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21) Which of the following may cause constipation in the elderly? A) Malignancy B) Poor diet C) Antihistamines D) All of the above 22) Which of the following does NOT contribute to poor nutrition in the elderly? A) Living in congregate care facilities B) COPD C) Depression D) Medication side effects 23) Which of the following is NOT true of cardiac dysrhythmias in the elderly? A) Dysrhythmia may be the only clinical manifestation of an AMI. B) Premature ventricular complexes are the most common dysrhythmias. C) Dysrhythmia may be the underlying cause of a motor vehicle collision. D) Dysrhythmia may cause a syncopal episode. 24) Which of the following is NOT a significant mental health disorder in the elderly? A) Affective disorders B) Drug abuse C) Borderline personality disorder D) Suicide 25) Which of the following statements is TRUE of falls in the elderly? A) Falls in the elderly are not preventable. B) Falls are the leading cause of accidental death in the elderly. C) The elderly have the highest incidence of falls. D) All of the above are true. 26) Which of the following is recommended for improving communication with elderly patients who have age-related changes in sensation? A) Turn on lights in the room if it is too dimly lit. B) Stand 4 to 6 feet away from patients who are farsighted. C) Cup your hands around the ears of the hearing-impaired patients and speak into your cupped hands. D) Stand to one side of visually impaired patients to use their ability to hear. 27) Which of the following is related to a higher mortality due to burns in elderly patients? A) Increase in complications due to comorbid factor B) Thinner skin leading to deeper tissue destruction C) Greater risk of infection than in younger patients D) All of the above 28) Which of the following contribute to malnutrition in the elderly? 1. alcohol abuse 2.  breathing problems 3. Low income 4. Anorexia 5. Decreased senses of taste and smell A) 1, 2, 4, and 5 B) 1, 3, 4, and 5 C) 1, 2, 3, 4, and 5 D) 2, 3, and 5 29) The elderly patient in shock may be less likely to exhibit which of the following expected manifestations of shock? A) Altered mental status B) Cardiac dysrhythmias C) Hypothermia D) Tachycardia 30) Which of the following does NOT complicate history-taking in the elderly patient? A) The patient has impaired pain perception. B) The patient may be reluctant to give you important details. C) The patient reports multiple, vague complaints. D) A family member gives you information the patient failed to report.

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