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Which of the following statements about community-based services is true?
- A. Senior centers may be used only by low-income older adults.
- B. Funding for Meals on Wheels is solely from local sources.
- C. Area Agencies on Aging usually do not provide services directly to older adults.
- D. The majority of the Administration on Aging budget goes to nutrition programs and community-based supportive services.
Correct Answer: D
Rationale: The majority of the budget for Area Agencies on Aging goes to nutrition and supportive services for older adults.
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During an abdominal examination, the NP percusses the bulging area of the abdomen. Which sounds suggest the presence?
- A. Tympanic
- B. Dullness
- C. Hyperresonant sounds
- D. Normal resonance
Correct Answer: B
Rationale: Dullness suggests the presence of fluid or a solid mass in the abdomen, indicating conditions like ascites or tumors.
When fluid accumulates between the visceral and parietal pleural spaces, the term used is:
- A. Pericardial effusion
- B. Pleural effusion
- C. Pleural empyema
- D. None of the above
Correct Answer: B
Rationale: Pleural effusion occurs when fluid collects in the pleural space.
Chronic bloody diarrhea could be suggestive of:
- A. Irritable bowel syndrome
- B. Crohn’s disease
- C. Hepatitis A
- D. Celiac disease
Correct Answer: B
Rationale: Chronic bloody diarrhea is common in inflammatory bowel diseases like Crohn’s disease.
Which of the following is the most appropriate description of “personhood” as it relates to people with dementia?
- A. Personhood is a universal concept that is defined the same way in all cultures.
- B. The ability to relate to others as people, rather than preserving cognitive independence, is an important aspect of “personhood.”
- C. The ability to recognize family members by name is an important aspect of “personhood.”
- D. A deterioration in cognitive function demonstrates the decreasing value of older adults in society.
Correct Answer: B
Rationale: Personhood focuses on maintaining human connections, even when cognitive decline occurs.
A characteristic lesion observed in a male with primary syphilis is a:
- A. Group of small scattered vesicles
- B. Chancre
- C. Papule of many shapes
- D. Non-tender penile indurated nodule
Correct Answer: B
Rationale: A chancre is the hallmark of primary syphilis, typically appearing as a painless, solitary lesion.