NR601 Exam 1: Primary Care of the Maturing & Aged Family
Questions and Answers and Explanations | Latest - Chamberlain
1. Which tool is most appropriate for assessing a geriatric patient’s ability to
perform complex activities such as managing finances and using a telephone?
A. Katz Index of Independence
B. Geriatric Depression Scale (GDS)
C. Mini-Mental State Examination (MMSE)
D. Lawton Instrumental Activities of Daily Living (IADL) Scale
Answer: D
Explanation: The Lawton IADL Scale assesses more complex tasks necessary for living
independently in the community, whereas the Katz Index focuses on basic Activities of
Daily Living (ADLs) like bathing and dressing.
2. According to the Beers Criteria, which class of medications should be avoided
in older adults due to the high risk of falls and fractures?
A. ACE Inhibitors
B. Benzodiazepines
C. Statins
D. Proton Pump Inhibitors
Answer: B
,Explanation: Benzodiazepines increase the risk of cognitive impairment, delirium, falls,
fractures, and motor vehicle accidents in older adults.
3. Which of the following is a component of the Fried Phenotype for diagnosing
frailty?
A. History of hypertension
B. Cognitive impairment score < 24
C. Use of more than five daily medications
D. Unintentional weight loss of 10 pounds or more in a year
Answer: D
Explanation: The Fried criteria for frailty include unintentional weight loss, exhaustion,
low physical activity, slowness (walking speed), and weakness (grip strength).
4. For a ‘frail’ older adult with multiple comorbidities and limited life
expectancy, what is the recommended HbA1c target?
A. Less than 6.5%
B. 8.0% to 8.5%
C. 7.0% to 7.5%
D. Less than 6.0%
Answer: B
,Explanation: In frail older adults with limited life expectancy, the risks of hypoglycemia
outweigh the benefits of tight glycemic control, making a target of 8.0-8.5% more
appropriate.
5. Which part of Medicare covers outpatient services, including provider visits
and preventative screenings?
A. Part B
B. Part A
C. Part C
D. Part D
Answer: A
Explanation: Medicare Part B covers medically necessary services (outpatient care) and
preventive services.
6. A 75-year-old patient presents with a new onset of ‘high-pitched’ hearing
loss. This age-related change is known as:
A. Presbycusis
B. Tinnitus
C. Otosclerosis
D. Cerumen impaction
Answer: A
, Explanation: Presbycusis is the most common type of Sensorineural Hearing Loss caused
by the natural aging of the auditory system, typically affecting high-frequency sounds first.
7. When evaluating an older adult for depression, which tool is specifically
validated for this population?
A. GDS (Geriatric Depression Scale)
B. PHQ-9
C. Hamilton Anxiety Scale
D. Beck Depression Inventory
Answer: A
Explanation: The GDS is a validated screening tool specifically designed for older adults
and can be used in those with mild to moderate cognitive impairment.
8. What is the first-line treatment for an older adult diagnosed with urge
incontinence?
A. Oxybutynin (Anticholinergic)
B. Surgical sling placement
C. Bladder training and pelvic floor exercises
D. Intermittent catheterization
Answer: C
Explanation: Behavioral therapies, including bladder training and pelvic floor muscle
exercises, are recommended as first-line treatment for all types of urinary incontinence.
Questions and Answers and Explanations | Latest - Chamberlain
1. Which tool is most appropriate for assessing a geriatric patient’s ability to
perform complex activities such as managing finances and using a telephone?
A. Katz Index of Independence
B. Geriatric Depression Scale (GDS)
C. Mini-Mental State Examination (MMSE)
D. Lawton Instrumental Activities of Daily Living (IADL) Scale
Answer: D
Explanation: The Lawton IADL Scale assesses more complex tasks necessary for living
independently in the community, whereas the Katz Index focuses on basic Activities of
Daily Living (ADLs) like bathing and dressing.
2. According to the Beers Criteria, which class of medications should be avoided
in older adults due to the high risk of falls and fractures?
A. ACE Inhibitors
B. Benzodiazepines
C. Statins
D. Proton Pump Inhibitors
Answer: B
,Explanation: Benzodiazepines increase the risk of cognitive impairment, delirium, falls,
fractures, and motor vehicle accidents in older adults.
3. Which of the following is a component of the Fried Phenotype for diagnosing
frailty?
A. History of hypertension
B. Cognitive impairment score < 24
C. Use of more than five daily medications
D. Unintentional weight loss of 10 pounds or more in a year
Answer: D
Explanation: The Fried criteria for frailty include unintentional weight loss, exhaustion,
low physical activity, slowness (walking speed), and weakness (grip strength).
4. For a ‘frail’ older adult with multiple comorbidities and limited life
expectancy, what is the recommended HbA1c target?
A. Less than 6.5%
B. 8.0% to 8.5%
C. 7.0% to 7.5%
D. Less than 6.0%
Answer: B
,Explanation: In frail older adults with limited life expectancy, the risks of hypoglycemia
outweigh the benefits of tight glycemic control, making a target of 8.0-8.5% more
appropriate.
5. Which part of Medicare covers outpatient services, including provider visits
and preventative screenings?
A. Part B
B. Part A
C. Part C
D. Part D
Answer: A
Explanation: Medicare Part B covers medically necessary services (outpatient care) and
preventive services.
6. A 75-year-old patient presents with a new onset of ‘high-pitched’ hearing
loss. This age-related change is known as:
A. Presbycusis
B. Tinnitus
C. Otosclerosis
D. Cerumen impaction
Answer: A
, Explanation: Presbycusis is the most common type of Sensorineural Hearing Loss caused
by the natural aging of the auditory system, typically affecting high-frequency sounds first.
7. When evaluating an older adult for depression, which tool is specifically
validated for this population?
A. GDS (Geriatric Depression Scale)
B. PHQ-9
C. Hamilton Anxiety Scale
D. Beck Depression Inventory
Answer: A
Explanation: The GDS is a validated screening tool specifically designed for older adults
and can be used in those with mild to moderate cognitive impairment.
8. What is the first-line treatment for an older adult diagnosed with urge
incontinence?
A. Oxybutynin (Anticholinergic)
B. Surgical sling placement
C. Bladder training and pelvic floor exercises
D. Intermittent catheterization
Answer: C
Explanation: Behavioral therapies, including bladder training and pelvic floor muscle
exercises, are recommended as first-line treatment for all types of urinary incontinence.
