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Which of the following represents age-related physiological changes in vision?

An 85-year-old woman has experienced two falls in the past month. She is at your office today for her regularly scheduled psychotherapy session. She lives in her own home, and although she is independent in caring for herself, she has an adult daughter who lives nearby and checks on her frequently. She says that neither fall resulted in injury, and this assessment is confirmed by her daughter, who brought her mother in for today’s appointment. The patient is a pleasant, well-groomed woman who attributes these events to slipping on a loose throw rug on one occasion and rushing to answer the phone and losing her balance on the other. She has full recollection of the events surrounding these falls. Her medical history is remarkable only for hypertension, for which she has taken enalapril 5 mg/day for many years. On examination she is in no distress. Her blood pressure is 130/80 and no orthostatic changes are noted. The rest of her examination is relatively unremarkable, but when you ask her to get out of the chair to assess mobility and balance, you notice that she braces herself on the arms of the chair, and it takes more than 30 seconds for her to rise from the chair, walk 10 feet, turn around, return, and be seated. Her daughter asks, “Are there any interventions that might be helpful in decreasing the risk of future falls?” Which of the following is most appropriate with regard to fall prevention for this particular patient?

What hematologic change is associated with lithium treatment?

You are asked to see a 75-year-old man with a known diagnosis of Alzheimer’s disease. The patient has lived in a nursing facility for many years, and staff note that the patient is agitated, intermittently confused, and combative over the course of the night. Nursing notes indicate that this is new behavior for the patient, and staff have never known him to be violent in the past. Which of the following is the most likely underlying diagnosis?

In assessing a patient’s function and change of function, what are the most important parameters to assess?

Dose adjustments in psychiatric medications should be made in the elderly for many reasons, including which of the following?

What is the best approach to treatment of generalized anxiety disorder (GAD) in older adults?

Aging may be protective from anxiety, and some reports have noted a decline in the propensity for negative affect from adulthood to “early” elderly years. What is one of the likely explanations for the protective effect of aging?

Which of the following coping strategies is more likely to be used by resilient individuals?

35. A 77 y.o. client is admitted to the ER with pneumonia.  The client has a productive cough with green phlegm. Dyspnea and bilateral diminished breath sounds are noted. Client reports shortness of breath and chills. Client is agitated but oriented to person, time, place, and situation.  Vital signs: temperature 102.2° F (39° C), pulse 82 beats/minute and regular, respirations 28 breaths/minute and labored, BP 138/88 mmHg, oxygen saturation 91% on 3 L oxygen via nasal cannula. Which findings indicates this client is experiencing impaired oxygenation? Select all that apply