NR 509 week 6 Quiz; Questions & Answers: Latest Updated: All Answers Correct!

A woman has come to the clinic to seek help with a substance-abuse problem. She admits to using cocaine just before arrival. Which of these assessment findings would the FNP expect to find when examining the woman? (- ANS: Dilated pupils, pacing, psychomotor agitation A cocaine user's appearance includes pupillary dilation, tachycardia or bradycardia, elevated or lowered blood pressure, sweating, chills, nausea, vomiting, and weight loss. The person's behavior includes euphoria, talkativeness, hypervigilance, pacing, psychomotor agitation, impaired social or occupational functioning, fighting, grandiosity, and visual or tactile hallucinations. A 63-year-old Chinese American man enters the office with complaints of chest pain, shortness of breath, and palpitations. Which statement most accurately reflect the FNPs best course of action? A) The nurse should focus on performing a full cardiac assessment. B) The nurse should focus on psychosomatic complaints because he has just learned that his wife has cancer. C) This patient is not in any danger at present, so the nurse should send him home with instructions to contact his physician. D) It is unclear what is happening with this patient, so the nurse should perform an assessment in both the physical and the psychosocial realms. (-ANS; D) It is unclear what is happening with this patient, so the nurse should perform an assessment in both the physical and the psychosocial realms. The FNP is planning to assess new memory with the patient. The best way for the FNP to do this would be a. Administer the FACT test. b. Ask him to describe his first job. c. Give him the Four Unrelated Words Test. d. Ask him to describe what television show he was watching before coming to the clinic. (- ANS: Give him the Four Unrelated Words Test. Ask questions that can be corroborated, which screens for the occasional person who confabulates or makes up answers to fill in the gaps of memory loss. The Four Unrelated Words Test tests the persons ability to lay down new memories and is a highly sensitive and valid memory test. During the health history the FNP asks a female patient "how many alcoholic drinks do you have a week?" Which answer by the patient would indicate at risk drinking? (- ANS: "No amount of alcohol has been determined to be safe during pregnancy." No amount of alcohol has been determined to be safe for pregnant women. The potential adverse effects of alcohol use for the fetus are well known; women who are pregnant should be screened for alcohol use, and abstinence should be recommended. Symptoms such as pain are often influenced by a person's cultural heritage. Which of the following is a true statement regarding pain? a. Nurses' attitudes toward their patients' pain are unrelated to their own experiences with pain. b. Nurses need to recognize that many cultures practice silent suffering as a response to pain. c. A nurse's area of clinical practice will most likely determine his or her assessment of a patient's pain. d. A nurse's years of clinical experience and current position are strong indicators of his or her response to patient pain. (-ANS; B