Type 2 Diabetes and Insulin Regulation
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Questions and Answers

What is the effect of decreased insulin receptors in beta cells?

  • Enhanced insulin sensitivity
  • Delayed insulin production (correct)
  • Improved glucose regulation
  • Increased insulin production
  • What happens to the liver in some older adults with Type 2 diabetes?

  • It fails to inhibit glucose production (correct)
  • It becomes more sensitive to insulin
  • It becomes more resistant to insulin
  • It increases insulin production
  • What is a symptom of Type 2 diabetes?

  • Weight gain
  • Decreased appetite
  • No change in appetite
  • Weight loss despite increased appetite (correct)
  • What is an effect of insulin resistance in target tissues?

    <p>Resistance to insulin action</p> Signup and view all the answers

    What is a cardiovascular symptom of Type 2 diabetes?

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

    What is a neurologic symptom of Type 2 diabetes?

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

    What is a potential complication of thyroid disorders?

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

    Which of the following is a potential consequence of neglect or abuse?

    <p>Risk for injury</p> Signup and view all the answers

    What is a radiologic examination that may be used to diagnose thyroid disorders?

    <p>Computed tomography scan</p> Signup and view all the answers

    What is a goal of the care plan for a patient who is a victim of abuse?

    <p>Prevent further injury to the patient</p> Signup and view all the answers

    What is a potential effect of thyroid disorders on the musculoskeletal system?

    <p>Muscle atrophy</p> Signup and view all the answers

    What is a potential effect of thyroid disorders on the eyes?

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

    What is a potential complication of thyroid disorders in males?

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

    What is a social service that may be involved in the care of a patient who is a victim of abuse?

    <p>Adult Protective Services</p> Signup and view all the answers

    What is the primary purpose of referring the patient to Adult Protective Services?

    <p>To increase the patient's sense of safety</p> Signup and view all the answers

    How can a nonjudgmental environment be promoted?

    <p>By providing emotional support and reducing anxiety</p> Signup and view all the answers

    What is the benefit of allowing the patient to verbalize their feelings?

    <p>It facilitates therapeutic dialogue and identifies concerns</p> Signup and view all the answers

    What is a suggested alternative to focusing on sexual performance?

    <p>Less threatening forms of intimacy</p> Signup and view all the answers

    What is a potential resource that can be offered to the patient?

    <p>A counselor or mental health professionals</p> Signup and view all the answers

    What is the patient expected to exhibit in a nonjudgmental environment?

    <p>Behaviors consistent with reduced anxiety and fear</p> Signup and view all the answers

    Study Notes

    Type 2 Diabetes

    • Results from abnormal insulin secretion, or resistance to insulin action in target tissues
    • Number of insulin receptors in the islets of Langerhans decreases slightly with age, leading to reduced sensitivity to high glucose levels and delayed insulin production
    • In some older adults, the liver fails to inhibit glucose production after insulin binds to the receptor

    Symptoms of Hyperthyroidism

    • Integumentary: warm, flushed skin, fine, soft hair
    • Neurologic: difficulty concentrating, excitability or nervousness, tremor, difficulty sleeping
    • Cardiovascular: tachycardia, full, bounding pulse, hypertension
    • Respiratory: dyspnea on exertion and at rest
    • Genitourinary: gynecomastia in males, weakness, fatigue, muscle atrophy
    • Eyes: exophthalmos, inflammation of the conjunctivae, cornea, or eye muscles
    • Potential complications: myxedema coma, thyroid storm, angina, heart failure

    Elder Abuse

    • Risk factors: caregiver stress, negative view of aging
    • Interventions:
      • Evaluate potential for harm and consult social work if necessary
      • Monitor patient for signs of neglect or abuse
      • Discuss abusive relationship with patient to assist in recognition of the problem
      • Contact social services for financial and legal support and alternate living arrangements
      • Refer patient to Adult Protective Services or other community agencies that deal with elder abuse
    • Chronic pain and emotional factors may contribute to fear related to sexual performance
    • Interventions:
      • Promote a nonjudgmental environment with reduced anxiety and fear
      • Encourage patient to verbalize feelings about performance
      • Offer resources such as a counselor or other mental health professionals
      • Encourage patient to focus on less threatening forms of intimacy to promote positive reinforcement

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    Related Documents

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    Description

    This quiz covers the effects of Type 2 diabetes on insulin secretion, insulin receptors, and glucose regulation. Learn how insulin resistance leads to delayed insulin production.

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