Exam 2 Practice Questions
Tactile hallucinations are most commonly found with ________. -Depression -Dementia -Alzheimer's -Delirium
Delirium
Progressive, degenerative brain dysfunction, including deterioration in memory, concentration, language skills, visuospatial skills, and reasoning that interferes with a person's daily functioning is the definition of ________. -Dementia -Delirium -Agnosia -Aphasia
Dementia
Symptoms consistent with depression have been shown to precede ________ in both men and women. -Dementia -Delirium -Anxiety -Chronic illness
Dementia
Which of the following screening tests does not receive a Level A recommendation from the USPSTF? -Tobacco use -Dementia -Lipids -Hypertension
Dementia
An elderly patient suffering from anxiety has been prescribed the anxiolytic medication Clonazepam (Klonipin). What is the correct dosage? -0.25-0.5 mg every 6 to 8 hours -5-15 mg up to three times a day -0.125-2 mg every 12 hours -Anxiolytics are inappropriate medication for anxiety
0.125-2 mg every 12 hours
Americans currently average about 5,130 steps per day. Many advocates of walking recommend that people should work up to ________ steps per day. -6,000 -7,500 -10,000 -50,000
10,000
Anxiety occurs in _____ of the elderly population; anxiety is twice as common as dementia, and 4-8 times more prevalent than major depressive disorder. -10-15% -18-27% -10-20% -2-12%
10-20%
A study of 1,645 older adults determined that simply walking for _______ hours per week decreased the risk of future hospitalization for cardiovascular disease. -2 -4 -8 -12
4
Forty-one percent of seniors reported taking ________ or more prescription medications, which is a risk factor for polypharmacy syndrome. -3 -5 -7 -10
5
The American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) has identified diagnostic criteria for major depression. The patient must have shown at least ________ of the listed symptoms for at least 2 weeks to be diagnosed with major depression. -4 -5 -6 -7
5
An elderly male patient has been prescribed the SNRI antidepressant Pristiq. What is the correct dosage the nurse would expect to see for this medication? -300 mg once a day -20-60 mg once a day -50 mg once a day -10-40 mg once a day
50 mg once a day
One-half of all postmenopausal women will have a fracture related to osteoporosis at some point in their life. Screening is recommended for all women age ________ and older and for younger women who are at high risk for fractures. -50 -55 -65 -75
65
Which of the following is NOT one of the common causes of delirium in an older person? -Hypoxia -Head trauma -Infection -Age
Age
The most common type of dementia in older adults is ________. -Vascular dementia -Parkinson's dementia -Alzheimer's disease -Lewy body dementia
Alzheimer's disease
Which medication is not identified as being associated with falls among the older people? -Antibiotics -Benzodiazepines -Muscle Relaxants -Opioids
Antibiotics
Nineteen studies were conducted between 1986 and 2011 that used rigorous observational or interventional designs to examine the relationship between medication use and functional status decline in the elderly. Two studies found a link to impairment of functional status among older adults using what type of medication? -Antihistamines -Antihypertensives -Antibiotics -Antidepressants
Antihypertensives
Mrs. Franklin, a recently widowed 76-year-old woman who lives alone, has been dropped off at an ophthalmologist's office by her adult son to be tested for glaucoma. She sits on the examining table for a long time without saying anything, then tells the nurse that since her husband died she wonders how much longer she will have to go on living. The nurse notices small cuts on Mrs. Franklin's wrist that are not quite covered by a bandage. The nurse believes that the patient is at risk for suicide. What action should the nurse take first? -Talk to the patient's son -Ask Mrs. Franklin about the cuts on her wrists -Call the suicide-prevention hotline -Do nothing - it is none of the nurse's business
Ask Mrs. Franklin about the cuts on her wrists
Which of the following intrinsic risk factors for falls, injuries, and fall-related deaths in the community is known to carry the risk of mortality? -Vitamin D deficiency -BMI less than 22.8 kg/m2 -Recent hospitalization -Antiplatelet therapy
BMI less than 22.8 kg/m2
