NR 601
MIDTERM EXAM
Verified Questions & Answers With Rationales
(Primary Care of the Maturing and
Aged Family Practicum)
Chamberlain
CONSISTS OF 100 QUESTIONS
WEEKS 1 – 4 COVERED
,1. An 82-year-old woman values remaining independent and living at home.
Which approach to care best aligns with geriatric best practices?
A. Disease-centered care only
B. Goal-oriented, patient-centered care
C. Hospital-based care for all older adults
D. Provider-directed care without patient input
Correct Answer:
B. Goal-oriented, patient-centered care
Rationale:
Geriatric care prioritizes function, independence, quality of life, and the patient’s
personal goals rather than focusing only on disease treatment.
2. Which geriatric assessment evaluates medical, functional, and psychosocial
domains to guide care planning?
A. PHQ-9
B. Comprehensive Geriatric Assessment (CGA)
C. CURB-65
D. ASCVD risk calculator
Correct Answer:
B. Comprehensive Geriatric Assessment (CGA)
Rationale:
CGA evaluates medical problems, cognition, mood, mobility, function,
medications, social support, and environment to create an individualized care
plan.
3. Which aging theory emphasizes oxidative stress and supports antioxidant-rich
diets?
A. Continuity theory
B. Free radical theory
C. Disengagement theory
D. Activity theory
Correct Answer:
B. Free radical theory
Rationale:
,The free radical theory proposes that oxidative damage contributes to aging.
Diets rich in fruits, vegetables, and antioxidants may help reduce oxidative stress.
4. An older adult maintains lifelong hobbies and social roles. Which psychosocial
aging theory best explains this pattern?
A. Continuity theory
B. Wear-and-tear theory
C. Free radical theory
D. Immunologic theory
Correct Answer:
A. Continuity theory
Rationale:
Continuity theory suggests older adults adapt best when they maintain familiar
roles, activities, values, and relationships across the lifespan.
5. Which intervention is MOST effective in preventing falls in older adults?
A. Medication review and home safety modifications
B. Bedrest for all older adults
C. Avoiding all physical activity
D. Increasing sedative medications
Correct Answer:
A. Medication review and home safety modifications
Rationale:
Fall prevention should address modifiable risks, including high-risk medications,
unsafe home environments, poor vision, weakness, and balance problems.
6. Which medication class is most associated with increased fall risk in older
adults?
A. Benzodiazepines
B. Statins
C. ACE inhibitors
D. Acetaminophen
Correct Answer:
A. Benzodiazepines
, Rationale:
Benzodiazepines can cause sedation, confusion, impaired balance, and delayed
reaction time, increasing fall and fracture risk in older adults.
7. Which screening tool is appropriate for assessing depression in older adults?
A. Geriatric Depression Scale (GDS)
B. CURB-65
C. Epworth Sleepiness Scale
D. ABI
Correct Answer:
A. Geriatric Depression Scale (GDS)
Rationale:
The GDS is designed to screen for depressive symptoms in older adults and avoids
overemphasis on somatic symptoms that may overlap with aging or chronic
illness.
8. At what age should routine cervical cancer screening generally stop if prior
results were adequate and normal?
A. 45
B. 50
C. 65
D. 75
Correct Answer:
C. 65
Rationale:
Routine cervical cancer screening generally stops after age 65 when prior
screening has been adequate and normal and the patient is not otherwise high
risk.
9. Which immunization is recommended for ALL adults aged 50 and older?
A. Recombinant shingles vaccine (Shingrix)
B. HPV vaccine for all adults
C. MMR booster every year
D. BCG vaccine
MIDTERM EXAM
Verified Questions & Answers With Rationales
(Primary Care of the Maturing and
Aged Family Practicum)
Chamberlain
CONSISTS OF 100 QUESTIONS
WEEKS 1 – 4 COVERED
,1. An 82-year-old woman values remaining independent and living at home.
Which approach to care best aligns with geriatric best practices?
A. Disease-centered care only
B. Goal-oriented, patient-centered care
C. Hospital-based care for all older adults
D. Provider-directed care without patient input
Correct Answer:
B. Goal-oriented, patient-centered care
Rationale:
Geriatric care prioritizes function, independence, quality of life, and the patient’s
personal goals rather than focusing only on disease treatment.
2. Which geriatric assessment evaluates medical, functional, and psychosocial
domains to guide care planning?
A. PHQ-9
B. Comprehensive Geriatric Assessment (CGA)
C. CURB-65
D. ASCVD risk calculator
Correct Answer:
B. Comprehensive Geriatric Assessment (CGA)
Rationale:
CGA evaluates medical problems, cognition, mood, mobility, function,
medications, social support, and environment to create an individualized care
plan.
3. Which aging theory emphasizes oxidative stress and supports antioxidant-rich
diets?
A. Continuity theory
B. Free radical theory
C. Disengagement theory
D. Activity theory
Correct Answer:
B. Free radical theory
Rationale:
,The free radical theory proposes that oxidative damage contributes to aging.
Diets rich in fruits, vegetables, and antioxidants may help reduce oxidative stress.
4. An older adult maintains lifelong hobbies and social roles. Which psychosocial
aging theory best explains this pattern?
A. Continuity theory
B. Wear-and-tear theory
C. Free radical theory
D. Immunologic theory
Correct Answer:
A. Continuity theory
Rationale:
Continuity theory suggests older adults adapt best when they maintain familiar
roles, activities, values, and relationships across the lifespan.
5. Which intervention is MOST effective in preventing falls in older adults?
A. Medication review and home safety modifications
B. Bedrest for all older adults
C. Avoiding all physical activity
D. Increasing sedative medications
Correct Answer:
A. Medication review and home safety modifications
Rationale:
Fall prevention should address modifiable risks, including high-risk medications,
unsafe home environments, poor vision, weakness, and balance problems.
6. Which medication class is most associated with increased fall risk in older
adults?
A. Benzodiazepines
B. Statins
C. ACE inhibitors
D. Acetaminophen
Correct Answer:
A. Benzodiazepines
, Rationale:
Benzodiazepines can cause sedation, confusion, impaired balance, and delayed
reaction time, increasing fall and fracture risk in older adults.
7. Which screening tool is appropriate for assessing depression in older adults?
A. Geriatric Depression Scale (GDS)
B. CURB-65
C. Epworth Sleepiness Scale
D. ABI
Correct Answer:
A. Geriatric Depression Scale (GDS)
Rationale:
The GDS is designed to screen for depressive symptoms in older adults and avoids
overemphasis on somatic symptoms that may overlap with aging or chronic
illness.
8. At what age should routine cervical cancer screening generally stop if prior
results were adequate and normal?
A. 45
B. 50
C. 65
D. 75
Correct Answer:
C. 65
Rationale:
Routine cervical cancer screening generally stops after age 65 when prior
screening has been adequate and normal and the patient is not otherwise high
risk.
9. Which immunization is recommended for ALL adults aged 50 and older?
A. Recombinant shingles vaccine (Shingrix)
B. HPV vaccine for all adults
C. MMR booster every year
D. BCG vaccine
