NR-601 Primary Care of the Maturing &
Aged Family Practicum
Final Exam Study Set Q & A
(Week 5 - 8)
Which of the following statements about fluid balance in elderly is false?
- Assessment of skin turgor at the sternum is a reliable indicator of dehydration in
elderly
Distinguishing delirium from dementia can be problematic since they may co-exist. The primary
consideration in the DD is:
- Rapid change and fluctuating course of cognitive function
Presbystasis is best described as:
- Age-related disequilibrium of unknown pathology characterized by gradual onset of
difficulty walking
If dizziness has a predictable patter associated w/it, the clinician should first consider:
- Hypoglycemia
All of the following are considered as contributors to dysphagia except:
- Smooth muscle relaxants
1 / 4
Microscopic hematuria is defined as:
- 3 or more RBCs on 3 or more samples of urine
All of the following statements about tremor are true except:
- The most common tremor is the Parkinson tremor
Overflow incontinence is usually associated with:
- Bladder outlet obstruction
Wandering is best described as:
- Purposeful excessive ambulatory behavior
Symptoms of depression distinct to the elderly include:
- Lack of emotions
One major difference that is useful in the DD of dementia vs delirium is that:
- Dementia develops slowly and delirium develops quickly
Which of the following is the most appropriate screening tool for delirium?
- Confusion Assessment Method
The proposed mechanism by which diphenhydramine causes delirium is:
- Anticholinergic effects
Elderly are at high risk for delirium because of:
- All of the above (multisensory declines, polypharmacy, multiple medical problems)
2 / 4
Consistent finding in delirium, regardless of cause, is:
- Reduction in regional cerebral perfusion
Older adults’ w/dementia sometimes suffer from agnosia, which is defined as the inability to:
- Recognize objects
In late stages of dementia, a phenomenon called "sun downing" occurs, in which cognitive
disturbances tend to:
- Become worse toward the evening
Of the following, which one is most useful clinical eval tool to assist in dx of dementia?
- St. Louis University Mental Status Exams (SLUMS)
The cornerstone of pharmacotherapy in treating Alzheimer's is:
- Cholinesterase inhibitor's
The comorbid psych problem w/the highest frequency in dementia is:
- Anxiety
When treating depression associated w/dementia, which of the following would be a poor
choice and should not be prescribed?
- Amitriptyline
Post-menopausal woman w/osteoporosis is taking bisphosphonate daily PO. What action info
statement would indicate the pt understood your instructions regarding this med?
- Take w/full glass of water when up in the AM 30min before other food and meds.
3 / 4
A fluoroquinolone (Cipro) is prescribed for a male pt w/a UTI. What should you teach the pt
regarding taking this med?
- Its effectiveness is decreased by antacids, iron, or caffeine
60yo obese male has T2DM and lipid panel of TC 250, HDL 32, LDL 165. You teach the pt about
his modifiable cardiac risk factors, which include?
- DM, obesity, hyperlipidemia
Diabetic pt presents w/the c/o R foot pain but denies recent known injury. He states it has
gotten progressively worse over the past few months. On exam, vibratory sense as well as
sensation tested w/a monofilament was abnormal. Pt's foot is warm, edematous, misshapen.
You suspect Charcot foot. What intervention is indicated?
- Refer to podiatry
Which is a cardinal feature of failure to thrive?
- Poor nutritional status
Feeding gastrostomy tubes at end-of-life Alzheimer's pts have been associated with:
- Aspiration Pna
Which of the following nutritional indicators is not an indication of poor nutritional status in
elderly?
- BMI 25
Which ethnic group has highest incidence of prostate ca?
- African Americans
Men w/an initial PSA <2.5 can reduce their screening frequency to what intervals?
- Every 2yrs
Version | 2021 |
Category | Exam (elaborations) |
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Pages | 38 |
Language | English |
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