NSG 6420 Final Exam Study Guide

1. Over 90% of patients in long term care are older than 

2. The young old 

3. the middle old 

4. Th old old 

5. the elite old 

6. the fastest growing subgroup??

7. physical exam

8. Breast cancer 

9. Cervical Cancer 

10. Prostate (50 and older) 

11. testicular cancer 

12. Colorectal cancer (men and women) 

13. Skin Cancer 

14. oral cancer 

15. Oral cancer

16. Bone density 

17. Vision 

18. Immunnizations 

19. Genetic Theory 

20. Immunity Theory 

21. Cross linkage theory 

22. free radical theory 

23. KATZ 

24. Stages of Alzheimer's: Stage 1

25.Stages of Alzheimer's Stage 2

26. Stages of Alzheimer's Stage 3 

27. what can happen to dentures with aging 

28. Older adults need an increased amount of what nutrients 

29. Diminished senses can lead to what? 

30. pre albumin

31. Albumin 

32. total lymphocyte count 

33. geriatric failure to thrive 

34. maintaining appropriate levels of physical activity can decrease what?

35. Relocation syndrome

36. Home modifications that can help prevent falls 

37. presbyopia 

38. what are some things to be aware of with a decrease in the sense of touch 

39. what are some common drugs older adults take OTC 

40. age related changes that can potentially affect absorption of drugs orally 

41. Age related changes that affect drug distribution 

42. older adult changes in drug metabolism 

43. excretion of drugs as it related to aging 

44. normal creatinine clearance for men and women 

45. Common adverse drug effects on the elderly 

46. when preforming a medication assessment of an older adult what are some drugs the nurse should ask if the pt is taking 

47. BEERS

48. depression and the older adult 

49. what are some signs of depression the the older adult 

50. drugs for depression 

51. without TX what can depression result in 

52. dementia 

53. dementia

54. delirium 

55. some of the factors that can cause delirium 

56. how often should the older adult be in the sun 

57. how much calcium should the older adult have 

58. Baby boomers 

59. what are some psychosocial concerns for the older adult 

60. functional aging 

61. Normal physical changes of older adults: General status 

62. Normal physical changes of older adults: integument

63. Normal physical changes of older adults: musculoskeletal 

64. Normal physical changes of older adults: neurologic 

65. Normal physical changes of older adults: cardiopulmonary 

66. Normal physical changes of older adults: Genitourinary 

67. risk factors for alzheimer's

68. Spices Framwork

69. seborrheic keratosis 

70. seborrheic dematitis 

71. cherry anginoma 

72. actinic lentigines

73. actinic purpura 

74. bruising 

75. arcus senilis 

76. blepharitis 

77. what are some interventions to promote sleep

78. stress incontinence 

79. urge incontinence 

80. overflow incontinence 

81.Mixed incontinence 

82. functional urinary incontinence 

83. factors contributing to urinary incontinence 

84. Interventions for incontinence 

85. describe some sleep changes in the older adult 

86. things to be aware of when implementing pain interventions and the elderly 

87. Iron deficiency anemai

88. ACD

89. ACD

90. GINA Bill

91. Physiological changes of aging

92. X-linked Dominant

93. Autosomal Recessive

94. Dysmorphology

95. First Step for family genome assessment?

96. Health History includes?

97. Biotransformation(metabolism)

98. First symptoms of HIV?

99. Cardiovascular risk factors

100. Blood sugar screening 

101. S1

102. S2

103. S3

104. S4

105. Posterior drawer test

106. Systolic Murmurs

107.

108. Murmur Red Flags

109. Signs of Aortic Stenosis

110. mitral valve prolapse (MVP)

