Jarvis

Question 0

Abc+v priority

Answer 0

Airway
Breathing
Cardiac/circulation
Vital sign concerns

Question 1

NANDA

Answer 1

North American nursing diagnosis association

Question 2

Cultural competency

Respect

Answer 2

Realize. You must know heritage
Examine within cultural context
Select ?'s not complex or quick
Pace ?'s throughout exam
Encourage pt. discuss cultural meanings
Check pt. understanding
Touch within cultural boundaries

Question 3

PQRSTU

Answer 3

Provocative or palliative
Quality or quantity
Region or radiation
Severity scale
Timing
Understand pt. perception

Question 4

FICA ?’s

Answer 4

Faith
Influence
Community
Address

Question 5

CAGE ?’s to determine alcohol problem

Answer 5

Cut down drinking?
Annoyed by criticism of ur drinking?
Guilty about ur drinking?
Eye opener? Drink in am?

Question 6

HEEADSSS for adolescent

Answer 6

Home
Education/employment
Eating
Activities
Drugs
Sexuality
Suicide/depression 
Safety

Question 7

A,B,C&T

Answer 7

Appearance
Behavior
Cognition
Thought process

Question 8

MMSE

Answer 8

Mini
Mental
State
Examination

Question 9

Mini-Cog

Answer 9

Test for older adult three words, draw clock, draw hands at specific time

Question 10

Dysphonia

Answer 10

Voice disorder=difficult/painful speech with abnormal pitch/volume
Articulation n language intact

Question 11

Dysarthria

Answer 11

Articulation disorder=distorted speech sounds. Word choice grammar and comprehension intact

Question 12

Aphasia

Answer 12

Language comprehension and production disorder=true language disturbance. Defect in word choice, grammar, and/or comprehension
Secondary to brain damage

Question 13

Global aphasia

Answer 13

Most common form.
Prognosis poor.
Comprehension absent
Spontaneous speech absent

Question 14

Broca’s aphasia

Answer 14

Expressive. Comprehension intact.
Nonfluent, disarthric, effortful speech.
Legion in motor speech cortex anterior language area

Question 15

Wernicke’s aphasia

Answer 15

Receptive. Fluent, effortless, well articulated speech. With paraphasias =word subs wrong
Legion in posterior language center

Question 16

Delirium

Answer 16

> clarity, awareness, focu, attention
Change in cognition
Develops over short time

Question 17

Dementia

Answer 17

Multiple cognitive defects.
Memory impaired
At least one of: aphasia, Apraxia, Agnosia, defected executive fx.

Question 18

Amnestic disorder

Answer 18

Memory impairment. No other cog. Defect.

Causes impairment in social/occupational fx.

Question 19

Apraxia

Answer 19

Defect in ability to carry out motor skills

Question 20

Agnosia

Answer 20

Defect I ability to identify objects despite intact sensory fx

Question 21

Lability

Answer 21

Abnormal mood and affect

Question 22

Blocking

Answer 22

Sudden interruption in train of thought

Question 23

FLACC

Answer 23

Face
Legs
Activity
Cries
Consolability

Question 24

Tweak alcohol test for women

Answer 24

``` Tolerance Worry Eye-opener Amnesia Kut down ```

Question 25

SMAST-G

Answer 25

Alcohol screening for older adult

Question 26

GGT

Answer 26

Alcohol abuse test | Gamma glutamyl transferase

Question 27

MCV

Answer 27

Alcohol abuse test | Mean corpuscular volume

Question 28

BAC

Answer 28

Blood Alcohol Concentration

Question 29

IPV

Answer 29

Intimate partner violence

Question 30

Pulsus binge minus

Answer 30

Irregular and coupled. Every other beat is early

Question 31

Pulsus alternans

Answer 31

Regular rhythm varied force with alternating beats

Question 32

Pulsus paradoxus

Answer 32

Beats have weaker amplitude with respiratory inspiration and stronger amplitude with expiration

Question 33

Claudication

Answer 33

Arterial insufficiency

Question 34

Knowles 6 principles of adult learning

Answer 34

1) internally motivated & self directed-resist imposed ideas. 2) bring life experience & knowledge to learning experience 3) goal oriented-named to know? 4) relevancy oriented- what for me? 5) practical 6) want respect.

Question 35

Presbycusis

Answer 35

Age related, gradual, progressive, sensorineural hearing loss 60% in >65 50% over 75 25-30% in 65-74

Question 36

Tinnitus

Answer 36

Constant noise or ringing

Question 37

Vertigo

Answer 37

Room spinning or self spinning

Question 38

Most common cause of falls in older adult

Answer 38

Equilibrium impairment | Labyrinth is damaged or inflamed sends inaccurate info to brain

Question 39

Rinne's test

Answer 39

Hearing loss screening place on mastoid bone. When no longer heard put in front of ear they should still hear it

Question 40

Weber or Vaber

Answer 40

Tuning fork to the top of head, forehead, chin. Symmetrical is normal. Lateralization is abnormal

Question 41

Adult pinna position

Answer 41

Up and back

Question 42

Child pinna position

Answer 42

Straight down

Question 43

Romberg test

Answer 43

Assess ability of vestibular apparatus in inner hear to help maintain standing balance