Which of these clinical vignettes are not part of the Fried frailty paradigms?- Nurselytic

Question 1 of 5

Which of these clinical vignettes are not part of the Fried frailty paradigms?

A. Mrs. P has a caregiver comb her hair now because of inability to hold her arm up long enough to brush it herself. B. Mr. J has just been diagnosed with congestive heart failure after a recent admission to the hospital for a myocardial infarction. C. Mr. K has been losing weight for the last year despite family support of bringing food and negative workup for a more insidious cause. D. Mrs. T tells you she spends the majority of her time in her chair and only walks to the bathroom now because she gets too fatigued for minor home care tasks.

Correct Answer: B

Rationale: The Fried frailty criteria do not involve recent diagnoses like congestive heart failure but focus on physical symptoms like weight loss and fatigue.

Question 2 of 5

Key neurotransmitter-based therapeutic strategies for PD include all the following except:

A. Increase glutamatergic stimulation B. Decrease cholinergic stimulation C. Increase dopaminergic stimulation D. Decrease glutamatergic stimulation

Correct Answer: A

Rationale: PD treatment aims to increase dopaminergic activity and reduce cholinergic activity, not increase glutamatergic stimulation.

Question 3 of 5

Since passage of the ACA in 2010, the following are true about payments changes except:

A. Beneficiaries no longer have cost sharing for preventive services B. Providers in Medicare Advantage will be paid higher fees C. The coverage gap known as the donut hole in Part D will be reduced over time D. Hospitals have incentives to prevent readmission and coordinate care more effectively

Correct Answer: B

Rationale: Medicare Advantage providers are paid lower fees compared to traditional Medicare.

Question 4 of 5

The client with iron deficiency anemia should be advised to take the iron supplement:

A. With milk to avoid stomach upset B. With milk of magnesia at bedtime to avoid constipation C. On an empty stomach between meals D. For 30 days to 5 weeks

Correct Answer: C

Rationale: Iron is best absorbed on an empty stomach for optimal effectiveness.

Question 5 of 5

A 79-year-old woman with a 1.5-cm breast cancer underwent lumpectomy. Pathology revealed ductal carcinoma that is hormone receptor negative (estrogen receptor 0%, progesterone receptor 1%) and HER2/neu negative. Surgical margins were adequate and uninvolved with cancer. Sentinel lymph node sampling was negative for lymph node involvement. She has good performance status and no activities of daily living (ADL) or instrumental (IADL) dependencies. What treatment would you recommend?

A. Adjuvant chemotherapy B. Adjuvant chemotherapy with radiation C. Adjuvant radiation only D. Hormonal therapy only

Correct Answer: E

Rationale: No further treatment is necessary given the patient's good prognosis and lack of lymph node involvement or metastasis.

Nurselytic

ATI RN

ATI RN

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