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Simmons NURP 503 Exam 3 > 10: Assessment > Flashcards

Flashcards in 10: Assessment Deck (23)
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1
Q

What are components of the PE for functional assessment (3)?

A
  1. Mobility
  2. Sensory
  3. Dentition and swallowing
2
Q

The Short Portable Mental Status Questionnaire asks practical questions, but is not as sensitive as the FMMS. How many errors signifies cognitive impairment?

A

3

3
Q

The _____ scale combines functional assessment with cognitive assessment.

A

Blessed Dementia Scale

4
Q

T/F Ill-fitting dentures can cause weight loss.

A

True

5
Q

Lymphocytes are depressed in malnutrition. What are levels for mild, moderate, and severe?

A

Mild malnutrition = 1200-1500
Moderate = 800-1200
Severe = <800

6
Q

Albumin is normal at 4-6. What indicates malnutrition or severe malnutrition?

A
Malnutrition = <3.5
Severe = <2.5
7
Q

What is a normal score on the Folstein Mini-Mental Status?
Dementia?
Depression with cognitive impairment?
Depression?

A

Normal = 27.6
Depression = 25
Depression with Cognitive Impairement = 17
Dementia = 9.7

8
Q

The _____ is used more in primary care and helps determine if someone is presenting with mild cognitive impairment or dementia.

A

Clock-Drawing Test. Score only if symbols for clock numbers are present. Score only if 1 or more hands is present.

9
Q

The _____ screens for deficits in specific areas of cognitive functioning.

A

Folstein Mini-Mental Status (FMMS)

10
Q

Why might hypersensitivity reactions occur in elderly (2)?

A
  1. Candida

2. Mumps

11
Q

T/F Medicare often provides home-based services.

A

False. MedicAID often provides home-based services.

12
Q

Arm circumference measures muscle mass as a measure of protein stores. Norms are _____ for males and _____ for females.

A
Males = 29.3 cm
Females = 28.5 cm
13
Q

What are predictive items for nursing home placement (3)?

A
  1. Bowel/bladder incontinence
  2. Incoherent speech
  3. Inability to bathe/groom oneself
14
Q

The Blessed Dementia Scale is based on behavioral symptoms of dementia. The higher the score, the greater the functional impact of dementia. Scores over _____ may reflect need for nursing home placement.

A

30

15
Q

T/F The Geriatric Depression Scale is a tool that can be used in primary care to assess for overall affect and has 30 questions with yes/no answers.

A

True. Not perceived as threatening to the patient.

16
Q

What is the least sensitive method for evaluation of nutritional status in the elderly?

A

Physical exam. Focus on skin, mucous membranes, and hair.

17
Q

The FMMS doesn’t distinguish between _____ and _____.

A

Delirium and dementia

18
Q

_____ is an indicator of acute malnutrition.

A

Serum transferrin

19
Q

T/F Skinfold thickness values of less than 75% or greater than 150% of the norm are indicative of malnutrition or obesity.

A

False. Less than 50% or greater than 150%.

20
Q

What are normal levels of serum transferrin?

A

190-375 mg/dL

21
Q

T/F Even though the FMMS screens for depression, depression can affect the results.

A

True

22
Q

_____ provides reimbursement for skilled nursing, physical therapy, speech therapy, and home health aides.

A

Medicare Title 18 of the Social Security Act

23
Q

Skinfold thickness of triceps, subscapular have norms of _____ for males and _____ for females older than 75.

A
Males = >12 mm
Females = >25 mm