Adult-Gerontology Primary Care Nurse Practitioner Exam Geriatric Assessment & Comprehensive Care Planning 2

Question 1

Which instrument is the gold standard for assessing instrumental activities of daily living (IADLs) in older adults?

Accepted Answer

Lawton-Brody IADL Scale

Answer

The Lawton-Brody IADL Scale assesses eight complex activities including telephoning, shopping, cooking, housekeeping, laundry, transportation, medication management, and finances.

Question 2

During a geriatric assessment, the AGPCNP screens an 80-year-old for depression. Which is the most appropriate tool?

Accepted Answer

Geriatric Depression Scale-15 (GDS-15)

Answer

The GDS-15 was specifically developed and validated for older adults, avoiding somatic items that can confound depression diagnosis in this population.

Question 3

A 75-year-old patient is prescribed 8 medications. The AGPCNP applies the Beers Criteria to:

Accepted Answer

Identify potentially inappropriate medications in older adults

Answer

The Beers Criteria, published by the American Geriatrics Society, lists potentially inappropriate medications for older adults due to increased risk of adverse effects.

Question 4

In a geriatric assessment, hearing impairment screening can be quickly performed using:

Accepted Answer

The Whisper Test or the HHIE-S

Answer

The Whisper Test or the Hearing Handicap Inventory for the Elderly-Screening Version (HHIE-S) are validated, quick tools for hearing screening in primary care.

Question 5

An AGPCNP documents a patient's 'advance directive.' This document primarily addresses:

Accepted Answer

Patient's preferences for future medical care if unable to communicate

Answer

An advance directive is a legal document that specifies a patient's wishes regarding medical treatment and designates a healthcare proxy if the patient loses decision-making capacity.

Adult-Gerontology Primary Care Nurse Practitioner Exam Practice Test

Adult-Gerontology Primary Care Nurse Practitioner Exam Practice Test

Adult-Gerontology Primary Care Nurse Practitioner Exam Geriatric Assessment & Comprehensive Care Planning 2