NR601/ NR 601 Midterm Exam (Latest 2024/ 2025 Update) Primary Care of the Maturing and Aged Family Review| Questions and Verified Answers| 100% Correct |Grade A – Chamberlain What is most true about the rule of fourths? - ANSWER What used to be called normal aging can be largely explained by processes that are not normal Which one of the following is true about aging changes? - ANSWER stage 3 and stage 4 sleep decreases An old woman who is cared for by attentive, cautious, concerned family is particularly likely to suffer from which one of the following complications after an episode of gastroenteritis? - ANSWER immobility related to over concern 1 / 4
Which one of the following is true about psychological aging? - ANSWER ageism can lead to isolation and depression Of the following conditions which one is most common and most often preventable - ANSWER iatrogenic disease The US advisory committee on immunization practices and the centers for disease control currently recommend which one of the following? - ANSWER All older adults be immunized against influenza annually and that they receive at least one pneumococcal vaccination, all high risk older adults should receive an additional pneumococcal vaccination 5 years or more after their first immunization, and older adults should receive a one-time revaccination for pneumonia if they were initially vaccinated more than 5 years previously and were less than 65 years of age at the time of the initial vaccination
Healthcare providers should recommend that older adults engage in: -
ANSWER 150 minutes of moderate intensity physical activity weekly 2 / 4
Guidelines for the primary prevention of stroke recommend that aspirin be used in which one of the following? - ANSWER individuals whose risk is high enough for the benefits to outweighs the risk Older adults are less likely to get counseled for smoking cessation but they have what quit rates? - ANSWER the same quit rates as younger individuals What is true about cultural humility? - ANSWER It places emphasis on power imbalances and promotes interpersonal sensitivity through partnerships with and learning from patients How are older black americans impacted by cultural disparities - ANSWER reluctance to participate in medical research, underrepresentation of geriatric black physicians in the work force, and cumulative effects of differences in access to healthcare providers 3 / 4
Most appropriate description of personhood as it relates to people with dementia
- ANSWER the ability to relate to others as people rather than
- / 4
preserving cognitive independence, is an important aspect of "personhood" cultural beliefs in older adults - ANSWER end of life care is sensitive to culture beliefs and should be explored carefully with the patient and family as appropriate Patient GG is an 82-year-old woman with complaints of dysuria and polyuria. A urinalysis is positive for a urinary tract infection. She is 55 kg, her serum creatinine is 1.5 mg/dL, and she has no known drug allergies. Which of the following is the most appropriate antibiotic regimen? - ANSWER Sulfamethoxazole/trimethoprim 400/80 mg BID for 3 days An older woman with a history of mild Alzheimer disease was recently started on oxybutynin 10 mg orally twice daily for urinary incontinence. Her family reports that she has been increasingly disoriented over the past month and she notes some constipation on the review of systems during her office visit. What management is best regarding her urinary incontinence? - ANSWER Change oxybutynin to mirabegron 25 mg orally daily.