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List three assessment areas from a windshield survey and a specific item the nurse would assess within that assessment area. This question is worth 6 points: 1 point for each assessment area and 1 point for each specific item being assessed. Partial points will be given. 

A nurse would anticipate that treatment for a patient with dementia might include medications designed to:

How much do you agree or disagree with the statement, “I would buy a new brand of salty snack food (chips) if it were recommended by an influencer I follow”?           Strongly Disagree           Disagree           Slightly Disagree             Neither Agree Nor Disagree           Agree           Slightly Agree           Strongly Agree

Use the following case to answer questions 45-51 Ingrid is an 81-year-old female who suffered a hip fracture and underwent a total hip replacement surgery (posterior approach) yesterday.  The physical therapist received orders to evaluate and treat the patient.   History and Examination findings: History: patient lived in an independent community living environment (widow of 10 years). She ambulated independently without an assistive device.   She was independent in all ADL’s and IADL’s except driving and she typically ate her meals at the cafeteria.  She has no history of dementia Since surgery alert and oriented to person only and has been combative with staff Low grade fever PWB on the involved LE due to severe osteoporosis. Which of the following organizations is responsible for accrediting acute care hospitals?

Use the following case to answer questions 37-44 Donald is a 65-year-old male.  He is fairly sedentary, he is retired, and his leisure activities include watching TV, reading, and attending local collegiate sporting events.  He has presented to outpatient physical therapy for an exercise program at the request of his son, who has been urging him for years to “do something.”  He is now motivated to “get in shape” to see his grandchildren grow up.  Examination findings PMedHX: gout, HTN, hypercholesteremia, plantar fasciitis, and OA of bilateral knees (he has received several cortisone injections). Meds:  Lopressor (Metoprolol), Lipitor, and Chondroitin supplements.  He recently had a non-remarkable stress test.  His physician cleared him to begin an exercise program. 5 feet 10 inches and weighs 240 pounds. (BMI 34.4) Vitals: BP 130/85, resting HR 80 Muscle strength testing (5/5) with the exception of bilateral hip ext. 3/5, hip abd. 4/5, ankle plantar flexors 3/5, trunk flexors 2/5, trunk extensors 2/5. Transfers were independent. Gait pattern was slow and antalgic initially upon getting out of the chair for the 1st 30 ft, and revealed decreased push off bilaterally. He was able to walk up and down a flight of stairs with a handrail, but c/o 7/10 pain during and after and utilized a “step-to” gait pattern for both ascend and decend.  According to the CDC and ACSM, what is the minimal long-term goal for recommended frequency for aerobic conditioning training for Donald and all older adults?

In general, do you prefer salty snacks or sweet snacks? Select all that apply.                  Salty snacks                  Sweet snacks                  I do not have a preference                  Other, please specify                               

Use the following case to answer questions 29-36 Ethyl is a 90-year-old female who was admitted to the hospital last night with a diagnosis of pneumonia.  The physical therapist received orders to evaluate and treat this patient to improve mobility. History and Examination Findings: History: She is retired and lives by herself in a 1-bedroom apartment in an assisted living facility.  Her husband died last year, and she reports to you several times that she is “lost without him.”  Her past medical history reveals that she wears glasses, has macular degeneration, has hearing aids, uses a 4 wheeled walker for ambulation, does not drive, has had 3 spinal compression fractures and a hip fracture within the last 5 years, is being hospitalized for pneumonia for the 3rd time in the last 6 months, and has high cholesterol.  Ethyl is 5 feet 3 and Weighs 85 pounds. (BMI 15.1) 2 years ago her BMI was 19 Alert and orientedX3, she answers all questions appropriately, and her voice is gurgly sounding. Posture: forward head, excessive kyphosis, and posterior pelvic tilt in sitting. Transfers: supine to sit with stand-by assist, sit to stand with moderate assist from a low chair Gait: 5 mph (.6 meters/sec.) with 4 wheeled walker 200 feet requiring 3 sitting rest breaks. Balance: High fall risk category on Tinetti (score 16) The outpatient PT decides to provide patient with a HEP. Ethyl’s macular degeneration should prompt the PT to instruct the HEP verbally and under which of the following conditions?

 Refer to the following case to answer questions 19-28 Ralph is an  85-year-old male who has been referred for a PT evaluation by his primary care physician due to R shoulder pain, which began ~1 month ago.  The pain is at its worst when he attempts to lift his arm past ~45 degrees of flexion and abduction.  He reported that because of the shoulder pain he has trouble getting his shirt on in the morning, combing his hair, and washing his upper body in the shower. Ralph stresses the importance of being able to maintain his independence at home and states “this is a top priority”.  PMHX: CABGx3 with artificial valve replacement 15 years ago, spinal stenosis, high blood pressure, previous MI x2.  Current meds:  Lasix, Lipitor, Lopressor, Coumadin.  Current level of function: He walks with a cane a maximum of 150 feet.  He wears bilateral bifocal eyeglasses and hearing aids secondary to presbycusis. The PT recognizes that an outcome measure will help determine the functional skills that Ralph is having difficulty with as it relates to his shoulder pain. Which standardize outcome measure would be the MOST appropriate to utilize?

Use the following case to answer questions 37-44 Donald is a 65-year-old male.  He is fairly sedentary, he is retired, and his leisure activities include watching TV, reading, and attending local collegiate sporting events.  He has presented to outpatient physical therapy for an exercise program at the request of his son, who has been urging him for years to “do something.”  He is now motivated to “get in shape” to see his grandchildren grow up.  Examination findings PMedHX: gout, HTN, hypercholesteremia, plantar fasciitis, and OA of bilateral knees (he has received several cortisone injections).  Meds:  Lopressor (Metoprolol), Lipitor, and Chondroitin supplements.  He recently had a non-remarkable stress test.  His physician cleared him to begin an exercise program. 5 feet 10 inches and weighs 240 pounds. (BMI 34.4) Vitals: BP 130/85, resting HR 80 Muscle strength testing (5/5) with the exception of hip ext. 3/5, hip abd. 4/5, ankle plantar flexors 3+/5, trunk flexors 2/5, trunk extensors 2/5. Transfers were independent. Gait pattern was slow and antalgic initially upon getting out of the chair for the 1st 30 ft, and revealed decreased push off bilaterally. He was able to walk up and down a flight of stairs with a handrail, but c/o 7/10 pain during and after and utilized a “step-to” gait pattern for both ascend and decend. Which of the following mode of exercise would be the primary choice for Donald to improve his aeorbic endurance?