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An older patient complains of having "no energy" and feeling increasingly weak. The patient has
had a 12 pound weight loss over the last year. Which action should the nurse take initially?
A. Schedule regular range of motion exercises
B. Ask the patient about daily dietary intake
C. Describe normal changes associated with aging to the patient
D. Discuss long term care placement with the patient - ANSWER - B. Ask the patient about daily
dietary intake
The nurse is caring for an elderly Asian patient who is being admitted to the hospital. What
action would be most appropriate for the nurse to take when interviewing the patient?
A. Avoid eye contact with the patient
B. Look directly at the patient when interaction
C. Observe the patient's use of eye contact
D. Ask a family member about the patients cultural beliefs - ANSWER - C. Observe the patient's
use of eye contact
When developing strategies to decrease health care disparities in a community clinic setting
located in a neighborhood with a high density of a Somali population, the nurse will include
which one of the following interventions?
A. Updating equipment and supplies for the clinic
B. Educate the clinic staff about Somali health beliefs
C. Obtaining low cost medications to distribute
D. Improve public transportation - ANSWER - B. Educate the clinic staff about Somali health
beliefs
When admitting an 88 year old patient to the hospital, which of the following should the nurse
plan to do first before beginning an assessment of the patient?
A. Speak loudly and slowly so the patient can easily hear
B. Interview the patient before performing the physical assessment
, C. Obtain a detailed medical history from the patient, the primary caregiver, and the medical
record
D. Determine whether the patient uses glasses or hearing aides, and have those in place. -
ANSWER - D. Determine whether the patient uses glasses or hearing aides, and have those in
place.
A new nurse asks the nurse manager how to handle a patients claim that she has been
physically abused. Which is the best response by the nurse manager?
A. As a nurse, you must report all claims of physical abuse
B. You need to be certain that the alleged abuse happened before you report it
C. Let me show you how to submit the report
D. You have satisfied your obligation by telling me. I will handle it. - ANSWER - C. Let me show
you how to submit the report
When a student nurse prepares diligently by completing the assigned preparatory work before a
clinical assignment, the ethical principle being observed is which of the following?
A. Autonomy
B. Justice
C. Nonmaleficence
D. Veracity - ANSWER - C. Nonmaleficence
Which statement made by an older adult patient would be of most concern to the nurse?
A. I take three different medications for my heart and joint problems
B. I prefer to manage my life without much help from other people
C. I set up my medications in a marked pillbox so i don't forget to take them
D. I don't go on daily walks anymore since i had pneumonia 3 months ago - ANSWER - D. I
don't go on daily walks anymore since i had pneumonia 3 months ago
The nurse is obtaining a health history from an older adult patient. Which data will be the focus
of patient teaching?
A. Smokes 2 packs a day X 60 years
B. African American
C. Positive family history of lung cancer