Question 1

Geriatric assessments can be challenging for the health-care provider due to delay of recognition and/or reporting of symptoms by the patient. Which of the following best describes what is used by health-care providers to address this differential?

Clinical decision-making tools.

When symptoms were noticed.

Change in function and impact of symptoms.

Symptoms from comorbidities.

Question 2

The nurse practitioner is managing a 68 year old patient with a AAA and urgent hypertension.   What IV anti hypertensive medication should be used to rapidly and consistently lower blood pressure?

metroprolol, amiodarone, nitroglycerine

diltiazem, metoprolol,  nitroprusside

esmolol, nitroprusside, diltiazem

nicardipine, esmolol, nitroglycerine

Question 3

Which of the following terms refers to conditions that have multiple underlying factors and may involve multiple organs?

Multifaceted syndrome

Aging syndrome

CFM syndrome

Geriatric syndrome

Question 4

Oral cancer is a malignant tumor presented by a nonhealing sore in the mouth or lip that causes difficulty chewing or swallowing. Which of the following statements applies to an oral cancer diagnosis?

It cannot be prevented.

It involves unexplained lymph node swelling in the head and neck area.

It is three times more likely in women than men.

It involves unexplained lymph node swelling in the axillary area.

Question 5

Mr. Osorio is a 65-year-old male who recently retired because of a medical condition. He has good family support and is very motivated to start a wellness program to prevent worsening of his condition. These factors are an example of:

Barriers

Incentives

Positive self-efficacy

Facilitators

Musculoskeletal Function:
G.J. is a 71-year-old overweight woman who presents to the Family Practice Clinic for the first time complaining of a long history of bilateral knee discomfort that becomes worse when it rains and usually feels better when the weather is warm and dry. “My arthritis hasn’t improved a bit this summer though,” she states. Discomfort in the left knee is greater than in the right knee. She has also suffered from low back pain for many years, but recently it has become worse. She is having difficulty using the stairs in her home. The patient had recently visited a rheumatologist who tried a variety of NSAIDs to help her with pain control. The medications gave her mild relief but also caused significant and intolerable stomach discomfort. Her pain was alleviated with oxycodone. However, when she showed increasing tolerance and began insisting on higher doses of the medication, the physician told her that she may need surgery and that he could not prescribe more oxycodone for her. She is now seeking medical care at the Family Practice Clinic. Her knees started to get significantly more painful after she gained 20 pounds during the past nine months. Her joints are most stiff when she has been sitting or lying for some time and they tend to “loosen up” with activity. The patient has always been worried about osteoporosis because several family members have been diagnosed with the disease. However, nonclinical manifestations of osteoporosis have developed.

Case Study Questions
Define osteoarthritis and explain the differences with osteoarthrosis. List and analyze the risk factors that are presented on the case that contribute to the diagnosis of osteoarthritis.
Specify the main differences between osteoarthritis and rheumatoid arthritis, make sure to include clinical manifestations, major characteristics, joints usually affected and diagnostic methods.
Describe the different treatment alternatives available, including non-pharmacological and pharmacological that you consider are appropriate for this patient and why.
How would you handle the patient concern about osteoporosis? Describe your interventions and education you would provide to her regarding osteoporosis.

Neurological Function:
H.M is a 67-year-old female, who recently retired from being a school teacher for the last 40 years. Her husband died 2 years ago due to complications of a CVA. Past medical history: hypertension controlled with Olmesartan 20 mg by mouth once a day. Family history no contributory. Last annual visits with PCP with normal results. She lives by herself but her children live close to her and usually visit her two or three times a week.
Her daughter start noticing that her mother is having problems focusing when talking to her, she is not keeping things at home as she used to, often is repeating and asking the same question several times and yesterday she has issues remembering her way back home from the grocery store.

Case Study Questions
Name the most common risks factors for Alzheimer’s disease
Name and describe the similarities and the differences between Alzheimer’s disease, Vascular Dementia, Dementia with Lewy bodies, Frontotemporal dementia.
Define and describe explicit and implicit memory.
Describe the diagnosis criteria developed for the Alzheimer’s disease by the National Institute of Aging and the Alzheimer’s Association
What would be the best therapeutic approach on C.J.

Submission Instructions:
You must complete both case studies.
Your initial post should be at least 500 words per case study, formatted and cited in current APA style with support from at least 2 academic sources. 

Module 6 Assignment Description:

Data Collection and Education – Develop a 15 slide PowerPoint presentation. Be thorough and include your rationale and three (3) references for your recommendations.

As a nursing leader, you have been asked to assess and educate staff on:

· Data points necessary for developing an accurate financial statement.

· Educate the staff on accuracy and what data points are necessary when developing a financial plan.

· Define terms for the staff.

Assignment Expectations

Length: 15 slides; answers must thoroughly address the subject matter in a clear, concise manner 

Structure: Title slide and reference slides in APA style. (at least 2 slides)

Additionally, because a good presentation has few words on the slides include a script with the verbiage you would say when presenting; script should be a minimum of 50 words per slide.

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) resources to support your claims.

Format: Save your assignment as a Microsoft PowerPoint document and a Word document (.pptx) and (.doc or .docx) or Open Office Impress.