Physical Exam of the Older Adult
Über den Vortrag
Der Vortrag „Physical Exam of the Older Adult“ von Kimberly Posey, AGPCNP-BC, DNP, PhD, GS-C ist Bestandteil des Kurses „Comprehensive Geriatric Assessment (release in progress)“.
Quiz zum Vortrag
What is the correct technique for bracing when using an otoscope to examine the ear canal?
- Hold the patient's head while inserting the scope to prevent injury if the patient moves
- Pull the ear up and back without head stabilization
- Place otoscope first then adjust patient position
- Hold otoscope with both hands for stability
- Ask patient to remain completely still
In elderly patients with fair skin and light eyes, which area requires careful examination for skin cancer?
- All sun-exposed areas, including the scalp and behind the ears
- Only the face and hands
- Just the forearms
- The trunk area exclusively
- The lower extremities only
Which combination of movements tests facial nerve function during examination?
- Raising eyebrows, frowning, puffing cheeks, and smiling
- Sticking out tongue and moving side to side only
- Opening mouth and saying "ah" only
- Moving neck side to side
- Shrugging shoulders
What finding during fundoscopic examination would be particularly relevant for a patient with hypertension?
- AV nicking
- Papilledema
- Red reflex
- Corneal opacity
- Lens displacement
Which maneuver assesses shoulder muscle strength?
- Having patient hold arms out and resist downward pressure
- Testing grip strength only
- Having patient walk heel-to-toe
- Checking reflexes
- Testing range of motion only
What normal age-related skin change is commonly seen in elderly patients?
- Thinning of the skin with loss of subcutaneous fat
- Increased melanin production
- Thickening of the dermis
- Enhanced wound healing
- Increased oil production
What is the correct technique for auscultating heart sounds in female patients?
- Ask patient to hold breast tissue up to access proper auscultation points
- Listen over clothing for modesty
- Skip the mitral area in females
- Only use the bell of the stethoscope
- Stand behind the patient
What is the correct approach to maintain privacy during physical examination of elderly patients?
- Explain the examination steps and obtain consent while ensuring proper draping
- Complete the exam quickly without explanation
- Examine over clothing only
- Skip sensitive areas
- Have family member present always
Which test assesses coordination by having the patient alternate between touching their nose and the examiner's finger?
- Finger-to-nose test
- Romberg test
- Straight leg raise
- Babinski test
- Patrick's test
When assessing neck range of motion in elderly patients, what should be evaluated?
- Rotation, lateral flexion, and flexion/extension while monitoring for dizziness
- Only rotation to one side
- Rapid head movements
- Extension only
- Flexion only
What is the correct technique for using a stethoscope during a physical examination?
- Place the stethoscope directly on skin without fabric interference
- Listen over light clothing only
- Use only the diaphragm side of the stethoscope
- Use only the bell side of the stethoscope
- Keep the stethoscope cold for better sounds
How should you assess for tremors in an elderly patient?
- Have the patient hold their arms outstretched with fingers spread
- Ask the patient if they notice shaking
- Check for tremors only when walking
- Test for tremors only during sleep
- Assess for tremors only during eating
What environmental consideration is important when examining elderly patients?
- Well-lit room with adjustable examination table height
- Dim lighting for comfort
- Cold temperature to stay alert
- Music playing for relaxation
- Standing position only
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Dozent des Vortrages Physical Exam of the Older Adult
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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