Deck 4: Comprehensive Geriatric Assessment

Question 1

In assessing functionality, the nurse practitioner first considers activities of daily living (ADLs), which include which of the following? Select all that apply.
1)Basic self-care.
2)Mobility.
3)Continence.
4)Ability to cook a meal.
5)Ability to interact with others within the community.

Answer 1

1, 2, 3

Question 2

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.
1)Use the HOPE assessment tool: source of Hope, a participant in an Organized religious group, Personal spirituality, Effect of spirituality on health care.
2)Ask the patient, "Are you at peace?"
3)Call a chaplain to conduct the assessment.
4)Wait until a sign of distress appears and then evaluate the source.
5)Administer the FICA assessment of spiritual needs.

Answer 2

1, 2, 5

Question 3

In conducting a CGA, the nurse practitioner looks for any impairments in communication with the patient.The assessment includes:
1)Interviewing prior to the physical examination.
2)Asking questions of the accompanying family member.
3)Reading the history forms provided by the patient after the examination.
4)Observing physical impairments.

Answer 3

1

Question 4

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:
1)Someone who is prone to pathological fractures.
2)An older person already exhibiting signs of decline.
3)An older person who has lost height and is under 5 feet tall.
4)An older person being susceptible to infections.

Question 5

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.
1)Will the test results alter any of the diagnoses that she is currently addressing?
2)Will the results alter management of her health regimen?
3)What is the cost/benefits ratio?
4)Is the test the least invasive?
5)Is this testing acceptable to the patient?

Question 6

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.
1)Visual acuity better than 20/20.
2)Visual acuity worse than 20/40.
3)Abnormality in the six cardinal fields of gaze.
4)Ability to gaze downward.
5)Absence of nystagmus.

Question 7

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:
1)Identify care needs and plans of care for older people.
2)Acquire information about past medical conditions.
3)Determine which diagnostic tests are necessary.
4)Satisfy requirements of Medicare.

Question 8

The nurse practitioner knows that conducting a comprehensive geriatric assessment (CGA)is more beneficial for which of the following groups?
1)People between 60 and 70 years old.
2)People over 70 years old.
3)People classified as vulnerable older adults.
4)People over 55 years old.

Question 9

The nurse practitioner conducts a comprehensive geriatric assessment of the older individual because:
1)Health of older people is affected by several factors.
2)A focused assessment will provide depth of specific information.
3)A comprehensive assessment will provide more subjective information.
4)A comprehensive assessment will result in a list of current and prior medications taken.

Question 10

In conducting a physical assessment of an older person, the nurse practioner assesses which of the following? Select all that apply.
1)Pulse oximetry
2)Weight
3)Color of hair
4)Functional assessment
5)Presence of pain

Question 11

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:
1)Internal organ health.
2)Social habits.
3)Physical and psychological health, as well as other facets of life.
4)History of family illness.

Question 12

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:
1)Men have more difficulty digesting vegetables.
2)Women have more difficulty digesting dairy products.
3)Men and women have different enzymes in their gastrointestinal tracts.
4)Organ systems progress differently for each person regardless of age.

Question 13

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.
1)Having the patient lie down for 5 minutes, then measuring blood pressure and pulse.
2)Having the patient stand and wait a minute, then measuring blood pressure and pulse.
3)Having the patient jump in place for 2 minutes and then lie down.
4)Having the patient breathe deeply five times and then stand up.
5)Having the patient get up from his chair without using his arms, walk two to three steps, then back up to his chair and sit down.

Question 14

When an assessment is conducted, which of the following needs to be recorded when a new concern is identified? Select all that apply.
1)Location and radiation.
2)Quantity and quality.
3)Aggravating and alleviating.
4)Signs and symptoms.
5)Effect on financial status.

Question 15

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.
1)The Beers Criteria published in 1991
2)Medication Appropriateness Index
3)STOPP/START Criteria
4)HHS Guide to Geriatric Medications
5)Hospital formulary