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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

Answer a.

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.

Answer d.

Which of the following is a characteristic of frailty?

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

b. Decline in walking speed

c. Weak grip strength

d. Having a prevalence of >25% in those aged >85 years

e. All of the above

Answer e.

Common chronic condition constellations in older adults include

a. hyperlipidemia, hypertension, ischemic heart disease, and dementia.

b. hyperlipidemia, hypertension, diabetes, and stroke.

c. hyperlipidemia, diabetes mellitus, and ischemic heart disease.

d. hyperlipidemia, ischemic heart disease, and sleep apnea.

e. hyperlipidemia, arthritis, depression, and dementia.

Answer c.

Barriers to appropriate care for patients with multiple chronic conditions include

a. lack of communication.

b. lack of research in this area.

c. involvement of multiple healthcare providers.

d. caregiver burden.

e. all of the above.

Answer e.

Which of the following contribute to rehospitalization in the older adults?

a. Inadequate discharge documentation

b. Lack of a detailed care plan

c. Delirium while hospitalized


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