Eddie is a 90 year old diabetic patient who was admitted to a rehab facility to undergo treatment after a below-the-knee amputation. Despite repeated discussions with the physical therapists and nurses, Eddie is resisting all rehab attempts by staff. The most likely reason is:
He is too old to undergo rehabilitation
He has too many disabilities to be successful at rehab
His personal goals for rehab do not match the rehabilitation care plan
He may be depressed as a consequence of his chronic illnesses and recent loss of autonomy
Fred is 72 years old and recently admitted to a nursing home. He is a former sales executive. He repeatedly urinates in the large planter on the back patio when he is sitting outside after lunch, despite multiple interventions from nursing staff on showing him the nearest restroom. He does not have any incontinence or urgency issues and is ambulatory. The best explanation for Fred's behavior is:
He is trying to shock the other nursing home residents
He is trying to maintain autonomy by exercising control
He may have some type of dementia
Differences in IQ scores between a group of 80 year olds and a group of 24 year olds represent:
An accumulation of lipofuscin
John is an 80 year old man, who lives with his son. He presents to the emergency room alert and oriented, but with bruises on his face, head and upper arm. John is quiet and refers the physician to his son for answers. The son states that John fell. Which of the following behaviors by John's son is most suggestive of elder abuse?
Complaining about the wait time in the ER
Giving a very detailed account of John's fall
Refusing to leave room when his father is being questioned
Becoming defensive when questions are asked
C and D
You are assessing a patient with moderate (Stage 2) Alzheimer's disease. During the assessment, the patient becomes hostile and refuses to answer any additional questions. You should:
Ignore the patient's reactions and continue
Explain why you need this information
Stop the assessment
Ask the patient why the questions are upsetting
The primary risk factor leading to the development of pressure ulcers in the older adult is:
In older adults, what is the main age-related physiological change that causes a change in drug distribution?
Increase in body water
Decrease in total body weight
Decrease in absorption
Decrease in the ratio of lean body mass to body fat
You are visiting with your 75-year old uncle, who has recently moved into a retirement apartment and he complains to you that the windows stick when he tries to open them and that there is something wrong with the lights in the ceiling fan because colored rings appear around the bulbs. He asks your help in resolving these issues. While you offer to speak with the maintenance department regarding the windows, you recommend that your uncle make an appointment with this physician because the rings he sees around the light bulbs may be a result of:
Increased intracranial pressure
The main reason for assessing an older adult's past and current alcohol consumption is to:
Screen for liver disease
Advise the senior about safe levels of consumption
Prevent or reduce known health risks associated with long time use or abuse of alcohol
Evaluate the risk for poor appetite and weight loss
Which older adult has the highest risk for suicide?
Divorced Asian female
Married Italian female
Single White male
Widowed African-American male
Which patient has the greatest nutritional risk?
A patient with dementia and lives with their family
A patient with hypothyroidism and is 20% overweight
A patient who has multiple dental caries and lives alone
A patient who is wheelchair-bound from a stroke and has a full time caregiver
In health literacy, following are the percentages of population groups reading at basic or below basic levels: Age 16-18 = 48% Age 29-39 = 37% Age 50-64 = 40%
What percentage represents the 65+ age group?
Outpatient prescription medications for the elderly are available through which program?
Medicare Part A
Medicare Part D
Which of the following is NOT among the top 3 concerns older adults have about aging:
Being physically unable to care for themselves
Being unable to drive
Being unable to do the things they want to do
You have been asked to do a presentation at a local senior center on medications and falls. As you start your presentation, several of the seniors say that they cannot hear you well. To minimize the effects of presbycusis, you should:
Raise your voice pitch and face the audience
Decrease the volume of the audio system
Provide soft background music
Speak slowly, enunciate and lower your voice pitch
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Incorrect answers highlighted red and correct answers highlighted blue.