Geriatric Assessment & Comprehensive Care Planning Flashcards

The AGPCNP uses the SPICES framework in geriatric care planning. What does the 'S' in SPICES stand for?

Answer: Sleep disorders

SPICES stands for Sleep disorders, Problems with eating/feeding, Incontinence, Confusion, Evidence of falls, and Skin breakdown — common geriatric syndromes.

When creating a care plan for a frail 85-year-old with multiple comorbidities, the AGPCNP should prioritize:

Answer: Patient-centered goals aligned with patient values and prognosis

For frail older adults, care planning must balance evidence-based guidelines with individual patient goals, values, functional status, and life expectancy.

During a care coordination meeting, the AGPCNP identifies 'caregiver burden' as a concern. The most appropriate initial action is to:

Answer: Assess the caregiver using a validated burden scale such as the Zarit Burden Interview

The Zarit Burden Interview is a validated tool to quantify caregiver burden and guide referrals to support services such as respite care.

A 72-year-old patient scores 20/30 on the MMSE. This result most likely indicates:

Answer: Mild cognitive impairment or early dementia

MMSE scores of 18–23 suggest mild cognitive impairment or mild dementia; a score of 20 falls in this range and warrants further evaluation.

Which of the following is a key component of a geriatric fall prevention care plan?

Answer: Addressing modifiable risk factors including medication review, vision, and home safety

Multifactorial fall prevention addresses medication side effects, orthostatic hypotension, visual impairment, muscle strength, balance, and home hazards.

The AGPCNP incorporates the 'Four Ms' of Age-Friendly Health Systems into care planning. Which of the following correctly lists the Four Ms?

Answer: Mobility, Mentation, Medications, What Matters Most

The Age-Friendly Health Systems framework centers on four evidence-based elements: What Matters Most (patient goals), Medication, Mentation, and Mobility.