NR-601 Final Exam Study Guide & Practice Questions | Primary Care of the Maturing Family

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Summary NR601 / NR-601 Final Exam Study Guide

(Latest 2025): Primary Care of the Maturing & Aged

Family Practicum - Chamberlain

Most common type of UI in men and women? .....ANSWER.....Men

is urgency and women is stress

What is urge UI? .....ANSWER.....Feeling of needing to go right

away. Rush to the bathroom.

What is stress UI? .....ANSWER.....Sneezing, coughing, laughing,

pressure.

What is mixed incontinence? .....ANSWER.....Both stress and

urgency

Risk factors for UI? .....ANSWER.....Female, obesity, dm,

depression, stroke, fecal incontinence, hysterectomy.

What is the first line therapy for most older patients with UI?

.....ANSWER.....Behavioral therapy

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What does behavioral therapy include for UI?

.....ANSWER.....Weightloss, stop caffeinated beverages and

alcohol, minimize fluid intake at night, stop smoking,loop diuretics

should be taken in afternoon. Bladder trainings, kegal exercises,

and prompted voiding.

Which med can be used for OAB? S/e?

.....ANSWER.....Myrbetriq; can cause high BP.

What medications can be used for urge incontinence and OAB?

What are their class? .....ANSWER.....Detrol (tolterodine),

ditropan (oxybutinin)

These are anticholinergics/antimuscarinics

Antimuscarinics and anticholinergics should be avoided in which

patients?according to BEERS criteria .....ANSWER.....Patients with

dementia or cognitive impairment

What is the gold standard treatment for women with stress

incontinence? .....ANSWER.....Surgery

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What is the only evidenced based lifetsyle intervention for for

moderately obese younger older women with UI?

.....ANSWER.....Weight loss

Treatment of UI in older persons should be be proceeded how?

.....ANSWER.....Step wise process. Stating with addressing first

comorbidities and medications, then lifestyle interventions,

behavioral treatment, pharmacological treatment, minimally

invasive procedures or surgeries.

Management of UI should focus on what? .....ANSWER.....The most

bothersome factors

All patients with UI should be screened for?ex?

.....ANSWER.....Functional status and depression.

Functional impairment can be assessed by timed up and go and

minicog test

Urinary frequency may reflect what ? .....ANSWER.....High fluid

intake, and or use of caffeinated drinks or alcohol.

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Acute onset of UI or the presence of Suprapubic, lower

abdominal, or pelvic pain are what kind of symptoms? What

should be done? .....ANSWER.....Red flag symptoms. For

underlying neurologic or neoplastic disease. Requires immediate

referral to neuro, uro, gyno.

What is the key difference between UI in younger and older

persons? .....ANSWER.....UI may be precipitated or worsened by

outside factors of urinary tract, including meds, mobility,

environment, mentation, manual dexterity.

What is an assessment tool for UI bother and quality of life? And

can be used to assess for the effect of treatment?

.....ANSWER.....Urogenital distress index 6, min dif in score is

5/11

What kind of therapy is most efficacious for UI?

.....ANSWER.....Both behavioral and drug therapy. Than either

alone