water, water, everywhere
Who forgot to pay the bills?
I see bugs everywhere
Help-I've fallen and can't get up
Anhedonia
100
Name 2 things that can cause or exacerbate urinary retention in older adults
What is medical conditions (co-morbidity) functional impairment cognitive impairment medications
100
Two main risk factors for dementia
What are age and family history
100
The tool used most often to identify delirium.
What is CAM (confusion assessment method)
100
Leading cause of death from injury in older adults
What are complications from falls?
100
Name 2 screening tools for depression that can be used with older adults
What PHQ-2 (or PHQ-9) and the Geriatric depression scale
200
Mrs J reports she hates going on long car trips because she can never be sure she will find a bathroom in time. Name this type of UI
What is urge incontinence or overactive bladder
200
The most common type of dementia in the United States
What is Alzheimer's disease
200
Name 2 features that MUST be present in order to diagnose delirium.
What are Acute onset of mental status change and inattention (the other two features are disorganized thinking and altered level of consciousness-one of which must also be present
200
Causes of falls in the elderly
What are intrinsic factors (age-r/t changes, chronic illness, acute illness, medications) Extrinsic factors (clutter, use of ambulatory aids such as canes and walkers)
200
A persistent loss of pleasure and interest in previously enjoyable activities.
What is anhedonia
300
Mrs K is upset because she doesn't know why when she sneezes she sometimes looses urine. The doctor told her about weak muscles in her bladder.
What are sphincter muscles and pelvic floor muscles
300
A type of dementia that progresses in a "step-wise" way.
What is vascular dementia
300
Name 2 categories of risk factors for the development of delirium
What Predisposing factors and precipitating factors
300
You are screening patients for falls. A patient reports having had a single fall in the past year. What should you do next based on the American Geriatris Society guidelines on falls?
What is gait and balance evaluation
300
A major limitation of the geriatric depression scale.
What is lacking a question about suicide ideation
400
A nursing home resident suffers from urinary incontinence. Her nurse practitioner is planning an intervention which is common for nursing home residents involving behavior therapies.
What is bladder training prompted voiding, kegel exercises
400
Alzheimer's Disease progresses through _____ stages.
What is "7"
400
Name 2 interventions to treat reversible causes of delirium
What reduce meds such as anticholinergics, benzodiazepines that may precipitate delirium Manage co-morbid problems such as treating infection, fluid replacement for dehydration, transfusions for blood loss
400
A performance test used to evaluate gait and strength in an older adult with a history of falls.
What is the Get up and Go test
400
Medical contraindications for ECT (electroconvulsive disorder)
What is recent MI, unstable angina, recent stroke,
500
A medication often prescribed for urge and mixed incontinence
What are antimuscarinic agents such as ditropan
500
The drug of choice to treat patients in early stages of dementia
What cholinesterase inhibitors
500
The most common type of delirium
What is hypoactive delirium
500
Name at least 2 interventions for a patient who has a history of recurrent falls in the past year.
What are minimize medications, order PT/exercise class focusing on strength, balance, gait training, treat vision problems, manage postural hypotension, prescribe vitamin D, modify home
500
In order to diagnose depression, new onset of symptoms must be present to at least_____
What is 2 weeks.
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