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Chapter 1: Principles of Primary Care of
Older Adults
Which one of the following is most true What used to be called normal aging can be largely
about the rule of fourths? explained by processes that are not normal.
Which one of the following is most true Stage 3 and 4 sleep decreases.
about aging changes?
An old woman who is cared for by attentive, Immobility related to overconcern
cautious, concerned family is particularly
likely to suffer from which one of the
following complications after an episode of
gastroenteritis?
Which one of the following is most true Ageism can lead to isolation and depression.
about psychological aging?
Of the following conditions, which one is Iatrogenic disease
most common and most often preventable?
Based on current demographic data, which More nursing services will be required to serve the needs of
statement identifies a the
predictive trend regarding the health care population 85 years of age and older
needs of society?
An older adult client shares with the nurse Slower ability of the pupil to adjust to changes in lighting
that, "I don't know what
it is but it seems that I need more light for
reading or even
watching television as I get older." The nurse
explains that aging
may cause this change due to the:
Chapter 3: Geriatric Assessment
,An 86-year-old male who lives in an He knows the names and doses of his medications and can
assisted living facility is at the clinic. He has explain why he takes them.
a history of hypertension and manages his
own medications. He admits he takes them
sometimes. After speaking to him, you find it
unclear if he understands the questions and
discussions. Which of the following
evidences that the patient has adequate
health literacy?
You are performing a geriatric assessment The death of the patient's caregiver
on an 82-year-old female. At the end of the
visit, which of the following would require
top priority over the others?
Ms. M's family has noticed memory loss for Get a driving evaluation.
the past 6 months. She continues to drive
but recently had a fender bender and was
caught speeding on a 35-mph road. She
insists that she is safe and needs to drive to
church and for shopping. What is the best
next step?
The following are true statements about Bipolar disorder is the most commonly diagnosed psychiatric
bipolar disorders in older disorder in older adults.
adults except
Chapter 5: Wellness and Prevention
The US Advisory Committee on a. All older adults be immunized against influenza annually
Immunization Practices and the Centers for and that they receive at least one pneumococcal vaccination.
Disease Control currently recommend b. All high-risk older adults should receive an additional
which one of the following? pneumococcal vaccination 5 years or more after their first
immunization.
c. Older adults should receive a one-time revaccination for
pneumonia if they were initially vaccinated more than 5 years
previously and were less than 65 years of age at the time of
the initial vaccination.
d. All of these are recommended.
Healthcare providers should recommend 150 minutes of moderate intensity physical activity weekly
that older adults engage in which one of the
following?
Guidelines for the primary prevention of Individuals whose risk is high enough for the benefits to
stroke recommend that aspirin be used in outweigh the risks
which one of the following?
Even though older adults are less likely to The same quit rates as younger individuals
get counseled for smoking cessation, they
have which one of the following?
When educating the older adult population Identification of the signs and symptoms of gastrointestinal
about the risks to bleeding
physical health that chronic alcohol abuse
presents, the nurse
practitioner is especially careful to include
the:
, An older adult client has been voluntarily Assessing the client for both depression and anxiety
admitted for treatment of
alcohol dependency. In implementing care,
the nurse plans which
intervention based upon knowledge about
alcohol and aging?
The nurse practitioner shows an Regardless of your physical health you really should get a
understanding of appropriate yearly
influenza vaccination guidelines for a client flu shot
over the age of 65
when stating:
Chapter 6: Cultural Competency and
Cultural Humility in Caring for Older Adults
Which of the following is true about cultural It places emphasis on power imbalances and promotes
humility? interpersonal sensitivity through partnerships with and
learning from patients.
Racial disparities have been a part of US a. Reluctance to participate in medical research because of
healthcare for many decades. How might unethical studies in the past
this impact the expectations of older Black b. Underrepresentation of Black physicians in the geriatric
Americans? workforce
c. Cumulative effects of differences in access to healthcare
providers
d. All of these
Dementia is a relatively common condition The ability to relate to others as people, rather than
in the geriatric population. It becomes more preserving cognitive independence, is an important aspect of
common as people age. Which is the most "personhood."
appropriate description of "personhood" as
it relates to people with dementia?
Immigrant families bring cultural traditions End-of-life care is particularly sensitive to cultural beliefs and
into healthcare decisions. With regard to should be explored carefully with the patient and family, as
older adults, which of the following is true? appropriate.
It has been projected that the cultural group Hispanic
presenting the
greatest growth rate among the older adult
population will be the:
Ethnocentrism is defined as: a belief that one's ethnic group is superior to that of another
true
Which of the following culturally diverse Japanese
male clients will most
benefit from educational material related to
"Staying Healthy into
your 80s"
Chapter 7: Appropriate Prescribing