Chapter 17: Care of the Frail Older Adult

1. What is the main cause of frailty?

  1. being old
  2. inability to maintain homeostasis
  3. multiple disease processes
  4. repeated infections

Answer: C

2. What are the two most common indicators of frailty?

  1. weight loss and muscle loss
  2. pain and loss of mobility
  3. falling and high blood pressure
  4. poor memory and low mood

Answer: A

3. Which of these is NOT in the frailty pathway?

  1. reduced functional reserve
  2. poor nutrition and hydration
  3. trigger events such a falls
  4. chest pain

Answer: D

4. Which of these are NOT common frailty syndromes?

  1. sudden collapse
  2. weight gain
  3. polypharmacy
  4. deterioration in continence

Answer: B

5. Which of these groups of assessments are NOT part of the Comprehensive Geriatric Assessment?

  1. review of medication
  2. assessment of mobility
  3. driving assessment
  4. financial assessment

Answer: C

6. Which of these are measures of function and movement used for frailty?

  1. TUG test
  2. SOFI scale
  3. QUALID tool
  4. MMSE test

Answer: A

7. Which of these is NOT a positive treatment option for the person who is frail?

  1. discussion about quality of life
  2. providing dignity and comfort
  3. management of symptoms
  4. invasive investigations

Answer: D

8. What frequency of activity does World Health Organization advise to improve body strength, endurance and balance?

  1. three times a week for 30–45 minutes
  2. five times a week for 15–20 minutes
  3. four times a week for 20–30 minutes
  4. three times a week for 15–20 minutes

Answer: A

9. What is polypharmacy in frail older people?

  1. too far to travel to the pharmacy
  2. multiple medications associated with complex co morbidity
  3. reducing medication use
  4. falling as a side effect of medication

Answer: B

10. What percentage of people 70 years and older will experience disability in activities of
living while in hospital?

  1. 50%
  2. 40%
  3. 20%
  4. 30%

Answer: D