NR601 2023/2024 FALL-SPRING TERM ACCURATE FINAL EXAM QUESTIONS REVIEW.CHAPTER 1 to CHAPTER 52 QUESTIONS AND ANSWERS REVIEW.TOP PRIORITY FINAL EXAM QUICK REVISION MATERIAL. CHAMBERLAIN COLLEGE OF NURSING

NR601 Primary Care of the Maturing and Aged Family NR601 2023/2024 FALL-SPRING TERM ACCURATE FINAL EXAM QUESTIONS REVIEW.CHAPTER 1 to CHAPTER 52 QUESTIONS AND ANSWERS REVIEW.TOP PRIORITY FINAL EXAM QUICK REVISION MATERIAL. CHAMBERLAIN COLLEGE OF NURSING Chapter 1 1. Which one of the following is most true about the rule of fourths? a. One-fourth of geriatric problems are iatrogenic. b. Little can be done to prevent three-fourths of the problems of aging. c. For every medical complaint a patient presents with, a careful assessment can identify three other diagnoses. d. What used to be called normal aging can be largely explained by processes that are not normal. e. A good way to conduct a geriatric assessment is to use four categories: mental, physical, psychosocial, and environmental. 2. Which one of the following is most true about aging changes? a. Stage 3 and 4 sleep decreases. b. Renal perfusion is not reduced, but renal function is reduced. c. Hearing acuity declines beginning in middle age. d. Prostatic enlargement occurs only in a minority of men. 3. 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? a. Immobility related to overconcern b. Continued vomiting caused by too-rapid feeding c. Diarrhea resulting from administration of milk products d. Constipation related to overtreatment of diarrhea 4. Which one of the following is most true about psychological aging? a. Disengagement tends to promote better psychological health than continued engagement. b. Most older adults do not worry about memory loss. c. Happiness declines starting in middle age. d. Ageism can lead to isolation and depression. 5. Of the following conditions, which one is most common and most often preventable? a. Falls b. Frailty c. Cognitive impairment d. Iatrogenic disease e. Depression Chapter 4 1. An 86-year-old female comes to your office for a wellness visit. Her blood pressure is 125/70 mmHg, pulse 69 beats per min, and respiratory rate 18 breaths per min. She is well appearing and reports she is up to date on her routine vaccinations. She introduces her partner of 35 years whom she would like to make medical decisions for her in case she becomes unable to make decisions for herself. She reports that she and her partner are not married. She asks if she needs any further documentation to ensure her goals of care are followed. 1. Which one of the following would be the most appropriate recommendation for this patient and her partner? a. Advise them to complete a POLST. b. Advise them that they have adequate documentation to be recognized legally. c. Advise them to file an advanced directive. d. Respond that although they lack documentation, her partner will be recognized de facto. 2. An 81-year-old transgender female with history of depression and hyperlipidemia presents to your clinic for routine care. She endorses a history of smoking, currently smoking 1 pack per day, and occasionally drinks a glass of wine, although she denies illicit drug use. She reports she takes atorvastatin 20 mg and subcutaneous estrogen therapy. Which of the following is the most important next step in this patient’s primary care? a. Counseling on starting aspirin b. Counseling on alcohol cessation c. Counseling on smoking cessation d. Counseling on mammogram 3. An 84-year-old male with history of stroke without residual deficit, systolic heart failure, and type 2 diabetes presents to clinic for follow-up. He is independently living in a retirement community and still works part time on a golf course. He currently takes aspirin 81 mg, metoprolol tartrate 25 mg BID (twice a day), furosemide 20 mg BID, and lisinopril 10 mg daily. He reports his last colonoscopy was 8 years ago, with no abnormality. He reports he is sexually active with men and women, engaging in receptive oral, receptive anal, and penetrative sex. He states he has had over three sexual partners in the last year with intermittent condom use. What sexually transmitted infection testing should be offered? a. Urine testing b. Urine testing, blood testing c. Urine testing, blood testing, anal swab d. Urine testing, blood testing, anal swab, and oropharyngeal swab Chapter 5 1. 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.