NR 601 Comprehensive
Final exam study guide and
practice questions
NR 601 Final Exam Study Guide
Chamberlain College of Nursing
NR 601: Primary Care of the Maturing and Aged Family
(Complete solutions and resources for the course exam)
NR 601 Final Exam Study Guide
Chamberlain College of Nursing
NR 601: Primary Care of the Maturing and Aged Family
How to conduct Mini-Cog-
• The Mini-Cog has been demonstrated to have comparable
psychometric properties to the
MMSE
• The primary advantage of the Mini-Cog is that it is shorter than the
MMSE and measures executive function.
• It is composed of a three-item recall and the Clock Drawing Test (CDT)
and takes about 3 minutes to administer
• The Mini-Cog is a short dementia assessment that combines three-
word recall with clockdrawing capability.
• Patients are given a total score reflecting accuracy in clock drawing
and recollection of the given three words.
• A score of 0 to 2 is a positive screen for dementia
Causes of delirium in elderly-
• Causes of delirium are numerous and in elderly hospitalized patients
there are often multiple etiologies, including metabolic, infection,
cardiac, neurological, pulmonary, sensory impairments, medications,
and toxins.
• Regardless of cause, a consistent finding is significant reduction in
regional cerebral perfusion during periods of delirium in comparison
with blood flow patterns after recovery.
1 NR 601
, • A possible neurological common pathway may involve acetylcholine
and dopamine, and the disruption in the sleep-wake cycle in delirium
indicates melatonin as a possible factor. (Kennedy-Malone 59)
Agnosia
• Loss of ability to identify objects ADA criteria for diagnosing DM-
• FPG ≥126 mg/dL (7.0 mmol/L). Fasting is defined as no caloric intake
for at least 8 h.*
• 2-h PG ≥200 mg/dL (11.1 mmol/L) during OGTT. The test should be
performed as described by the WHO, using a glucose load containing
the equivalent of 75-g anhydrous glucose dissolved in water.*
• A1C ≥6.5% (48 mmol/mol). The test should be performed in a
laboratory using a method that is NGSP certified and standardized to
the DCCT assay.*
• In a patient with classic symptoms of hyperglycemia or hyperglycemic
crisis, a random plasma glucose ≥200 mg/dL (11.1 mmol/L).
• Urinary incontinence-
• Involuntary loss of urine from the bladder
▪ So common in women many consider it normal ▪ Common in older men
w/ enlarged prostate o Can affect quality of life o Significance-One of the
most common complains w/ older adults, Distress & embarrassment, Cost
burden to pt & society as a whole, Not life-threatening, may effect QOL,
PCP essential to educating individuals
o Epidemiology- Increased prevalence w/ age in men & women, Nursing
home population – 4070%, Often a factor in placement
▪ URGENCY UI is greater in
men ▪ STRESS UI is
greater in women o
Terminology
▪ UI- Unintentional voiding, loss or leakage of urine
▪ Continuous incontinence-Continuous loss or leak of urine
▪ Increased daytime frequency-More frequent during day than considered
normal
▪ Nocturia-Interruption of sleep one or more times due to the need to
urinate – increases in frequency after age 50
▪ Urgency-Sudden, compelling desire to pass urine that’s difficult to prevent
▪ Overactive bladder syndrome- Urgency, frequency, nocturia w/ or w/
o incontinence o Risk Factors-Aging,Obesity,Smoking,
Caffeine,Uncontrolled DM, Constipation,Use of diuretics
o Risk Factors by gender-Women:Aging, obesity, smoking, caffeine intake,
DM, pregnancy, multiparity, estrogen deficiency, hx of pelvic surgery,
diuretics
2 NR 601
Final exam study guide and
practice questions
NR 601 Final Exam Study Guide
Chamberlain College of Nursing
NR 601: Primary Care of the Maturing and Aged Family
(Complete solutions and resources for the course exam)
NR 601 Final Exam Study Guide
Chamberlain College of Nursing
NR 601: Primary Care of the Maturing and Aged Family
How to conduct Mini-Cog-
• The Mini-Cog has been demonstrated to have comparable
psychometric properties to the
MMSE
• The primary advantage of the Mini-Cog is that it is shorter than the
MMSE and measures executive function.
• It is composed of a three-item recall and the Clock Drawing Test (CDT)
and takes about 3 minutes to administer
• The Mini-Cog is a short dementia assessment that combines three-
word recall with clockdrawing capability.
• Patients are given a total score reflecting accuracy in clock drawing
and recollection of the given three words.
• A score of 0 to 2 is a positive screen for dementia
Causes of delirium in elderly-
• Causes of delirium are numerous and in elderly hospitalized patients
there are often multiple etiologies, including metabolic, infection,
cardiac, neurological, pulmonary, sensory impairments, medications,
and toxins.
• Regardless of cause, a consistent finding is significant reduction in
regional cerebral perfusion during periods of delirium in comparison
with blood flow patterns after recovery.
1 NR 601
, • A possible neurological common pathway may involve acetylcholine
and dopamine, and the disruption in the sleep-wake cycle in delirium
indicates melatonin as a possible factor. (Kennedy-Malone 59)
Agnosia
• Loss of ability to identify objects ADA criteria for diagnosing DM-
• FPG ≥126 mg/dL (7.0 mmol/L). Fasting is defined as no caloric intake
for at least 8 h.*
• 2-h PG ≥200 mg/dL (11.1 mmol/L) during OGTT. The test should be
performed as described by the WHO, using a glucose load containing
the equivalent of 75-g anhydrous glucose dissolved in water.*
• A1C ≥6.5% (48 mmol/mol). The test should be performed in a
laboratory using a method that is NGSP certified and standardized to
the DCCT assay.*
• In a patient with classic symptoms of hyperglycemia or hyperglycemic
crisis, a random plasma glucose ≥200 mg/dL (11.1 mmol/L).
• Urinary incontinence-
• Involuntary loss of urine from the bladder
▪ So common in women many consider it normal ▪ Common in older men
w/ enlarged prostate o Can affect quality of life o Significance-One of the
most common complains w/ older adults, Distress & embarrassment, Cost
burden to pt & society as a whole, Not life-threatening, may effect QOL,
PCP essential to educating individuals
o Epidemiology- Increased prevalence w/ age in men & women, Nursing
home population – 4070%, Often a factor in placement
▪ URGENCY UI is greater in
men ▪ STRESS UI is
greater in women o
Terminology
▪ UI- Unintentional voiding, loss or leakage of urine
▪ Continuous incontinence-Continuous loss or leak of urine
▪ Increased daytime frequency-More frequent during day than considered
normal
▪ Nocturia-Interruption of sleep one or more times due to the need to
urinate – increases in frequency after age 50
▪ Urgency-Sudden, compelling desire to pass urine that’s difficult to prevent
▪ Overactive bladder syndrome- Urgency, frequency, nocturia w/ or w/
o incontinence o Risk Factors-Aging,Obesity,Smoking,
Caffeine,Uncontrolled DM, Constipation,Use of diuretics
o Risk Factors by gender-Women:Aging, obesity, smoking, caffeine intake,
DM, pregnancy, multiparity, estrogen deficiency, hx of pelvic surgery,
diuretics
2 NR 601
