Midterm Exam: NR601 NR 601

Midterm Exam: NR601 / NR 601

(Latest Update 2024 / 2025) Primary Care of the Maturing & Aged Family Practicum | Exam Review Study Guide | 100% Correct | Grade A - Chamberlain

Question:

How much Calcium supplementation should be taken if the diet is inadequate?

Answer:

1200 to 1500 mg spread over the day with no more than 500mg at one time for proper absorption but better absorbed by food consumption

Question:

How much vitamin D is recommended daily?

Answer:

400-600IU (800 if deficient or high risk)

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Question:

Vitamin D supplementation is associated with better hospital outcomes.(T/F)

Answer:

T

Question:

For resident patients with low vitamin D, can supplementation decrease the rate of falls?

Answer:

yes

Question:

An 88-year-old woman was admitted to the hospital 1 week ago. The physiologic risk factors that contribute to the geriatric syndrome of frailty for

this woman include all of the following except:

• Weight loss of 15% over the past 6 months
• Decreased self-perceived ability to walk one city block because of fatigue
• Ongoing vitamin D supplementation during this hospital stay
• Exclusive bed rest for the past 4 days
• Eating <25% of provided meals for the past 3 days

Answer:

• Ongoing vitamin D supplementation during this hospital stay
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Question:

What is the primary risk factor for developing atherosclerosis? And others?

Answer:

older age; smoking, hyperlipidemia, HTN, diabetes, chronic renal disease, family hx, peripheral artery disease

Question:

An 86-year-old female comes to your office for a 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?

• Advise them to complete a POLST.
• Advise them that they have adequate documentation to be recognized

legally.

• Advise them to file an advanced directive.
• Respond that although they lack documentation, her partner will be

recognized de facto.

Answer:

• Advise them to file an advanced directive.

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Question:

An 81-year-old transgender female with history of 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.Which of the following is the most important next step in this patient's primary care?

• Counseling on starting aspirin
• Counseling on alcohol cessation
• Counseling on smoking cessation
• Counseling on mammogram

Answer:

• Counseling on smoking cessation

Question:

Which of the following is true about tolterodine?

• It should be avoided in men with prostatic hypertrophy.
• It increases the risk of constipation compared with oral oxybutynin.
• It acts by ablating detrusor spasms.
• It has greater risk of adverse effects with its twice-daily formulation.

Answer:

• It has greater risk of adverse effects with its twice-daily formulation.

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