exam 4

Question 1

Loss of ability is slow
Loses energy, drive, initiative
Difficulty learning new things
Personality and social skills remain intact
Managing finances shows impairment

Answer 1

mild alz

Question 2

Deterioration is evident
Cant remember addresses or dates
Hygiene and self care are affected
Mood becomes labile
Driving judgment becomes poor
Denies deterioration and withdraws

Answer 2

moderate alz

Question 3

Unable to identify familiar objects or people(severe agnosia)
Needs repeated instructions for simplest of tasks (advanced apraxia)
May become incontinent and need total care
Agitation, violence, or paranoid delusions may be seen
Wanders
May need nursing home

Answer 3

severe alz

Question 4

Agraphia (inability to read and write)
Hyperorality (putting everything in mouth)
Visual agnosia (inability to recognize objects)
Hypermetamorphosis (touching everything)
Ability to talk and walk is lost
Coma and stupor follow

Answer 4

late alz

Question 5

CAM

Answer 5

confusion assessment method used for delirium

Question 6

GDS

Answer 6

geriatric depression scale; used on older adults with depression

Question 7

used for dementia and alz but may cause liver damage

Answer 7

Tacrine (Cognex)

Question 8

8-item questionnaire that distinguishes between people who have dementia and people who don’t.

Answer 8

ad-8

Question 9

4-item questionnaire that can indicate potential problems with alcohol abuse.

Answer 9

CAGE

Question 10

give options and make the options clear
use non aggressive posture
be genuine and empathy
be assertive not aggressive

Answer 10

de escalation

Question 11

shock, numbness, disbelief, disorganization, confusion, poor concentration, somatic symptoms

Answer 11

rape trauma syndrome

Question 12

what do patients who experience rape trauma syndrome portray

Answer 12

denial, Dissociation, disorganization, shock, confusion, phobias, paranoia

Question 13

2 weeks or more after rape

Nurses can help prepare client for: flashbacks, dreams, insomnia, anxiety, fears, phobia, depression, suicide

Answer 13

long term phase of rape trauma syndrome

Question 14

4 temperaments

Answer 14

Sanguine
Choleric
Melancholic
Phlegmatic

Question 15

(enthusiastic, active, and social)

Answer 15

sanguine

Question 16

(short-tempered, fast, and irritable)

Answer 16

choleric

Question 17

(analytical, wise, and quiet)

Answer 17

melancholic

Question 18

(relaxed and peaceful)

Answer 18

phlegmatic

Question 19

stimulant for adhd, increases the level of dopamine in the brain improving activity and communication, treat with minimum effective dose, no later than 4 pm, extended release have improved insomnia, other effects are appetite suppression, headache, abdominal pain, lethargy

Answer 19

Focalin (Dexmethylphenidate)

Question 20

Inhibits acetylcholine breakdown and appears to slow deterioration in cognitive function but without the liver toxicity, Side effects: GI upset: diarrhea, nausea
Drug of choice for AD because of its once per day dosing and fewer side effects

Answer 20

Aricept (Donepezil)

Question 21

for dementia , receptor antagonist, side effects are dizziness, headache, constipation

Answer 21

Namenda (Memantine)

Question 22

used for dementia, cholinesterase inhibitor, may delay alzheimers progress, liver damage, first drug to be approved, but no longer marketed, treats memory

Answer 22

Tacrine (Cognex)

Question 23

nonstimulant for adhd, can increase suicide ideation, may take up to 6 weeks for improvements, common side effects are gi disturbances, reduced appetite, weight loss, urinary retention, dizziness, fatigue, insomnia, liver injury, small increase in BP and HR, takes several weeks to work and is a 24 hour medication

Answer 23

Strattera (Atomoxetine)

Question 24

stimulant for adhd, increases the level of dopamine in the brain improving activity and communication, treat with minimum effective dose, no later than 4 pm, extended release have improved insomnia, other effects are appetite suppression, headache, abdominal pain, lethargy

Answer 24

Daytrana patch (Mehtylphenidate)

Question 25

stimulant for adhd, increases the level of dopamine in the brain improving activity and communication, treat with minimum effective dose, no later than 4 pm, extended release have improved insomnia, other effects are appetite suppression, headache, abdominal pain, lethargy (see table 11-2) worry about gi upset, give during breakfast worry about weight loss, worry about insomnia dont give after 4pm

Answer 25

Concerta (Methylphenidate)