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Exam 4: Comprehensive Geriatric Assessment

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Question 1

Multiple Choice

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In conducting a physical assessment of an older person, the nurse practioner assesses which of the following? Select all that apply.

A) Pulse oximetry
B) Weight
C) Color of hair
D) Functional assessment
E) Presence of pain

F) C) and D)
G) B) and E)

Correct Answer

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A,B,D,E

Question 2

Multiple Choice

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The nurse practitioner conducts a comprehensive geriatric assessment of the older individual because:

A) Health of older people is affected by several factors.
B) A focused assessment will provide depth of specific information.
C) A comprehensive assessment will provide more subjective information.
D) A comprehensive assessment will result in a list of current and prior medications taken.

E) A) and D)
F) A) and C)

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Question 3

Multiple Choice

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The nurse practitioner knows that conducting a comprehensive geriatric assessment (CGA) is more beneficial for which of the following groups?

Mary Jane is seeing a nurse practitioner for a CGA and asks which parts of her life will be examined.The nurse practitioner says the domains of the CGA include:

Bertha is an 85-year-old grandmother who has multiple morbidities.Family members report that Bertha is not eating much and does not seem as active as usual.They want the nurse practitioner to order tests to identify what is happening to her.The nurse practitioner considers which of the following before ordering any tests? Select all that apply.

Mr.and Mrs.Smith are both 75 years old and are seeing their nurse practitioner for their annual checkups.Mrs.Smith wonders why they each have trouble digesting different foods.It is inconvenient for her to fix different meals that they both can tolerate.The nurse practitioner explains that:

Jane, 83 years old, comes to the clinic with her daughter for a geriatric assessment.The daughter asks about the necessity of this comprehensive assessment.The clinician explains that a CGA is a multidimensional process to:

In conducting a CGA, the nurse practitioner looks for any impairments in communication with the patient.The assessment includes:

After examining Adam, who is 79 years old, the nurse practitioner uses which of the following criteria to adjust Adam's medications? Select all that apply.

A family member comes into the clinician's office with her older mother, the patient.In the process of the examination, the nurse practitioner identifies the patient as "frail older adult." The family member asks what that means.The nurse practitioner explains that this refers to:

The nurse practitioner performs a holistic assessment on an older patient.One component of this assessment is spirituality.Which of these options is appropriate to use to assess any spiritual needs? Select all that apply.

In assessing functionality, the nurse practitioner first considers activities of daily living (ADLs) , which include which of the following? Select all that apply.

When an assessment is conducted, which of the following needs to be recorded when a new concern is identified? Select all that apply.

Mrs.Parsons is 75 years old and is anticipating renewing her driver's license.The nurse practitioner conducts an eye examination and is concerned to find which of the following? Select all that apply.

While examining John, who is 80 years old, the nurse practitioner observes that as he rises from the chair he pauses and holds on to the rail.Asking John if this happens often, he replies, "Yes, I get lightheaded and feel like I will fall." The nurse practitioner decides to conduct testing for orthostatic hypotension.This test includes which of the following? Select all that apply.