NSG 6420 Final Exam Study Guide

1. Over 90% of patients in long term care are older than 2. The young old 3. the middle old 4. Th old old 5. the elite old 6. the fastest growing subgroup?? 7. physical exam 8. Breast cancer ...

1. Over 90% of patients in long term care are older than 2. The young old 3. the middle old 4. Th old old 5. the elite old 6. the fastest growing subgroup?? 7. physical exam 8. Breast cancer 9. Cervical Cancer 10. Prostate (50 and older) 11. testicular cancer 12. Colorectal cancer (men and women) 13. Skin Cancer 14. oral cancer 15. Oral cancer 16. Bone density 17. Vision 18. Immunnizations 19. Genetic Theory 20. Immunity Theory 21. Cross linkage theory 22. free radical theory 23. KATZ 24. Stages of Alzheimer's: Stage 1 25.Stages of Alzheimer's Stage 2 26. Stages of Alzheimer's Stage 3 27. what can happen to dentures with aging 28. Older adults need an increased amount of what nutrients 29. Diminished senses can lead to what? 30. pre albumin 31. Albumin 32. total lymphocyte count 33. geriatric failure to thrive 34. maintaining appropriate levels of physical activity can decrease what? 35. Relocation syndrome 36. Home modifications that can help prevent falls 37. presbyopia 38. what are some things to be aware of with a decrease in the sense of touch 39. what are some common drugs older adults take OTC 40. age related changes that can potentially affect absorption of drugs orally 41. Age related changes that affect drug distribution 42. older adult changes in drug metabolism 43. excretion of drugs as it related to aging 44. normal creatinine clearance for men and women 45. Common adverse drug effects on the elderly 46. when preforming a medication assessment of an older adult what are some drugs the nurse should ask if the pt is taking 47. BEERS 48. depression and the older adult 49. what are some signs of depression the the older adult 50. drugs for depression 51. without TX what can depression result in 52. dementia 53. dementia 54. delirium 55. some of the factors that can cause delirium 56. how often should the older adult be in the sun 57. how much calcium should the older adult have 58. Baby boomers 59. what are some psychosocial concerns for the older adult 60. functional aging 61. Normal physical changes of older adults: General status 62. Normal physical changes of older adults: integument 63. Normal physical changes of older adults: musculoskeletal 64. Normal physical changes of older adults: neurologic 65. Normal physical changes of older adults: cardiopulmonary 66. Normal physical changes of older adults: Genitourinary 67. risk factors for alzheimer's 68. Spices Framwork 69. seborrheic keratosis 70. seborrheic dematitis 71. cherry anginoma 72. actinic lentigines 73. actinic purpura 74. bruising 75. arcus senilis 76. blepharitis 77. what are some interventions to promote sleep 78. stress incontinence 79. urge incontinence 80. overflow incontinence 81.Mixed incontinence 82. functional urinary incontinence 83. factors contributing to urinary incontinence 84. Interventions for incontinence 85. describe some sleep changes in the older adult 86. things to be aware of when implementing pain interventions and the elderly 87. Iron deficiency anemai 88. ACD 89. ACD 90. GINA Bill 91. Physiological changes of aging 92. X-linked Dominant 93. Autosomal Recessive 94. Dysmorphology 95. First Step for family genome assessment? 96. Health History includes? 97. Biotransformation(metabolism) 98. First symptoms of HIV? 99. Cardiovascular risk factors 100. Blood sugar screening 101. S1 102. S2 103. S3 104. S4 105. Posterior drawer test 106. Systolic Murmurs 107. 108. Murmur Red Flags 109. Signs of Aortic Stenosis 110. mitral valve prolapse (MVP) 111. Most common oral precancerous lesion? 112. Frozen Shoulder (Adhesive Capsulitis) 113. MVP sxs 114. Moderate-intensity statin therapy 115. Moderate to high intensity statin therapy 116. Most accurate diagnosis for pancreatitis? 117. When is Niacin used? 118. Grave's disease 119. H. pylori gastritis: treatment 120. Anterior Drawer Test 121. Presbycusis 122. How often do you check PSA levels? 