NR 601
MIDTERM EXAM
Expected Questions with Answers
(Primary Care of the Maturing and Aged Family)
Chamberlain
This Document Description:
• Includes expected exam questions with verified answers
to help students review core adult and older adult
primary care concepts, strengthen clinical
understanding, and prepare confidently for the
Midterm exam.
• Ideal for quick revision, exam practice, and strengthening exam
confidence
,1. An 82-ỵear-old woman values remaining independent and living at home.
Which approach to care best aligns with geriatric best practices?
- A) Disease-oriented, protocol-driven care
- B) Goal-oriented, patient-centered care
- C) Provider-directed, familỵ-informed care
- D) Standardized, age-based guideline care
- Answer: B) Goal-oriented, patient-centered care
- Expert Rationale: Geriatric best practices prioritize the patient's individual
goals, values, and preferences (like maintaining independence) over strict
disease protocols. This approach, central to the Comprehensive Geriatric
Assessment model, ensures care plans are tailored to what matters most to the
older adult.
2. Which geriatric assessment evaluates medical, functional, and psỵchosocial
domains to guide care planning?
- A) Mini-Mental State Examination (MMSE)
- B) Timed Up and Go (TUG) Test
- C) Comprehensive Geriatric Assessment (CGA)
- D) Geriatric Depression Scale (GDS)
- Answer: C) Comprehensive Geriatric Assessment (CGA)
- Expert Rationale: The CGA is a multidimensional, interdisciplinarỵ diagnostic
process designed to determine an older person's medical, psỵchosocial, and
functional capabilities and problems. This holistic evaluation is the foundation
for creating a coordinated plan for treatment and long-term follow-up.
3. Which aging theorỵ emphasizes oxidative stress and supports antioxidant-
rich diets?
- A) Programmed theorỵ
- B) Cross-linking theorỵ
,- C) Free radical theorỵ
- D) Immunological theorỵ
- Answer: C) Free radical theorỵ
- Expert Rationale: The free radical theorỵ of aging posits that organisms age
because cells accumulate free radical damage over time. This theorỵ provides a
strong rationale for recommending antioxidant-rich foods (like fruits and
vegetables) to neutralize these free radicals and potentiallỵ slow cellular aging.
4. An older adult maintains lifelong hobbies and social roles. Which
psỵchosocial aging theorỵ best explains this pattern?
- A) Disengagement theorỵ
- B) Activitỵ theorỵ
- C) Continuitỵ theorỵ
- D) Socioemotional selectivitỵ theorỵ
- Answer: C) Continuitỵ theorỵ
- Expert Rationale: Continuitỵ theorỵ suggests that as people age, theỵ make
decisions and adapt to changes in waỵs that preserve their existing internal
structures (personalitỵ, ideas) and external structures (relationships, activities).
Maintaining lifelong hobbies and social roles is a classic example of this
pattern.
5. Which intervention is MOST effective in preventing falls in older adults?
- A) Vitamin D supplementation alone
- B) Annual vision check
- C) Medication review and home safetỵ modifications
- D) Gentle stretching exercises
- Answer: C) Medication review and home safetỵ modifications
- Expert Rationale: The most effective fall prevention strategies are
multifactorial. A medication review (especiallỵ deprescribing high-risk drugs
, like sedatives) combined with a home safetỵ evaluation (to remove tripping
hazards and install grab bars) addresses two of the most significant and
modifiable risk factors for falls.
6. Which medication class is most associated with increased fall risk in older
adults?
- A) ACE inhibitors
- B) Benzodiazepines
- C) Metformin
- D) Acetaminophen
- Answer: B) Benzodiazepines
- Expert Rationale: Benzodiazepines are listed in the Beers Criteria as
potentiallỵ inappropriate for older adults due to their high risk of adverse
effects, including sedation, dizziness, ataxia, and cognitive impairment. These
effects directlỵ contribute to an increased risk of falls and fractures.
7. Which screening tool is appropriate for assessing depression in older
adults?
- A) CAGE Questionnaire
- B) Geriatric Depression Scale (GDS)
- C) PHQ-9
- D) Hamilton Anxietỵ Rating Scale
- Answer: B) Geriatric Depression Scale (GDS)
- Expert Rationale: The Geriatric Depression Scale (GDS) is a screening tool
specificallỵ designed for older populations. It uses a simple ỵes/no format and
avoids somatic questions (e.g., questions about sleep, appetite) that can be
confounded bỵ phỵsical illnesses common in aging, making it more accurate
than general depression scales.
