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Which of the following are symptoms of depression in the elderly?


A) Excessive energy and motivation
B) Feelings of self-worth
C) Recurrent feelings of happiness and hope
D) Indecisiveness and difficulty in concentrating
E) Showing an interest in other people

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

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A condition in which the lens of the eye becomes cloudy and opaque, called ________, can be corrected by surgery to replace the lens.

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A diet that is high in ________ may help prevent osteoporosis.

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The three basic categories of elder abuse are ________ elder abuse, institutional elder abuse, and self-neglect or self-abuse.

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Mrs. Newford is a 74-year-old patient who lives in a retirement community, where she happily participates in activities with other residents. Her medications include a beta blocker, anti-inflammatories for arthritis, and a diuretic. She also says she takes over-the-counter antacids frequently for heartburn. When you ask how many times a day she takes the anti-inflammatories, she hesitates before answering, "Two, I think." Which of the following actions might you take to help Mrs. Newford?


A) Talk to the doctor about simplifying her medication schedule
B) Instruct Mrs. Newford to take another dose of medication if she can't remember when she took the last one
C) Encourage Mrs. Newford to take her medications with meals
D) Provide medication instruction sheets for all of her medications
E) Recommend that Mrs. Newford move to a nursing facility

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

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Treatment for depression generally combines a course of ________ drugs with psychotherapy.

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Which of the following is not considered a possible sign of neglect?


A) Soiled clothing
B) Poor skin color
C) Foul body odor
D) Inappropriate clothing
E) Alcohol use

F) C) and D)
G) A) and D)

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Signs of patient ________ may be the result of Alzheimer's disease, senility, depression, head injury, or misuse of medications or alcohol.

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Which of the following is a sign of aging in the nervous system?


A) Increased blood flow to the brain
B) Shortened attention span
C) Enlargement of the substantia nigra in the brain
D) Increase in acetylcholine
E) Improved thought processing

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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Which of the following is the specific diagnostic test for depression?


A) Red blood cell count
B) X-ray of the brain
C) Urinalysis
D) Metabolic panel
E) There is no specific diagnostic test

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

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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) None of the above
G) C) and D)

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To help an elderly patient who has hyperlipidemia, you would suggest that he increase exercise and eat foods with lower amounts of ____.


A) protein
B) carbohydrates
C) cholesterol
D) fiber
E) sugar

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

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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) All of the above
G) A) and B)

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Which of the following statements about cognitive-intellectual development in elderly patients is true?


A) Most people can no longer learn after the age of 60.
B) Long-term memory is often less acute than in younger people.
C) Mature adults process information more quickly than young adults.
D) Short-term memory seems to remain intact.
E) Accumulated information and life experiences make them great teachers.

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

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

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A condition in which cholesterol and triglyceride levels are above normal is ____.


A) hypertension
B) hyperlipidemia
C) hypotension
D) coronary artery disease
E) osteoporosis

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

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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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Which of the following is not generally a factor that may interfere with collecting a 24-hour urine specimen?


A) Nocturia
B) Incontinence
C) Emphysema
D) Uterine prolapse
E) Chronic urine retention

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

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When communicating with a patient who has a hearing impairment, ____.


A) speak in higher tones to enhance understanding
B) make sure there is adequate lighting
C) speak in clear, low-pitched tones
D) position yourself to the side of the patient
E) shout so the patient can hear you clearly

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

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