South University > NSG 6420 Final Exam Study Guide –450 Question with Answers – VERIFIED CORRECT ANSWERS
NSG 6420 Final Exam Study Guide – Question with Answers – South University
(450 Question and Answers)
Over 90% of patients in long term care are older than
The young old
the middle old
The old old
the elite old
the fastest growing subgroup??
Prostate (50 and older)
Colorectal cancer (men and women)
Cross linkage theory
free radical theory
Stages of Alzheimer’s: Stage 1
Stages of Alzheimer’s Stage 3
what can happen to dentures with aging
Stages of Alzheimer’s Stage 2
Older adults need an increased amount of what nutrients
Diminished senses can lead to what?
total lymphocyte count
geriatric failure to thrive
maintaining appropriate levels of physical activity can decrease what?
Home modifications that can help prevent falls
what are some things to be aware of with a decrease in the sense of touch
what are some common drugs older adults take OTC
age related changes that can potentially affect absorption of drugs orally
Age related changes that affect drug distribution
older adult changes in drug metabolism
excretion of drugs as it related to aging
normal creatinine clearance for men and women
Common adverse drug effects on the elderly
when preforming a medication assessment of an older adult what are some drugs the nurse should ask if the pt is taking
depression and the older adult
what are some signs of depression the the older adult
drugs for depression
without TX what can depression result in
some of the factors that can cause delirium
how often should the older adult be in the sun
how much calcium should the older adult have
what are some psychosocial concerns for the older adult
Normal physical changes of older adults: General status
Normal physical changes of older adults: integument
Normal physical changes of older adults: musculoskeletal
Normal physical changes of older adults: neurologic
risk factors for alzheimer’s
Normal physical changes of older adults: cardiopulmonary
Normal physical changes of older adults: Genitourinary
what are some interventions to promote sleep
functional urinary incontinence
factors contributing to urinary incontinence
Interventions for incontinence
describe some sleep changes in the older adult
things to be aware of when implementing pain interventions and the elderly
Iron deficiency anemai
Physiological changes of aging
First Step for family genome assessment?
Health History includes?
First symptoms of HIV?
Cardiovascular risk factors
Blood sugar screening
Posterior drawer test
Murmur Red Flags
Signs of Aortic Stenosis nsg 6420 final exam
mitral valve prolapse (MVP)
Most common oral precancerous lesion?
Frozen Shoulder (Adhesive Capsulitis)
Moderate-intensity statin therapy
Moderate to high intensity statin therapy
Most accurate diagnosis for pancreatitis?
When is Niacin used?
H. pylori gastritis: treatment
Anterior Drawer Test
How often do you check PSA levels?
Tinea Capitis Treatment
Most common cause of eye redness?
Warnings for eye redness
clinical manifestations of UTI
Isolated Systolic HTN in elderly
Screen for lipids
Atopic disorders mediated by IgE with a histamine response. Histamine response is:
Which findings are not considered normal age related?
Common skin cancer found on the nose?
Centor criteria for GABHS bacterial pharyngitis
What are the signs and symptoms of Impingement syndrome?
Ischemic Heart Disease
Chronic stable angina
Gross hematuria flank pain palpable mass
stress urinary incontinence (SUI)
#1 compliant of OA?
20yo female with pain, tenderness, decrease ROM at neck, shoulder, and medial knee:
Ligament injury, “give-away”, “pop”
De Quervain’s tendonistis
Differential diagnosis for knee pain?
Ottawa ankle rules (5 things)
Systemic Lupus Erythematosus (SLE)
Rotator Cuff Muscles (shoulder joint stabilizer)
back pain: red flags
Subarachnoid hemorrhage (SAH)
First line of therapy for acute gout?
Subdural hematoma in elderly
MOA of metformin.
GLP-1 agonists MOA
Left upper quadrant pain
Right upper quadrant pain
Basal Cell Carcinoma
Squamous Cell Carcinoma
Major signs of melanoma
A group of furuncles?
Type 2 Diabetes
Men have faster and more efficient biotransformation of drugs and this is thought to be due to:
The major impact of the physiological changes that occur with aging is :
The cytochrome p system involves enzymes that are generally Inhibited by drugs :
Functional abilities are best assessed by :
Iron Deficiency Anemia (IDA) is classified as a microcytic, hypochromic anemia. This classification refers to which of the following laboratory data?
When interpreting laboratory data, you would expect to see the following in a patient with Anemia of Chronic Disease (ACD) :
The pathophysiological hallmark of ACD is:
The main focus of treatment of patients with ACD is:
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?
Symptoms in the initial human immunodeficiency virus (HIV) infection include all of the following except: nsg 6420 final exam
Essential parts of a health history include all of the following except:
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?
The first step in the genomic assessment of a patient is obtaining information regarding:
In autosomal recessive (AR) disorders, individuals need:
In AR disorders, carriers have:
A woman with an X-linked dominant disorder will:
According to the Genetic Information Nondiscrimination Act (GINA):
Which of the following would be considered a “red flag” that requires more investigation in a patient assessment?
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:
In order to provide a comprehensive genetic history of a patient, the NP should:
5 Anatomical Sites for Vestibular Lesions
Reasons for vestibular dysfunction
OT Scope of Practice
Entry Level Practitioners MUST have:
Entry Level Practitioner Vestibular Rehab Interventions
Objective Diagnostic Vestibular testing
Peripheral Vestibular Disorders
Central Vestibular Disorder
Common Signs of Vestibular Problem
Vestibular labyrinth is located within what portion of the skull?
The semicircular canals within our inner ear are filled with what substance?
Peripheral Vestibular System
The bony labyrinth is filled with what type of fluid?
The membranous labyrinth contains:
What is the job of the 3 semicircular canals?
