FNP – NU 627 Geriatric Healthcare COMPREHENSIVE FINAL EXAM GUIDE 2024 1. **Question**: Which of the following is the most common cause of intrinsic falls among older adults? - A) Use of assistive devices - B) Environmental hazards - C) Orthostatic hypotension - D) Osteoporosis - **Answer **: C) Orthostatic hypotension **Rationale**: Orthostatic hypotension is a significant risk factor for falls due to sudden changes in blood pressure when moving from sitting to standing. 2. **Question**: A common complication of polypharmacy in the geriatric population is: - A) Improved medication adherence - B) Reduced side effects - C) Increased adverse drug reactions - D) Enhanced therapeutic outcomes - **Answer **: C) Increased adverse drug reactions **Rationale**: Polypharmacy increases the risk of drug intera ctions and side effects due to the presence of multiple medications. 3. **Question**: Which individual is at the highest risk for developing delirium? - A) A 70 -year-old with hypertension - B) An 85 -year-old with a recent hip fracture - C) A heal thy 65 -year-old post -operative patient - D) A 90 -year-old who walks daily - **Answer **: B) An 85 -year-old with a recent hip fracture **Rationale**: Older adults post -surgery, especially those with fractures, are at higher risk of delirium due to pain, medication, and changes in environment. 4. **Question**: What is the primary goal of the Comprehensive Geriatric Assessment (CGA)? - A) To identify all existing comorbidities - B) To evaluate functional capacity and quality of life - C) To minimize the number of medications - D) To gather family history - **Answer **: B) To evaluate functional capacity and quality of life **Rationale**: The CGA focuses on assessing an elderly person's overall health status, functionality, and quality of life. 5. **Question**: Which class of medications is most often associated with cognitive impairment in older adults? - A) Antidepre ssants - B) Antihypertensives - C) Benzodiazepines
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