Even though older adults are less likely to get counseled for smoking cessation, they have which one of the following?

Correct Answer: C

Rationale: The correct answer is C: Approximately 25% better quit rates than younger individuals. Older adults tend to have higher quit rates compared to younger individuals due to factors like increased motivation, life experience, and health concerns. Older adults often have more resources and support systems in place to help them quit smoking successfully. Choice A is incorrect because older adults do not necessarily have the same quit rates as younger individuals. Choice B is also incorrect as the difference in quit rates is not as high as 50%. Choice D is incorrect as older adults do not generally have much lower quit rates than younger individuals.

Correct Answer: E

Rationale: I believe you made a typo in listing the correct answer as "E" while there is no "E" option in the choices provided. Could you please confirm the correct answer choice so I can provide you with a detailed explanation and summary of why the correct answer is correct and why the other choices are incorrect?

Correct Answer: C

Rationale: Correct Answer: C - Suggesting completion of an advance directive at the visit with his goals of care in mind. Rationale: 1. Age and health concerns: At 81 years old with weight loss, fatigue, and a history of falls, addressing end-of-life planning becomes crucial. 2. Advance Directive: Helps the patient make decisions about the care they want if they become unable to communicate their wishes. 3. Goals of care: Understanding his wishes ensures healthcare decisions align with his values, enhancing patient autonomy and quality of care. Summary: - A: Blood pressure is important but not the priority compared to end-of-life planning. - B: Cognitive testing is valuable, but addressing care preferences takes precedence. - D: Colonoscopy report is not urgent compared to ensuring the patient's wishes are known for future care.

Correct Answer: C

Rationale: The correct answer is C: Start a high-calorie supplement twice a day. After an acute ischemic stroke, nutritional support is crucial for recovery and prevention of complications. Malnutrition is common post-stroke due to swallowing difficulties and decreased appetite. High-calorie supplements can help meet the patient's nutritional needs. Choice A (escitalopram) is a selective serotonin reuptake inhibitor used for depression and anxiety, which may not be the immediate priority in this case. Choice B (eszopiclone) is a nonbenzodiazepine hypnotic used for insomnia, which is not directly related to managing the patient's stroke. Choice D (changing the time of physical therapy) may be beneficial, but ensuring adequate nutrition is more critical in the acute phase of stroke recovery.

Correct Answer: A

Rationale: Step 1: The rule of fourths states that one-fourth of geriatric problems are iatrogenic, meaning they are caused by medical treatment. Step 2: This statement is true because iatrogenic problems in the elderly are common due to multiple medications, procedures, etc. Step 3: A careful assessment can indeed identify iatrogenic issues, making this statement accurate. Summary: A is correct because it aligns with the concept of iatrogenic problems in the elderly. B is incorrect because interventions can help prevent many problems of aging. C is incorrect as it does not specifically address iatrogenic problems. D is incorrect as it does not focus on the iatrogenic aspect of geriatric problems.