111. Most common oral precancerous lesion?

112. Frozen Shoulder (Adhesive Capsulitis)

113. MVP sxs

114. Moderate-intensity statin therapy

115. Moderate to high intensity statin therapy

116. Most accurate diagnosis for pancreatitis?

117. When is Niacin used?

118. Grave's disease

119. H. pylori gastritis: treatment

120. Anterior Drawer Test

121. Presbycusis

122. How often do you check PSA levels?

123. Tinea Capitis Treatment

124. Keratitis

125. Bacterial conjunctivits

126. Allergic conjunctivitis

127. Viral conjunctivitis

128. Amaurosis fugax

129. Most common cause of eye redness?

130. Warnings for eye redness

131. clinical manifestations of UTI

132. Isolated Systolic HTN in elderly

133. Screen for lipids

134. Mitral Stenosis

135. Hypertensive reinopathy

136. Diabetic reinopathy

137. cerumen impaction

138. Atopic disorders mediated by IgE with a histamine response. Histamine response is:

139. CURB 65

140. Which findings are not considered normal age related?

141. Common skin cancer found on the nose?

142. Centor criteria for GABHS bacterial pharyngitis

143. What are the signs and symptoms of Impingement syndrome?

144. Ischemic Heart Disease

145. Chronic stable angina 

146. Prinzmetal angina

147. Unstable Angina

148. Nephrolithiasis

149. pyelonephritis

150. Gross hematuria + flank pain + palpable mass

151. BPH

152. Proteinuria

153. stress urinary incontinence (SUI)

154. #1 compliant of OA?

155. 20yo female with pain, tenderness, decrease ROM at neck, shoulder, and medial knee:

156. Ligament injury, "give-away", "pop"

157. De Quervain's tendonistis

158. Osteoarthritis

159. Differential diagnosis for knee pain?

160. Ottawa ankle rules (5 things)

161. Systemic Lupus Erythematosus (SLE)

162. Rotator Cuff Muscles (shoulder joint stabilizer)

163. subacromial bursitis

164. back pain: red flags

165. Subarachnoid hemorrhage (SAH)

166. First line of therapy for acute gout?

167. Migraine Headache

168. tension headache

169. Phenytoin (Dilantin)

170. Dementia Symptoms

171. Subdural hematoma in elderly

172. DPP-4 inhibitor

173. MOA of metformin. 

174. GLP-1 agonists MOA

175. Thiazolidinediones

176. Sulfonylureas

177. Pancreatitis

178. Pleurisy

179. Left upper quadrant pain

180. Right upper quadrant pain

181. Hypersplenism

182. Cellulitis

183. Actinic keratoses

184. Basal Cell Carcinoma

185. Squamous Cell Carcinoma

186. Vitiligo

187. Major signs of melanoma

188. A group of furuncles?

189. Type 2 Diabetes

190. Men have faster and more efficient biotransformation of drugs and this is thought to be due to:

191. The major impact of the physiological changes that occur with aging is :

192. The cytochrome p system involves enzymes that are generally Inhibited by drugs :

193. Functional abilities are best assessed by :

194. Iron Deficiency Anemia (IDA) is classified as a microcytic, hypochromic anemia. This classification refers to which of the following laboratory data?

195. When interpreting laboratory data, you would expect to see the following in a patient with Anemia of Chronic Disease (ACD) :

196. The pathophysiological hallmark of ACD is: 

197. The main focus of treatment of patients with ACD is: 

198. 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?

199. Symptoms in the initial human immunodeficiency virus (HIV) infection include all of the following except: 

200. Essential parts of a health history include all of the following except: 

201. 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? 

202. The first step in the genomic assessment of a patient is obtaining information regarding: 

203. In autosomal recessive (AR) disorders, individuals need: 

204. In AR disorders, carriers have:

205. A woman with an X-linked dominant disorder will:

206. According to the Genetic Information Nondiscrimination Act (GINA): 

207. Which of the following would be considered a “red flag” that requires more investigation in a patient assessment? 

208. 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: 

209. In order to provide a comprehensive genetic history of a patient, the NP should: 

210. Vestibular

211. Vestibular Function

212. Vestibular Dysfunction

213. 5 Anatomical Sites for Vestibular Lesions

214. Reasons for vestibular dysfunction

215. Dysequilibrium

216. Nystagmus

217. Oscillopsia

218. Presbystasis

219. ***Vertigo

220. OT Scope of Practice

221. Entry Level Practitioners MUST have:

222. Entry Level Practitioner Vestibular Rehab Interventions

223. Vestibular Disorders

224. Objective Diagnostic Vestibular testing

225. Peripheral Vestibular Disorders

226. Central Vestibular Disorder

227. Systemic Disorders

228. Physician Subspecialties

229. Common Signs of Vestibular Problem

230. Vestibular labyrinth is located within what portion of the skull?

231. The semicircular canals within our inner ear are filled with what substance?

232. Peripheral Vestibular System

233. The bony labyrinth is filled with what type of fluid?

234. The membranous labyrinth contains:

235. What is the job of the 3 semicircular canals?

236. What is the job of the 2 otolithic organs (Saccule and Utricle)

237. Inside the Otolithic Membrane = Macula (A receptor)

238. Semicircular Canals & Co-Pairs

239. Vestibulo-Ocular Reflex (VOR) is an eye mvmt made in response to mvmt of which body part?

240. *Peripheral Vestibular System feeds what part of the Central Vestibular System?

