Adult-Gerontology Primary Care Nurse Practitioner Exam Health Promotion & Disease Prevention 2

Question 1

Which validated screening tool is most commonly recommended by the USPSTF for depression screening in older adults in the primary care setting?

Accepted Answer

Patient Health Questionnaire-9 (PHQ-9)

Answer

Hamilton Depression Rating Scale (HAM-D)

Answer

Montgomery-Åsberg Depression Rating Scale (MADRS)

Answer

Geriatric Depression Scale-15 (GDS-15) only

Question 2

The USPSTF recommends one-time abdominal aortic aneurysm (AAA) screening with abdominal ultrasound for which specific population?

Accepted Answer

Men aged 65–75 who have ever smoked

Answer

All adults aged 65 and older

Answer

Women aged 65–75 who currently smoke

Answer

All adults with a family history of AAA

Question 3

What is the USPSTF's current stance on routine cognitive impairment screening in older adults who have no signs or symptoms of cognitive decline?

Accepted Answer

The current evidence is insufficient to recommend for or against routine screening

Answer

Screen all adults annually starting at age 65 using the MMSE

Answer

Screen every 3 years using the Montreal Cognitive Assessment (MoCA)

Answer

Screening is not recommended because treatment does not alter outcomes

Question 4

Which herpes zoster vaccine is preferred by ACIP for adults aged 50 and older, and what is the recommended schedule?

Accepted Answer

Shingrix (recombinant subunit) — two doses given 2–6 months apart

Answer

Zostavax (live attenuated) — one dose

Answer

Shingrix — one dose annually

Answer

Either vaccine — single dose based on patient preference

Question 5

Regarding PSA-based prostate cancer screening, which statement best reflects USPSTF guidance for men aged 55–69 years?

Accepted Answer

PSA screening should be offered based on individualized decision-making after discussing benefits and harms

Answer

Annual PSA testing is recommended for all men in this age group

Answer

PSA screening is not recommended because harms clearly outweigh benefits

Answer

PSA testing is recommended only for men with a family history of prostate cancer

Question 6

According to USPSTF, when is it appropriate to discontinue cervical cancer screening in women aged 65 and older?

Accepted Answer

When adequate prior screening shows no high-grade precancerous lesions and the patient is not at high risk

Answer

At exactly age 65 regardless of prior screening history

Answer

After three consecutive negative annual Pap smears

Answer

Only after total hysterectomy including cervix removal

Question 7

The AUDIT-C is a three-question validated tool used in primary care to screen for which condition?

Accepted Answer

Unhealthy alcohol use

Answer

Cognitive impairment

Answer

Depression and anxiety

Answer

Functional decline and frailty