Test Bank Complete_ Ham's Primary Care Geriatrics: A
Case-Based Approach 7th Edition, (2021) By Richard J.
Ham, Gregg A. Warshaw, Jane F. Potter, Ellen Flaherty,
Matthew K. McNabney & Mitchell T. Heflin All
Chapters 1-54| Three Units| With Correct
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. - ANSWERd. 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. - ANSWERa. 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 - ANSWERa. 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. - ANSWERd. 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 - ANSWERd. 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 - ANSWERc. 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 - ANSWERe. 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. - ANSWERb. 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 following except :
a. Noisy units with excess background commotion
b. Lack of supportive, functional seating for patients and family
c. A lack of accessible emergency staff-call systems
d. Easily graspable handrails on both sides of all hallways - ANSWERd. Easily
graspable handrails on both sides of all hallways
An 88-year-old woman was admitted to the hospital 1 week ago. The physiologic risk
factors that contribute to the geriatric syndrome of frailty for this woman include all
of the following except:
a. Weight loss of 15% over the past 6 months
b. Decreased self-perceived ability to walk one city block because of fatigue
c. Ongoing vitamin D supplementation during this hospital stay
d. Exclusive bed rest for the past 4 days
e. Eating less than 25% of provided meals for the past 3 days - ANSWERc. Ongoing
vitamin D supplementation during this hospital stay
Ways to prevent delirium in a hospitalized older adult include all of the following
except:
a. Ensuring optimal pain control with narcotic medications
b. Engaging family members and staff to frequently reorient patients and provide a
familiar environment
c. Providing vision, hearing, and other sensory adaptive measures to all appropriate
patients
d. Limiting time out of bed to prevent overstimulation
e. Preserving clear day/night differences by keeping shades open during the day and
promoting a quiet environment at night with limited interruptions - ANSWERd.
Limiting time out of bed to prevent overstimulation
Case-Based Approach 7th Edition, (2021) By Richard J.
Ham, Gregg A. Warshaw, Jane F. Potter, Ellen Flaherty,
Matthew K. McNabney & Mitchell T. Heflin All
Chapters 1-54| Three Units| With Correct
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. - ANSWERd. 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. - ANSWERa. 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 - ANSWERa. 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. - ANSWERd. 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 - ANSWERd. 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 - ANSWERc. 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 - ANSWERe. 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. - ANSWERb. 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 following except :
a. Noisy units with excess background commotion
b. Lack of supportive, functional seating for patients and family
c. A lack of accessible emergency staff-call systems
d. Easily graspable handrails on both sides of all hallways - ANSWERd. Easily
graspable handrails on both sides of all hallways
An 88-year-old woman was admitted to the hospital 1 week ago. The physiologic risk
factors that contribute to the geriatric syndrome of frailty for this woman include all
of the following except:
a. Weight loss of 15% over the past 6 months
b. Decreased self-perceived ability to walk one city block because of fatigue
c. Ongoing vitamin D supplementation during this hospital stay
d. Exclusive bed rest for the past 4 days
e. Eating less than 25% of provided meals for the past 3 days - ANSWERc. Ongoing
vitamin D supplementation during this hospital stay
Ways to prevent delirium in a hospitalized older adult include all of the following
except:
a. Ensuring optimal pain control with narcotic medications
b. Engaging family members and staff to frequently reorient patients and provide a
familiar environment
c. Providing vision, hearing, and other sensory adaptive measures to all appropriate
patients
d. Limiting time out of bed to prevent overstimulation
e. Preserving clear day/night differences by keeping shades open during the day and
promoting a quiet environment at night with limited interruptions - ANSWERd.
Limiting time out of bed to prevent overstimulation
