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NRNP 6540 MIDTERM EXAM LATEST NRNP6540 MIDTERM EXAM QUESTIONS AND ANSWERS (VERIFIED ANSWERS)
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NRNP 6540 MIDTERM EXAM LATEST NRNP6540 MIDTERM EXAM QUESTIONS AND ANSWERS (VERIFIED ANSWERS)
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NRNP 6540 MIDTERM EXAM LATEST NRNP6540 MIDTERMEXAM QUESTIONS AND ANSWERS
(VERIFIED ANSWERS)
What 3 things do a comprehensive geriatric assessment do? - 1. Identifies care needs
2. Plans care
3. Improves outcomes
What is the most frequently used criteria for evaluating drug use? - The BEERS criteria,
the STOPP criteria and the START criteria
What are 9 biomarkers of nutritional deficiency? - 1. Prealbumin,
2. transferrin,
3. albumin,
4. chemistries,
5. cbc,
6. vitamin B12,
7. folate,
8. vitamin D and
9. thyroid panel
What bipolar disorder? What labs? What meds? - S and Sx: Euphoria or irritability,
depression, hypomania, rapid speech and irritability, can begin after 50, assess with
DIGFAST or SIGECAPS
Labs- cbc, cmp, tox screen, u/a, thyroid function, rpr
Meds: Mood stabilizers-lithium valproic acid, and the antipsychotics- quetiapine and
olanzapine
Depression symptoms? Labs? Tx? - SIGECAPS measures the disturbance in: Sleep
Interest
Guilt
Energy
Concentration
Appetite
Psychomotor slowing
Suicidal Ideation
Labs assist in causative factors
Tx-Beahvior stabilizer-Haldol, mood stabilizer- olanzapine, risperidone, quetiapine
, Dementia, Iabs and, Tx - A slowly progressive global cognitive decline- confusion,
disorientation
Labs: cbc, electrolytes, glucose, BUN, Cr. LFTs, TSH, folate, syphilis serology and UA,
Mini mental or MoCA
Tx- Cholinesterase inhibitors - donepezil, rivastigmine, galantamine or
Namenda
What is secondary prevention - Tasks directed towards detection of a disease or
adverse health condition in an asymptomatic individual who has risk factors
What is tertiary prevention - The management of existing conditions to prevent disability
and minimize complications to prevent disability for optimal function
What is the key to increasing geriatric physical activity - motivation
What is the nutrition screening tool for community dwelling older adults - Mini-Nutritional
Assessment (MNA)
What factors affect maintaining a healthy balanced diet in geriatrics? - 1. Chronic illness
and disability-related to ADLs like shopping and meal preparation,
2. Financial hardships-limit food choices
3. Prescribed medications-affects absorption of nutrients, sense of taste or appetite
4. Depression or social isolation
5. Obesity
What is a big influence of geriatric functionality and quality of life? - Injury prevention
What are important 6 areas of geriatric safety prevention - 1. Safe storage and removal
of firearms 2. Fall prevention
3. Wearing seatbelts
4. no drinking and driving
5. Having a working smoke detector
6. Keeping hot water set below 120 degrees
Periodic screening of gums and mouth can screen for what? - 1. Oral cancer
2. ill-fitting or poorly functioning dentures
3. Periodontal disease
4. Erosion of dentin
5. dependence on others for dental resources
What screening tools are covered by Medicare? - 1.HIV
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