The Screening Tool of Older Persons' Prescriptions (STOPP) is a new, validated tool for identifying inappropriate prescribing to older adults; it is used in conjunction with the Beer's Criteria for Potentially Inappropriate Medications in Older Adults published by the American Geriatrics Society in 2012. Which of the following is on the STOPP list of drugs affecting the cardiovascular system? -Phenothiazines in patients with epilepsy -Anticholinergic antispasmodic drugs with chronic constipation -Beta-blocker in combination with verapamil confusion -Vasodilator drugs known to cause hypotension in those with persistent postural hypotension (i.e., recurrent > 20 mmHg drop in systolic blood pressure)
Beta-blocker in combination with verapamil confusion
Which of the following refers to the practice of a patient bringing in all the medications (both prescription and OTC) and supplements they are taking instead of just listing them, which allows the clinician to actually see what the patient is taking, how much remains, and whether the patient is adhering to their directives? -Holistic assessment -Brown bag assessment -Supplemental assessment -Suitcase assessment
Brown bag assessment
An elderly woman, Mrs. Cho, is brought to the physician's office by her daughter-in-law, Linda, who tells the nurse that she found her mother-in-law sitting alone in her home, unbathed, and with her dog's food and water bowls empty. Mrs. Cho sits quietly and doesn't move, but she repeats the words "food and water bowls empty" after Linda says them. The nurse suspects that Mrs. Cho is suffering from ________. -Psychotic depression -Atypical depression -Catatonic depression -Melancholic depression
Catatonic depression
Which organization is known for its advocacy accomplishments, and publishes the Nutrition Action Healthletter? -Center for Science in the Public Interest -Preventive Medicine Research Institute -The Benson-Henry Institute for Mind/Body Medicine -Strong for Life
Center for Science in the Public Interest
Which of the following is a 17-hour course developed by the Stanford School of Medicine for patients with chronic diseases that is taught by trained laypeople, the goal of which is to goal is to teach patients to improve symptom management, maintain functional ability, and adhere to the medication regimen? -Instrumental Activities of Daily Living (IADLs) -Tertiary Prevention Efforts (TPE) -Long-Term Care Ombudsman Program (LTCOP) -Chronic Disease Self-Management Program (CDSMP)
Chronic Disease Self-Management Program (CDSMP)
The U.S. Preventive Services Task Force uses different levels to indicate the quality of different screening recommendations, based on the strength of the supporting evidence and the net benefit. Which of the following descriptions matches Level C? -Clinicians may provide this service to selected patients depending on individual circumstances. However, for most individuals without signs or symptoms there is likely to be only a small benefit from this service. -The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of the service. Evidence is lacking, of poor quality, or conflicting, and the balance of benefits and harms cannot be determined. -The USPSTF recommends against the service. There is moderate or high certainty that the service has no net benefit or that the harms outweigh the benefits. -The USPSTF recommends the service. There is high certainty that the net benefit is substantial based on rigorous experimental research with consistent results
Clinicians may provide this service to selected patients depending on individual circumstances. However, for most individuals without signs or symptoms there is likely to be only a small benefit from this service
Which of the following is NOT an intervention strategy to lower the risk of polypharmacy and medication misadventures in an elderly patient? -Decrease the number of unnecessary or harmful medications -Confirm appropriate choices and doses -Foster medication literacy -Decrease access to medication
Decrease access to medication
Which of the following is true about the elderly and medications? -Longer stays in the hospital increase understanding of medications in elderly adults -Elderly adults are at increased risk of adverse drug effects more than younger adults, because they take more medications and because of the biologic effects of aging and chronic diseases affect. -There is a decreased risk of side effects with aging -Older adults make up about 25% of the population and use about -50% of all prescription and OTC medications sold in the U.S.
