BSN 437 ASSIGNMENT 2 :
COMPREHENSIVE OLDER
PERSON EVALUATION AND
LATEST MOCK PRACTICE SET
140 Questions with Answers and Detailed Rationales
100 PERCENT GUARANTEED PASS
INSTANT DOWNLOAD ANSWERS INCLUDED
IMPORTANCE OF THIS DOCUMENT
This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
BSN 437 ASSIGNMENT 2 : COMPREHENSIVE OLDER PERSON EVALUATION AND HEALTH PROMOTION
PLAN. It contains 140 carefully selected questions that reflect the most current exam content and testing
strategies. Each question is accompanied by a correct answer and a detailed rationale that explains the
underlying pathophysiology, pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions
Review Summary 140 Questions
Foundations - Application - BSN 437 Assignment 2 Comprehensive Older Person Evaluation AND Health
Promotion PLAN BSN 437 Assignment 2 Comprehensive Older Person Evaluation AND Health Promotion
PLAN University
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
Comprehensive Health 1-24 Older, Adult, Medication, Health, Comprehensive Geriatric
History AND Interviewing
Physical Assessment OF 25-48 Older, Adult, Health, Appropriate, Promotion
THE Older Adult
Functional Status AND 49-72 Older, Adult, Comprehensive, Combination, Health
Activities OF Daily Living
Adls/iadls
Cognitive AND Mental Health 73-96 Older, Adult, Medication, Comprehensive, Combination
Assessment
Psychosocial AND Spiritual 97-120 Older, Adult, Appropriate, Patient S, Medication
Assessment
Nutritional Assessment AND 121-140 Older, Adult, Comprehensive, Appropriate, Health
Screening
TOTAL 140 All questions include answers and detailed rationales
,Section A - Comprehensive Health History AND
Interviewing
Q1.
A comprehensive geriatric assessment (CGA) is being planned for a community-dwelling
older adult with mild cognitive impairment and multiple chronic conditions. Which
outcome measure would most accurately capture the value of the CGA intervention in
reducing disability and institutionalization?
A. Change in Mini-Mental State Examination B. Number of emergency department visits
(MMSE) score at 6 months in the following year
C. Proportion of patients achieving a target D. Patient-reported ability to perform
blood pressure <130/80 mmHg instrumental activities of daily living (IADLs)
at 12 months
Correct: D - Patient-reported ability to perform instrumental activities of daily living
(IADLs) at 12 months
Rationale:CGA aims to improve functional outcomes; IADL performance is a sensitive
measure of disability and predicts institutionalization. MMSE change is too narrow, ED visits
are a utilization metric, and BP control is a single disease-oriented outcome, not a
comprehensive functional endpoint.
Q2.
When using the Beers Criteria to deprescribe in an older adult with falls and insomnia,
which medication class requires the most cautious tapering to avoid rebound insomnia
and withdrawal symptoms?
A. Benzodiazepines B. Nonbenzodiazepine hypnotics (z-drugs)
C. Tricyclic antidepressants (TCAs) D. First-generation antihistamines
Correct: A - Benzodiazepines
Rationale:Benzodiazepines have a well-documented withdrawal syndrome including rebound
insomnia, anxiety, and seizures; tapering must be slow over weeks to months. Z-drugs also
cause rebound but less severe; TCAs and antihistamines are less likely to cause a specific
withdrawal syndrome requiring tapering.
Q3.
An older adult with type 2 diabetes and chronic kidney disease (eGFR 35 mL/min) has a
hemoglobin A1c of 7.8%. Which medication adjustment is most appropriate to prevent
hypoglycemia while maintaining glycemic control?
