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Mrs. James is 78 years old and comes to the clinic for an annual checkup. The
nurse practitioner addresses the psychosocial needs of older adults and
specifically the need for which of the following?
1. Dependence.
2. Dignity, credibility, and respect.
3. Being alone.
4. Not being touched.
Correct Answer: 2. Dignity, credibility, and respect.
Elisabeth, 67 years old, comes to the practitioner with her daughter, who is her
caregiver. The nurse practitioner notices that Elizabeth is very busy and always
moving and placing things in order within the waiting room. Along with this
increase in energy, which of the following suggest bipolar with mania or
hypomania? Select all that apply.
1. Ability to focus on a task
2. Flight of ideas
3. Rapid speech
4. Impulsivity
5. Thoughtfulness
Correct Answer
,2. Flight of ideas
3. Rapid speech
4. Impulsivity
Mr. Slobinsky, 80 years old, is unable to leave his home due to mobility
problems. The nurse practitioner conducts a social support assessment
because Mr. Slobinsky:
1. May not want to see anyone.
2. Is not missing the cultural traditions of community activities.
3. Has made frequent appointments for consultation with the practitioner.
4. Looks forward to sharing his loneliness with the nurse practitioner
Correct Answer: 3. Has made frequent appointments for consultation with the
practitioner.
Mark, 82 years old, is in a rehabilitation center for therapy post-knee
replacement. The nurse practitioner is visiting Mark and finds him confused,
disoriented, and with speech difficulty. The staff nurse says that his condition
changed quickly over the last few hours. The nurse practitioner orders which of
the following? Select all that apply.
1. Pulse oximetry
2. Evaluation for infections
3. Assessment of change in medications
4. Brain scan
5. Radiology
Correct Answer:
1. Pulse oximetry
2. Evaluation for infections
3. Assessment of change in medications
4. Brain scan
Mrs. Khan is 89 years old and is reported to have bouts of agitation. The nurse
practitioner is counseling her family that these periods of agitation can be
triggered by which of the following?
1. Silence and soft music.
2. Dim lights
.3. Approaches from other people
.4. A feeling of appetite satiety.
. Correct Answer: 3. Approaches from other people
,The nurse practitioner is considering ordering medications to help control an
older patient's agitation. She chooses which of the following?
1. Psychotropic medications
2. Seizure medications
3. Stimulants
4. Depressants
Correct Answer: 1. Psychotropic medications
The nurse practitioner is conducting an admitting assessment of a 69-year-old
man. He has diminished ability to ambulate and has difficulty with activities of
daily living (ADLs). In the interview, the nurse practitioner asks him if he drinks
alcohol. He says, "Yes." The practitioner follows up with a psycho-social
evaluation because:
1. Physiological dynamics need to be ruled out as a possible contribution.
2. His drinking may be a function of the environment where he lives.
3. Criteria from the DSM-V is the same for people of any age.
4. His condition could be related to a long-term usage of alcohol or a new
occurrence
Correct Answer: 4. His condition could be related to a long-term usage of
alcohol or a new occurrence
The daughter of a 70-year-old woman asks the nurse practitioner why her
mother has had a change in functional ability recently. The mother has regularly
been drinking for 40 years, however, her behavior is changing. The nurse
practitioner replies that:
1. The concentration of alcohol in her body remains the same as she ages.
2. Her change in behavior has nothing to do with any drugs she is taking.
3. There are different types of alcoholism in older adults, and the change in
behavior is related to the specific type.
4. Physical changes due to aging affect the body's metabolism of alcohol
differently
Correct Answer: 4. Physical changes due to aging affect the body's metabolism
of alcohol differently
The son of a 72-year-old man brings his father into the practitioner to plan for
treatment of the patient's alcoholism. The nurse practitioner has several options
available. Which is the first choice?
1. Treat for anxiety.
2. Begin with higher doses of anti-anxiety medications.
, 3. The last choice for medication is serotonin uptake inhibitors.
4. Buspirone and gabapentin are used as first-line choices.
Correct Answer: 1. Treat for anxiety.
The nurse practitioner is assessing a 69-year-old man for possible bipolar
disorder. Which of the following will contribute to diagnosing this patient? Select
all that apply.
1. Complete blood count (CBC) and comprehensive metabolic panel, toxicology
screen, urinalysis, thyroid function tests.
2. Electroencephalogram (EEG) and magnetic resonance imaging (MRI).
3. Mini-Mental State Examination.
4. Saint Louis University Mental Status (SLUMS).
5. Total body computed tomography (CT) scan
Correct Answer:
3. Mini-Mental State Examination.
4. Saint Louis University Mental Status (SLUMS).
Larry is 69 years old and beginning to experience a cognitive decline. His son
brings him to the practitioner asking for an evaluation. The nurse practitioner
assesses for which of the following signs or symptoms? Select all that apply.
1. Cognitive decline in complex attention, executive function, learning, and
memory.
2. Gradual onset and the course of illness and progression are typically slow.
3. Impaired ability to care for oneself.
4. Total or partial loss of the ability to recognize familiar people.
5. Improvement in symptoms in time
Correct Answer:
1. Cognitive decline in complex attention, executive function, learning, and
memory.
2. Gradual onset and the course of illness and progression are typically slow.
3. Impaired ability to care for oneself.
4. Total or partial loss of the ability to recognize familiar people.
Mr. Dan is 75 years old and suffering from depression. He tells the nurse
practitioner that he is tired of feeling so low. He asks if depression is a normal
part of aging. The nurse practitioner tells him that depression is which of the
following? Select all that apply.
1. Not a normal part of aging.
2. Related to nutritional deficiencies, especially vitamin B12 and vitamin D.