NUR 513 Examination 3 QUESTIONS AND ANSWERS 2024 (A+ GRADED VERIFIED) Fraility phenotype - ANSWER - shrinking, weakness, poor endurance and energy, slowness, low physical activity macrocytic -normochromic anemia - ANSWER - large cell size, normal hemoglobin content, characterized by defective DNA synthesis top causes of death ages 65+ - ANSWER - heart disease, cancer, stroke LGBTQ+ health disparities - ANSWER - higher rates of HIV, STI, suicide, mental health disorders, lower rates of cervical cancer screenings, mammograms new symptom presentation in an olde r adult - ANSWER - "what have we done to you lately" r/o all new symptoms as potential drug side effects before adding in a new medication overall assessment for older adults - ANSWER - sleep disturbances, problems with eating, incontinence, confusion, evid ence of falls, skin breakdown, each one gets 1 point beers criteria - ANSWER - a list of medications that are inappropriate when prescribed to eldery patients >65 anemia interpretation steps - ANSWER - 1. look at Hgb and RBC 2. Look at MCV (determines cell size, macro or microcytic) 3. Lookat MCH and MCHC (determines hemoglobin content, hypo or normochromic) how to create an affirming environment for LGBTQ+? - ANSWER - pride flags, use of pronouns, same sex couples on brochures, continuing provider educatio n outdates LGBTQ+ terms to avoid - ANSWER - hermaphrodite, homosexual, preferred name, transgender, sex change, sexual preference delayed puberty in males - ANSWER - no testicular enlargement by age 14, more than 5 year gap between initiation and completio n of secondary sexual characteristic development Medicare Part C - ANSWER - private insurance companies that combine medicare parts A and B Medicare Part D - ANSWER - prescription drug coverage Piaget Stage of Cognitive Development for Adolescents - ANSWE R- Formal Operational: ability to think abstractly, understand love and grey areas, many people do not successfully complete this stage precocious puberty treatment - ANSWER - GnRH stimulation test, CBC, CMP, TSH, T4, UA, refer to endocrine, hand x -ray anticholinergic medications in the eldery cause - ANSWER - dry mouth, urinary retention, tachycardia, constipation, confusion, falls, ataxia early A referral - ANSWER - dental anomalies, amenorrhea, no puberty, scoliosis >10 degrees, moderate to severe acne , behavior/mood disorders, eating disorders, sports injuries Medicarer Part A - ANSWER - covers hospitalizations, and short term nursing home or home health care following hospitalizations, does not require a monthly premium Katz Index - ANSWER - measures ADLs as independent or dependent, helps determine level of care how are sports classified w/ examples? - ANSWER - collision (boxing), limited contact (volleyball), noncontact strenous (swimming), moderately strenous (table tennis), nonstrenous (golf) late A well child - ANSWER - pap begins at 21, least likely to interact w/ healthcare system, immunization catch up fraility treatment - ANSWER - prevention of acute illnesses from worsening, prevention of polypharmacy, improve nutrition, mobilize, assess mood/ cognition ace inhibitors, vitmain D (>700U/day) Frued's stage of psychosocial devleopment for adolescents - ANSWER - begins at start of puberty when sexual urges awaken again, direct sexual urges onto the opposite sex, primary focus is on pleasure of the g enitals Late A info - ANSWER - live independently from their parents, easier access to drugs, alcohol, more serious relationships, acheiving independence antichiolinergics w/ significant side effects in the eldery - ANSWER - promethazine, benadryl, doxepin , hydroxizine, antihistamines, tricyclic antidepressants, fexeril, scopalamine