241. Somatosensory System feeds what part of the Central Vestibular?

242. *Visual/Oculomotor System feeds what part of the Central Vestibular System?

243. Gaze Stabilization

244. Gaze Stabilization is achieved by:

245. Central Oculomotor Skills that contribute to Gaze Stabilization:

246. Central damage

247. Peripheral Damage

248. Benign Paroxysmal Positional Vertigo (BBV) is a common disorder of the:

249. Common Disorders of the Peripheral Vestibular System:

250. Nausea/Vomiting

251. Neurological symptoms

252. Auditory Changes

253. Interventions for Disequilibrium

254. BPPV

255. Vestibular Neuritis

256. How to assess for BPPV:

257. Disorders of the Central Vestibular System

258. Ischemic Diseases

259. Progressive Disorders

260. Wallenberg's Syndrome

261. OT Evaluation Skills for Vestibular Rehab

262. OT Interventions for Vestibular Rehab

263. What interventions resolve BPPV, eliminate vertigo and restore functional independence?

264. Epley Maneuver

265. Brandt-Daroff Exercises

266. Contraindications to performing Dix-Hallpike Test

267. What are the steps in treating BPPV?

268. Dix-Hallpike (Assessment)

269. Intervention activities for Disequilibrium:

270. Examples of disequilibrium movement intervention activities:

271. Goal directed activities for disequilibrium

272. 3 Normal Balance Strategies

273. Balance Interventions

274. Vestibular Hypofunction

275. Interventions for vestibular hyopfunction

276. Goal for vestibular hypofunction interventions

277. Vestibular Hyperfunction

278. Interventions for vestibular hyperfunction:

279. Goal for vestibular hyperfunction

280. Activities for HYPOfunction

281. Activities for HYPERfunction

282. Interventions for Vestibular Ocular Dysfunction

283. Goal for vestibular ocular dysfunction

284. Visual-Vestibular Interaction Interventions

285. Sharp Purser Test

286. How to administer the Sharp Purser Test

287. Positive Sharp Purser Test

288. Negative Effects of Chronic Pain

289. Pain Perception

290. Pain Perception

291. What does OT address in pain perception?

292. What do OTS address for pain perception?

293. Nociceptive Pain

294. Nociceptive Pain

295. Neuropathic Pain

296. Neuropathic pain

297. Biopsychosocial Model of Pain

298. Biopsychosocial Model of Pain

299. Loeser and Fordyce Four Pain Domains

300. Evaluation of Pain

301. Theoretical Approaches to Pain Management - Behavioral

302. Methods for Pain Management - Behavioral

303. Methods for behavioral pain management

304. Operant Strategies for Pain Management

305. Cognitive Behavioral Strategies

306. Cognitive Behavioral Strategies

307. Volar plate contracture (PIP Flexion contracture)

308.Rupture of FDP

309. Nonfixed position OT treatment

310. Fixed position OT treatment

311. What is swan neck deformity characterized by?

312. Rehab Protocol for  Tendon Repair

313. Three types of Extensor Tendon Protocols

314. Three types of Flexor Tendon Protocols

315.Initial Splints for Tendon Repairs

316. Tendon Repair Protocol Phases

317. Cumulative Trauma Disorders

318. Three Stages of CTD

319. TX of CTD

320. Common CTDs

321. Common Peripheral Nerve Injuries

322. Tinel's Sign

323. Phalen's Test

324. Reverse Phalen's

325. Positive Phalen's Test-Reverse Phalen's

326. Radial Nerve Innervates what muscles?

327. Median nerve innervates what muscles?

328. Ulnar nerve innervates what muscles?

329. Three Response Variables

330. Pyschosocial Concerns with Disability

331. Self-determination

332. Interdependence

333. Disability Vs. Chronic Illness

334. What factors contribute to a person's ability to adapt?

335. Values and Beliefs that guide psycho social aspects of disability

336. Kubler Ross Loss Stages

337. Short term psychosocial reactions reactions

