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What vaccination is recommended for people traveling to countries where dz is common? Hep A How is Hep A vax given? Two doses: initial at least 4wks before departure, second dose 6-12mo later. When is Hep B vax recommended? High-risk people (IV drug use $17.99   Add to cart

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What vaccination is recommended for people traveling to countries where dz is common? Hep A How is Hep A vax given? Two doses: initial at least 4wks before departure, second dose 6-12mo later. When is Hep B vax recommended? High-risk people (IV drug use

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What vaccination is recommended for people traveling to countries where dz is common? Hep A How is Hep A vax given? Two doses: initial at least 4wks before departure, second dose 6-12mo later. When is Hep B vax recommended? High-risk people (IV drug users, persons w/multiple partners) H...

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  • November 19, 2023
  • 72
  • 2023/2024
  • Exam (elaborations)
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CHAMBERLAIN COLLEGE NR 601: MIDTERM STUDY GUIDE SONIA.2023
VSU.Qualified


What vaccination is recommended for people traveling to countries where
dz is common?
Hep A


How is Hep A vax given?
Two doses: initial at least 4wks before departure, second dose 6-12mo later.


When is Hep B vax recommended?
High-risk people (IV drug users, persons w/multiple partners)


How is Hep B vax
given? Initial dose
1mo later: 2nd dose
4-6mo after 2nd: 3rd dose


When is Zostavax recommended?
Anyone over 60yo, given as single
dose


Can people who have had prior episode of zoster be
vaccinated? Yes


When is flu vax
recommended? Annually
for all adults >50yo When
should DTaP be given?
Once in a lifetime for all adults, then Td booster every 10yrs.


When is pneumococcal vax
recommended? Once for 65yo and

,CHAMBERLAIN COLLEGE NR 601: MIDTERM STUDY GUIDE SONIA.2023
VSU.Qualified
older
Younger adults w/severe chronic health conditions


What is primary prevention?
Activities to prevent occurrence of dz or adverse health condition, including
mental health.

,CHAMBERLAIN COLLEGE NR 601: MIDTERM STUDY GUIDE SONIA.2023
VSU.Qualified


Health counseling and immunizations are examples.


What is secondary prevention?
Activities aimed at detection of dz or adverse health condition in
asymptomatic pt who has risk factors but no detectable dz.
Screening tests are examples, like mammography.


What is tertiary prevention?
Management of existing conditions to prevent disability and minimize
complications, striving for optimal function and QOL.


Pulmonary rehab for COPD is an
example. What are common s/s of
anxiety in elderly? Constipation
Nause
a HA
Worrying about health, disability, finances


What are phobic disorders?
Anxiety from a specific feared object or
situation. Person feels anxiety is excessive
or unreasonable. Often leads to distress or
avoiding the fear.
Often lifelong, common in older adults.


What is generalized anxiety disorder (GAD)?
Often 20-30yrs of excessive worry about health, family, finances w/insomnia,
muscle tension, restlessness, fatigue, irritability, memory problems.


What is PTSD?

, CHAMBERLAIN COLLEGE NR 601: MIDTERM STUDY GUIDE SONIA.2023
VSU.Qualified
Re-experiencing a traumatic event w/increased anxiety, avoiding
thoughts of the trauma, feeling numb/uninterested, perceiving future
as short.


What is panic disorder?
Involves recurrent, often unexpected attacks of severe anxiety w/one month
of worry about future attacks and consequences.
May include changes in behavior.
Rare in older adults, less severe/frequent than in younger
adults. Usually keeps them from leaving home.


What is agoraphobia?
Avoiding places where escape is difficult or
embarrassing. Rare in older adults, usually does not
occur w/panic attacks.


What is OCD?

Obsessions that cause anxiety or distress and/or compulsions that reduce
anxiety. Rare in older adults.
Usually lifelong.


What is treatment for anxiety?
Should reduce symptoms and improve function.


First-line: SSRI (citalopram/Celexa, escitalopram/Lexapro, sertraline/Zoloft).
For elderly, these have lowest risk of drug interactions, SE, or worsening
existing conditions.
Effective but not recommended due to falls/confusion: benzos
(lorazepam/Ativan, alprazolam/Xanax, clonazepam/Klonopin)


What are signal symptoms of

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