What is the job of the 2 otolithic organs (Saccule and Utricle)
Inside the Otolithic Membrane = Macula (A receptor)
Semicircular Canals & Co-Pairs
Vestibulo-Ocular Reflex (VOR) is an eye mvmt made in response to mvmt of which body part?
*Peripheral Vestibular System feeds what part of the Central Vestibular System?
Somatosensory System feeds what part of the Central Vestibular?
*Visual/Oculomotor System feeds what part of the Central Vestibular System?
Gaze Stabilization is achieved by:
Central Oculomotor Skills that contribute to Gaze Stabilization:
Benign Paroxysmal Positional Vertigo (BBV) is a common disorder of the:
Common Disorders of the Peripheral Vestibular System:
Interventions for Disequilibrium
How to assess for BPPV:
Disorders of the Central Vestibular System
OT Evaluation Skills for Vestibular Rehab
OT Interventions for Vestibular Rehab
What interventions resolve BPPV, eliminate vertigo and restore functional independence?
Contraindications to performing Dix-Hallpike Test
What are the steps in treating BPPV?
Intervention activities for Disequilibrium:
Examples of disequilibrium movement intervention activities:
Goal directed activities for disequilibrium
3 Normal Balance Strategies
Interventions for vestibular hyopfunction
Goal for vestibular hypofunction interventions
Interventions for vestibular hyperfunction:
Goal for vestibular hyperfunction
Activities for HYPOfunction
Activities for HYPERfunction
Interventions for Vestibular Ocular Dysfunction
Goal for vestibular ocular dysfunction
Visual-Vestibular Interaction Interventions
Sharp Purser Test
How to administer the Sharp Purser Test
Positive Sharp Purser Test
Negative Effects of Chronic Pain
What does OT address in pain perception?
What do OTS address for pain perception?
Biopsychosocial Model of Pain
Biopsychosocial Model of Pain
Loeser and Fordyce Four Pain Domains
Evaluation of Pain
Theoretical Approaches to Pain Management – Behavioral
Methods for Pain Management – Behavioral
Methods for behavioral pain management
Operant Strategies for Pain Management
Cognitive Behavioral Strategies
Cognitive Behavioral Strategies
Volar plate contracture (PIP Flexion contracture)
Rupture of FDP
Nonfixed position OT treatment
Fixed position OT treatment
What is swan neck deformity characterized by?
Rehab Protocol for Tendon Repair
Three types of Extensor Tendon Protocols
Three types of Flexor Tendon Protocols
Initial Splints for Tendon Repairs
Tendon Repair Protocol Phases
Cumulative Trauma Disorders
Three Stages of CTD
TX of CTD
Common Peripheral Nerve Injuries
Positive Phalen’s Test-Reverse Phalen’s
Radial Nerve Innervates what muscles?
Median nerve innervates what muscles?
Ulnar nerve innervates what muscles?
Three Response Variables
Pyschosocial Concerns with Disability
Disability Vs. Chronic Illness
What factors contribute to a person’s ability to adapt?
Values and Beliefs that guide psycho social aspects of disability
Kubler Ross Loss Stages
Short term psychosocial reactions reactions
Intermediate psychosocial reactions
Longterm psychosocial reactions
TX approaches for shock
Defensive Retreat or Denial
Tx approaches for Defensive Retreat or Denial
Depression or Mourning
TX approaches for Depression or Mourning
Personal Questioning and/or Anger
TX approaches for Personal questioning/Anger
Integration and Growth
TX approaches for Integration and Growth
Disability rights movement
Independent living (IL) movement
Independent Living Centers (ILC)
Employee assistance program
Legal aid societies
Teaching Self-Advocacy to Support Adaption to Disability
Biopsychosocial Model – Loeser and Fordyce: 4 Pain Domains
Evaluation of Pain (Subjective) nsg 6420 study guide
Evaluation of pain (objective)
Behavioral Approaches to Pain Management
Physical Agent Modalities (PAMS)
Operant Strategies (Behavioral)
Secondary Gains (Operant)
How do OTs use Operant Strategies?
Cognitive Behavioral Techniques
MOHO Approaches to Pain Management
Chronic pain may be complicated with:
Graded activities for Chronic Pain nsg 6420 final exam
Quota Programs and Chronic Pain
Other Pain Management Interventions
Congenital Amputations nsg 6420 study guide
Levels of UE Amputation
Levels of LE Amputation
Factors that Impact Rehab
Immediate Post Surgical Fitting
Sensory Deficits & Interventions
Mandy Case Study OPHII Scale
Mandy Case Study WRI Scores
Mandy’s Case Study narrative slope:
Mandy Case Study LTGs
OT Intervention for Mandy Case Study
Underlying Meaning of non-adherent
Therapeutic responses to non-adherent behavior
Manipulative-Dependent Behavior nsg 6420 study guide
Underlying meaning of manipulative-dependent behavior
Therapeutic response to manipulative-dependent behavior nsg 6420 final exam
Cognitive Training tends to be impairment based or occupation based?
Cognitive Rehab tends to be impairment based or occupation based?
Cognitive Orientation to Daily Occupational Performance
Task Specific Strategy (CO-OP)
Metacognitive Interventions for the ENVIRONMENT
How to Facilitate Transference of Learning
Metacognitive Interventions for the PERSON
How to improve Self-Awareness nsg 6420 study guide
Specific Self-Awareness Intervention
A patient presents with a sudden onset of unilateral eye pain and blurred vision. You should suspect:
S/S of cataracts
Contributing factors of cataracts
Sensorineural Hearing Loss
Conductive Hearing Loss (CHL):
Conductive Hearing Loss
Age-related Macular Degeneration
Age Related Macular Degeneration
Treatment of allergic rhinitis
visual field testing
Retinal Nerve Fiber Analysis