Which of the following psychological treatments for complicated grief has been found to be more effective than other form of therapies?
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A 71-year-old woman comes to an outpatient geriatric clinic…
A 71-year-old woman comes to an outpatient geriatric clinic to establish primary care for herself. Her history includes diabetes mellitus, hypertension, and depression; she takes metformin, enalapril, and escitalopram to manage these conditions. For the past year she has required assistance with shopping and food preparation. Her daughter assists her with these tasks, does her housekeeping, and also helps her mother get showered and dressed daily. Which one of the following aspects of the patient’s care would be considered an instrumental activity of daily living (IADL)?
Which of the following statements regarding suicide mortalit…
Which of the following statements regarding suicide mortality in the U.S. geriatric population is correct?
What is the best approach when trying to communicate with an…
What is the best approach when trying to communicate with an agitated person with dementia?
Which of the following represents age-related physiological…
Which of the following represents age-related physiological changes in vision?
An 85-year-old woman has experienced two falls in the past m…
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…
What hematologic change is associated with lithium treatment?
You are asked to see a 75-year-old man with a known diagnosi…
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, wh…
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 i…
Dose adjustments in psychiatric medications should be made in the elderly for many reasons, including which of the following?