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PNH 301 Midterm Exam with precise detailed answers

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PNH 301 Midterm Exam with precise detailed answers

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PNH 301 Midterm Exam with precise detailed answers
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How can we test Alzheimer's Disease (AD)? - ✔✔The mini mental state examination
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(MMSE)



What does Alzheimer's Disease (AD) lead to? - ✔✔memory failure, personality change,
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problems performing ADLs || ||




The manifestations for Alzheimer's Disease (AD)? - ✔✔short-term memory impairment
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(first symptom), change in the cognition, altered communication and language, change in
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behavior /personality/judgement, change in the self-care skills
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Teaching for Alzheimer's Disease (AD) patients and the patients families? - ✔✔have
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patience, keep things on task focused, keep instructions short/simple, don't become
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angry/frustrated, clarifying orientation, keeping it routine, change triggering environments
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The triggers of agitation of Alzheimer's Disease (AD)? - ✔✔fatigue, change in the
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environment, loss of activities , stimuli (mirrors), TVs, excessive noise or people, excessive
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demand, and delirium || ||




Priority Problems for confusion with Alzheimer's Disease (AD)? - ✔✔agitation/aggression,
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confused/fearful



Priority problems for safety: risk for injury with Alzheimer's Disease (AD)? - ✔✔no longer
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being able to recognize danger, wandering around
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Priority problems for self care with Alzheimer's Disease (AD)? - ✔✔forgetting to do things
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(ADLs), nutrition, forgetting they've ate, dysphagia, losing recognition of hunger
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, 2


Priority problems for caregiver role strain for those who have family members of
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Alzheimer's Disease (AD)? - ✔✔risk for abuse, burning out, depression|| || || || || || || || ||




When an Alzheimer's Disease (AD) patient is wandering and trying to leave through the
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doors how can we handle this issue? - ✔✔dead bolting the door
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The cardinal symptoms of Parkinson's Disease (PD)? - ✔✔Tremors, Ridigity, Akinesia or
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Bradykinesia, Postural changes || ||




The manifestations of Parkinson's Disease (PD)? - ✔✔depression, emotional changes,
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difficulty swallowing/chewing, speech changes, urinary problems/constipation, skin
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problems, sleep problems, dementia, orthostatic hypotension, muscle cramps, anosmia,
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pain, fatigue/energy loss, sexual dysfunction
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What medication must given to a Parkinson's Disease (PD) patient at the same time
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everyday? and why? - ✔✔levodopa if not the pt will be unable to move
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Assessment of Parkinson's Disease (PD)? - ✔✔subjective data and objective data; history-
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speech problems, word finding problems, level of orientation/ motor functions- observing
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symmetry of the movements and position, facial expression, postural and gait, tremors and
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check the upper and lower limb strength/ sensory functions-cranial nerve assessment,
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sensation of all limbs, assessing the response to cold and warm
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Teaching for the medications with Parkinson's Disease (PD)? - ✔✔levodopa taken with
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meal/snack, take levodopa as directed, missed dose take asap, store away from heat/direct
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light and not in the bathroom, kitchen sink, or other damp places
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Teaching for Parkinson's Disease (PD) patients and their families? - ✔✔risk for falls,
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tremors at night cause patient to be restless, patient lack expression due to the muscles,
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takes longer to formulate ideas, having patience with PD patients, they may be slow, risk for
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aspiration, risk for pressure ulcers, and cushing's triad
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