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When interviewing an elderly patient to get her medical history, you ask her to describe the pain she feels in her abdomen, but she stops in the middle of a sentence and appears to be searching for the right word to use. What action should you take in this situation?


A) Suggest a word you think she might want to use
B) Ask the question again, but rephrase it
C) Tell her the exact word does not matter
D) Be patient and wait for her to find the word
E) Go on to the next question in the interview

F) A) and B)
G) A) and E)

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Which of the following treatments is not commonly used to treat patients with coronary artery disease?


A) Angioplasty
B) Coronary artery bypass surgery
C) Smoking cessation
D) Chemotherapy
E) Cholesterol-lowering medications

F) A) and B)
G) A) and C)

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Mr. Laufenberg is 81 years old. He has been living alone, but he admits that he just can't seem to get around as well as he used to. His daughter, Vera, and her husband have invited him to live with them, and Mr. Laufenberg is delighted. Vera has brought him to the office for a general checkup. While she is there, she asks if there is anything she needs to change in her home. Which of the following guidelines might you give to Vera?


A) Remove all mats and rugs from the bathtub and shower
B) Install secure handrails near the bathtub and toilet
C) Reduce lighting near stairs and doorways to reduce glare
D) Remove carpeting from stairs
E) Place throw rugs on bare floors to help warm the feet

F) C) and E)
G) A) and E)

Correct Answer

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Which of the following may cause memory loss associated with old age?


A) Decreased blood flow to the brain
B) Decreased size of the frontal lobes of the brain
C) Shrinkage of the temporal lobes of the brain
D) Changes in the hippocampus in the brain
E) Shrinkage of the substantia nigra in the brain

F) B) and E)
G) None of the above

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Excessive nighttime urination is known as _________.

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Which of the following points is not included in patient education for geriatric patients?


A) Encourage regular aerobic exercise
B) Provide information about balanced nutrition
C) Encourage regular healthcare checkups
D) Encourage avoidance of napping in the daytime
E) Encourage socialization

F) B) and D)
G) All of the above

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The medical term for decreased bone density is ________.

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The postural abnormality _____ often occurs in elderly women due to a loss of bone density, causing a characteristic curvature of the spine, known as "humpback."


A) kyphosis
B) atherosclerosis
C) degenerative joint disease
D) arthritis
E) lordosis

F) A) and B)
G) A) and C)

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Because some elderly patients have problems with memory, you should provide detailed ________ instructions that they and their family can refer to as necessary.

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When communicating with a patient with a visual impairment, ____.


A) find a quiet area to talk
B) talk down to the patient
C) provide instruction sheets in large type
D) try to minimize background noise
E) use plenty of pictures

F) All of the above
G) A) and C)

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A disorder in which a person stops breathing for several seconds at night is called ________.

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What is the medical term for softening of the bones due to vitamin D and calcium deficiency?


A) Osteoporosis
B) Osteoarthritis
C) Osteomalacia
D) Osteochondritis
E) Osteomyelitis

F) A) and E)
G) B) and C)

Correct Answer

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Which of the following should be done when applying thermotherapy to an elderly patient?


A) Increase the amount of heat to increase patient comfort
B) Check the patient's skin frequently for excessive redness
C) Avoid applying heat to areas larger than 3 inches by 3 inches
D) Use moist heat only; do not apply dry heat
E) Check the patient's blood pressure at 5-minute intervals

F) B) and D)
G) All of the above

Correct Answer

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Which of the following is a reason for the low rate of treatment for depression among elderly patients?


A) There is no treatment for depression in the elderly.
B) Depression in the elderly is inevitable because of deteriorating brain function.
C) Elderly patients and their families believe depression is a normal consequence of growing old.
D) Elderly patients do not respond to antidepressants.
E) The available treatments are complex and difficult to implement.

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

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When interviewing a geriatric patient, practice ________ listening skills by paying attention to the patient's verbal and nonverbal cues and by repeating information back to the patient to make sure you understood it correctly.

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A chronic, inflammatory disease of joint tissues that causes pain, swelling, and stiffness in joints is ________.

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Many elderly patients do not understand or do not practice the concept of ________, or measures taken to prevent illness.

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Medical specialists who specialize in the care of elderly people are ____.


A) geriatricians
B) neurologists
C) oncologists
D) orthopedists
E) pediatricians

F) A) and D)
G) B) and E)

Correct Answer

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The appropriate way to speak to a patient who has a hearing impairment is to ____.


A) shout
B) speak rapidly
C) repeat questions verbatim
D) use a higher tone of voice
E) speak in clear, low-pitched tones

F) A) and B)
G) D) and E)

Correct Answer

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Which of the following tips will help make the communication with an older patient more effective?


A) Supply a word when the patient stops to think of a word
B) Speak very loudly
C) Use a higher pitch when you speak
D) Interrupt the patient if your question was misunderstood
E) Look for a way to make a connection with the patient

F) B) and C)
G) None of the above

Correct Answer

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