Clinical Review Questions with Answers
📘 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.
Fundamental Considerations in Gerontology
1. An 82-year-old woman expresses concern about her
decreased appetite and unintended weight loss over the past 3
months. As an advanced practice nurse, you recognize which
statement as the most appropriate initial consideration?
A. Weight loss in older adults is an expected part of aging.
B. Unintentional weight loss warrants evaluation for underlying
pathology.
C. Appetite always declines in proportion to age-related
metabolic rate decrease.
D. Nutritional supplements should be prescribed immediately.
Answer: B
Rationale:
B is correct because unintentional weight loss in older
adults is a red flag for underlying disease (e.g., malignancy,
depression) and requires evaluation.
A is incorrect; while some body composition changes
occur with aging, significant weight loss is not normal.
C is incorrect; appetite decline is not universal and should
prompt assessment.