Chapter 1: Principles of Primary Care of Older Adults
Which one of the following is most true about the rule of fourths?
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?
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?
Immobility related to overconcern
Which one of the following is most true about psychological aging?
Ageism can lead to isolation and depression.
Of the following conditions, which one is most common and most often
preventable?
Iatrogenic disease
,Based on current demographic data, which statement identifies a
predictive trend regarding the health care needs of society?
More nursing services will be required to serve the needs of the
population 85 years of age and older
An older adult client shares with the nurse that, "I don't know what
it is but it seems that I need more light for reading or even
watching television as I get older." The nurse explains that aging
may cause this change due to the:
Slower ability of the pupil to adjust to changes in lighting
Chapter 3: Geriatric Assessment
An 86-year-old male who lives in an assisted living facility is at the clinic. He
has a history of hypertension and manages his own medications. He admits
he takes them sometimes. After speaking to him, you find it unclear if he
understands the questions and discussions. Which of the following evidences
that the patient has adequate health literacy?
He knows the names and doses of his medications and can explain why he
takes them.
,You are performing a geriatric assessment on an 82-year-old female. At the
end of the visit, which of the following would require top priority over the
others?
The death of the patient's caregiver
Ms. M's family has noticed memory loss for the past 6 months. She continues
to drive but recently had a fender bender and was caught speeding on a 35-
mph road. She insists that she is safe and needs to drive to church and for
shopping. What is the best next step?
Get a driving evaluation.
The following are true statements about bipolar disorders in older
adults except
Bipolar disorder is the most commonly diagnosed psychiatric
disorder in older adults.
Chapter 5: Wellness and Prevention
The US Advisory Committee on Immunization Practices and the Centers for
Disease Control currently recommend which one of the following?
a. All older adults be immunized against influenza annually and that they
receive at least one pneumococcal vaccination.
, b. All high-risk older adults should receive an additional pneumococcal
vaccination 5 years or more after their first immunization.
c. Older adults should receive a one-time revaccination for pneumonia if they
were initially vaccinated more than 5 years previously and were less than 65
years of age at the time of the initial vaccination.
d. All of these are recommended.
Healthcare providers should recommend that older adults engage in which
one of the following?
150 minutes of moderate intensity physical activity weekly
Guidelines for the primary prevention of stroke recommend that aspirin be
used in which one of the following?
Individuals whose risk is high enough for the benefits to outweigh the risks
Even though older adults are less likely to get counseled for smoking
cessation, they have which one of the following?
The same quit rates as younger individuals
When educating the older adult population about the risks to
physical health that chronic alcohol abuse presents, the nurse
practitioner is especially careful to include the:
Which one of the following is most true about the rule of fourths?
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?
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?
Immobility related to overconcern
Which one of the following is most true about psychological aging?
Ageism can lead to isolation and depression.
Of the following conditions, which one is most common and most often
preventable?
Iatrogenic disease
,Based on current demographic data, which statement identifies a
predictive trend regarding the health care needs of society?
More nursing services will be required to serve the needs of the
population 85 years of age and older
An older adult client shares with the nurse that, "I don't know what
it is but it seems that I need more light for reading or even
watching television as I get older." The nurse explains that aging
may cause this change due to the:
Slower ability of the pupil to adjust to changes in lighting
Chapter 3: Geriatric Assessment
An 86-year-old male who lives in an assisted living facility is at the clinic. He
has a history of hypertension and manages his own medications. He admits
he takes them sometimes. After speaking to him, you find it unclear if he
understands the questions and discussions. Which of the following evidences
that the patient has adequate health literacy?
He knows the names and doses of his medications and can explain why he
takes them.
,You are performing a geriatric assessment on an 82-year-old female. At the
end of the visit, which of the following would require top priority over the
others?
The death of the patient's caregiver
Ms. M's family has noticed memory loss for the past 6 months. She continues
to drive but recently had a fender bender and was caught speeding on a 35-
mph road. She insists that she is safe and needs to drive to church and for
shopping. What is the best next step?
Get a driving evaluation.
The following are true statements about bipolar disorders in older
adults except
Bipolar disorder is the most commonly diagnosed psychiatric
disorder in older adults.
Chapter 5: Wellness and Prevention
The US Advisory Committee on Immunization Practices and the Centers for
Disease Control currently recommend which one of the following?
a. All older adults be immunized against influenza annually and that they
receive at least one pneumococcal vaccination.
, b. All high-risk older adults should receive an additional pneumococcal
vaccination 5 years or more after their first immunization.
c. Older adults should receive a one-time revaccination for pneumonia if they
were initially vaccinated more than 5 years previously and were less than 65
years of age at the time of the initial vaccination.
d. All of these are recommended.
Healthcare providers should recommend that older adults engage in which
one of the following?
150 minutes of moderate intensity physical activity weekly
Guidelines for the primary prevention of stroke recommend that aspirin be
used in which one of the following?
Individuals whose risk is high enough for the benefits to outweigh the risks
Even though older adults are less likely to get counseled for smoking
cessation, they have which one of the following?
The same quit rates as younger individuals
When educating the older adult population about the risks to
physical health that chronic alcohol abuse presents, the nurse
practitioner is especially careful to include the:
