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Chapter 11. The Complicated Patient

Which of the following is NOT listed as one of the top 10 chronic conditions in the elderly?

a. Insomnia

b. Diabetes

c. Hypertension

d. Heart failure

e. Ischemic heart disease

Geriatric syndromes are best characterized as:

a. specific disease states

b. not caused by drug therapy

c. found only in dementia-related patients

d. associated with increased mortality

e. characterized by chronic pain

Which of the following is a characteristic of frailty?

a. Unintentional weight loss of > 10 lbs in 12 months

b. Decline in walking speed

c. Weak grip strength

d. Has a prevalence of >25% in those over 85 years of age

e. All of the above

Common chronic condition constellations in the elderly include:

a. hyperlipidemia, hypertension, ischemic heart disease, dementia

b. hyperlipidemia, hypertension, diabetes, stroke

c. hyperlipidemia, diabetes mellitus, ischemic heart disease

d. hyperlipidemia, ischemic heart disease, sleep apnea

e. hyperlipidemia, arthritis, depression, dementia

Barriers to appropriate care for patients with multiple chronic conditions include:

a. lack of communication

b. lack of research in this area

c. multiple healthcare providers involved

d. caregiver burden

e. All of the above

Which of the following contribute to rehospitalization in the elderly?

a. Inadequate discharge documentation

b. Lack of a detailed care plan

c. Delirium while hospitalized

d. Sleep deprivation while hospitalized

e. All of the above

Current consensus regarding therapeutic guidelines are not as useful in the elderly, ...

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