Page 3
, Section A - Comprehensive Health History AND Interviewing
A. Increase metformin dose to maximum to B. Add sulfonylurea (glipizide) at a low dose
improve A1c
C. Switch to insulin glargine with prandial D. Continue current regimen and recheck
insulin A1c in 3 months
Correct: B - Add sulfonylurea (glipizide) at a low dose
Rationale:Metformin is contraindicated at eGFR <30 and should be reduced at <45;
sulfonylureas are renally cleared but glipizide is safer than glyburide in CKD. Insulin requires
careful titration and may increase hypoglycemia risk. Simply continuing may not address the
elevated A1c.
Q4.
In the context of health promotion for older adults, which combination of screenings
aligns with current USPSTF recommendations for a community-dwelling adult aged 70
with no significant comorbidities?
A. Annual mammography, colonoscopy B. Biannual mammography until 75, FIT
every 10 years, and PSA every 2 years every year, and one-time abdominal aortic
aneurysm (AAA) screening if ever smoked
C. Clinical breast exam annually, flexible D. Mammography every 3 years, CT
sigmoidoscopy every 5 years, and no PSA colonography every 5 years, and PSA if
screening family history
Correct: B - Biannual mammography until 75, FIT every year, and one-time abdominal
aortic aneurysm (AAA) screening if ever smoked
Rationale:USPSTF recommends biennial mammography for women 50-74, annual FIT for
colorectal cancer, and one-time AAA screening for men 65-75 with smoking history. PSA is
not routinely recommended; options with annual mammography or routine PSA are not
current recommendations.
Q5.
A newly admitted nursing home resident with advanced dementia develops dysphagia and
weight loss. The interprofessional team discusses feeding options. Which approach is
most aligned with current evidence-based, person-centered care?
A. Insert a percutaneous endoscopic B. Provide hand-feeding with modified
gastrostomy (PEG) tube to improve nutrition textures and fluids, and involve the family in
and prevent aspiration goals-of-care discussions
C. Initiate parenteral nutrition to meet caloric D. Place the resident on a pureed diet and
needs without aspiration risk thickened liquids without further assessment
Correct: B - Provide hand-feeding with modified textures and fluids, and involve the family
in goals-of-care discussions
Page 4
COMPREHENSIVE OLDER
PERSON EVALUATION AND
LATEST MOCK PRACTICE SET
140 Questions with Answers and Detailed Rationales
100 PERCENT GUARANTEED PASS
INSTANT DOWNLOAD ANSWERS INCLUDED
IMPORTANCE OF THIS DOCUMENT
This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
BSN 437 ASSIGNMENT 2 : COMPREHENSIVE OLDER PERSON EVALUATION AND HEALTH PROMOTION
PLAN. It contains 140 carefully selected questions that reflect the most current exam content and testing
strategies. Each question is accompanied by a correct answer and a detailed rationale that explains the
underlying pathophysiology, pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions
Review Summary 140 Questions
Foundations - Application - BSN 437 Assignment 2 Comprehensive Older Person Evaluation AND Health
Promotion PLAN BSN 437 Assignment 2 Comprehensive Older Person Evaluation AND Health Promotion
PLAN University
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
Comprehensive Health 1-24 Older, Adult, Medication, Health, Comprehensive Geriatric
History AND Interviewing
Physical Assessment OF 25-48 Older, Adult, Health, Appropriate, Promotion
THE Older Adult
Functional Status AND 49-72 Older, Adult, Comprehensive, Combination, Health
Activities OF Daily Living
Adls/iadls
Cognitive AND Mental Health 73-96 Older, Adult, Medication, Comprehensive, Combination
Assessment
Psychosocial AND Spiritual 97-120 Older, Adult, Appropriate, Patient S, Medication
Assessment
Nutritional Assessment AND 121-140 Older, Adult, Comprehensive, Appropriate, Health
Screening
TOTAL 140 All questions include answers and detailed rationales
,Section A - Comprehensive Health History AND
Interviewing
Q1.
A comprehensive geriatric assessment (CGA) is being planned for a community-dwelling
older adult with mild cognitive impairment and multiple chronic conditions. Which
outcome measure would most accurately capture the value of the CGA intervention in
reducing disability and institutionalization?
