Exam & Evaluation (HIV-Associated Neurocognitive Disorders (HAND))
Questions: Please respond to following statements.
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
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.
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
Parkinson's and Huntington's diseases may present similar clinical features as HAD because all three are:
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
Incontinence, loss of bowel and bladder control
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
The most effective way to slow the progress of HIV-associated neurocognitive disorder is strict compliance with HAART regimens
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
John's actions are inappropriate and he lacks awareness of how they are perceived by others. This is an example of: (select only one)
Some HIV treatment medications can cause muscle weakness and/or muscle atrophy.
Which of the following is NOT one of the five steps suggested to help manage challenging behaviors of clients?
Establish intervention strategy
Learn about previous history
Escalate interaction to secure compliance
The frequency of HAD is increasing due to suppression of opportunistic infections and the extension of lifespan.
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This activity will enhance my knowledge/skill /practice as a health care provider.
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