123. Tinea Capitis Treatment 124. Keratitis 125. Bacterial conjunctivits 126. Allergic conjunctivitis 127. Viral conjunctivitis 128. Amaurosis fugax 129. Most common cause of eye redness? 130. Warnings for eye redness 131. clinical manifestations of UTI 132. Isolated Systolic HTN in elderly 133. Screen for lipids 134. Mitral Stenosis 135. Hypertensive reinopathy 136. Diabetic reinopathy 137. cerumen impaction 138. Atopic disorders mediated by IgE with a histamine response. Histamine response is: 139. CURB 65 140. Which findings are not considered normal age related? 141. Common skin cancer found on the nose? 142. Centor criteria for GABHS bacterial pharyngitis 143. What are the signs and symptoms of Impingement syndrome? 144. Ischemic Heart Disease 145. Chronic stable angina 146. Prinzmetal angina 147. Unstable Angina 148. Nephrolithiasis 149. pyelonephritis 150. Gross hematuria + flank pain + palpable mass 151. BPH 152. Proteinuria 153. stress urinary incontinence (SUI) 154. #1 compliant of OA? 155. 20yo female with pain, tenderness, decrease ROM at neck, shoulder, and medial knee: 156. Ligament injury, "give-away", "pop" 157. De Quervain's tendonistis 158. Osteoarthritis 159. Differential diagnosis for knee pain? 160. Ottawa ankle rules (5 things) 161. Systemic Lupus Erythematosus (SLE) 162. Rotator Cuff Muscles (shoulder joint stabilizer) 163. subacromial bursitis 164. back pain: red flags 165. Subarachnoid hemorrhage (SAH) 166. First line of therapy for acute gout? 167. Migraine Headache 168. tension headache 169. Phenytoin (Dilantin) 170. Dementia Symptoms 171. Subdural hematoma in elderly 172. DPP-4 inhibitor 173. MOA of metformin. 174. GLP-1 agonists MOA 175. Thiazolidinediones 176. Sulfonylureas 177. Pancreatitis 178. Pleurisy 179. Left upper quadrant pain 180. Right upper quadrant pain 181. Hypersplenism 182. Cellulitis 183. Actinic keratoses 184. Basal Cell Carcinoma 185. Squamous Cell Carcinoma 186. Vitiligo 187. Major signs of melanoma 188. A group of furuncles? 189. Type 2 Diabetes 190. Men have faster and more efficient biotransformation of drugs and this is thought to be due to: 191. The major impact of the physiological changes that occur with aging is : 192. The cytochrome p system involves enzymes that are generally Inhibited by drugs : 193. Functional abilities are best assessed by : 194. Iron Deficiency Anemia (IDA) is classified as a microcytic, hypochromic anemia. This classification refers to which of the following laboratory data? 195. When interpreting laboratory data, you would expect to see the following in a patient with Anemia of Chronic Disease (ACD) : 196. The pathophysiological hallmark of ACD is: 197. The main focus of treatment of patients with ACD is: 198. In addition to the complete blood count (CBC) with differential, which of the following laboratory tests is considered to be most useful in diagnosing ACD and IDA? 199. Symptoms in the initial human immunodeficiency virus (HIV) infection include all of the following except: 200. Essential parts of a health history include all of the following except: 201. Which of the following clinical reasoning tools is defined as evidence-based resource based on mathematical modeling to express the likelihood of a condition in select situations, settings, and/or patients? 202. The first step in the genomic assessment of a patient is obtaining information regarding: 203. In autosomal recessive (AR) disorders, individuals need: 204. In AR disorders, carriers have: 205. A woman with an X-linked dominant disorder will: 206. According to the Genetic Information Nondiscrimination Act (GINA): 207. Which of the following would be considered a “red flag” that requires more investigation in a patient assessment? 208. Your 2-year-old patient shows facial features, such as epicanthal folds, up-slanted palpebral fissures, single transverse palmar crease, and a low nasal bridge. These are referred to as: 209. In order to provide a comprehensive genetic history of a patient, the NP should: 210. Vestibular 211. Vestibular Function 212. Vestibular Dysfunction 213. 