338. Intermediate psychosocial reactions

339. Longterm psychosocial reactions

340. Adaptive responses

341. Maladaptive responses

342. Shock

343. TX approaches for shock

344. Defensive Retreat or Denial

345. Tx approaches for Defensive Retreat or Denial

346. Depression or Mourning

347. TX approaches for Depression or Mourning

348. Suicidal ideation

349. Regression

350. Personal Questioning and/or Anger

351. TX approaches for Personal questioning/Anger

352. Integration and Growth

353. TX approaches for Integration and Growth

354. Disability communities

355. Disability rights movement

356. Independent living (IL) movement

357. Independent Living Centers (ILC)

358. Self-advocacy

359. Self-advocacy Intervention

360. Ombudsman

361. Employee assistance program

362. Legal aid societies

363. Teaching Self-Advocacy to Support Adaption to Disability

364. Pain Definition

365. Acute pain

366. Chronic Pain

367. Mixed Pain

368. Biopsychosocial Model - Loeser and Fordyce: 4 Pain Domains

369. Evaluation of Pain (Subjective)

370. Evaluation of pain (objective)

371. Behavioral Approaches to Pain Management

372. Physical Agent Modalities (PAMS)

373. Operant Strategies (Behavioral)

374. Secondary Gains (Operant)

375. How do OTs use Operant Strategies?

376. Cognitive Behavioral Techniques

377. MOHO Approaches to Pain Management

378. Chronic pain may be complicated with:

379. Graded activities for Chronic Pain

380. Quota Programs and Chronic Pain

381. Relaxation Training

382. Biofeedback

383. Other Pain Management Interventions

384. Congenital Amputations

385. Acquired Amputations

386. UE Amputations

387. LE Amputation

388. Levels of UE Amputation

389. Levels of LE Amputation

390. Factors that Impact Rehab

391. Phantom limb

392. Phantom Sensation

393. Pre-Prosthetic OT

394. Immediate Post Surgical Fitting

395. Sensory Deficits & Interventions

396. Hypersensitivity

397. Desensitization

398. Mandy Case Study OPHII Scale

399. Mandy Case Study WRI Scores

400. Mandy's Case Study narrative slope:

401. OPHI-II

402. WRI

403. Mandy Case Study LTGs

404. OT Intervention for Mandy Case Study

405. Non-adherent Behavior

406. Underlying Meaning of non-adherent

407. Therapeutic responses to non-adherent behavior

408. Manipulative-Dependent Behavior

409. Underlying meaning of manipulative-dependent behavior

410. Therapeutic response to manipulative-dependent behavior

411. Cognitive Training tends to be impairment based or occupation based?

412. Cognitive Rehab tends to be impairment based or occupation based?

413. Impairment Based

414. Occupation Based

415. OT Interventions

416. Cognitive Orientation to Daily Occupational Performance

417. Task Specific Strategy (CO-OP)

418. Metacognitive Strategies

419. Metacognitive Interventions for the PERSON

420. Metacognitive Interventions for the ENVIRONMENT

421. How to Facilitate Transference of Learning

422. How to improve Self-Awareness

423. Specific Self-Awareness Intervention

424. A patient presents with a sudden onset of unilateral eye pain and blurred vision. You should suspect:

426. Acute glaucoma

427. Cataracts

428. S/S of cataracts 

429. Contributing factors of cataracts

430. Chronic glaucoma

431. Glaucoma drugs

432. epistaxis

433. Sensorineural Hearing Loss

Conductive Hearing Loss (CHL):

435. Conductive Hearing Loss

436. hordeolum

437. Chalazion

438. Chalazion

439. Age-related Macular Degeneration

440.Age Related Macular Degeneration

441. *Retinopathy

442. allergic rhinitis

443. Treatment of allergic rhinitis

444. visual field testing

445. Retinal Imaging

446. Retinal Nerve Fiber Analysis

447. Fluorescein angiography

448. Electro-oculogram (EOG)

449. Electroretinography (ERG)

450. Eye and Orbit Sonograms