,High-Yield Geriatric Nursing Q&A: Clinical
Reasoning Practice for the APRN
📘 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
1. An 82-year-old woman tells you she’s been feeling more
fatigued but attributes it to “just getting old.” Which
gerontologic principle best explains why fatigue may be
multifactorial in older adults?
A. Age-related decline in mitochondrial function and
decreased aerobic capacity
B. Increased resting metabolic rate leading to higher
energy demands
C. Heightened sensitivity of baroreceptors causing
orthostatic hypotension
D. Enhanced bone marrow function resulting in
polycythemia
Correct Answer: A
Rationale: Aging is associated with mitochondrial
dysfunction, reducing ATP production and aerobic
capacity, which contributes to fatigue. B is incorrect
because metabolic rate actually decreases. C relates to
blood pressure control, not primary fatigue. D is wrong
since bone marrow activity declines with age, often
leading to anemia, not polycythemia.
2. Which statement about the heterogeneity of the aging
process is most accurate?
Reasoning Practice for the APRN
📘 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
1. An 82-year-old woman tells you she’s been feeling more
fatigued but attributes it to “just getting old.” Which
gerontologic principle best explains why fatigue may be
multifactorial in older adults?
A. Age-related decline in mitochondrial function and
decreased aerobic capacity
B. Increased resting metabolic rate leading to higher
energy demands
C. Heightened sensitivity of baroreceptors causing
orthostatic hypotension
D. Enhanced bone marrow function resulting in
polycythemia
Correct Answer: A
Rationale: Aging is associated with mitochondrial
dysfunction, reducing ATP production and aerobic
capacity, which contributes to fatigue. B is incorrect
because metabolic rate actually decreases. C relates to
blood pressure control, not primary fatigue. D is wrong
since bone marrow activity declines with age, often
leading to anemia, not polycythemia.
2. Which statement about the heterogeneity of the aging
process is most accurate?