A. Change in Mini-Mental State Examination B. Number of emergency department visits
(MMSE) score at 6 months in the following year
C. Proportion of patients achieving a target D. Patient-reported ability to perform
blood pressure <130/80 mmHg instrumental activities of daily living (IADLs)
at 12 months
Correct: D - Patient-reported ability to perform instrumental activities of daily living
(IADLs) at 12 months
Rationale:CGA aims to improve functional outcomes; IADL performance is a sensitive
measure of disability and predicts institutionalization. MMSE change is too narrow, ED visits
are a utilization metric, and BP control is a single disease-oriented outcome, not a
comprehensive functional endpoint.
Q2.
When using the Beers Criteria to deprescribe in an older adult with falls and insomnia,
which medication class requires the most cautious tapering to avoid rebound insomnia
and withdrawal symptoms?
A. Benzodiazepines B. Nonbenzodiazepine hypnotics (z-drugs)
C. Tricyclic antidepressants (TCAs) D. First-generation antihistamines
Correct: A - Benzodiazepines
Rationale:Benzodiazepines have a well-documented withdrawal syndrome including rebound
insomnia, anxiety, and seizures; tapering must be slow over weeks to months. Z-drugs also
cause rebound but less severe; TCAs and antihistamines are less likely to cause a specific
withdrawal syndrome requiring tapering.
Q3.
An older adult with type 2 diabetes and chronic kidney disease (eGFR 35 mL/min) has a
hemoglobin A1c of 7.8%. Which medication adjustment is most appropriate to prevent
hypoglycemia while maintaining glycemic control?
Page 3
, Section A - Comprehensive Health History AND Interviewing
A. Increase metformin dose to maximum to B. Add sulfonylurea (glipizide) at a low dose
improve A1c
C. Switch to insulin glargine with prandial D. Continue current regimen and recheck
insulin A1c in 3 months
Correct: B - Add sulfonylurea (glipizide) at a low dose
Rationale:Metformin is contraindicated at eGFR <30 and should be reduced at <45;
sulfonylureas are renally cleared but glipizide is safer than glyburide in CKD. Insulin requires
careful titration and may increase hypoglycemia risk. Simply continuing may not address the
elevated A1c.
Q4.
In the context of health promotion for older adults, which combination of screenings
aligns with current USPSTF recommendations for a community-dwelling adult aged 70
with no significant comorbidities?
A. Annual mammography, colonoscopy B. Biannual mammography until 75, FIT
every 10 years, and PSA every 2 years every year, and one-time abdominal aortic
aneurysm (AAA) screening if ever smoked
C. Clinical breast exam annually, flexible D. Mammography every 3 years, CT
sigmoidoscopy every 5 years, and no PSA colonography every 5 years, and PSA if
screening family history
Correct: B - Biannual mammography until 75, FIT every year, and one-time abdominal
aortic aneurysm (AAA) screening if ever smoked
Rationale:USPSTF recommends biennial mammography for women 50-74, annual FIT for
colorectal cancer, and one-time AAA screening for men 65-75 with smoking history. PSA is
not routinely recommended; options with annual mammography or routine PSA are not
current recommendations.
Q5.
A newly admitted nursing home resident with advanced dementia develops dysphagia and
weight loss. The interprofessional team discusses feeding options. Which approach is
most aligned with current evidence-based, person-centered care?
A. Insert a percutaneous endoscopic B. Provide hand-feeding with modified
gastrostomy (PEG) tube to improve nutrition textures and fluids, and involve the family in
and prevent aspiration goals-of-care discussions
C. Initiate parenteral nutrition to meet caloric D. Place the resident on a pureed diet and
needs without aspiration risk thickened liquids without further assessment
Correct: B - Provide hand-feeding with modified textures and fluids, and involve the family
in goals-of-care discussions
Page 4
