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NU 662 ADULT GERONTOLOGY PRIMARY CARE NURSE PRACTITIONER II REVIEW EXAM Q & A 2024 HERZINGNU 662 ADULT GERONTOLOGY PRIMARY CARE NURSE PRACTITIONER II REVIEW EXAM Q & A 2024 HERZINGNU 662 ADULT GERONTOLOGY PRIMARY CARE NURSE PRACTITIONER II REVIEW EXAM Q & A 2024 HERZING
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Answer: a) Their social support system Rationale: The social support system plays a crucial role in the overall health and well-being of older adults, as it can impact their access to care and ability to adhere to treatment plans.
impairment in older adults, as it assesses various cognitive functions such as memory, attention, and language.
b) Urine dipstick c) Audiometry d) Height and weight measurement Answer: c) Audiometry Rationale: Audiometry is a common screening test used to assess hearing loss in older adults, as it measures the individual's ability to hear sounds of varying frequencies.
Rationale: The Snellen eye chart is a common screening test used to assess visual acuity and detect potential vision loss in older adults.
screening in older women with an average risk of breast cancer? a) Every 2 years b) Every 3 years c) Annually d) Only if symptoms are present Answer: a) Every 2 years Rationale: Biennial mammography screening is recommended for older women with an average risk of breast cancer, aligning with evidence- based guidelines for preventive care in primary care settings. Question: Which of the following cognitive assessment tools is specifically designed for detecting dementia in older adults? a) Mini-Cog b) Clock Drawing Test c) Confusion Assessment Method (CAM) d) Alzheimer's Disease Assessment Scale-Cognitive (ADAS-Cog) Answer: a) Mini-Cog Rationale: The Mini-Cog is a brief and effective tool for detecting cognitive impairment, including dementia, in older adults, making it valuable in primary care assessments. Question: When assessing an older adult for malnutrition risk, which anthropometric measurement is particularly useful? a) Body mass index (BMI) b) Waist circumference c) Mid-arm circumference d) Hip circumference Answer: c) Mid-arm circumference Rationale: Mid-arm circumference is a valuable anthropometric measurement for assessing malnutrition risk in older adults, as it reflects changes in muscle mass and fat stores. Question: Which of the following interventions is recommended for preventing delirium in hospitalized older adults? a) Encouraging sleep disruption to align with hospital routines b) Minimizing use of eyeglasses and hearing aids c) Providing orientation cues in the patient's environment d) Limiting mobility to reduce the risk of falls
Answer: c) Providing orientation cues in the patient's environment Rationale: Providing orientation cues in the patient's environment is a key intervention for preventing delirium in hospitalized older adults, supporting their cognitive function and reducing disorientation. Question: Which of the following screening tools is commonly used to assess depression in older adults? a) Beck Depression Inventory (BDI) b) Hamilton Rating Scale for Depression (HAM-D) c) Patient Health Questionnaire-9 (PHQ-9) d) Zung Self-Rating Depression Scale Answer: c) Patient Health Questionnaire-9 (PHQ-9) Rationale: The PHQ-9 is a widely used screening tool for assessing depression in older adults, providing valuable insights into their mental health status in primary care settings. Question: In older adults, which vaccination is recommended to prevent herpes zoster? a) MMR (Measles, Mumps, Rubella) b) Pneumococcal conjugate vaccine (PCV13) c) Influenza vaccine d) Herpes zoster vaccine Answer: d) Herpes zoster vaccine Rationale: The herpes zoster vaccine is recommended for older adults to prevent shingles, a common and potentially debilitating condition in this age group. Question: What is the most common cause of preventable hospitalizations in older adults? a) Urinary tract infections (UTIs) b) Heart failure exacerbations c) Adverse drug events d) Pneumonia Answer: c) Adverse drug events Rationale: Adverse drug events are a leading cause of preventable hospitalizations in older adults, highlighting the importance of medication management in primary care.
Answer: a) Mini Nutritional Assessment (MNA) Rationale: The MNA is a widely utilized screening tool for assessing the risk of malnutrition in older adults, enabling early intervention to support their nutritional status. Question: Which of the following factors is associated with an increased risk of pressure ulcers in older adults? a) Adequate mobility and repositioning b) Maintaining moisture on the skin c) Poor nutrition and hydration d) Frequent use of pressure-relieving devices Answer: c) Poor nutrition and hydration Rationale: Poor nutrition and hydration are associated with an increased risk of pressure ulcers in older adults, emphasizing the importance of adequate dietary and fluid intake. Question: What is the recommended approach to screening for cognitive impairment in older adults? a) Routine use of magnetic resonance imaging (MRI) b) Universal screening with the Mini-Mental State Examination (MMSE) c) Assessing only if family members report concerns d) Utilizing a combination of cognitive screening tools Answer: d) Utilizing a combination of cognitive screening tools Rationale: Utilizing a combination of cognitive screening tools is recommended for comprehensive assessment of cognitive impairment in older adults, allowing for a more thorough evaluation. Question: Which of the following is a common manifestation of atypical presentation of illness in older adults? a) Classic symptoms that align with textbook descriptions b) Rapid response to standard treatments c) Unexplained changes in cognitive function d) Consistent adherence to prescribed medication regimens Answer: c) Unexplained changes in cognitive function Rationale: Unexplained changes in cognitive function are often observed in atypical presentations of illness in older adults, necessitating careful assessment and consideration of underlying causes.
Question: In older adults with multiple chronic conditions, which care delivery model is designed to improve coordination and continuity of care? a) Fee-for-service reimbursement b) Fragmented care across multiple specialists c) Patient-centered medical home (PCMH) d) Reactive management of acute exacerbations Answer: c) Patient-centered medical home (PCMH) Rationale: The patient-centered medical home (PCMH) model is designed to improve coordination and continuity of care for older adults with multiple chronic conditions, aligning with best practices in primary care settings. Question: Which of the following is a common challenge in medication adherence for older adults? a) Limited number of prescribed medications b) Low prevalence of drug interactions c) High out-of-pocket medication costs d) Minimal impact of forgetfulness Answer: c) High out-of-pocket medication costs Rationale: High out-of-pocket medication costs present a common challenge in medication adherence for older adults, influencing their ability to maintain prescribed regimens. Question: What is the recommended approach to advance care planning in older adults? a) Deferring discussions until acute illness occurs b) Considering only the individual's medical preferences c) Initiating discussions early and revisiting periodically d) Limiting involvement of family members in decision-making Answer: c) Initiating discussions early and revisiting periodically Rationale: Initiating advance care planning discussions early and revisiting them periodically supports older adults in expressing their values and preferences for future medical care. Question: Which of the following is a key principle in managing urinary incontinence in older adults?
Rationale: Medication-related issues, such as adverse drug events and non-adherence, are the most common reasons for hospital readmissions in older adults within 30 days of discharge, emphasizing the critical role of medication management in transitional care.