Which age-related change in the cardiovascular system places older adults at increased risk for orthostatic hypotension?
Gerontological Assessment Diagnosis Domain
Question · Medium
Upset patient: say this, not that
Short
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A nurse is assessing an 82-year-old patient and notes decreased breath sounds bilaterally at the lung bases. Which age-related pulmonary change is the most likely cause?
Introduction & Exam Overview
1.1 About the GERO-BC Exam
Study guide
Which age-related renal change results in decreased ability to concentrate urine?
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An older adult patient has difficulty distinguishing between similar colors in dim lighting. This change is most likely due to:
Question · Easy
Which gastrointestinal age-related change contributes most to constipation in older adults?
Which neurologic age-related change is associated with slower cognitive processing speed?
1.2 Eligibility, Fees, Scoring & Testing
An 85-year-old patient has difficulty hearing high-frequency sounds. This is most consistent with:
Which skin change in older adults increases the risk for pressure injury development?
Which endocrine change contributes to decreased bone density in postmenopausal women?
Which immune system change increases infection risk in older adults?
Question · Hard
1.3 How to Study for GERO-BC
A gerontological nurse is conducting a health history with a 78-year-old patient. Which approach is most appropriate?
When obtaining a medication history from an older adult, which information is most important to include?
Which assessment finding in an 80-year-old patient requires immediate follow-up?
When assessing pain in a cognitively impaired older adult, which approach is most appropriate?
Assessment Tools: Physical & Psychosocial
2.1 Fall, Depression & Pressure-Injury Risk Tools
The Mini-Mental State Examination (MMSE) is best used to assess which domain?
A nurse is using the Morse Fall Scale. Which factor carries the highest point value?
When assessing the functional status of an older adult, which tool measures basic activities of daily living (ADLs)?
The Braden Scale is used primarily to assess:
2.2 Cognitive Assessment Tools (MMSE, MoCA, SLUMS, CAM)
Which laboratory value change is commonly seen in healthy older adults?
An 82-year-old patient's daughter reports that her mother seems depressed. Which screening tool is most appropriate for this assessment?
Which finding during a physical assessment of an older adult's skin is considered abnormal?
When performing a cardiovascular assessment on an older adult, which finding requires further evaluation?
2.3 Functional (ADL/IADL) & Pain Assessment
Which musculoskeletal change in older adults increases fracture risk?
When assessing an older adult's nutritional status, which finding is most concerning?
Which instrument is most appropriate for screening cognitive impairment in a primary care setting with limited time?
The Get-Up-and-Go Test is used to assess which functional ability?
Social Determinants & Care Context
3.1 Social Determinants of Health in Aging
Which factor on the SPICES assessment tool indicates potential health problems in older adults?
When assessing vision in older adults, which finding requires immediate referral to an ophthalmologist?
Which assessment finding best differentiates delirium from dementia?
A nurse is assessing sleep patterns in an older adult. Which finding is considered normal?
3.2 Caregiver & Support-System Assessment
The Lawton Instrumental Activities of Daily Living (IADL) Scale assesses which abilities?
Which factor increases the risk of urinary incontinence in older women?
When obtaining a health history from an older adult with hearing impairment, which approach is most effective?
Which laboratory finding in an older adult may indicate dehydration rather than kidney disease?
3.3 Living Environment & Access Barriers
The STOP-BANG questionnaire is used to screen for which condition in older adults?
Which physical assessment finding in an older adult's mouth requires follow-up?
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