NR 601 Final Exam | Primary Care of the Maturing & Aged
Family Practicum Exam Complete Test , Practice
Questions, Verified Answer Key, and Study Guide
,An 86-year-old female comes to your office for a Advise them to file an advanced
directive. wellness visit. Her blood pressure is 125/70 mmHg, pulse
69 beats per min, and respiratory rate 18 breaths per
min. She is well appearing and reports she is up to date
on her routine vaccinations. She introduces her partner of
35 years whom she would like to make medical decisions
for her in case she becomes unable to make decisions
for herself. She reports that she and her partner are not
married. She asks if she needs any further
documentation to ensure her goals of care are
followed. Which one of the following would be the
most appropriate recommendation for this patient
and her partner?
. An 81-year-old transgender female with history of Counseling on smoking cessation
depression and hyperlipidemia presents to your clinic for
routine care. She endorses a history of smoking,
currently smoking 1 pack per day, and occasionally
drinks a glass of wine, although she denies illicit drug
use. She reports she takes atorvastatin 20 mg and
subcutaneous estrogen therapy.
,An 84-year-old male with history of stroke without Urine testing, blood testing, anal swab, and oropharyngeal swab
residual deficit, systolic heart failure, and type 2 diabetes
presents to clinic for follow-up. He is independently living
in a retirement community and still works part time on a
golf course. He currently takes aspirin 81 mg, metoprolol
tartrate 25 mg BID (twice a day), furosemide 20 mg BID,
and lisinopril 10 mg daily. He reports his last colonoscopy
was 8 years ago, with no abnormality. He reports he is
sexually active with men and women, engaging in
receptive oral, receptive anal, and penetrative sex. He
states he has had over three sexual partners in the last
year with intermittent condom use. What sexually
transmitted infection testing should be offered?
Which of the following is true about tolterodine? It has greater risk of adverse effects with its twice-daily formulation.
, An 82-year-old man, Mr. A, complains of worsening Stop amlodipine and increase lisinopril.
nocturia, occurring four times per night. His other lower
urinary tract symptoms are slow stream, occasional
urgency, and urgency-related leakage once weekly.
Medical problems include poorly controlled
hypertension, diastolic heart failure, hyperlipidemia,
osteoarthritis, and prediabetes. His medications include
lisinopril 20 mg daily, metoprolol succinate 75 mg daily,
atorvastatin 10 mg daily, metformin 500 mg twice daily,
hydrocodone-acetaminophen as needed, and aspirin 81
mg daily. Amlodipine 5 mg daily was recently added
by his cardiologist. On review of systems, Mr. A
complains that nocturia is causing daytime fatigue, and
he is more constipated. Physical examination is notable
for blood pressure 162/83 mmHg, heart rate 60 beats per
minute, clear lungs, soft abdomen, enlarged prostate,
and 21 pretibial edema. Your next step in management
should be:
The daughter of a 79-year-old woman notes that her Day program staff
mother, who has dementia and lives with her, is wetting
herself when she attends her new day program. Program
staff have requested that "something be done" as she is
requiring a clothes change nearly every time she is there.
She cannot describe the circumstances of leakage,
saying "it just comes." Leakage is uncommon at home.
Her medications include donepezil and
acetaminophen.
Physical examination is normal. Initial treatment approach
will require intervention by which of the following?
Family Practicum Exam Complete Test , Practice
Questions, Verified Answer Key, and Study Guide
,An 86-year-old female comes to your office for a Advise them to file an advanced
directive. wellness visit. Her blood pressure is 125/70 mmHg, pulse
69 beats per min, and respiratory rate 18 breaths per
min. She is well appearing and reports she is up to date
on her routine vaccinations. She introduces her partner of
35 years whom she would like to make medical decisions
for her in case she becomes unable to make decisions
for herself. She reports that she and her partner are not
married. She asks if she needs any further
documentation to ensure her goals of care are
followed. Which one of the following would be the
most appropriate recommendation for this patient
and her partner?
. An 81-year-old transgender female with history of Counseling on smoking cessation
depression and hyperlipidemia presents to your clinic for
routine care. She endorses a history of smoking,
currently smoking 1 pack per day, and occasionally
drinks a glass of wine, although she denies illicit drug
use. She reports she takes atorvastatin 20 mg and
subcutaneous estrogen therapy.
,An 84-year-old male with history of stroke without Urine testing, blood testing, anal swab, and oropharyngeal swab
residual deficit, systolic heart failure, and type 2 diabetes
presents to clinic for follow-up. He is independently living
in a retirement community and still works part time on a
golf course. He currently takes aspirin 81 mg, metoprolol
tartrate 25 mg BID (twice a day), furosemide 20 mg BID,
and lisinopril 10 mg daily. He reports his last colonoscopy
was 8 years ago, with no abnormality. He reports he is
sexually active with men and women, engaging in
receptive oral, receptive anal, and penetrative sex. He
states he has had over three sexual partners in the last
year with intermittent condom use. What sexually
transmitted infection testing should be offered?
Which of the following is true about tolterodine? It has greater risk of adverse effects with its twice-daily formulation.
, An 82-year-old man, Mr. A, complains of worsening Stop amlodipine and increase lisinopril.
nocturia, occurring four times per night. His other lower
urinary tract symptoms are slow stream, occasional
urgency, and urgency-related leakage once weekly.
Medical problems include poorly controlled
hypertension, diastolic heart failure, hyperlipidemia,
osteoarthritis, and prediabetes. His medications include
lisinopril 20 mg daily, metoprolol succinate 75 mg daily,
atorvastatin 10 mg daily, metformin 500 mg twice daily,
hydrocodone-acetaminophen as needed, and aspirin 81
mg daily. Amlodipine 5 mg daily was recently added
by his cardiologist. On review of systems, Mr. A
complains that nocturia is causing daytime fatigue, and
he is more constipated. Physical examination is notable
for blood pressure 162/83 mmHg, heart rate 60 beats per
minute, clear lungs, soft abdomen, enlarged prostate,
and 21 pretibial edema. Your next step in management
should be:
The daughter of a 79-year-old woman notes that her Day program staff
mother, who has dementia and lives with her, is wetting
herself when she attends her new day program. Program
staff have requested that "something be done" as she is
requiring a clothes change nearly every time she is there.
She cannot describe the circumstances of leakage,
saying "it just comes." Leakage is uncommon at home.
Her medications include donepezil and
acetaminophen.
Physical examination is normal. Initial treatment approach
will require intervention by which of the following?
