Final Exam: NR601/ NR 601 Primary Care of the Maturing & Aged Family Practicum Final Exam| Questions and Verified Answers| 2023/ 2024 Update

Final Exam: NR601/ NR 601 Primary Care of the Maturing & Aged Family Practicum Final Exam| Questions and Verified Answers| 2023/ 2024 Update Q: A 68 year old woman presents with a complaint of urine leakage whenever she sneezes, laughs or strains for the past 4 months. She denies dysuria, frequency and nocturia. US dipstick is negative for RBC's leukocyte esterase, nitrates, ketones and urobilinogen. What is the diagnosis? a. stress incontinence b. urinary incontinence c. urge incontinence d. overflow incontninence Answer: a. stress incontinence Q: Which of the following signs or symptoms are not characteristics of delirium a. patient is coherent b. short duration c. sudden onset d. symptoms are worse in the evenings Answer: a. patient is coherent Q: A 52 year old female patient screened for diabetes has a fasting plasma glucose level of 123 mg/dl. The nurse practitioners plan includes: a. repeat fasting glucose in 1 month b. prescribe memformin 500mg BID po c. repeat fasting plasma glucose in one year d. repeat fasting glucose in three years Answer: c. repeat fasting plasma glucose in one year Q: According to the palliative care presentation, most elderly patients die: a. alone b. at home c. in institutions d. in pain Answer: c. in institutions Q: Older adults with dementia sometimes suffer from agnosia, which is defined as the inability to a. remember events and places b. understand language c. use language d. recognize objects Answer: d. recognize objects Q: When treating depression associated with dementia, which of the following would be a poor choice and not be prescribed a. desimpramine b. amitryptyline c. fluoxitine d. mirtazapine Answer: b. amitryptyline Q: Male patient presents with a BMI of 30 presents to the office for an annual exam. You are reviewing the lab results. You ordered a CMP as part of routine labs. The fasting glucose was 130. Your next action is: a. repeat the fasting glucose b. start metformin 500mg BID c. repeat fasting glucose in 1 year d. call the patient and report lab results as normal Answer: a. repeat the fasting glucose Q: The task of grieving include all of the following except a. begin to disengage b. acknowledge the reality of death c. work through the pain of grief d. restructure relationships Answer: a. begin to disengage Q: All of the following are true statements regarding elder abuse except: a. a new STI in an elderly patient can be a sign of abuse b. persons over 80 years of age are at highest risk for abuse c. missing scheduled appointments and delays in medical care are common d. common signs of abuse include decreased anxiety and depression Answer: d. common signs of abuse include decreased anxiety and depression Q: Hospice care differs from palliative care in that: a. it cannot be provided in the nursing home b. the majority of those admitted to hospice die within 7 days c. it is not covered by insurance d. it is designed for the last six months of life Answer: d. it is designed for the last six months of life