Questions & Answers for Comprehensive
Practice
📘 Table of Contents
Unit I: The Healthy Older Adult
1. Changes with Aging
2. Health Promotion
3. Exercise in Older Adults
4. Nutritional Support in the Older Adult
5. Settings of Care (new chapter in this edition)
Unit II: Assessment
6. Comprehensive Geriatric Assessment
7. Symptoms and Syndromes (covers common geriatric
syndromes and their atypical presentations)
Unit III: Treating Disorders
(Returns to system-based chapters with signal-symptoms, SORT
evidence ratings, in-text case studies)
8. Dermatologic Disorders
9. Head, Neck, and Face Disorders
10. Cardiovascular Disorders
11. Respiratory Disorders
12. Peripheral Vascular Disorders
,13. Gastrointestinal Disorders
14. Urologic and Renal Disorders
15. Gynecologic Disorders
16. Musculoskeletal Disorders
17. Central and Peripheral Nervous System Disorders
18. Endocrine and Metabolic Disorders
19. Hematologic Disorders
20. Psychosocial Disorders
Unit IV: Complex Illness
21. Polypharmacy
22. Chronic Illness and the APRN
23. Palliative Care and End-of-Life
, Chapter 1 “Changes With Aging” from Advanced Practice
Nursing in the Care of Older Adults, 3rd Ed.
I. Fundamental Considerations in Gerontology (Questions 1–6)
1. A 78-year-old newly admitted nursing home resident
expresses fear of being isolated. Which statement by the APRN
demonstrates the most appropriate gerontologic principle?
A. “You’ll make friends soon—older adults adapt quickly.”
B. “Let’s explore your social interests so we can plan
meaningful activities.”
C. “Staying independent is less important than following facility
rules.”
D. “Isolation is a normal part of aging that we can’t change.”
Answer: B
Rationale:
o B is correct: Person-centered care respects individual
preferences and promotes social engagement—key in
gerontology.
o A is incorrect: Overly optimistic reassurance ignores
the resident’s unique needs.
o C is incorrect: Implies loss of autonomy—contrary to
promoting dignity and independence.
o D is incorrect: Normalizes isolation rather than
addressing it as a risk factor for depression.