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This contagious disease causes fever, headache, stiff neck, photophobia, nausea, vomiting, and altered mental status. What immunization prevents this?
- A. Meningococcal vaccine
- B. Pneumococcal vaccine
- C. Measles, Mumps, and Rubella (MMR) vaccine
- D. Varicella vaccine
Correct Answer: A
Rationale: The meningococcal vaccine prevents infections that cause meningitis.
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Which of the following is NOT a safety issue commonly faced by older adults?
- A. Falls
- B. Medication safety
- C. Cognitive impairment
- D. Increased physical activity
Correct Answer: D
Rationale: Older adults face safety issues related to falls, medication safety, and cognitive impairment, but increased physical activity is generally a benefit.
An elderly male with benign prostate hyperplasia (BPH) should be advised to avoid antihistamines. What is the reason for this?
- A. Urinary incontinence
- B. Constipation
- C. Orthostatic hypotension
- D. Urinary retention
Correct Answer: D
Rationale: Antihistamines can cause urinary retention, worsening BPH symptoms.
All of the statements about Medicaid are true except:
- A. Medicaid is jointly funded by federal and state governments.
- B. Medicaid provides coverage for low-income people of all ages.
- C. The coverage provided under Medicaid is the same in every state.
- D. Long-term care for elderly and disabled people accounts for the largest proportion of Medicaid spending.
Correct Answer: C
Rationale: Medicaid coverage varies by state and is not the same in every state.
Risk factors for elder mistreatment include all except:
- A. Physical disability of patient
- B. Dementia of patient
- C. Caregiver burden
- D. Substance abuse of caregiver
Correct Answer: E
Rationale: Financial independence of the caregiver is not a recognized risk factor for elder mistreatment.
A patient arrives at the clinic appearing disheveled, with a flat affect and difficulty maintaining eye contact. Based on the general appearance assessment, which of the following conclusions might you draw?
- A. The patient is likely experiencing a physical illness.
- B. The patient may be suffering from a mental health issue.
- C. The patient is well-adjusted and healthy.
- D. The patient is simply tired.
Correct Answer: B
Rationale: A flat affect and difficulty maintaining eye contact are commonly associated with mental health issues, such as depression.