NR 601 MIDTERM STUDY GUIDE
QUESTIONS AND ANSWERS
What can decrease COPD mortality ✅✅ANSW-Supplemental oxygen for 15 hours/day
T/F: asthma is considered reversible ✅✅ANSW-True
Most common cause of CAP ✅✅ANSW-S. Pneumoniae
What causes gasping in the middle of the night ✅✅ANSW-OSA
If there is a 12% bronchodilator change, what does this mean? ✅✅ANSW-Obstruction is
reversible
Vaccine schedules ✅✅ANSW-*Influenza: annually for all adults over 50 years old, unless
contraindicated
*Tdap: recommended every 10 years
*Pneumococcal: 1-time dose at age 65 years, followed by a dose 12 months later.
*Hepatitis B: is recommended for high-risk persons; initial dose is given; 2nd dose 1 month later; 3rd
dose 4 to 6 months later
*Zostavax: over age 60 as a single dose. Persons who have had a prior episode of zoster should be
vaccinated
SPICES Geriatric Syndrome Markers ✅✅ANSW-•. Sleep Disturbances
• Problems with eating or feeding
• Incontinence
• Confusion
• Evidence of falls
• Skin breakdown
, DELIRIUM ✅✅ANSW-• D: Drugs
• E: Electrolyte imbalance
• L: Lack of drugs (withdrawal, uncontrolled pain)
• I: Infection
• R: Reduced sensory input (vision or hearing loss)
• I: Intracranial (e.g., cerebral vascular accident or
subdural hematoma)
• U: Urinary retention or fecal impaction
• M: Myocardial/pulmonary
Dementia Diagnosis Criteria ✅✅ANSW-At least 2:
• Memory impairment
• Communication and language impairment
• Inability to focus or pay attention
• Reasoning and judgment impairment
• Visual perception impairment
Provider guidelines for fall prevention ✅✅ANSW-Review self-assessment from older adults
• Identify risk factors (scatter rugs in the home, lack of grab bars in bathrooms, stairs, and poor
home lighting or poor vision)
• Test gait and balance
• Undertake multifactorial assessment
• Apply interventions (fall prevention devices such as canes, walkers, and bathroom grab bars)
• Later follow up
Three questions are used to identify older adults who are at risk for falls: ✅✅ANSW-1. Have you
fallen in the past year?
2. Do you feel unsteady when standing or walking?
3. Do you worry about falling?
QUESTIONS AND ANSWERS
What can decrease COPD mortality ✅✅ANSW-Supplemental oxygen for 15 hours/day
T/F: asthma is considered reversible ✅✅ANSW-True
Most common cause of CAP ✅✅ANSW-S. Pneumoniae
What causes gasping in the middle of the night ✅✅ANSW-OSA
If there is a 12% bronchodilator change, what does this mean? ✅✅ANSW-Obstruction is
reversible
Vaccine schedules ✅✅ANSW-*Influenza: annually for all adults over 50 years old, unless
contraindicated
*Tdap: recommended every 10 years
*Pneumococcal: 1-time dose at age 65 years, followed by a dose 12 months later.
*Hepatitis B: is recommended for high-risk persons; initial dose is given; 2nd dose 1 month later; 3rd
dose 4 to 6 months later
*Zostavax: over age 60 as a single dose. Persons who have had a prior episode of zoster should be
vaccinated
SPICES Geriatric Syndrome Markers ✅✅ANSW-•. Sleep Disturbances
• Problems with eating or feeding
• Incontinence
• Confusion
• Evidence of falls
• Skin breakdown
, DELIRIUM ✅✅ANSW-• D: Drugs
• E: Electrolyte imbalance
• L: Lack of drugs (withdrawal, uncontrolled pain)
• I: Infection
• R: Reduced sensory input (vision or hearing loss)
• I: Intracranial (e.g., cerebral vascular accident or
subdural hematoma)
• U: Urinary retention or fecal impaction
• M: Myocardial/pulmonary
Dementia Diagnosis Criteria ✅✅ANSW-At least 2:
• Memory impairment
• Communication and language impairment
• Inability to focus or pay attention
• Reasoning and judgment impairment
• Visual perception impairment
Provider guidelines for fall prevention ✅✅ANSW-Review self-assessment from older adults
• Identify risk factors (scatter rugs in the home, lack of grab bars in bathrooms, stairs, and poor
home lighting or poor vision)
• Test gait and balance
• Undertake multifactorial assessment
• Apply interventions (fall prevention devices such as canes, walkers, and bathroom grab bars)
• Later follow up
Three questions are used to identify older adults who are at risk for falls: ✅✅ANSW-1. Have you
fallen in the past year?
2. Do you feel unsteady when standing or walking?
3. Do you worry about falling?