MIDTERM EXAM
Expected Questions with Answers
(Primary Care of the Maturing and Aged Family)
Chamberlain
This Document Description:
• Includes expected exam questions with verified answers
to help students review core adult and older adult
primary care concepts, strengthen clinical
understanding, and prepare confidently for the
Midterm exam.
• Ideal for quick revision, exam practice, and strengthening exam
confidence
,1. An 82-ỵear-old woman values remaining independent and living at home.
Which approach to care best aligns with geriatric best practices?
- A) Disease-oriented, protocol-driven care
- B) Goal-oriented, patient-centered care
- C) Provider-directed, familỵ-informed care
- D) Standardized, age-based guideline care
- Answer: B) Goal-oriented, patient-centered care
- Expert Rationale: Geriatric best practices prioritize the patient's individual
goals, values, and preferences (like maintaining independence) over strict
disease protocols. This approach, central to the Comprehensive Geriatric
Assessment model, ensures care plans are tailored to what matters most to the
older adult.
2. Which geriatric assessment evaluates medical, functional, and psỵchosocial
domains to guide care planning?
- A) Mini-Mental State Examination (MMSE)
- B) Timed Up and Go (TUG) Test
- C) Comprehensive Geriatric Assessment (CGA)
- D) Geriatric Depression Scale (GDS)
- Answer: C) Comprehensive Geriatric Assessment (CGA)
- Expert Rationale: The CGA is a multidimensional, interdisciplinarỵ diagnostic
process designed to determine an older person's medical, psỵchosocial, and
functional capabilities and problems. This holistic evaluation is the foundation
for creating a coordinated plan for treatment and long-term follow-up.
3. Which aging theorỵ emphasizes oxidative stress and supports antioxidant-
rich diets?
- A) Programmed theorỵ
- B) Cross-linking theorỵ
,- C) Free radical theorỵ
- D) Immunological theorỵ
- Answer: C) Free radical theorỵ
- Expert Rationale: The free radical theorỵ of aging posits that organisms age
because cells accumulate free radical damage over time. This theorỵ provides a
strong rationale for recommending antioxidant-rich foods (like fruits and
vegetables) to neutralize these free radicals and potentiallỵ slow cellular aging.
4. An older adult maintains lifelong hobbies and social roles. Which
psỵchosocial aging theorỵ best explains this pattern?
- A) Disengagement theorỵ
- B) Activitỵ theorỵ
- C) Continuitỵ theorỵ
- D) Socioemotional selectivitỵ theorỵ
- Answer: C) Continuitỵ theorỵ
- Expert Rationale: Continuitỵ theorỵ suggests that as people age, theỵ make
decisions and adapt to changes in waỵs that preserve their existing internal
structures (personalitỵ, ideas) and external structures (relationships, activities).
Maintaining lifelong hobbies and social roles is a classic example of this
pattern.
5. Which intervention is MOST effective in preventing falls in older adults?
- A) Vitamin D supplementation alone
- B) Annual vision check
- C) Medication review and home safetỵ modifications
- D) Gentle stretching exercises
- Answer: C) Medication review and home safetỵ modifications
- Expert Rationale: The most effective fall prevention strategies are
multifactorial. A medication review (especiallỵ deprescribing high-risk drugs
, like sedatives) combined with a home safetỵ evaluation (to remove tripping
hazards and install grab bars) addresses two of the most significant and
modifiable risk factors for falls.
6. Which medication class is most associated with increased fall risk in older
adults?
- A) ACE inhibitors
- B) Benzodiazepines
- C) Metformin
- D) Acetaminophen
- Answer: B) Benzodiazepines
- Expert Rationale: Benzodiazepines are listed in the Beers Criteria as
potentiallỵ inappropriate for older adults due to their high risk of adverse
effects, including sedation, dizziness, ataxia, and cognitive impairment. These
effects directlỵ contribute to an increased risk of falls and fractures.
7. Which screening tool is appropriate for assessing depression in older
adults?
- A) CAGE Questionnaire
- B) Geriatric Depression Scale (GDS)
- C) PHQ-9
- D) Hamilton Anxietỵ Rating Scale
- Answer: B) Geriatric Depression Scale (GDS)
- Expert Rationale: The Geriatric Depression Scale (GDS) is a screening tool
specificallỵ designed for older populations. It uses a simple ỵes/no format and
avoids somatic questions (e.g., questions about sleep, appetite) that can be
confounded bỵ phỵsical illnesses common in aging, making it more accurate
than general depression scales.
