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Exam (elaborations)

ACHPN exam | UPDATED Questions with 100% Verified Answers

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ACHPN exam | UPDATED Questions with 100% Verified Answers

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ACHPN exam | UPDATED Questions with 100% Verified Answers

Question:
PAINAD
1. what is it?
2. what are the 5 different components of this scale

Answer:
1. assessing pain in cognitively impaired or non verbal individuals;
-uses non-verbal behaviors to assess
for pain
2. resipirstions, vocalization, facial expression, body language, consolability


Question:
LANSS Pain scale
1. what is it
2. what are the two parts
3. interpreting the score

Answer:
1. Pain scale to determine neuropathic pain
2. First part involves 5 questions
-does your pain including tingling,
pins/needles, or unpleasant
sensations
-does the skin where pain is
occurring appear different
(mottling, erythematous)
-is the skin sensitive to touch or
bothered with tight clothing
-does pain have sudden unexpected
onset
-does it make the skin feel like temp
has changed
second part is sensory testing:
-allodynia: cotton ball testing

,-pin-prick: take 23 gauge needle if it's
felt equally on altered sides
3. Total possible score is 24. Anything over 12 suggests neuropathic pain


Question:
1. CHEOPS
2. FACES
3. CRIES
4. 0-10 scale

Answer:
1. CHEOPS: Used for children 1-7
a.based on 6 different characteristics
-Crying, facial expression,
verbalixarion, torso, upper
extremities, lower extremities
b. Any score >4 indicates pain
2. FACES: facial expression scale for children over 3 and nonverbal adults
3. CRIES: assessing pain in neonates and infants 6 months or younger
a. Crying, requirement of O2 or SaO2
<95%, increased VS, expression,
and sleep
4. 0-10 scale: used with adolescents and adults


Question:
Gait assessment includes 3 components what are they?

Answer:
1. Gait speed in 5 meters with slow gait (<0.6 m/sec) predictive of limitstions
2. Timed up and go (TUG):
a. patient stands from chair with
armrests, walks 3 meters, and turns
and sits back down
b. Those taking >14 sec are at
increased risk for falls

, c. Normal is 7-10 sec
3. performance oriented mobility assessment (POMA)
a. Tests mobility and gait under
different conditions


Question:
Index of Independence in Activities of Daily Living (Katz Index
of ADL)

Answer:
This tool is a checklist that evaluates 6 areas to provide an assessment of the person's
need for assistance and progression of disease/disability
a. Bathing
b. dressing
c. toileting
d. transfer
e. continence
f. feeding




Question:
Palliative Performance Scale (PPS)

Answer:
1. Assesses functional ability using percentages of ability
2. Scores are used as a guide to determine probable life expectancy
a. 60-100%= 108 days
b. 30-50% = 41 days

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