NR-601 Primary Care of the Maturing
& Aged Family Practicum
Final Exam
Treatment for early PD in an otherwise healthy older patient without
significant functional impairment should begin with:
a. Catechol-o-methyl transferase (COMT) inhibitors
b. Dopamine agonist
c. Levodopa
d. Careful observation
Correct Answer:
d. Careful observation
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.
Correct Answer:
a. Stage 3 and 4 sleep decreases.
,A 78-year-old woman with atherosclerotic cardiovascular disease (ASCVD),
peripheral vascular disease, and a history of transient ischemic attacks s/p
carotid endarterectomy is seen as part of an annual wellness visit. She is
advised to create an advance directive but declines, saying "I don't know
who to pick" for a healthcare agent. Which one of the following is a
necessary characteristic of a healthcare agent?
a. Geographic proximity to the patient's home
b. Knows how the patient defines quality of life
c. Is a member of the patient's immediate family
d. Has medical training or experience
Correct Answer:
b. Knows how the patient defines quality of life
Lenore White is an 80-year-old woman who smokes two packs of cigarettes
per day. She is hospitalized for pneumonia because she has presenting
symptoms of cough and fever. On her second day of hospitalization, she
asks the nurse to please wheel her outside so she can smoke a cigarette.
The nurse feels uncomfortable agreeing to this and speaks to her clinical
nurse manager. What two ethical principles are in conflict?
a. Beneficence and community
b. Nonmaleficence and justice
c. Autonomy and justice
d. Autonomy and nonmaleficence
Correct Answer:
d. Autonomy and nonmaleficence
,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.
Correct Answer:
What used to be called normal aging can be largely explained by processes
that are not normal.
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
Correct Answer:
Immobility related to overconcern
, 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.
Correct Answer:
d. Ageism can lead to isolation and depression.
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
Correct Answer:
d. Iatrogenic disease
Racial disparities have been a part of US healthcare for many decades. How
might this impact the expectations of older Black Americans?
a. Reluctance to participate in medical research because of unethical studies
in the past
b. Underrepresentation of Black physicians in the geriatric workforce
c. Cumulative effects of differences in access to healthcare providers
d. All of these
Correct Answer:
d. All of these
& Aged Family Practicum
Final Exam
Treatment for early PD in an otherwise healthy older patient without
significant functional impairment should begin with:
a. Catechol-o-methyl transferase (COMT) inhibitors
b. Dopamine agonist
c. Levodopa
d. Careful observation
Correct Answer:
d. Careful observation
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.
Correct Answer:
a. Stage 3 and 4 sleep decreases.
,A 78-year-old woman with atherosclerotic cardiovascular disease (ASCVD),
peripheral vascular disease, and a history of transient ischemic attacks s/p
carotid endarterectomy is seen as part of an annual wellness visit. She is
advised to create an advance directive but declines, saying "I don't know
who to pick" for a healthcare agent. Which one of the following is a
necessary characteristic of a healthcare agent?
a. Geographic proximity to the patient's home
b. Knows how the patient defines quality of life
c. Is a member of the patient's immediate family
d. Has medical training or experience
Correct Answer:
b. Knows how the patient defines quality of life
Lenore White is an 80-year-old woman who smokes two packs of cigarettes
per day. She is hospitalized for pneumonia because she has presenting
symptoms of cough and fever. On her second day of hospitalization, she
asks the nurse to please wheel her outside so she can smoke a cigarette.
The nurse feels uncomfortable agreeing to this and speaks to her clinical
nurse manager. What two ethical principles are in conflict?
a. Beneficence and community
b. Nonmaleficence and justice
c. Autonomy and justice
d. Autonomy and nonmaleficence
Correct Answer:
d. Autonomy and nonmaleficence
,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.
Correct Answer:
What used to be called normal aging can be largely explained by processes
that are not normal.
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
Correct Answer:
Immobility related to overconcern
, 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.
Correct Answer:
d. Ageism can lead to isolation and depression.
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
Correct Answer:
d. Iatrogenic disease
Racial disparities have been a part of US healthcare for many decades. How
might this impact the expectations of older Black Americans?
a. Reluctance to participate in medical research because of unethical studies
in the past
b. Underrepresentation of Black physicians in the geriatric workforce
c. Cumulative effects of differences in access to healthcare providers
d. All of these
Correct Answer:
d. All of these