Elderly adults are at increased risk of adverse drug effects more than younger adults, because they take more medications and because of the biologic effects of aging and chronic diseases affect
Which theory of dementia care focuses on supporting the remaining abilities of the person with dementia in order to avoid excess disability? -Progressively Lowered Stress Threshold Model -Enablement Model -Need-Driven Dementia-Compromised Behavior Model -Antecedent-Behavior-Consequence Model
Enablement Model
2.5 million older Americans have alcohol-related problems that augment problems related to polypharmacy. The CAGE questionnaire has been found to have 75% sensitivity and 96% specificity in screening for alcoholism. Which of the following is not one of the questions in the CAGE questionnaire? -Cut down: Refers to attempts by the client to cut down on drinking -Annoyance: Related to suggestions by friends or family to cut down on drinking -Guilt: Relates to client guilt about drinking -Engaged: Relates to the need for a drink to feel engaged in daily activities
Engaged: Relates to the need for a drink to feel engaged in daily activities
Which preventive action can be taken to reduce the risk of falling for older adults in community settings? -Exercise program to improve strength, balance, flexibility, or endurance -Have primary care provider and pharmacist review meds -Test memory, vitamin D, maintain social and mental skills -Check blood pressure for orthostatic hypotension
Exercise program to improve strength, balance, flexibility, or endurance
Which of the following statements about falls experienced by older adults is incorrect? -Falls can be the first indicators of an acute problem, such as infection or cardiac arrhythmia. -Falls may happen stemming from a chronic disease, such as Parkinson's or dementia. -Falls are a normal consequence of aging and to be expected as individuals age. -Falls may mark the progression of age-related changes in vision, gait, and strength
Falls are a normal consequence of aging and to be expected as individuals age
The nurse is teaching a group of students to identify risk factors for suicide among older adults. Which of the following would not be included in the list of risk factors? -Female -Over age 65 -Humiliation or disgrace -Painful or disabling illness
Female
Which study began with over 5,000 male and female subjects about 50 years ago in order to study cardiovascular risk factors and elucidated many of the risk factors associated with coronary heart disease? -National Health and Nutrition Examination Survey -Framingham Heart Study -Women's Health Australia Study -Dietary Approaches to Stop Hypertension (DASH)
Framingham Heart Study
It is important for nurses to be able to distinguish between dementia, depression, and delirium. Which of the following is characteristic of the onset of dementia? -Usually gradual -Acute over hours or days -Gradual over months to years -Fluctuating
Gradual over months to years
The National Council on Aging's _________enables low-income older adults age 50 or older to develop skills and confidence necessary advocate for their peers as effective leaders in community organizations. -Green House Workers Program -Radical Redesign of Nursing Homes -Leadership Training Program for Older Persons -Senior Leadership Training Corps
Green House Workers Program
An alternative to a traditional nursing home, _______ are made to look like the surrounding homes in a residential community. Each one can house about 10 people, each with a private room and bath, and access to a central area for cooking and socializing, and a garden. -Creative Retirement Centers -Assisted Living Communities -Green Houses -Skilled Nursing Community
Green Houses
________ have been used with varying degrees of success to address a wide variety of behaviors, such as improving nutrition, exercising, or giving up smoking, drugs, or alcohol abuse. -Motivational speeches -State and federal legislative initiatives -Collections of research data -Health contracts
Health contracts
Which of the following is an intrinsic risk factor for falls in elderly people in a hospital setting? -History of a fall in the past year -Bed rails -Inadequate lighting -Floor in poor condition
History of a fall in the past year
Which annual vaccinations are recommended for older adults, especially for those who are hospitalized or live in communities? -Influenza vaccine -Polio vaccine -Measles, mumps, and rubella vaccine -Meningococcal vaccine
Influenza vaccine
Families having fewer children and being spread out geographically increases the likelihood of ________ among the older population. -Obesity -Polypharmacy -Isolation -Diabetes
Isolation
Prostate cancer is both the second most-common form of cancer and the second most-common cause of cancer death among U.S. men, and the risk of developing prostate cancer increases with age. Yet, controversy has arisen about screening for prostate cancer because the tests cannot accurately predict which cancers will be aggressive and require treatment, and which are unlikely to metastasize. What is the current USPSTF recommendation regarding screening for prostate cancer in men over age 75? -Level A: There is high certainty that the net benefit of screening with DRE and PSA is substantial, based on rigorous experimental research with consistent results. -Level C: Clinicians may provide screening with DRE and PSA to selected patients depending on individual circumstances. However, for most individuals without signs or symptoms there is likely to be only a small benefit from this service. -Level D: There is moderate or high certainty that screening with DRE and PSA has no net benefit or that the harms outweigh the benefits. -Level I: There is insufficient evidence to recommend screening based on inconclusive evidence that screening with DRE and PSA improves health outcomes.
