Deck 8: Identifying and Preventing Common Risk Factors in the Elderly

Question 1

The U.S. population is more likely to benefit from screening tests for a disease such as diabetes, which occurs frequently, than it is to benefit from screening for Addison's disease, which is uncommon.

Answer 1

True

Question 2

In order to receive health benefits from exercise, older adults should engage in 150 minutes of moderate intensity or 75 minutes of vigorous exercise every week.

Answer 2

True

Question 3

Aspirin therapy has long been known to be effective as a primary prevention strategy for clients with heart disease.

Answer 3

False

Question 4

If what medical condition goes untreated, it can lead to atrial fibrillation, congestive heart failure, osteoporosis, and neuropsychiatric disorders?

A) Hyperthyroidism
B) Hypothyroidism
C) Hypertension
D) Hypoglycemia

Question 5

The greatest controversy regarding screening for what type of cancer is the inability to accurately predict which cancers will be aggressive and require treatment and which are unlikely to metastasize?

A) Breast cancer
B) Lung cancer
C) Colon cancer
D) Prostate cancer

Question 6

Of the 10 leading causes of death in the United States, how many are associated with unhealthy dietary patterns?

A) 3
B) 4
C) 5
D) 6

Question 7

Due to the decreased immune function that accompanies older age, a new high-dose vaccine for what medical condition has been developed for the elderly population?

A) Shingles
B) Pneumonia
C) Influenza
D) Tuberculosis

Question 8

Older adults, especially those with chronic illnesses or who live in nursing homes, are susceptible to what medical condition which results in death in over one-third of patients over 65 years of age?

A) Shingles
B) Pneumonia
C) Influenza
D) Tuberculosis

Question 9

What screening tool is a 10-item screening test developed by the World Health Organization and is sensitive for detecting alcohol dependence and abuse?

A) Alcohol Use Disorders Identification Test (AUDIT)
B) CAGE Questionnaire
C) The Mini-Mental State Examination
D) The Vulnerability to Abuse Screening Scale

Question 10

The USPSTF recommends breast cancer screening be performed how often for women between the ages of 50 and 74 years?

A) Every 6 months
B) Every 12 months
C) Every 24 months
D) Every 36 months

Question 11

Frailty is a concept that is often discussed in the literature but is difficult to define and is the topic of much debate.

Question 12

Polypharmacy is inappropriate for patients who have multiple chronic illnesses because increasing numbers of medications carry increasing risks.

Question 13

The Mini-Mental State Examination is considered the gold standard diagnostic test to detect dementia.

Question 14

Prescribing beta-blockers to help remodel the heart in patients with congestive heart failure is an example of which of the following?

A) Health promotion
B) Primary prevention
C) Secondary prevention
D) Tertiary prevention

Question 15

Which of the following tools is sensitive for detecting alcohol dependence and abuse?

A) CAGE questionnaire
B) Mini-Mental State Examination
C) Patient Health Questionnaire (PHQ-9)
D) Alcohol Use Disorders Identification Test (AUDIT)

Question 16

Which of the following is a self-report screening instrument that has been found to have 75% sensitivity and 96% specificity for detecting alcohol abuse?

A) CAGE questionnaire
B) Mini-Mental State Examination
C) Patient Health Questionnaire (PHQ-9)
D) Alcohol Use Disorders Identification Test (AUDIT)

Question 17

Which of the following, wherein older adults are unable to provide for his or her own care, is the most common provider-reported form of neglect?

A) Self-neglect
B) Physical neglect
C) Emotional neglect
D) Psychological neglect

Question 18

National Health and Nutrition Examination Survey III data suggests that approximately 25% of U.S. adults may be at high risk for a coronary event and may be potential beneficiaries of what type of strategies?

A) Health promotion
B) Primary prevention
C) Secondary prevention
D) Tertiary prevention

Question 19

The correlation of cardiovascular risk and blood pressure is dramatic with the risk doubling each increment of which of the following after 115/75 mmHg?

A) 10/5 mmHg
B) 15/5 mmHg
C) 20/10 mmHg
D) 25/10 mmHg

Question 20

Aspirin therapy has long been known to be effective as a secondary prevention strategy for clients with heart disease, but which of the following risks associated with aspirin therapy have delayed recommendations of aspirin as a means of primary prevention?

A) Hypertension
B) Blood clots
C) GI bleeding
D) Constipation