5 Anatomical Sites for Vestibular Lesions 214. Reasons for vestibular dysfunction 215. Dysequilibrium 216. Nystagmus 217. Oscillopsia 218. Presbystasis 219. ***Vertigo 220. OT Scope of Practice 221. Entry Level Practitioners MUST have: 222. Entry Level Practitioner Vestibular Rehab Interventions 223. Vestibular Disorders 224. Objective Diagnostic Vestibular testing 225. Peripheral Vestibular Disorders 226. Central Vestibular Disorder 227. Systemic Disorders 228. Physician Subspecialties 229. Common Signs of Vestibular Problem 230. Vestibular labyrinth is located within what portion of the skull? 231. The semicircular canals within our inner ear are filled with what substance? 232. Peripheral Vestibular System 233. The bony labyrinth is filled with what type of fluid? 234. The membranous labyrinth contains: 235. What is the job of the 3 semicircular canals? 236. What is the job of the 2 otolithic organs (Saccule and Utricle) 237. Inside the Otolithic Membrane = Macula (A receptor) 238. Semicircular Canals & Co-Pairs 239. Vestibulo-Ocular Reflex (VOR) is an eye mvmt made in response to mvmt of which body part? 240. *Peripheral Vestibular System feeds what part of the Central Vestibular System? 241. Somatosensory System feeds what part of the Central Vestibular? 242. *Visual/Oculomotor System feeds what part of the Central Vestibular System? 243. Gaze Stabilization 244. Gaze Stabilization is achieved by: 245. Central Oculomotor Skills that contribute to Gaze Stabilization: 246. Central damage 247. Peripheral Damage 248. Benign Paroxysmal Positional Vertigo (BBV) is a common disorder of the: 249. Common Disorders of the Peripheral Vestibular System: 250. Nausea/Vomiting 251. Neurological symptoms 252. Auditory Changes 253. Interventions for Disequilibrium 254. BPPV 255. Vestibular Neuritis 256. How to assess for BPPV: 257. Disorders of the Central Vestibular System 258. Ischemic Diseases 259. Progressive Disorders 260. Wallenberg's Syndrome 261. OT Evaluation Skills for Vestibular Rehab 262. OT Interventions for Vestibular Rehab 263. What interventions resolve BPPV, eliminate vertigo and restore functional independence? 264. Epley Maneuver 265. Brandt-Daroff Exercises 266. Contraindications to performing Dix-Hallpike Test 267. What are the steps in treating BPPV? 268. Dix-Hallpike (Assessment) 269. Intervention activities for Disequilibrium: 270. Examples of disequilibrium movement intervention activities: 271. Goal directed activities for disequilibrium 272. 3 Normal Balance Strategies 273. Balance Interventions 274. Vestibular Hypofunction 275. Interventions for vestibular hyopfunction 276. Goal for vestibular hypofunction interventions 277. Vestibular Hyperfunction 278. Interventions for vestibular hyperfunction: 279. Goal for vestibular hyperfunction 280. Activities for HYPOfunction 281. Activities for HYPERfunction 282. Interventions for Vestibular Ocular Dysfunction 283. Goal for vestibular ocular dysfunction 284. Visual-Vestibular Interaction Interventions 285. Sharp Purser Test 286. How to administer the Sharp Purser Test 287. Positive Sharp Purser Test 288. Negative Effects of Chronic Pain 289. Pain Perception 290. Pain Perception 291. What does OT address in pain perception? 292. What do OTS address for pain perception? 293. Nociceptive Pain 294. Nociceptive Pain 295. Neuropathic Pain 296. Neuropathic pain 297. Biopsychosocial Model of Pain 298. Biopsychosocial Model of Pain 299. Loeser and Fordyce Four Pain Domains 300. Evaluation of Pain 301. Theoretical Approaches to Pain Management - Behavioral 302. Methods for Pain Management - Behavioral 303. Methods for behavioral pain management 304. Operant Strategies for Pain Management 305. Cognitive Behavioral Strategies 306. Cognitive Behavioral Strategies 307. Volar plate contracture (PIP Flexion contracture) 308.Rupture of FDP 309. Nonfixed position OT treatment 310. Fixed position OT treatment 311. What is swan neck deformity characterized by? 312. Rehab Protocol for Tendon Repair 313. Three types of Extensor Tendon Protocols 314. Three types of Flexor Tendon Protocols 315.Initial Splints for Tendon Repairs 316. Tendon Repair Protocol Phases 317. Cumulative Trauma Disorders 318. Three Stages of CTD 319. TX of CTD 320. Common CTDs 321. Common Peripheral Nerve Injuries 322. Tinel's Sign 323. Phalen's Test 324. Reverse Phalen's 325. Positive Phalen's Test-Reverse Phalen's 326. Radial Nerve Innervates what muscles? 