TEST BANK FOR HAM’S PRIMARY CARE GERIATRICS: A CASE-BASED APPROACH 7TH EDITION BY RICHARD J. HAM :ISBN10; /ISBN-13; 978-0323721684

Which one of the following is most true about the rule of fourths? a. One fourth of geriatric problems are iatrogenic. b. Little can be done to prevent three fourths of the problems of aging. c. For every medical complaint a patient has, a careful assessment can identify three other diagnoses. d. What used to be called normal aging can be largely explained by processes that are not normal. e. A good way to conduct a geriatric assessment is to use four categories: mental, physical, psychosocial, and environmental. - Answer d. What used to be called normal aging can be largely explained by processes that are not normal. Which one of the following is most true about aging changes? a. Stage 3 and 4 sleep decreases. b. Renal perfusion is not reduced, but renal function is reduced. c. Hearing acuity declines beginning in middle age. d. Prostatic enlargement occurs only in a minority of men. - Answer a. Stage 3 and 4 sleep decreases. An old woman who is cared for by attentive, cautious, concerned family is particularly likely to suffer from which one of the following complications after an episode of gastroenteritis? a. Immobility related to overconcern b. Continued vomiting caused by too-rapid feeding c. Diarrhea resulting from administration of milk products d. Constipation related to overtreatment of diarrhea - Answer a. Immobility related to overconcern Which one of the following is most true about psychological aging? a. Disengagement tends to promote better psychological health than continued engagement. b. Having a spouse is the best way to be assured of having a caregiver when one becomes disabled. c. Ability to have quality of life is related to cognitive function. d. Planning for the future is a key element of successful aging. e. Many older people are ageist. - Answer d. Planning for the future is a key element of successful aging Of the following conditions, which one is most common and most often preventable? a. Falls b. Frailty c. Cognitive impairment d. Iatrogenic disease e. Depression - Answer d. Iatrogenic disease Which of the following is a basic rather than instrumental ADL? a. Shopping b. Using the telephone c. Bathing d. Food prep e. Financial management - Answer c. Bathing Geriatric review of systems includes which of the following? a. Sensory impairments b. Changes in cognition c. Symptoms of depression d. Changes in weight or appetite e. All of the above - Answer e. All of the above Mr. C is an 86-year-old male visiting your clinic to establish care. Which of the following answers best describes your plan for the initial evaluation of Mr. C? a. Rapid assessment of his most pressing concern with follow-up visit scheduled at 6 months. b. Prioritize function and his chief complaint, focus on learning about his health care goals, and plan for follow up. c. Spend the majority of the time doing an extremely thorough physical exam; discuss concerns only if time allows. d. Feel overwhelmed by Mr. C's vast needs, order multiple lab tests, send Mr. C home without plans for follow up. - Answer b. Prioritize function and his chief complaint, focus on learning about his health care goals, and plan for follow up. Ways in which a hospital physical design fails to meet the needs of older adults include all of the followin