Level I: There is insufficient evidence to recommend screening based on inconclusive evidence that screening with DRE and PSA improves health outcomes
Which of the following is NOT an explicit criterion that can be used to determine if an elderly patient is taking potentially inappropriate medications (PIMs)? -STOPP -START -Beers -MRP
MRP
Which of the following is defined in the APA's DSM-IV-TR as pervasive feelings of anxiety and sadness coinciding with loss of pleasure and interest in daily activities? -Dysthymia -Minor depression -Major depression -Late-onset depression
Major depression
Which of the following is not a risk factor for developing anxiety? -Family history of anxiety disorders -Male gender -Acute or chronic illness -Recent traumatic event
Male gender
Medication adherence is the degree to which the patient is actually taking the total prescribed medication regime. ________ involves the decisions a patient makes and acts upon related to the use of their medication regimen and is influenced by patient beliefs, attitudes, preferences, experiences, and goals related to drug therapy. -Drug-seeking behavior -Medication use and avoidance -Medication-taking behavior -Pharmacological compliance
Medication-taking behavior
Which of the following is not a screening test used to find depression in older adults? -Geriatric Depression Scale -Mini Mental State Examination -Cornell Scale for Depression in Dementia -PHQ-9
Mini Mental State Examination
The ANA-NDNQI divides falls into different categories to be used in incident reports. Which type of fall is indicated by the description "injuries requiring sutures or splints"? -Minor -Moderate -Major -None
Moderate
Ethnicity and gender affect the risk of injury from falls. Which person below has the highest statistical likelihood of death as the result of a fall? -Mr. Gordon, a Caucasian man aged 86 who fell down a flight of stairs -Ms. Porterhouse, an African American female age 62 with a BMI of 24.1 kg/m2 who fell while skiing -Mr. Takamura, a 69-year-old Asian man who tripped over his dog's leash and fell on the sidewalk -Miss Mahoney, a White female age 71, who takes antiepileptic medication and fell in her carpeted living room.
Mr. Gordon, a Caucasian man aged 86 who fell down a flight of stairs
An elderly patient has been prescribed ________, which the nurse knows should be monitored by use of a serum creatinine, CBC or gFOBT test to prevent renal impairment or GI bleeds. -Naproxen -Amiodarone -Warfarin -Valproic acid
Naproxen
Which of the following is NOT a genuine community program to help prevent falls among older adults? -Los Angeles Falls Prevention Coalition -StopFalls Network California -National Institute on Health and Aging's Age Page -National Slip-and-Fall Injury Association
National Slip-and-Fall Injury Association
Lawton's environmental docility hypothesis posits that someone with a disability, such as dementia, will be more dependent upon the physical and social environment. If the environment is too complex, the person may become frustrated and withdraw from activity. If it is too trivial, he or she will not be challenged to maintain cognitive and functional abilities. Using the ________ theory, the nurse can formulate plans of care that adjust the environmental conditions to challenge, without frustrating, the person with dementia. -Antecedent-Behavior-Consequence Model -Retrogenesis -Person-Centered Care -P-E Fit
P-E Fit
Which of the following is an example of psychological symptoms of dementia? -Physical aggression -Paranoia -Hoarding -Shadowing
Paranoia
Mrs. Beier, an 85-year-old woman with dementia. The physician has prescribed a selective serotonin reuptake inhibitor for her depression-related anxiety. Which of the following common medications prescribed for the behavioral and psychological symptoms of dementia fits that description? -Paroxetine -Venlafaxine -Mirtazapine -Risperidone
Paroxetine
________ is the concurrent use of multiple medications, and is considered a geriatric syndrome because it is a common health condition of older adults that is not a disease. -Pharmacokinetics -Polypharmacy -Pharmacogenomics -Pharmacodynamics
Polypharmacy
Which of the following symptoms of depression can overlap with symptoms of dementia in older adults? -Poor concentration -Doesn't recognize family -Acute confusion -Difficulty with language
Poor concentration
Which term is used to describe the situation in which medications are prescribed to treat the side effects of other medications, often unintentionally when those side effects are mistaken for symptoms of a disease or condition? -Polypharmacy -Over prescribing -Prescribing cascade -Pharmacodynamics
Prescribing cascade
Which of the following is NOT a characteristic loss of executive functioning found in frontotemporal dementia? -Progressive motor decline -Progressive duodenal decline -Progressive language decline -Progressive behavior/personality decline
Progressive duodenal decline
To reduce the risk of falling for older patients in institutional settings, nurses can make use of nonrestraint fall prevention interventions. Which of the following is NOT a nonrestraint fall prevention intervention? -Providing nonskid slippers or shoes -Removing obstacles and clutter in the room -Raising the side rails on the bed -Keeping the call light, bedside table, and other necessary items within easy reach
Raising the side rails on the bed
Which of the following is a psychotropic medication that can cause anxiety? -Aminophylline -Nicotine -Amphetamines -Scopolamine
