NR 601 Midterm: Primary Care of the
Maturing and Aged | Questions and
Verified Answers | 100% Correct | Grade
A - Chamberlain
Block 1 (Q1–Q10): Foundational Concepts & Geriatric Assessment
Q1. What are the three primary physiological changes of aging?
▶ Answer: (1) Reduced physiological reserve of most body systems, especially
cardiac, respiratory, and renal; (2) Reduced homeostatic mechanisms that fail to
adjust regulatory systems (e.g., temperature control, fluid/electrolyte balance); (3)
Impaired immunological function (increased infection risk and autoimmune disease
prevalence).
Q2. What does CGA stand for, and what is its purpose?
▶ Answer: CGA stands for Complete Geriatric Assessment. Its purpose is to
recognize that physical health is related to psychosocial factors, functional ability,
and a safe environment.
Q3. What are the five domains of a CGA?
▶ Answer: Physical health, functional health, psychological health, socio-
environmental support, and quality-of-life measures.
Q4. Who is a CGA most beneficial for?
▶ Answer: The vulnerable older adult.
,Q5. What is the purpose of the Beers Criteria?
▶ Answer: To improve medication selection and help avoid potentially dangerous
medications in older adults (65 years and older in all settings except hospice and
palliative care).
Q6. What is the exception for the Beers Criteria?
▶ Answer: It is not applicable in hospice and palliative care settings because the
focus there is on comfort, not avoiding certain medications.
Q7. What does the Beers Criteria stress regarding medication management?
▶ Answer: It stresses the importance of deprescribing to avoid polypharmacy and
adverse drug reactions.
Q8. How do geriatric patients metabolize drugs compared to younger patients?
▶ Answer: Geriatric patients metabolize drugs differently.
Q9. Why is it important to know that lab changes can be affected by dehydration?
▶ Answer: Because the older population is prone to dehydration, often due to
reduced thirst sensation or intentionally limiting fluids to avoid frequent urination.
Q10. Why might the elderly population have an increased ESR?
▶ Answer: Because there are more inflammatory processes in the geriatric
population.
Block 2 (Q11–Q20): Exercise, Nutrition, & Health Promotion
Q11. What is the preferred amount of exercise for an older adult?
▶ Answer: 30 minutes per day for 5 days a week of moderate exercise. If trying to
lose weight, 60 minutes per day is advised.
, Q12. When should colorectal cancer screenings occur?
▶ Answer: Ages 50–75.
Q13. When should breast cancer screening begin?
▶ Answer: Biennial screening for women from ages 50–75.
Q14. Who is at high risk for an abdominal aortic aneurysm (AAA)?
▶ Answer: Smokers.
Q15. A 25-year-old and a 75-year-old are completely different and should be
treated and prescribed medications accordingly. (True/False)
▶ Answer: True.
Q16. Why is it important to tailor exercise and strength training to the patient?
▶ Answer: Anytime exercise or strength training is discussed, it should be tailored to
the individual patient's specific disease processes and functional status.
Q17. What does functional health show?
▶ Answer: How the older adult can care for themselves day to day.
Q18. The major impact of the physiological changes that occur with aging is:
▶ Answer: All of the above (Reduced physiological reserve, Reduced homeostatic
mechanisms, Impaired immunological function).
Q19. Beginning at about age 55, most people can expect which of the following
changes?
▶ Answer: A 1- to 2-inch decline in height.
Q20. Which one of the following is a normal physiological change of aging?
▶ Answer: A decrease in strength and speed of muscle contraction in the
extremities.
Maturing and Aged | Questions and
Verified Answers | 100% Correct | Grade
A - Chamberlain
Block 1 (Q1–Q10): Foundational Concepts & Geriatric Assessment
Q1. What are the three primary physiological changes of aging?
▶ Answer: (1) Reduced physiological reserve of most body systems, especially
cardiac, respiratory, and renal; (2) Reduced homeostatic mechanisms that fail to
adjust regulatory systems (e.g., temperature control, fluid/electrolyte balance); (3)
Impaired immunological function (increased infection risk and autoimmune disease
prevalence).
Q2. What does CGA stand for, and what is its purpose?
▶ Answer: CGA stands for Complete Geriatric Assessment. Its purpose is to
recognize that physical health is related to psychosocial factors, functional ability,
and a safe environment.
Q3. What are the five domains of a CGA?
▶ Answer: Physical health, functional health, psychological health, socio-
environmental support, and quality-of-life measures.
Q4. Who is a CGA most beneficial for?
▶ Answer: The vulnerable older adult.
,Q5. What is the purpose of the Beers Criteria?
▶ Answer: To improve medication selection and help avoid potentially dangerous
medications in older adults (65 years and older in all settings except hospice and
palliative care).
Q6. What is the exception for the Beers Criteria?
▶ Answer: It is not applicable in hospice and palliative care settings because the
focus there is on comfort, not avoiding certain medications.
Q7. What does the Beers Criteria stress regarding medication management?
▶ Answer: It stresses the importance of deprescribing to avoid polypharmacy and
adverse drug reactions.
Q8. How do geriatric patients metabolize drugs compared to younger patients?
▶ Answer: Geriatric patients metabolize drugs differently.
Q9. Why is it important to know that lab changes can be affected by dehydration?
▶ Answer: Because the older population is prone to dehydration, often due to
reduced thirst sensation or intentionally limiting fluids to avoid frequent urination.
Q10. Why might the elderly population have an increased ESR?
▶ Answer: Because there are more inflammatory processes in the geriatric
population.
Block 2 (Q11–Q20): Exercise, Nutrition, & Health Promotion
Q11. What is the preferred amount of exercise for an older adult?
▶ Answer: 30 minutes per day for 5 days a week of moderate exercise. If trying to
lose weight, 60 minutes per day is advised.
, Q12. When should colorectal cancer screenings occur?
▶ Answer: Ages 50–75.
Q13. When should breast cancer screening begin?
▶ Answer: Biennial screening for women from ages 50–75.
Q14. Who is at high risk for an abdominal aortic aneurysm (AAA)?
▶ Answer: Smokers.
Q15. A 25-year-old and a 75-year-old are completely different and should be
treated and prescribed medications accordingly. (True/False)
▶ Answer: True.
Q16. Why is it important to tailor exercise and strength training to the patient?
▶ Answer: Anytime exercise or strength training is discussed, it should be tailored to
the individual patient's specific disease processes and functional status.
Q17. What does functional health show?
▶ Answer: How the older adult can care for themselves day to day.
Q18. The major impact of the physiological changes that occur with aging is:
▶ Answer: All of the above (Reduced physiological reserve, Reduced homeostatic
mechanisms, Impaired immunological function).
Q19. Beginning at about age 55, most people can expect which of the following
changes?
▶ Answer: A 1- to 2-inch decline in height.
Q20. Which one of the following is a normal physiological change of aging?
▶ Answer: A decrease in strength and speed of muscle contraction in the
extremities.
