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Exam & Evaluation (HIV-Associated Neurocognitive Disorders (HAND))
 
Questions: Please respond to following statements.

1 HIV infects the CNS by:
  attacking the spinal cord
  traveling in infected macrophages across the blood brain barrier
  traveling on red blood cells
  slipping through the meninges
2 Hiv-associated dementia can be described as an:
  HIV infection causing changes in cardio-pulmonary functioning
  AIDS defining neurocognitive disorder that significantly impairs ADLs.
  HIV infection causing changes in the endocrine system
  HIV associated neurocognitive disorder that impairs work efficiency.
3 HAD diagnostic criteria include:
  Significant impaiment, 2 SD below norm, attributed only to HIV
  Nightmares, flashbacks, amnesia
  Impaired judgment, anxiety, panic, obsessive-compulsive patterns
  Headaches, fainting, blood sugar changes
4 Parkinson's and Huntington's diseases may present similar clinical features as HAD because all three are:
  Cortical dementias
  Multi-infarct dementias
  Subcortical dementias
  Subdural dementias
5 All of the following are indicative of changes in motor functioning except:
  Slow and unsteady movements requiring the use of a walker
  Poor coordination resulting in decline in handwriting skills
  Wandering
  Incontinence, loss of bowel and bladder control
6 Two tests that are sensitive to psychomotor slowing are:
  The Trail Making Test and Symbol Digit Modalities
  The Trail Making Test and Boston Naming Test
  Symbol Digit Modalities and the California Verbal Learning Test
  None of the above
7 The most effective way to slow the progress of HIV-associated neurocognitive disorder is strict compliance with HAART regimens
True     False
8 Helpful interventions in working with someone who has HAD include:
  Hang easily visible calendars, clocks, and charts of important information.
  Sitting down for ADL tasks such as brushing teeth
  Range of motion exercises
  All of the above
9 John's actions are inappropriate and he lacks awareness of how they are perceived by others. This is an example of: (select only one)
  Disillusionment
  Delirium
  Differentiation
  Disinhibition
10 Some HIV treatment medications can cause muscle weakness and/or muscle atrophy.
True     False
11 Which of the following is NOT one of the five steps suggested to help manage challenging behaviors of clients?
  Establish intervention strategy
  Record behavior
  Learn about previous history
  Escalate interaction to secure compliance
12 The frequency of HAD is increasing due to suppression of opportunistic infections and the extension of lifespan.
True     False
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