NRNP 6540 MIDTERM EXAM LATEST
EXAM QUESTIONS AND ANSWERS WITH RATIONALES
(VERIFIED ANSWERS)
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
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
2. Alcohol misuse
3. Smoking cessation
4. Depression
5. High blood pressure
6. Blood glucose r/t cardiovascular risk assessment
7. Lipids screening
8. Mammography until aged 75
9. Osteoporosis
10. Colorectal cancer
What are the immunizations recommended for geriatrics? - 1. influenza- annually for all
over 50
2. Tetanus-diphtheria (Tdap)-once in a lifetime booster, then every 10 years 3.
Pneumococcal -1 time dose of PCV13 at 65 years old then PPSV23 1 year (12
months) later
4. Hep B for high risk persons 1st dose then 6 months later 2nd dose, the 4-6 mos later
the 3rd dose 5. Shingrix for zoster
What are contraindications for exercise therapy - 1. unstable angina
2. uncompensated heart failure
3. Severe anemia
4. Uncontrolled blood glucose
5. Unstable aortic aneurysm
6. Uncontrolled hypertension or tachycardia
EXAM QUESTIONS AND ANSWERS WITH RATIONALES
(VERIFIED ANSWERS)
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
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
2. Alcohol misuse
3. Smoking cessation
4. Depression
5. High blood pressure
6. Blood glucose r/t cardiovascular risk assessment
7. Lipids screening
8. Mammography until aged 75
9. Osteoporosis
10. Colorectal cancer
What are the immunizations recommended for geriatrics? - 1. influenza- annually for all
over 50
2. Tetanus-diphtheria (Tdap)-once in a lifetime booster, then every 10 years 3.
Pneumococcal -1 time dose of PCV13 at 65 years old then PPSV23 1 year (12
months) later
4. Hep B for high risk persons 1st dose then 6 months later 2nd dose, the 4-6 mos later
the 3rd dose 5. Shingrix for zoster
What are contraindications for exercise therapy - 1. unstable angina
2. uncompensated heart failure
3. Severe anemia
4. Uncontrolled blood glucose
5. Unstable aortic aneurysm
6. Uncontrolled hypertension or tachycardia
