10: Assessment

Question 1

What are components of the PE for functional assessment (3)?

Answer 1

1. Mobility
2. Sensory
3. Dentition and swallowing

Question 2

The Short Portable Mental Status Questionnaire asks practical questions, but is not as sensitive as the FMMS. How many errors signifies cognitive impairment?

Answer 2

3

Question 3

The _____ scale combines functional assessment with cognitive assessment.

Answer 3

Blessed Dementia Scale

Question 4

T/F Ill-fitting dentures can cause weight loss.

Answer 4

True

Question 5

Lymphocytes are depressed in malnutrition. What are levels for mild, moderate, and severe?

Answer 5

Mild malnutrition = 1200-1500
Moderate = 800-1200
Severe = <800

Question 6

Albumin is normal at 4-6. What indicates malnutrition or severe malnutrition?

Answer 6

Malnutrition = <3.5
Severe = <2.5

Question 7

What is a normal score on the Folstein Mini-Mental Status?
Dementia?
Depression with cognitive impairment?
Depression?

Answer 7

Normal = 27.6
Depression = 25
Depression with Cognitive Impairement = 17
Dementia = 9.7

Question 8

The _____ is used more in primary care and helps determine if someone is presenting with mild cognitive impairment or dementia.

Answer 8

Clock-Drawing Test. Score only if symbols for clock numbers are present. Score only if 1 or more hands is present.

Question 9

The _____ screens for deficits in specific areas of cognitive functioning.

Answer 9

Folstein Mini-Mental Status (FMMS)

Question 10

Why might hypersensitivity reactions occur in elderly (2)?

Answer 10

1. Candida

2. Mumps

Question 11

T/F Medicare often provides home-based services.

Answer 11

False. MedicAID often provides home-based services.

Question 12

Arm circumference measures muscle mass as a measure of protein stores. Norms are _____ for males and _____ for females.

Answer 12

Males = 29.3 cm
Females = 28.5 cm

Question 13

What are predictive items for nursing home placement (3)?

Answer 13

1. Bowel/bladder incontinence
2. Incoherent speech
3. Inability to bathe/groom oneself

Question 14

The Blessed Dementia Scale is based on behavioral symptoms of dementia. The higher the score, the greater the functional impact of dementia. Scores over _____ may reflect need for nursing home placement.

Answer 14

30

Question 15

T/F The Geriatric Depression Scale is a tool that can be used in primary care to assess for overall affect and has 30 questions with yes/no answers.

Answer 15

True. Not perceived as threatening to the patient.

Question 16

What is the least sensitive method for evaluation of nutritional status in the elderly?

Answer 16

Physical exam. Focus on skin, mucous membranes, and hair.

Question 17

The FMMS doesn’t distinguish between _____ and _____.

Answer 17

Delirium and dementia

Question 18

_____ is an indicator of acute malnutrition.

Answer 18

Serum transferrin

Question 19

T/F Skinfold thickness values of less than 75% or greater than 150% of the norm are indicative of malnutrition or obesity.

Answer 19

False. Less than 50% or greater than 150%.

Question 20

What are normal levels of serum transferrin?

Answer 20

190-375 mg/dL

Question 21

T/F Even though the FMMS screens for depression, depression can affect the results.

Answer 21

True

Question 22

_____ provides reimbursement for skilled nursing, physical therapy, speech therapy, and home health aides.

Answer 22

Medicare Title 18 of the Social Security Act

Question 23

Skinfold thickness of triceps, subscapular have norms of _____ for males and _____ for females older than 75.

Answer 23

Males = >12 mm
Females = >25 mm