Which one of the following is most true about the staffing of a typical nursing 

home?

CNAs provide most of the direct patient care.

Subtypes of elder mistreatment include:

Psychological mistreatment, Physical mistreatment, Sexual mistreatment, Financial 

exploitation. ALL OF THESE

Risk factors for elder mistreatment include all except:

Financial independence of the caregiver

Barriers to detecting elder mistreatment include all except:

The tendency for many older adults to falsely claim they are being abuse

An 86-year-old female comes to your office for a wellness visit. Her blood 

pressure is 125/70 mmHg, pulse 69 beats per min, and respiratory rate 18 breaths 

per min. She is well appearing and reports she is up to date on her routine 

vaccinations. She introduces her partner of 35 years whom she would like to make 

medical decisions for her in case she becomes unable to make decisions for herself. 

She reports that she and her partner are not married. She asks if she needs any 

further documentation to ensure her goals of care are followed. Which one of the 

following would be the most appropriate recommendation for this patient and her 

partner?

Advise them to file an advanced directive.

. An 81-year-old transgender female with history of depression and hyperlipidemia 

presents to your clinic for routine care. She endorses a history of smoking, 

currently smoking 1 pack per day, and occasionally drinks a glass of wine, 

although she denies illicit drug use. She reports she takes atorvastatin 20 mg and 

subcutaneous estrogen therapy.

Counseling on smoking cessation

An 84-year-old male with history of stroke without residual deficit, systolic heart 

failure, and type 2 diabetes presents to clinic for follow-up. He is independently 

living in a retirement community and still works part time on a golf course. He 

currently takes aspirin 81 mg, metoprolol tartrate 25 mg BID (twice a day), 

furosemide 20 mg BID, and lisinopril 10 mg daily. He reports his last colonoscopy 

was 8 years ago, with no abnormality. He reports he is sexually active with men 

and women, engaging in receptive oral, receptive anal, and penetrative sex. He 

states he has had over three sexual partners in the last year with intermittent 

condom use. What sexually transmitted infection testing should be offered?

Urine testing, blood testing, anal swab, and oropharyngeal swab

Which of the following is true about tolterodine?

It has greater risk of adverse effects with its twice-daily formulation.