Scopolamine
Mrs. Harper is an 87-year-old woman who lives in a nursing home. Which of the following symptoms would indicate that her Alzheimer's disease has progressed to the severe stage? -Difficulty managing her finances -She is unable to learn new things or adapt to new situations -She no longer recognizes her children -She is impulsive, saying and doing things she normally would not
She no longer recognizes her children
Which type of anxiety disorder is characterized by persistent and irrational fear of situations that may involve scrutiny or judgment by others, especially in social settings such as parties and other social events? -Obsessive-compulsive disorder -Agoraphobia -Social phobia -Generalized anxiety disorder
Social phobia
Elderly people can develop depression for many reasons. Which of the following is NOT listed as a common cause of depression in older adults? -Exposure to multiple medications and their side effects -Outliving spouses, loved ones, and friends -Starting a new business after retirement -Having to move from private homes to assisted living or long-term care
Starting a new business after retirement
Based at Stanford Hospital, _____ is home-based exercise program that uses elastic resistive bands to help both disabled and nondisabled older adults build strength and balance. -Center for Science in the Public Interest -Preventive Medicine Research Institute -The Benson-Henry Institute for Mind/Body Medicine -Strong for Life
Strong for Life
Mrs. Lemming has moved into an assisted living facility at the age of 81. She is in generally good health but is concerned about possible falls because two of her friends have died after breaking their hips. To address her concerns, Nurse Katie Smith recommends that Mrs. Lemming sign up for which class offered at the assisted living facility? -Arts and crafts -Book club -Tai Chi -Free lunch program
Tai Chi
Which of the following is NOT a risk factor for dementia? -Age -History of head trauma -Vascular disease -The apolipoprotein E-e2 gene
The apolipoprotein E-e2 gene
The PHQ-9 asks the patient if he or she has been bothered by any of nine problems during what time period? -The last 2 days -The previous week -The last 2 weeks -At any time in the last 2 months
The last 2 weeks
Which assessment tool is an easily administered task-oriented test that measures an older adult's gait and balance abilities? -Tinetti Performance-Oriented Mobility Assessment -Timed Get Up and Go Test -Hendrich Falls Risk Scale -Morse Fall Scale
Tinetti Performance-Oriented Mobility Assessment
Healthy People 2020 was created by the ________. -North Carolina Center for Creative Retirement -Mind/Body Medical Institute -National Center for Health Statistics -U.S. Public Health Services
U.S. Public Health Services
Which of the following is true about elderly suicide? -Rates are highest among elderly Black females -10% of all suicides are elderly persons -Older women tend to use more lethal means than men -White men over age 85 are at the highest risk
White men over age 85 are at the highest risk
The term iatrogenic harm (or iatrogenesis) refers to a situation in which a patient is harmed by ________. -multiple medications -lack of health care -taking someone else's medication -a doctor or healthcare system
a doctor or healthcare system
In an institutional setting, such as a hospital or nursing home, nurses have a unique place in the healthcare team because they are the only ones who ________. -know the patient as an individual human being -have an extensive knowledge of pharmacological aspects of medication -prescribe multiple medications -actually witness the patient's use and outcome of medications
actually witness the patient's use and outcome of medications
The rate of elder abuse and neglect in the United States is difficult to estimate without more appropriate screening instruments. Most states mandate that elder abuse must be reported to the ________, but estimates are that only 1 in 14 cases are actually reported. -primary care physician -adult protective services agency -National Center on Elder Abuse -state attorney general's office
adult protective services agency
Current statistics on the deaths or harm due to ________ all come mostly, if not all, from hospital records or institutional records such as nursing homes (where underreporting happens due to a lack of recognition of medication side effects). Therefore, the magnitude of morbidity and mortality from this cause occurring in the ambulatory population-at-large is overlooked. -adverse drug reactions -medication-related problems -geriatric syndrome -pharmacokinetics
adverse drug reactions
With any medication, there is the immediate risk of _______ as well as typical and atypical side effects, counterintuitive side effects, dose limitations, long-term side effects, and side effects caused by user error. -thrombocytopenia -anaphylaxis -insulin resistance -hyperlipidemia
anaphylaxis
Certain medications are associated with falls. Which of the following is NOT associated with falling in older adults? -digoxin -diuretics -antihistamines -benzodiazepines
antihistamines
Medications that cause drowsiness create a risk for falls in older adults. Medicating a patient to the point of drowsiness can be considered a ________ restraint. -physical -medical -intrinsic -chemical
chemical
