Adult-Gerontology Clinical Nurse Specialist (CNS) Practice Exam

Common iatrogenic problems of older persons include all of the following EXCEPT:

1. Polypharmacy

2. Incontinence

3. High blood pressure

4. Bed rest

The correct answer is: High blood pressure

Iatrogenic problems refer to conditions or complications that are induced inadvertently by a healthcare provider or their interventions. In the context of older adults, these issues have critical implications due to the vulnerability of this population. Polypharmacy is a well-documented iatrogenic problem where patients, particularly older adults, are prescribed multiple medications, increasing the risk of adverse effects, drug interactions, and medication nonadherence. This is a prevalent issue among older individuals who often have multiple comorbidities requiring diverse medications. Incontinence can also be considered an iatrogenic problem, especially when it results from medications that affect bladder control or from prolonged immobility in a healthcare setting. It can significantly impact quality of life and is often exacerbated by medical interventions. Bed rest is another common issue among older adults that can lead to deconditioning, pressure ulcers, and other complications. Healthcare providers may prescribe prolonged bed rest for various medical conditions, leading to negative effects on overall health. High blood pressure, however, is a chronic condition that is often influenced by factors such as genetics, lifestyle, and existing medical problems. While management of high blood pressure may involve interventions that could unintentionally cause issues (for example, if treatments lead to hypotension), the condition itself