NURS 1100 - Exam 3 Questions with Correct
Answers
Which factor would the nurse consider when communicating with adolescents?
Be alert for clues to their emotional state.
Adolescents are searching for their identities and trying to become emotionally independent
from parents while still maintaining family ties. Depression, substance abuse, and violence
are all real concerns during this period; thus, the nurse must be aware of an adolescent's
emotional state. Open-ended questions are used to get more detailed answers. The nurse
would look for meaning behind adolescents' words or actions. It is also important to discuss
issues such as sex and drugs; sex and drugs are very important issues during this age
Which sense is affected by presbyopia?
Sight
Sensory changes in the eyes are characterized by the presence of decreased accommodation
to near or far vision, which is called presbyopia. Sensory changes in the ears include
thickening of the tympanic membrane and sclerosis of the ear. Sensory changes of smell
include a diminished sense of smell. Sensory changes in taste are often characterized by
fewer taste buds.
Which clinical feature is related to depression in older adults?
Agitation
Psychomotor disorientation, or agitation, is commonly seen in patients with depression.
Apraxia is a clinical feature associated with dementia but not depression. Patients with
,delirium have increased alertness (hypervigilance). However, the alertness in patients with
depression is usually normal. Impaired orientation is associated with delirium, and patients
with depression may have selective disorientation.
Which statement by the patient is a contributing factor for depression in the older
adult? Select all that apply. One, some, or all responses may be correct.
"I was hospitalized recently."
"I lost my partner last month."
"I have had arthritis symptoms for a year now."
Which action of the patient supports the nurse's suspicion that the patient has
developed depression?
Getting up early in the morning with frequent arousals at night
A patient is in labor with her first baby, which is coming 2 weeks early. Her husband is
in the military and might not get back in time, and neither family is able to be with her
during labor. Which support person employed by the birthing area is the health care
provider most likely to call in to be present during labor?
Lay doula
A lay doula is a support person who is present during labor to assist women who have no
other source of support. This woman has no family available to support her during the
laboring process and delivery. Although the nurse and a midwife would be supportive during
labor, the scope of practice for nurses and midwives far exceeds that of a support person
present during labor. An assistant is incorrect.
,Which condition does the nurse suspect in an older-adult patient who has reported daily
hearing decline?
Prebycusis
Presbycusis refers to the progressive loss of hearing that occurs with age. Delirium is
a cognitive impairment resulting in a confused state. Dementia is an impairment of
intellectual functioning that interferes with social and occupational functioning. Presbyopia is
a progressive decline of vision.
Which physical change occurs during adolescence?
Alteration in distribution of muscle and fat
There is a significant alteration in the distribution of fat and muscles within the body of
adolescents. Because of the many physical changes, the shoulder and hip width increase,
normally increasing the width of the body. Elongation of limbs mostly occurs in the years
immediately before the onset of puberty and usually slows by the time of adolescence.
Growth rate is slow and consistent in school-age children, whereas the growth rate of the
skeleton, muscles, and viscera increases during adolescence. Improved large muscle
coordination starts when children are of school age, when the strength of the child doubles.
The nurse is reviewing the diagnostic report of four patients. Which patient will
have difficulty hearing the nurse?
The patient who has presbycusis.
Presbycusis refers to an age-related hearing impairment in older adults. The nurse suspects
that the patient who has been diagnosed with presbycusis will have difficulty hearing. The
nurse will suspect that the patient with a cataract will have a loss of transparency in the eye
, lens. The nurse will suspect retinal damage in the patient with presbyopia. The nurse will
suspect a change in the macula of the patient's eye in the patient with macular degeneration
Which condition is related to presbyopia? Select all that apply. One, some, or all
responses may be correct
Decreased accommodation for near to far vision
Reduced ability to see in darkness
More ambient light is necessary for reading
Which statement best explains sexuality in an older adult?
All older adults, whether healthy or frail, need to express sexual feelings.
Sexuality is normal throughout the life span, and older adults need to be able to express their
sexual feelings. Even when a sexual partner passes away, the survivor will still feel the need
to express sexual feelings, even if it takes time. Not all older adults experience a decrease in
libido. An outward expression of sexuality is normal and does not indicate a developmental
problem.
When does the anterior fontanelle close?
Between 12 and 18 months
The anterior fontanelle is diamond shaped and has frontal and parietal bones surrounding it.
The anterior fontanelle is usually palpable in infants and closes by 12 to 18 months. Before
12 months, the skull bones and sutures are too tender to ossify and close. By 18 months of
age, the skull bones usually ossify, and it is too late for a fontanelle to close after that. The
posterior fontanelle closes by the end of the second or third month.
