NR-601 Primary Care of the Maturing & Aged Family Practicum
Final Exam Review
What is palliative care?
Correct Answer:
Healthcare for people with serious illness, which the focus is to provide relief from symptoms and stress. And to improve quality of life and comfort. For both the pt and their family
They are assisted with decision making
What is hospice?
Correct Answer:
end of life care, once treatment is no longer appropriate and providers certify pt has less than 6 months to live.
Statements of values or wishes should be revisited how often?
Correct Answer:
Every 4-5 years or at times of major change in condition or function.
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DNR order
Correct Answer:
Only applies to cardiac arrest; it is not equivalent to do not treat.
What is a spike Protocol?
Correct Answer:
S: setting
P: perception, determine what pt already knows
I: invitation, clarify information preferences
K: knowledge, give the info
E: empathy, respond to emotion
S: summary, next steps and follow up plan
Prolonged grief disorder is dx how?
Correct Answer:
Symptoms need to be present atleast 6 mos
What is Primary stroke prevention/ risk reduction measures?
Correct Answer:
The use of antihypertensives, anticoagulants, and statins.
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Education for stroke prevention?
Correct Answer:
Smoking cessation, diet, weight loss, exercise
What are the stroke guidelines?
Correct Answer:
Complete assessment and treatment of acute stroke patients within 60 mins of arrival to The ER.
Neuro exam as soon as patient enters ER
obtain brain imaging within 20 mins of arrival to hospital
Treatment of the very old may offer same benefits as in younger patients.
What is the FRAIL scale?
Correct Answer:
Defines frailty by 5 components:
Fatigue, resistance, ambulating, more than 5 illnesses, and 5% weight loss.
What can improve aspects of frailty?
Correct Answer:
Aerobic and resistance exercises
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What is the most widely used classification system for ischemic stroke?
Correct Answer:
Trial of org 10172 in Acute stroke treatment. (TOAST) Includes 5 categories.
- Large artery atherosclerosis
- Cardioembolism
- Small artery occlusion.
- Stroke of other determined etiology (rare causes/nonatherosclerotic.
- Stroke of undetermined etiology.
Inflammatory, infectious, genetic).
What is ASCOD?
Correct Answer:
A classification system for stroke that identifies all possible pathologies that should be addressed in pts w/ ischemic stroke.
It stands for : atherosclerosis, small vessel disease, cardiac sources, other,
and dissection.
Stroke is what # cause of death in The U.S.?
Correct Answer:
5th.
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