SOLVED

1) Which of the following statements regarding drug abuse in the elderly is NOT true? A) The elderly are unlikely to abuse prescription drugs. B) Changes in hearing and vision may be due to drug abuse. C) Drug abuse in the elderly may include over-the-counter drugs. D) Drug abuse is a possibility to consider when dealing with elderly patients with changes in their mental status. 2) Which of the following contributes to choking and aspiration in the elderly? A) dyskinesia B) gross involuntary motor movements C) Poor dentition D) All of the above 3) Which of the following is TRUE of elderly Americans? A) The fastest-growing segment of the elderly population is 65 to 75 years old. B) Individuals over age 75 are considered “old-old.” C) The numbers of elderly people are increasing, but they are decreasing in proportion to the total population. D) The elderly are not only living longer, they are living healthier, more active lives. 4) Which of the following are risk factors for depression and suicide in the elderly? 1. Death of friends and family members 2. Decreased serotonin levels 3. Chronic pain 4. Financial issues 5. Stress A) 1, 3, and 4 B) 1, 2, 3, 4, and 5 C) 1, 4, and 5 D) 1, 3, 4, and 5 5) Your patient is a 77-year-old male whose wife called for EMS because he began acting confused a few hours ago. The patient has high blood pressure and benign prostatic hypertrophy. The patient is agitated and does not understand why you are there. Your assessment reveals warm, moist skin; a heart rate of 72; a respiratory rate of 24; and a blood pressure of 142/88. The patient has diminished breath sounds over the right middle lobe with coarse rhonchi in the right lower lobe; his oxygen saturation is 89 percent on room air.. Which of the following is the most likely diagnosis? A) Pulmonary embolism B) Congestive heart failure C) Pneumonia D) Emphysema 6) You are at the home of a 92-year-old male patient. He is alert and oriented and in good spirits and, although mildly hearing impaired, can hear you if you speak clearly and face him as you speak. He has no teeth and is not wearing dentures. His speech is indistinct and difficult to understand. Which of the following is the best course of action? A) See if he can write down what he wants to say. His speech may be impaired from a stroke rather than a lack of dentition. B) Tell him there is nothing you can do for him unless he speaks clearly. C) Ask him to put in his dentures if he has them. Locate them for him if necessary. D) Ask a family member to “translate,” because the family is probably able to understand him better. 7) Which of the following is NOT a characteristic of dementia? A) It has a slow, progressive onset. B) It is generally reversible when the underlying cause is treated. C) Its most common cause is Alzheimer’s disease. D) Memory is greatly impaired. 8) Your 78-year-old patient gives a history of congestive heart failure, renal insufficiency, and type II diabetes. Together, these conditions are called: A) comorbid conditions. B) confounding conditions. C) functional impairments. D) polypathophysiology. 9) Which of the following is NOT a factor in altered pharmacokinetics in the elderly? A) Decreased hepatic function B) Slowed drug absorption from the gastrointestinal tract C) Increased total body water D) Decreased renal function 10) Which of the following does NOT contribute to an increased risk of hyperthermia in the elderly? A) Increased functioning of the thermoregulatory center B) Use of diuretics C) Limited income D) Alcoholism 1