NR 601 Week 8 Final Exam Review

a. Hypogonadism b. Vascular disease c. Antidepressant medication d. Hypothyroidism pg 321 12. Which of the following is an element of informed consent? pg 70 a. All of the above b. Assuring voluntariness c. Disclosing information d. Assessing competency 13. AR is an older adult male with a long-standing history of Type 2 Diabetes Mellitus who reports nighttime incontinence and swelling in his feet. Four months ago, he was started on Gabapentin 300 mg 1 tab orally three times a day for diabetes-related polyneuropathy. He also has a history of hypertension (taking Metoprolol 25 mg tab orally twice a day), osteoarthritis (taking Acetaminophen 500 mg extra-strength tab orally as needed for back pain) and benign prostatic hypertrophy (taking Tamsulosin 0.4 mg 1 tab once a day). During the medication review, the NP discovers which medication below is most likely contributing to his incontinence? a. Metoprolol b. Gabapentin c. Tamsulosin pg 504 (it over-relaxes bladder muscles) d. Acetaminophen 14. J.L. is an older adult female who is diagnosed with an uncomplicated urinary tract infection. Which of the following is considered a first-line treatment option? a. TMP/SMZ DS orally twice a day x 14 days b. Levofloxacin 750 mg once a day orally x 7 days c. Nitrofurantoin 100 mg orally twice a day x 5 days pg 476 d. Cipro 100 mg twice a day orally x 7 day 15. For most older adults with urinary incontinence, the first line treatment is: a. Pharmacological therapy b. Surgery c. Behavioral therapy pg 238 d. Minimally invasive procedures 16. A retired older adult male would like to return to the workforce on a part-time basis. When applying at the local hardware store, the manager on duty acknowledged that a part-time position was open, but conveyed concern about the older male being able to perform the required job duties (e.g, lifting and moving heavy objects). Based on this information, what has the manager exhibited? a. Ageism pg 7 b. Racism b. Inform the patient that the pneumococcal vaccine should be repeated once after the age of 65 years pg 43 c. No further pneumococcal vaccination since the patient received it after 50 years of age d. Administer the pneumococcal booster at today's visit 22. According to the American Medical Association's Code of Medical Ethics, clinicians involved in a medical error should: a. Inform the appropriate licensing board and undergo additional training to avoid future errors b. Report the incident to the patient and family only if there was an injury or adverse reaction c. Report the incident to the medical ethics board who will then decide if the patient and family should be informed d. Acknowledge the error and express professional and compassionate concern toward patients who have been harmed in the context of health care pg 72 23. Which of the following older adults are most likely to become frail due to their organ specific disease? a. The older adult with chronic persistent asthma b. The older adult with degenerative joint disease c.