Deck 13: Aging and Common Geriatric Syndromes

Question 1

An 80-year-old woman who lives alone is noted to have a recent weight loss of 5 pounds. She appears somewhat confused, according to her daughter, who is concerned that she is developing dementia. The provider learns that the woman still drives, volunteers at the local hospital, and attends a book club with several friends once a month. What is the initial step in evaluating this patient?

A) Obtaining a CBC, serum electrolytes, BUN, and glucose
B) Ordering a CBC, serum ferritin, and TIBC
C) Referring the patient to a dietician for nutritional evaluation
D) Referring the patient to a neurologist for evaluation for AD

Answer 1

A

Question 2

What intervention will the provider implement when prescribing medications to an 80-year-old patient?

A) Beginning with higher doses and decrease according to the patient's response
B) Consulting the Beers list to help identify potentially problematic drugs
C) Ensuring that the patient does not take more than five concurrent medications
D) Reviewing all patient medications at the annual health maintenance visit

Answer 2

B

Question 3

The practitioner is establishing a plan for routine health maintenance for a new client who is 80 years old. The client has never smoked and has been in good health. What will the practitioner include in routine care for this patient? (Select all that apply.)

A) Annual hypertension screening b. Baseline abdominal aorta ultrasound
C) Colonoscopy every 10 years
D) One-time hepatitis B vaccine
E) Pneumovax vaccine if not previously given
F) Yearly influenza vaccine
B) Baseline abdominal aorta ultrasound
C) Colonoscopy every 10 years
D) One-time hepatitis B vaccine
E) Pneumovax vaccine if not previously given

Answer 3

E, F