NR601 / NR 601 Final Exam 2024
LATEST VERSION
Primary Care of the Maturing & Aged Family Practicum
Questions and Answers (Verified Answers)
1.Healthcare providers should recommend that older adults engage in
which one of the following?
a. 150 minutes of moderate intensity physical activity weekly
b. 20 minutes of moderate intensity physical activity 3 days per week
c. 10 minutes of vigorous physical activity most days of the week
d. 30 minutes of vigorous physical activity 3 days per week
: a. 150 minutes of moderate intensity physical activity weekly
2.A 69-year-old female presents to your office for routine primary care. Her
elder sister was recently diagnosed with Alzheimer disease, and she
wonders what steps she can take to reduce her own risk of developing
dementia. Which of the following statements about the prevention of
dementia is true?
,a. There is moderate quality evidence to support daily use of vitamin B12
and fish oil to prevent risk of cognitive decline.
b. Risk of dementia is modulated by nonmodifiable risk factors, such as ge-
netics, family history, and educational attainment, and there are no
behavioral interventions that can be taken to reduce risk of developing
dementia.
c.There is moderate quality evidence to suggest control of cardiovascular
and metabolic risk factors, such as blood pressure, weight, and blood
sugar, may reduce risk of dementia.
d. There is moderate to low quality evidence supporting cannabinoids mae-
mentia.y reduce rates of progression from mild cognitive impairment to de-
mentia.
: c. There is moderate quality evidence to suggest control of
cardiovascular and metabolic risk factors, such as blood pressure,
weight, and blood sugar, may reduce risk of dementia.
3.An 86-year-old female comes to your office for a wellness visit. Her blood
pressure is 125/70 mmHg, pulse 69 beats per min, and respiratory rate 18
breaths per min. She is well appearing and reports she is up to date on her
routine vaccinations. She introduces her partner of 35 years whom she
would like to make medical decisions for her in case she becomes unable to
make decisions for herself. She reports that she and her partner are not
married. She asks if she needs any further documentation to ensure her
goals of care are followed.
,Which one of the following would be the most appropriate recommendation
for this patient and her partner?
a. Advise them to complete a POLST.
b. Advise them that they have adequate documentation to be
recognized legally.
, c. Advise them to file an advanced directive.
d. Respond that although they lack documentation, her partner will be
recog- nized de facto
.
: c. Advise them to file an advanced directive.
4.A 78-year-old male was recently diagnosed with Alzheimer disease. He
scored 23/30 on his Montreal Cognitive Assessment (MoCA) and his clinical
presentation is consistent with mild disease. He returns to clinic with his
fam- ily to discuss possible initiation of pharmacotherapy. You consider
beginning donepezil 5 mg daily for 4 weeks, with a plan to increase to 10 mg
daily if he tolerates the lower dose. Which of the following is not a common
side effect of donepezil?
a. Thrombocytopenia
b. Bradycardia
c. Vivid dreams
d. Gastrointestinal distress
: a. Thrombocytopenia
5.An 84-year-old male with history of stroke without residual deficit, systolic
heart failure, and type 2 diabetes presents to clinic for follow-up. He is inde-
pendently living in a retirement community and still works part time on a
golf course. He currently takes aspirin 81 mg, metoprolol tartrate 25 mg BID
LATEST VERSION
Primary Care of the Maturing & Aged Family Practicum
Questions and Answers (Verified Answers)
1.Healthcare providers should recommend that older adults engage in
which one of the following?
a. 150 minutes of moderate intensity physical activity weekly
b. 20 minutes of moderate intensity physical activity 3 days per week
c. 10 minutes of vigorous physical activity most days of the week
d. 30 minutes of vigorous physical activity 3 days per week
: a. 150 minutes of moderate intensity physical activity weekly
2.A 69-year-old female presents to your office for routine primary care. Her
elder sister was recently diagnosed with Alzheimer disease, and she
wonders what steps she can take to reduce her own risk of developing
dementia. Which of the following statements about the prevention of
dementia is true?
,a. There is moderate quality evidence to support daily use of vitamin B12
and fish oil to prevent risk of cognitive decline.
b. Risk of dementia is modulated by nonmodifiable risk factors, such as ge-
netics, family history, and educational attainment, and there are no
behavioral interventions that can be taken to reduce risk of developing
dementia.
c.There is moderate quality evidence to suggest control of cardiovascular
and metabolic risk factors, such as blood pressure, weight, and blood
sugar, may reduce risk of dementia.
d. There is moderate to low quality evidence supporting cannabinoids mae-
mentia.y reduce rates of progression from mild cognitive impairment to de-
mentia.
: c. There is moderate quality evidence to suggest control of
cardiovascular and metabolic risk factors, such as blood pressure,
weight, and blood sugar, may reduce risk of dementia.
3.An 86-year-old female comes to your office for a wellness visit. Her blood
pressure is 125/70 mmHg, pulse 69 beats per min, and respiratory rate 18
breaths per min. She is well appearing and reports she is up to date on her
routine vaccinations. She introduces her partner of 35 years whom she
would like to make medical decisions for her in case she becomes unable to
make decisions for herself. She reports that she and her partner are not
married. She asks if she needs any further documentation to ensure her
goals of care are followed.
,Which one of the following would be the most appropriate recommendation
for this patient and her partner?
a. Advise them to complete a POLST.
b. Advise them that they have adequate documentation to be
recognized legally.
, c. Advise them to file an advanced directive.
d. Respond that although they lack documentation, her partner will be
recog- nized de facto
.
: c. Advise them to file an advanced directive.
4.A 78-year-old male was recently diagnosed with Alzheimer disease. He
scored 23/30 on his Montreal Cognitive Assessment (MoCA) and his clinical
presentation is consistent with mild disease. He returns to clinic with his
fam- ily to discuss possible initiation of pharmacotherapy. You consider
beginning donepezil 5 mg daily for 4 weeks, with a plan to increase to 10 mg
daily if he tolerates the lower dose. Which of the following is not a common
side effect of donepezil?
a. Thrombocytopenia
b. Bradycardia
c. Vivid dreams
d. Gastrointestinal distress
: a. Thrombocytopenia
5.An 84-year-old male with history of stroke without residual deficit, systolic
heart failure, and type 2 diabetes presents to clinic for follow-up. He is inde-
pendently living in a retirement community and still works part time on a
golf course. He currently takes aspirin 81 mg, metoprolol tartrate 25 mg BID
