meat, fish, eggs, and legumes</p> Signup and view all the answers

    What is the primary reason for the increased calorie requirements of older adults compared to younger adults?

    <p>Decreased physical activity and muscle mass with aging</p> Signup and view all the answers

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