Geriatric Syndrome Questions with
Complete Solutions
80-year-old Jane is living by herself and has had a rough go of
things lately. Her primary care provider determines that her self-
neglect is resulting from an existing vulnerability or a
combination of several existing vulnerabilities. These
vulnerabilities function as both etiology and outcome of the
process of self-neglect in a process known as what? Correct
Answers Negative feedback loop
80-year-old Jane is seen in your office today, you know that
which of the following is indicative of abuse? Correct Answers
- Fractures
- Malnutrition
- Dehydration
- None of these alone are indicative of abuse and must be
assessed with history and laboratory findings
A 66-year-old patient was seen in your clinic 2 weeks ago and
started on Zoloft 50mg daily. He calls you today and says he
doesn't feel any better. How should you, the nurse practitioner,
respond to this patient? Correct Answers "Zoloft may take 4-8
weeks to achieve its full effect."
A 70-year-old patient is in your clinic today to discuss starting
medication for depression. After reviewing her history, you note
no known allergies, and all previous labs are within normal
limits. Which type of medication is best to prescribe this
patient? Correct Answers SSRI
,A 79-year-old patient comes to your clinic with feelings of
depression. She completes the Geriatric Depression Scale (GDS)
and you note her score to be 15. What is the next best plan of
action for this patient? Correct Answers Refer to Psychiatry
A patient arrives to your clinic after working outside all day in
summer. He complains of nausea, fatigue, and dizziness. He has
no known sick contacts. His vital signs are rectal temperature of
100.2ºF, HR 86, BP 118/65, RR 18, and he's 97% on room air.
He takes no medications and has no pertinent medical history.
His most likely diagnosis is: Correct Answers Heat exhaustion
A patient has been taking Lexapro 10 mg daily for eight weeks.
The patient initially reported feeling sad and irritable. The
patient's sleep, appetite, energy, and appearance have now begun
to improve and she denies thoughts of suicide. Which statement
applies to this patient? Correct Answers The Lexapro dose
should NOT be changed
A patient is in your office with complaints of fatigue,
constipation, cold intolerance, and depressed mood. Along with
depression, what other differential diagnosis should be
considered for this patient? Correct Answers Hypothyroidism
A spiritual assessment can be conducted when? Correct
Answers Anytime
According to the Virginia Department of Health, in 2014, which
of the following statements are true? (Select all that apply)
, Correct Answers - Women were more likely than men to
experience abuse
- Adults were more frequently abused, neglected, or exploited in
their own homes.
According to the Virginia Department of Health, in 2014, which
of the following types of elder abuse was more prevalent?
Correct Answers Self-neglect
Age related changes include all of the following EXCEPT?
Correct Answers Decreased sweat gland quantity
Alcohol is the most abused substance among older adults.
Which is the second most abused substance among older adults?
Correct Answers Opioids
An elderly patient presents to your clinic complaining they don't
feel like they are sleeping well, they wake up feeling irritable.
They ask you how many hours of sleep should they be getting
each night, your best response is: Correct Answers The amount
of sleep an older adult needs each night is 7-9 hours of quality
sleep
An elderly patient presents to your clinic with a chief complaint
of lack of energy, little enjoyment in social activities, and
trouble sleeping. Her husband states that she hasn't gone to her
bridge club meetings and stays in bed frequently throughout the
day. What should the nurse practitioner recommend for this
patient? SELECT ALL THAT APPLY. Correct Answers -
Sertraline (Zoloft)
- Cognitive Behavioral Therapy
Complete Solutions
80-year-old Jane is living by herself and has had a rough go of
things lately. Her primary care provider determines that her self-
neglect is resulting from an existing vulnerability or a
combination of several existing vulnerabilities. These
vulnerabilities function as both etiology and outcome of the
process of self-neglect in a process known as what? Correct
Answers Negative feedback loop
80-year-old Jane is seen in your office today, you know that
which of the following is indicative of abuse? Correct Answers
- Fractures
- Malnutrition
- Dehydration
- None of these alone are indicative of abuse and must be
assessed with history and laboratory findings
A 66-year-old patient was seen in your clinic 2 weeks ago and
started on Zoloft 50mg daily. He calls you today and says he
doesn't feel any better. How should you, the nurse practitioner,
respond to this patient? Correct Answers "Zoloft may take 4-8
weeks to achieve its full effect."
A 70-year-old patient is in your clinic today to discuss starting
medication for depression. After reviewing her history, you note
no known allergies, and all previous labs are within normal
limits. Which type of medication is best to prescribe this
patient? Correct Answers SSRI
,A 79-year-old patient comes to your clinic with feelings of
depression. She completes the Geriatric Depression Scale (GDS)
and you note her score to be 15. What is the next best plan of
action for this patient? Correct Answers Refer to Psychiatry
A patient arrives to your clinic after working outside all day in
summer. He complains of nausea, fatigue, and dizziness. He has
no known sick contacts. His vital signs are rectal temperature of
100.2ºF, HR 86, BP 118/65, RR 18, and he's 97% on room air.
He takes no medications and has no pertinent medical history.
His most likely diagnosis is: Correct Answers Heat exhaustion
A patient has been taking Lexapro 10 mg daily for eight weeks.
The patient initially reported feeling sad and irritable. The
patient's sleep, appetite, energy, and appearance have now begun
to improve and she denies thoughts of suicide. Which statement
applies to this patient? Correct Answers The Lexapro dose
should NOT be changed
A patient is in your office with complaints of fatigue,
constipation, cold intolerance, and depressed mood. Along with
depression, what other differential diagnosis should be
considered for this patient? Correct Answers Hypothyroidism
A spiritual assessment can be conducted when? Correct
Answers Anytime
According to the Virginia Department of Health, in 2014, which
of the following statements are true? (Select all that apply)
, Correct Answers - Women were more likely than men to
experience abuse
- Adults were more frequently abused, neglected, or exploited in
their own homes.
According to the Virginia Department of Health, in 2014, which
of the following types of elder abuse was more prevalent?
Correct Answers Self-neglect
Age related changes include all of the following EXCEPT?
Correct Answers Decreased sweat gland quantity
Alcohol is the most abused substance among older adults.
Which is the second most abused substance among older adults?
Correct Answers Opioids
An elderly patient presents to your clinic complaining they don't
feel like they are sleeping well, they wake up feeling irritable.
They ask you how many hours of sleep should they be getting
each night, your best response is: Correct Answers The amount
of sleep an older adult needs each night is 7-9 hours of quality
sleep
An elderly patient presents to your clinic with a chief complaint
of lack of energy, little enjoyment in social activities, and
trouble sleeping. Her husband states that she hasn't gone to her
bridge club meetings and stays in bed frequently throughout the
day. What should the nurse practitioner recommend for this
patient? SELECT ALL THAT APPLY. Correct Answers -
Sertraline (Zoloft)
- Cognitive Behavioral Therapy
