Physical Exam of the Older Adult: History Taking with a Female Patient
Über den Vortrag
Der Vortrag „Physical Exam of the Older Adult: History Taking with a Female Patient“ von Kimberly Posey, AGPCNP-BC, DNP, PhD, GS-C ist Bestandteil des Kurses „Comprehensive Geriatric Assessment (release in progress)“.
Quiz zum Vortrag
Which of the following is the most appropriate first step when introducing a medical student to a patient during a clinical encounter?
- Ask for the patient's permission before the student enters the room
- Begin the examination with the student already present
- Have the student introduce themselves without provider presence
- Wait until midway through the visit to mention the student's presence
- Allow the student to observe without informing the patient
A 65-year-old female presents to the emergency department during an acute cardiac event. Which symptom is she LEAST likely to report as her primary complaint?
- Crushing central chest pain
- Jaw tightness
- Arm pain
- Lightheadedness
- Generalized fatigue
Which screening test would be most appropriate to order for a healthy 70-year-old woman who has never had bone density testing?
- DEXA scan
- Mammogram
- Colonoscopy
- Chest X-ray
- CBC with differential
During an assessment of mobility and fall risk, which of the following findings would most likely indicate increased fall risk?
- The patient has an abnormal Timed Up and Go (TUG) test.
- The patient reports walking their dog for 30 minutes daily without issues.
- The patient denies any history of falls or balance problems.
- The patient displays symmetrical stride length and arm swing.
- The patient performs a single-leg stand for 15 seconds without difficulty.
When conducting a review of systems for a new patient, which sequence is most appropriate?
- Head-to-toe systematic approach starting with general symptoms
- Random organ system review based on patient's interests
- Focus only on systems related to chief complaint
- Skip systems that seem normal based on observation
- Allow patient to guide the sequence of review
Which question best assesses an elderly patient's functional independence?
- How do you manage your medications and bill payments?
- Do you have any health problems?
- What is your current address?
- Have you ever had surgery?
- Do you take any medications?
Which of the following is NOT considered a core component of the comprehensive medical history?
- Patient's favorite leisure activities
- Past surgical procedures
- Current medications
- Family history
- Social history
What is the most effective approach when applying a systematic review of systems (ROS) methodology during a new patient encounter?
- Ask a series of structured questions about each system, regardless of the patient's complaints.
- Focus only on systems related to the chief complaint to save time.
- Use an open-ended format, allowing the patient to discuss symptoms as they arise.
- Begin with the gastrointestinal system and proceed in a top-to-bottom order.
- Combine the ROS with the physical examination to identify abnormalities.
Which aspect of the social history is most important to assess for a retired patient living alone?
- Support system and social engagement
- Previous occupation details
- Religious preferences
- Educational background
- Childhood experiences
When reviewing medications with a new patient, which approach is most appropriate?
- Ask about all prescriptions, over-the-counter medications, and supplements
- Focus only on prescription medications
- Review only medications related to chronic conditions
- Ask about medications only if patient reports problems
- Check electronic health record without patient confirmation
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Dozent des Vortrages Physical Exam of the Older Adult: History Taking with a Female Patient
Kimberly Posey, AGPCNP-BC, DNP, PhD, GS-C
Dr. Kim Posey is the Director of Graduate Nursing and an Associate Professor of Professional Practice at Texas Christian University.
She has achieved dual doctoral status, holding both a Ph.D. and a DNP in nursing. She is dual certified as an Advanced Adult Nurse Practitioner and Gerontological Nurse Practitioner and holds a certification in nursing education. As a Gerontological Specialist certified by the Gerontology Nursing Certification Commission she is recognized as an APRN who possesses expert knowledge, experience, and skill in managing the complex health needs of older adults. In addition to this impressive educational background, she maintains active clinical practice with adult and geriatrics patients in the primary care area.
At Lecturio, Dr. Posey teaches Gerontology for the advanced practice nurse.
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