A 70-year-old patient has scattered nummular plaques with thick scale on his shins that are extremely pruritic. He also has very dry skin. Skin scraping is negative for dermatophyte. He had already completed a course of oral antifungal medication prescribed to him by an urgent care physician. Assum...
NR 601 MIDTERM EXAM
Chapter 1: Principles of Primary Care of Older Adults
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
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
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 whatit 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
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 psychiatricdisorder in older
adults.
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
Chapter 5: Wellness and Prevention
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
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
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