Exam (elaborations)
NR 601 Final combined A+ Marking Scheme .
- Institution
- EXIT V1 Complete Questions And Answers.
NR 601 Final combined A+ Marking Scheme .
[Show more]
Seller
Follow
Content preview
NR 601 Final combined A+ MarkingScheme
_________ is an acute onset of memory deficit, disorientation, attention issues with
fluctuation in status based on situation and IS reversible - ANS-delirium
__________ is insidious in onset with progressive decline in cognition - ANS-dementia
What is the Mini-Cog? - ANS-a routine screening tool that test pt's executive function,
ability to plan, manage time, organize activities, manage working memory
what are the parts of the mini cog - ANS-3 word recall and draw a clock
what are the total points of the mini cog test and what does the score mean - ANS-out
of 5 ; less than 4 - screen further, les than 3 - suspicious for dementia
symptoms in delirium (11) - ANS-acute mental change
fluctuating
attention issue
memory issue
orientation issue
perceptual issues
though issue
sleep issue
consciousness issue
speech issue
psychomotor issue
potential contributing factors to delirium development - ANS-medications, alcohol,
infxn, hypoxia, surgery, sleep disturbances
what particular medication class is strongly associated with delirium in older adults -
ANS-anticholinergics
why are antihistamines like benadryl and hydroxyzine not recommended for older adults
,- ANS-anticholinergic activity - promotes delirium
labs that should be checked in patient with delirium (7) - ANS-UA
Creatinine
sodium
potassium
calcium
glucose
CBC
sedative agent considered okay to use in patient with delirium while being treated -
ANS-haloperidol (or ativan if alcohol related)
opiates to avoid in older adults due to delirium concerns - ANS-tramadol
meperidine / demerol
codeine
sleep aid safe for older adults (less concern for delirium) - ANS-trazadone
what are the biomarkers associated with neurocognitive disorder (5) - ANS-amyloid beta
42
phosphorylated / total tau
APOE4
Brain derived neurotrophic factor
ubiquitin
what tool is used to detect delirium reliably in under 5 minutes ? - ANS-CAM / confusion
assessment model
What is the Confusion Assessment Method (CAM)? - ANS--Standardized assessment
tool used to quickly identify delirium in a hospitalized patient
what is on the CAM - ANS-squeeze hand when letter A is said, disorganized thinking
questions, hold up fingers
what is mild cognitive impairment - ANS-patient or family may report decline in memory
or other cognition but function is preserved.
types of MCI - ANS-amnestic and dysexecutive
, what is amnestic MCI - ANS-primarily relating to memory
what is dysexecutive cognitive impairment - ANS-emotional, motivational, behavioral
symptoms
type of MCI that more often progresses to alzheimers / dementiaa - ANS-amnestic
what is the clinical dementia rating CDR scale / what do scores mean - ANS-rating
device that rates based on memory, orientation, judgement, problem solving, etc. score
is 0 to 3, 0 being no dementia 3 being severe impairment
what is the mini mental state exam MMSE - ANS-a screening tool used to monitor
changes in cognition
11 questions / includes orientation, registration, calculation, etc.
max score is 30 with < 23 being indicative of cognitive decline
mild dementia CDR score / MMSE score - ANS-MMSE 20 to 26
CDR 1
moderate dementia CDR score and MMSE score - ANS-CDR 2
MMSE 12 to 19
severe dementia CDR and MMSE scores - ANS-CDR 3
MMSE <12
forgetting key events, repeat questioning, misplacing objects, issues with bill pay are
associated with what level of dementia - ANS-mild
loss of communication, sleep dysregulation, loss of motor fxn, weight loss, mobility loss
are associated with what stage of dementia - ANS-severe
issues with reading and writing, communication change, irritation and irritability,
impulsivity are associated with which stage of dementia - ANS-moderate
what is anosognosia - ANS-Patient does not recognize the presence or severity of his
illness
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller denicetho. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £7.16. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67866 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy revision notes and other study material for 14 years now