A 67-year-old man on a geriatric inpatient unit with no high school education scored 30 on the St. Louis University Mental Status Exam (SLUMS). What does this score indicate?
Mild dementia
Moderate dementia
Severe dementia
Normal mental function
The Correct Answer is D
Choice A reason: Mild dementia corresponds to lower SLUMS scores; a score of 30 is higher than the cutoff for mild impairment.
Choice B reason: Moderate dementia would present with a substantially lower SLUMS score.
Choice C reason: Severe dementia is associated with very low SLUMS scores well below 20.
Choice D reason: A SLUMS score of 30 indicates normal cognitive function, even considering lower education level.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Aminoglycosides are primarily used for gram-negative infections and severe open fractures (grade II or III) but are not the first-line choice for a mild, grade 1 open fracture.
Choice B reason: Cephalosporins, particularly first-generation cephalosporins like cefazolin, are the standard prophylactic antibiotics for grade 1 open fractures. They cover common pathogens such as Staphylococcus aureus and reduce the risk of post-traumatic osteomyelitis.
Choice C reason: High-dose penicillin is reserved for fractures complicated by anaerobic infections (e.g., contaminated wounds with soil) and is not routinely indicated for simple grade 1 open fractures.
Choice D reason: Sulfamethoxazole and trimethoprim are not standard prophylaxis for open fractures and are not the first-line treatment due to insufficient coverage of typical pathogens encountered in acute open fractures.
Correct Answer is B
Explanation
Choice A reason: The triglyceride triad refers to elevated triglycerides, small dense LDL, and low HDL, which is part of metabolic syndrome but not the overall term.
Choice B reason: Metabolic syndrome is the correct term encompassing obesity, insulin resistance, dyslipidemia, and hypertension, which collectively increase the risk of cardiovascular disease, diabetes, and stroke.
Choice C reason: Cardiovascular cluster is not a standardized medical term.
Choice D reason: Endocrine failure refers to organ-specific hormonal insufficiency and is unrelated to metabolic syndrome.
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