327. Median nerve innervates what muscles? 328. Ulnar nerve innervates what muscles? 329. Three Response Variables 330. Pyschosocial Concerns with Disability 331. Self-determination 332. Interdependence 333. Disability Vs. Chronic Illness 334. What factors contribute to a person's ability to adapt? 335. Values and Beliefs that guide psycho social aspects of disability 336. Kubler Ross Loss Stages 337. Short term psychosocial reactions reactions 338. Intermediate psychosocial reactions 339. Longterm psychosocial reactions 340. Adaptive responses 341. Maladaptive responses 342. Shock 343. TX approaches for shock 344. Defensive Retreat or Denial 345. Tx approaches for Defensive Retreat or Denial 346. Depression or Mourning 347. TX approaches for Depression or Mourning 348. Suicidal ideation 349. Regression 350. Personal Questioning and/or Anger 351. TX approaches for Personal questioning/Anger 352. Integration and Growth 353. TX approaches for Integration and Growth 354. Disability communities 355. Disability rights movement 356. Independent living (IL) movement 357. Independent Living Centers (ILC) 358. Self-advocacy 359. Self-advocacy Intervention 360. Ombudsman 361. Employee assistance program 362. Legal aid societies 363. Teaching Self-Advocacy to Support Adaption to Disability 364. Pain Definition 365. Acute pain 366. Chronic Pain 367. Mixed Pain 368. Biopsychosocial Model - Loeser and Fordyce: 4 Pain Domains 369. Evaluation of Pain (Subjective) 370. Evaluation of pain (objective) 371. Behavioral Approaches to Pain Management 372. Physical Agent Modalities (PAMS) 373. Operant Strategies (Behavioral) 374. Secondary Gains (Operant) 375. How do OTs use Operant Strategies? 376. Cognitive Behavioral Techniques 377. MOHO Approaches to Pain Management 378. Chronic pain may be complicated with: 379. Graded activities for Chronic Pain 380. Quota Programs and Chronic Pain 381. Relaxation Training 382. Biofeedback 383. Other Pain Management Interventions 384. Congenital Amputations 385. Acquired Amputations 386. UE Amputations 387. LE Amputation 388. Levels of UE Amputation 389. Levels of LE Amputation 390. Factors that Impact Rehab 391. Phantom limb 392. Phantom Sensation 393. Pre-Prosthetic OT 394. Immediate Post Surgical Fitting 395. Sensory Deficits & Interventions 396. Hypersensitivity 397. Desensitization 398. Mandy Case Study OPHII Scale 399. Mandy Case Study WRI Scores 400. Mandy's Case Study narrative slope: 401. OPHI-II 402. WRI 403. Mandy Case Study LTGs 404. OT Intervention for Mandy Case Study 405. Non-adherent Behavior 406. Underlying Meaning of non-adherent 407. Therapeutic responses to non-adherent behavior 408. Manipulative-Dependent Behavior 409. Underlying meaning of manipulative-dependent behavior 410. Therapeutic response to manipulative-dependent behavior 411. Cognitive Training tends to be impairment based or occupation based? 412. Cognitive Rehab tends to be impairment based or occupation based? 413. Impairment Based 414. Occupation Based 415. OT Interventions 416. Cognitive Orientation to Daily Occupational Performance 417. Task Specific Strategy (CO-OP) 418. Metacognitive Strategies 419. Metacognitive Interventions for the PERSON 420. Metacognitive Interventions for the ENVIRONMENT 421. How to Facilitate Transference of Learning 422. How to improve Self-Awareness 423. Specific Self-Awareness Intervention 424. A patient presents with a sudden onset of unilateral eye pain and blurred vision. You should suspect: 426. Acute glaucoma 427. Cataracts 428. S/S of cataracts 429. Contributing factors of cataracts 430. Chronic glaucoma 431. Glaucoma drugs 432. epistaxis 433. Sensorineural Hearing Loss Conductive Hearing Loss (CHL): 435. Conductive Hearing Loss 436. hordeolum 437. Chalazion 438. Chalazion 439. Age-related Macular Degeneration 440.Age Related Macular Degeneration 441. *Retinopathy 442. allergic rhinitis 443. Treatment of allergic rhinitis 444. visual field testing 445. Retinal Imaging 446. Retinal Nerve Fiber Analysis 447. Fluorescein angiography 448. Electro-oculogram (EOG) 449. Electroretinography (ERG) 450. Eye and Orbit Sonograms