Final Exam: NR601/ NR 601 (2023/ 2024 Latest Update) Primary Care of the Maturing & Aged Family Practicum Exam Review| Weeks 5-8| Questions and Verified Answers| 100% Correct- Chamberlain

Final Exam: NR601/ NR 601 (2023/ 2024

Latest Update) Primary Care of the

Maturing & Aged Family Practicum Exam

Review| Weeks 5-8| Questions and Verified

Answers| 100% Correct- Chamberlain

Q: What is the gold standard treatment for women with stress incontinence?

Answer:

Surgery

Q: What is the only evidenced based lifetsyle intervention for for moderately obese younger

older women with UI?

Answer:

Weight loss

Q: Treatment of UI in older persons should be be proceeded how?

Answer:

Step wise process. Stating with addressing first comorbidities and medications, then lifestyle

interventions, behavioral treatment, pharmacological treatment, minimally invasive procedures

or surgeries.

Q: Management of UI should focus on what?

Answer:

The most bothersome factors

Q: All patients with UI should be screened for?ex?

Answer:

Functional status and depression.

Functional impairment can be assessed by timed up and go and minicog test

Q: Urinary frequency may reflect what ?

Answer:

High fluid intake, and or use of caffeinated drinks or alcohol.

Q: Acute onset of UI or the presence of Suprapubic, lower abdominal, or pelvic pain are what

kind of symptoms? What should be done?

Answer:

Red flag symptoms. For underlying neurologic or neoplastic disease. Requires immediate

referral to neuro, uro, gyno.

Q: What is the key difference between UI in younger and older persons?

Answer:

UI may be precipitated or worsened by outside factors of urinary tract, including meds, mobility,

environment, mentation, manual dexterity.

Q: What is an assessment tool for UI bother and quality of life? And can be used to assess for

the effect of treatment?

Answer:

Urogenital distress index 6, min dif in score is 5/11

Q: What kind of therapy is most efficacious for UI?

Answer:

Both behavioral and drug therapy. Than either alone

Q: Morbidity with UI are?

Answer:

Skin breakdown, falls. Fractures

Q: Symptoms of UTI?

Answer:

Dysuria, frequency, urgency, hematuria

Q: UTI is the most common infection seen in who?

Answer:

Older adults in nursing homes, or hospitals.

Q: Asymptomatic bacteriuria increases with?

Answer:

Age and debility

Q: For older adults, treatment should not be initiated only based on symptoms... why?

Answer:

Common symptoms can mimic other diseases

Q: Post menopausal women may also complain of?

Answer:

Low back pain, nocturia, incontinence, and constipation.

Q: Why is bacteruria and UTI so common in older adults?

Answer:

There are conditions or diseases that lead to alterations in normal flora, urinary stasis and

obstruction as we age.

Shifts in perineal flora and ph bc if estrogen deficiency occurs.

Urinary stasis and obstruction can occur due to normal aging, which can lead to increased UTI.

Urethra orifice can also be contaminated.

Q: What is the UA results for UTI?

Answer:

Positive for nitrates and leukocytes + symptoms present

Q: What are common signs and Symptoms of UTI in LTC?

Answer:

Change in mental Status and characteristics of urine

Q: What is not a useful indicator for UTI?