Answers
Which factor would the nurse consider when communicating with adolescents?
Be alert for clues to their emotional state.
Adolescents are searching for their identities and trying to become emotionally independent
from parents while still maintaining family ties. Depression, substance abuse, and violence
are all real concerns during this period; thus, the nurse must be aware of an adolescent's
emotional state. Open-ended questions are used to get more detailed answers. The nurse
would look for meaning behind adolescents' words or actions. It is also important to discuss
issues such as sex and drugs; sex and drugs are very important issues during this age
Which sense is affected by presbyopia?
Sight
Sensory changes in the eyes are characterized by the presence of decreased accommodation
to near or far vision, which is called presbyopia. Sensory changes in the ears include
thickening of the tympanic membrane and sclerosis of the ear. Sensory changes of smell
include a diminished sense of smell. Sensory changes in taste are often characterized by
fewer taste buds.
Which clinical feature is related to depression in older adults?
Agitation
Psychomotor disorientation, or agitation, is commonly seen in patients with depression.
Apraxia is a clinical feature associated with dementia but not depression. Patients with
,delirium have increased alertness (hypervigilance). However, the alertness in patients with
depression is usually normal. Impaired orientation is associated with delirium, and patients
with depression may have selective disorientation.
Which statement by the patient is a contributing factor for depression in the older
adult? Select all that apply. One, some, or all responses may be correct.
"I was hospitalized recently."
"I lost my partner last month."
"I have had arthritis symptoms for a year now."
Which action of the patient supports the nurse's suspicion that the patient has
developed depression?
Getting up early in the morning with frequent arousals at night
A patient is in labor with her first baby, which is coming 2 weeks early. Her husband is
in the military and might not get back in time, and neither family is able to be with her
during labor. Which support person employed by the birthing area is the health care
provider most likely to call in to be present during labor?
Lay doula
A lay doula is a support person who is present during labor to assist women who have no
other source of support. This woman has no family available to support her during the
laboring process and delivery. Although the nurse and a midwife would be supportive during
labor, the scope of practice for nurses and midwives far exceeds that of a support person
present during labor. An assistant is incorrect.
,Which condition does the nurse suspect in an older-adult patient who has reported daily
hearing decline?
Prebycusis
Presbycusis refers to the progressive loss of hearing that occurs with age. Delirium is
a cognitive impairment resulting in a confused state. Dementia is an impairment of
intellectual functioning that interferes with social and occupational functioning. Presbyopia is
a progressive decline of vision.
Which physical change occurs during adolescence?
Alteration in distribution of muscle and fat
There is a significant alteration in the distribution of fat and muscles within the body of
adolescents. Because of the many physical changes, the shoulder and hip width increase,
normally increasing the width of the body. Elongation of limbs mostly occurs in the years
immediately before the onset of puberty and usually slows by the time of adolescence.
Growth rate is slow and consistent in school-age children, whereas the growth rate of the
skeleton, muscles, and viscera increases during adolescence. Improved large muscle
coordination starts when children are of school age, when the strength of the child doubles.
The nurse is reviewing the diagnostic report of four patients. Which patient will
have difficulty hearing the nurse?
The patient who has presbycusis.
Presbycusis refers to an age-related hearing impairment in older adults. The nurse suspects
that the patient who has been diagnosed with presbycusis will have difficulty hearing. The
nurse will suspect that the patient with a cataract will have a loss of transparency in the eye
, lens. The nurse will suspect retinal damage in the patient with presbyopia. The nurse will
suspect a change in the macula of the patient's eye in the patient with macular degeneration
Which condition is related to presbyopia? Select all that apply. One, some, or all
responses may be correct
Decreased accommodation for near to far vision
Reduced ability to see in darkness
More ambient light is necessary for reading
Which statement best explains sexuality in an older adult?
All older adults, whether healthy or frail, need to express sexual feelings.
Sexuality is normal throughout the life span, and older adults need to be able to express their
sexual feelings. Even when a sexual partner passes away, the survivor will still feel the need
to express sexual feelings, even if it takes time. Not all older adults experience a decrease in
libido. An outward expression of sexuality is normal and does not indicate a developmental
problem.
When does the anterior fontanelle close?
Between 12 and 18 months
The anterior fontanelle is diamond shaped and has frontal and parietal bones surrounding it.
The anterior fontanelle is usually palpable in infants and closes by 12 to 18 months. Before
12 months, the skull bones and sutures are too tender to ossify and close. By 18 months of
age, the skull bones usually ossify, and it is too late for a fontanelle to close after that. The
posterior fontanelle closes by the end of the second or third month.
