NR-509Week 3 Final Practice Exam Updated Questions and Answers .pdf

NR601 / NR 601 Final Exam S S S S S




Primary Care of the Maturing & Aged Family Practicum
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Questions and Answers (Verified Answers) S S S S




1. Healthcare providers should recommend that older adults engage in which
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one of the following?
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a. 150 minutes of moderate intensity physical activity weekly
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b. 20 minutes of moderate intensity physical activity 3 days per week
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c. 10 minutes of vigorous physical activity most days of the week
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d. 30 minutes of vigorous physical activity 3 days per week
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: a. 150 minutes of moderate intensity physical activity weekly
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2. A 69-year- S




old female presents to your office for routine primary care. Her elder sister wa
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s recently diagnosed with Alzheimer disease, and she wonders what steps she
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can take to reduce her own risk of developing dementia.Which of the following
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statements about the prevention of dementia is true?
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a. There is moderate quality evidence to support daily use of vitamin B12 and fi
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sh oil to prevent risk of cognitive decline.
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,b. Risk of dementia is modulated by nonmodifiable risk factors, such as ge-
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netics, family history, and educational attainment, and there are no behavioral i
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nterventions that can be taken to reduce risk of developing dementia. S S S S S S S S S S




c. There is moderate quality evidence to suggest control of cardiovascular and
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metabolic risk factors, such as blood pressure, weight, and blood sugar, may r
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educe risk of dementia. S S S




d. There is moderate to low quality evidence supporting cannabinoids mae-
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mentia.y reduce rates of progression from mild cognitive impairment to de-
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mentia.
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: c. There is moderate quality evidence to suggest control of cardiovascular and meta
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bolic risk factors, such as blood pressure, weight, and blood sugar, may reduce risk
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of dementia.S




3. An 86-year- S




old female comes to your office for a wellness visit. Her blood pressure is 125/
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70 mmHg, pulse 69 beats per min, and respiratory rate 18 breaths per min. She
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is well appearing and reports she is up to date on her routine vaccinations. Sh
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e introduces her partner of 35 years whom she would like to make medical deci
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sions for her in case she becomes unable to make decisions for herself. She r
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eports that she and her partner are not married. She asks if she needs any furt
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her documentation to ensure her goals of care are followed.
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Which one of the following would be the most appropriate recommendation for
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this patient and her partner?
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a. Advise them to complete a POLST. S S S S S




b. Advise them that they have adequate documentation to be recognized l
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,egally.




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, c. Advise them to file an advanced directive.
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d. Respond that although they lack documentation, her partner will be recog-
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S nized de facto S S




.
: c. Advise them to file an advanced directive.
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4. A 78-year- S




old male was recently diagnosed with Alzheimer disease. He scored 23/30 on
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his Montreal Cognitive Assessment (MoCA) and his clinical presentation is co
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nsistent with mild disease. He returns to clinic with his fam-
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S ily to discuss possible initiation of pharmacotherapy. You consider beginning
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donepezil 5 mg daily for 4 weeks, with a plan to increase to 10 mg daily if he tol
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erates the lower dose. Which of the following is not a common side effect of d
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onepezil?
a. Thrombocytopenia
b. Bradycardia
c. Vivid dreams S




d. Gastrointestinal distress S




: a. Thrombocytopenia
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5. An 84-year- S




old male with history of stroke without residual deficit, systolic heart failure, a
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nd type 2 diabetes presents to clinic for follow-up. He is inde-
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S pendently living in a retirement community and still works part time on a golf c
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