The daughter of a 79-year-old woman notes that her mother, who has dementia and lives with her, is wetting herself when she attends her new day program. Program staff have requested that �something be done� as she is requiring a clothes change nearly every time she is there. She cannot describe the circumstances of leakage, saying �it just comes.� Leakage is uncommon at home. Her medications include donepezil and acetaminophen. Physical examination is normal. Initial treatment approach will require intervention by which of the following?- Skildor

ATI RN

ATI RN Test Bank

physical examination and health assessment test bank Questions

Question 1 of 5

The daughter of a 79-year-old woman notes that her mother, who has dementia and lives with her, is wetting herself when she attends her new day program. Program staff have requested that �something be done� as she is requiring a clothes change nearly every time she is there. She cannot describe the circumstances of leakage, saying �it just comes.� Leakage is uncommon at home. Her medications include donepezil and acetaminophen. Physical examination is normal. Initial treatment approach will require intervention by which of the following?

A. Mrs. A�s physician B. Mrs. A�s daughter C. Day program staff D. Physical therapist through a home care agency

Correct Answer: A

Rationale: Given the complexity of dementia and incontinence, the physician should be involved in assessing the cause and recommending treatment.

Question 2 of 5

Key neurotransmitter-based therapeutic strategies for PD include all the following except:

A. Increase glutamatergic stimulation B. Decrease cholinergic stimulation C. Increase dopaminergic stimulation D. Decrease glutamatergic stimulation

Correct Answer: A

Rationale: PD treatment aims to increase dopaminergic activity and reduce cholinergic activity, not increase glutamatergic stimulation.

Question 3 of 5

Asking a patient, "What were you doing when this problem began?" represents what part of the OPQRST question format?

A. P B. Q C. O D. R

Correct Answer: O

Rationale: "O" stands for Onset, asking about the activity when the problem began refers to the onset of the problem.

Question 4 of 5

What is the most critical diagnosis to consider for a patient experiencing the worst headache of her life and presenting with a blood pressure of 200/110?

A. Migraine B. Subarachnoid hemorrhage C. Cluster D. Panic disorder

Correct Answer: B

Rationale: The worst headache of life with high blood pressure suggests a subarachnoid hemorrhage.

Question 5 of 5

Which of the following is not a risk factor for late-life depression?

A. Family history of depression B. Disability C. History of stroke D. History of a myocardial infarction

Correct Answer: D

Rationale: While family history, disability, and stroke are common risk factors, a history of myocardial infarction is less commonly associated with late-life depression.

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Mr. Quince is a 68-year-old patient who describes several months of urinary frequency and a sensation of incomplete emptying with no associated dysuria, hematuria, or fever. Physical examination reveals a slightly enlarged but nontender prostate, a postvoid residual urine volume of 20 mL, and a urinalysis with 15 white blood cells (WBCs) and 5 red blood cells (RBCs). Urine culture reveals 30,000 colony-forming units of Escherichia coli. You see a report from last year that shows urinalysis with 10 WBCs and 4 RBCs that was obtained as part of a routine evaluation. What is the most appropriate next step in the management of Mr. Quince�s symptoms?

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