More women than men suffer a hip fracture but the rate of ________is higher among older men. -forearm fracture -hospitalization for any fracture -amputation from hip fracture -death from hip fracture
death from hip fracture
Mr. Wakefield has been brought into the hospital by his son. The patient is in a state of acute confusion and is hyperalert. His son tells the nurse that Mr. Wakefield has a long history of alcohol abuse. The nurse recognizes that Mr. Wakefield is most probably in a state of ________. -advanced dementia -Parkinson's dementia -delirium -depression
delirium
An older person suffering from anxiety can develop a sense of security in their ability to accomplish tasks and their safety in performing daily tasks by ________. -attending cognitive-behavioral therapy -establishing a routine -getting enough sleep -staying active
establishing a routine
The stages of change theory and social cognitive theories are the two most widely cited theories that relate to ________. -self-empowerment -self-actualization -nutrition therapy -health behavior change
health behavior change
When someone proactively engages in activities to advance or improve his or her health, that person is engaged in ________. -diet and exercise -health routine -eating more fruits and vegetables -health promotion activities
health promotion activities
Up to half of all ________ patients are at risk for falls, and almost half of those who do fall are injured. -diabetic -hospitalized -elderly -Parkinson's
hospitalized
The Confusion Assessment Method (CAM), which assists nurses and others to identify delirium quickly and accurately, uses four basic features of delirium, including the following except ________. -acute onset or fluctuating course -hyperattention -disorganized thinking -altered level of consciousness
hyperattention
Scientific evidence supports the idea that functional disability is usually caused by -aging -illnesses and diseases related to unhealthy lifestyle decisions -unavoidable chronic illness -injuries incurred earlier in life
illnesses and diseases related to unhealthy lifestyle decisions
The primary risk factors for ischemic stroke are similar to those for heart disease. Which of the following is not one of the lifestyle factors associated with cerebrovascular accidents (CVAs) ? -cigarette smoking -heavy alcohol use -increased age -sedentary lifestyle
increased age
Which of the following is not a reason that an older person might be vulnerable to depression? -functional dependence -chronic, painful medical conditions -large social network -widowhood
large social network
Depression in ________ can be characterized by blaming others, irritability, anger, restlessness, agitation, intentionally creating conflicts, acting suspicious and guarded, seeking conflict and to be in control, and perceiving self-doubt and despair as weaknesses. -women -men -Americans -Asians
men
Older adults are in a precarious position nutritionally because they are more vulnerable to ________ than other age groups. -obesity -malnutrition caused by dental problems -exercise-related injury -obesity and malnutrition
obesity and malnutrition
Mrs. Gupta is active and in good health but wants to be even healthier by being sure to take 10,000 steps per day. What can she use to make sure she meets her goal? -Pedometer -Walker with attached basket -Claw-footed cane -A food diary
pedometer
A nurse is assessing intrinsic risk factors for falls for a patient in the hospital. The nurse would assess blood pressure to discover a problem with ________. -arrhythmias and bradycardia -weakness in one or both sides -postural hypotension -changes in thinking, attention, or planning
postural hypotension
Functional health combined with life satisfaction, feelings of competency, and perception of social support is a way to define ________. -independence -quality of life -mental health -re-engagement
quality of life
Medicare Prevention refers to the federal government ________. -preventing older people from signing up for Medicare -preventing Medicare funding -reimbursing Medicare recipients for certain prevention activities -recommending moving seniors from Medicare to private insurance
reimbursing Medicare recipients for certain prevention activities
Health screening is a form of ________ prevention. -primary -secondary -tertiary -quaternary
secondary
The Institute of Medicine defines ________ as "observing changes in patient conditions that may signal a decline in condition along with taking an action to prevent complications." -observation -monitoring -surveillance -assessment
surveillance
Dependency can be described as "frailty" when there are deficiencies in _____ Activities of Daily Living, along with weakness and chronic exhaustion. -three -five -six -eight
three
A patient is taking atorvastatin to lower cholesterol; he reports generalized muscle pain and trouble remembering things. One way to determine if these new problems are related to the medication is to begin a ________. -different statin medication -trial discontinuation of the medication -saline IV to prevent dehydration -screening for medication adherence
trial discontinuation of the medication
While older adults make up only about 13% of the general population, they account for 25% of suicide deaths. This elevated rate is influenced by ________ who have a suicide rate six times higher than the national rate. -white women age 65-70 who have been widowed -African American men between the ages of 70 and 80 -divorced African American women in their late 70s -white men age 85 or over
white men age 85 or over
