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Which of the following is not a factor that may impair or impede nutritional intake in an elderly patient?


A) Poorly fitting dentures
B) Apathy toward food
C) Lack of money for food
D) Swallowing difficulty
E) Reduced nutritional value of canned foods

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

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E

Mr. Hartman is 89 years old and has been living alone in a small apartment downtown since his wife died two years ago. His son Richard brought him to the office for a checkup, saying that when he checked on his father yesterday, Mr. Hartman seemed confused and could not tell Richard when he had last eaten. Mr. Hartman is very thin, but he states that he eats "whenever I am hungry." Which of the following conditions might you suspect?


A) Elder abuse
B) Polypharmacy
C) Depression
D) Pneumonia
E) Neglect

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

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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) All of the above

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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 E)
G) C) and E)

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D

Elderly patients are defined as patients who are over the age of ____.


A) 55
B) 60
C) 62
D) 65
E) 70

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

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D

Which of the following is not a typical sign of aging?


A) Constipation
B) Loss of elasticity of the lungs
C) Susceptibility to disease
D) Increased thyroid function
E) Increased shortness of breath

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

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Monitoring of blood ________ is an important part of controlling diabetes mellitus.

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

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Which of the following statements is true about nutrition in elderly patients?


A) People over the age of 30 should decrease their caloric intake by 10% to 15%.
B) Elderly patients do not require as much protein as younger patients.
C) Elderly patients should increase their intake of high-fiber foods.
D) Energy and metabolic requirements usually increase with age.
E) Elderly patients should restrict their fluid intake to avoid nocturia.

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

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Involuntary leakage of urine is called urinary ________.

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The field of medicine concerned with the problems of aging is ________.

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An elevation in blood pressure over 140 systolic and 90 diastolic, with or without symptoms is called ________.

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The severely debilitating brain disorder that may cause changes in personality, mood, or behavior and for which there is no cure is ____.


A) bone cancer
B) Alzheimer's disease
C) cataracts
D) hypertension
E) degenerative joint disease

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

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Excessive nighttime urination is known as _________.

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Against which of the following diseases are elderly patients encouraged to receive vaccination?


A) Shingles
B) Alzheimer's disease
C) Gastroenteritis
D) Colitis
E) Measles

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

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Which of the following is a good way to help elderly patients remember their medications and the appropriate time to take each medication?


A) Give the patient a prescription for each medication
B) Encourage the patient to use a medication organizer or a medication box
C) Instruct the patient on what each medication is for
D) Tell the patient what will happen if he forgets to take his medication
E) Call the patient periodically and inquire whether he has taken his medication

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

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Patient ________, or obedience in following the physician's orders, can help them remain healthier and get well faster.

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Mrs. Worth is a 79-year-old patient who is in good general health and whose mind is sharp and clear. She has mild arthritis and is a little unsteady on her feet, but she has no major medical issues. Her son has asked her to move in with him and his wife and kids, but she prefers to remain independent. Which of the following guidelines would not be appropriate to help Mrs. Worth live safely on her own?


A) Wear reading glasses while moving around the house
B) Use a cane or walker as necessary
C) Minimize clutter in the house
D) Use night-lights in the bedroom and bathroom
E) Wear shoes and slippers with non-slip soles

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

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The practice of taking multiple medications at the same time is known as ________.

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Treatment for depression in elderly patients includes ____.


A) a protein-rich diet
B) antidepressants and psychotherapy
C) fiber and increased liquids
D) distraction and relaxation techniques
E) antibiotics and physical therapy

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

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