Medical Assessment and Prevention Worksheet

You are performing an eye assessment of an 80-year-old man. Which of the following findings is considered abnormal?

• Increase in eyebrow hair due to hormonal changes

• The presence of arcus senilis seen around the cornea

• A decrease in tear production

• Unequal pupillary constriction in response to light

When discussing the increase in the number of older adults in the United States, use the term:

• A. Graying of America

• B. Maximum life span

• C. Life expectancy

• D. Total time until death

Tertiary prevention activities are designed to:

• Prevent disease before it occurs

• Detect disease at an earlier, more treatable stage

• Manage disease so it does not get worse

• Eradicate all disease from the nation

A 68-year-old woman was seen by her cardiologist for palpitations. She was put on a beta-blocker and told to return for follow-up 1 week after taking a stress test. The beta-blocker’s action:

• A. Increases consistency of heart rate

• B. Increases contractility and decreases heart rate

• C. Decreases chance of dysrhythmia

• D. Decreases contractility and increases heart rate

Mary Palmer has been admitted to your unit with heart failure. Which of the following symptoms are not likely to be present in this 93-year-old woman?

• Cough

• Decreased cognitive status

• Fever

• Pedal edema

Herzberg is an example of what type of theory?

• A. Nursing Grand Theory

• B. Sociological aging theory

• C. Motivational theory

• D. Eccentricity theory

Mr. Gladbottle is complaining of pain, for which he needs medication. All of the following normal changes of aging should be considered when administering the medication, except:

• A. Increased excretion through the urinary tract

• B. Decreased absorption from the gastrointestinal tract

• C. Decreased metabolism of medications

• D. Decreased renal clearance

You have just admitted an 88-year-old man to the long-term care facility. He is on several medications, including allopurinol (Zyloprim) and bethanechol (Urecholine), which are for:

• A. Arthritis

• B. Amyotrophic lateral sclerosis

• C. Gout

• D. Polyarteritis

A new staff nurse is orienting to the long-term care facility. The staff development coordinator will be sure to include time for the new nurse to review the institution’s:

• Plan for developing new funding for the facility

• Listing of each staff member’s salary

• Mission, philosophy, and goals of the organization

• The next 6 months’ scheduling of nursing assistants on each unit

A 68-year-old resident of an assisted living facility complains of muscle aches and loss of range of motion in multiple joints, especially in his left knee. He says he is sexually active and has multiple partners. His temperature is 99.1°C; he has no tophi on his left knee, but it is warm and swollen. The etiology of his knee pain is:

• Severe osteopenia or osteoporosis

• Septic arthritis secondary to gonorrhea and chlamydia

• Sarcoidosis

• Osteomyelitis