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

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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

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.

Question 3 of 5

Since passage of the ACA in 2010, the following are true about payments changes except:

A. Beneficiaries no longer have cost sharing for preventive services B. Providers in Medicare Advantage will be paid higher fees C. The coverage gap known as the donut hole in Part D will be reduced over time D. Hospitals have incentives to prevent readmission and coordinate care more effectively

Correct Answer: B

Rationale: Medicare Advantage providers are paid lower fees compared to traditional Medicare.

Question 4 of 5

The American Psychiatric Association�s Diagnostic and Statistical Manual of Mental Disorders defines Munchausen Syndrome by Proxy as:

A. A self-inflicted injury to gain attention B. A caregiver making up or causing an illness or injury in a person under his or her care C. An abusive behavior that does not involve the caregiver D. A situation in which the abuser is often inattentive and uncaring toward the victim

Correct Answer: B

Rationale: Munchausen syndrome by proxy involves caregivers causing or faking illness in others to gain attention.

Question 5 of 5

During a migraine, the cerebral arteries

A. Constrict B. Dilate C. Pulsate D. Vibrate

Correct Answer: B

Rationale: During a migraine, cerebral arteries typically dilate, which is part of the pathophysiology of the headache.

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physical examination and health assessment test bank

Skildor

ATI RN

ATI RN

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