NR601 APPB TEST
WITH COMPLETE
VERIFIED SOLUTIONS
There are well described racial and socioeconomic
disparities in diagnosis, the following populations
have the higher incidence and lower survival
black and hispanic older adults in general
A 72 yo female has residual effects from a stroke
that includes memory loss and apathy. Which
intervention can best improve the brain's
functional reserve?
decrease overstimulating the patient to avoid
agitation
Which of the following considerations is necessary
for the NP who is evaluating the effectiveness of a
prescribed opioid for an elderly patient with
chronic, debilitating pain?
All of the above
The NP is providing chronic management for a 74-
year-old male with longstanding COPD. He
presents to the primary care office with increased
shortness of breath to the point that he is unable
to walk to the mailbox or send a flight of stairs in
his home. He reports that he still smokes 1/4 pack
,of cigarettes per day. He tells the NP I guess I'm
just getting too old to do normal things anymore.
The NP recognizes that the decline in the patient's
physical function is due to:
disease-related disability
The physiologic eye changes that occur in adults
between the ages of 42 to 50 years of age that
indicate the new reading glasses are due to
reduced lens elasticity
-year-old male reports to the primary care office
with a complaint of feeling down since the death of
his spouse eight months ago. He has suppressed
his depression through the use of alcohol. His
medical history includes gerd, atrial fibrillation,
and chronic back pain. His medications include:
Cyclobenzaprine 10 milligrams as needed for pain,
warfarin 5 milligrams daily, pantoprazole 40
milligrams daily, lisinopril 10 milligrams daily,
Flomax 0.4 milligrams daily, multivitamin daily,
vitamin C 500 milligrams daily, and vitamin D 1000
IU daily. The MP decides to perform the cage
assessment to determine the patient's extent of
alcohol dependency and obtains a score of three
which signifies alcohol use disorder. The NP also
performs a medication review and identifies that
some of his medications metabolic effects are
altered by alcohol. Which of the medications
should be of concern for the NP?
Cyclobenzaprine (Amrix), Warfarin, and
Pantoprazole (Protonix)
, A 68-year-old female presents to the primary care
office as a new patient who recently located from
Florida. The patient reports a past medical history
of vitamin B12 deficiency, hypertension,
hyperlipidemia, and gerd. The patient reports that
one year ago she was seen by gastroenterologist
for gerd symptoms where she was prescribed
omeprazole 40 milligrams daily. She reports that
after being on the omeprazole for two months she
stopped having guard symptoms. Therefore an
endoscopy was not indicated. Despite having no
symptoms she continued to take omeprazole
because she did not want her symptoms to return.
She also reports that diet modification has also
helped him reduce and gerd symptoms. The MP
determines that omeprazole should be prescribed.
The best prescribing method for this patient is
Reducing the omeprazole from 40 mg to 20 mg
To ensure the older adults correct use of
prescribed metered dose inhalers that NP should
Recommend a spacer device
A 64 year old homeless female reports to the
primary care clinic with shortness of breath.
Approximately one week the patient presented to
the emergency room with mild sternal chest pain.
A cardiac workup revealed no abnormalities And
the patient was released. Today the patient reports
that her breathlessness is worse. The pmh includes
hypertension, hyperlipidemia, atherosclerotic
heart disease. The patient is also pack year
WITH COMPLETE
VERIFIED SOLUTIONS
There are well described racial and socioeconomic
disparities in diagnosis, the following populations
have the higher incidence and lower survival
black and hispanic older adults in general
A 72 yo female has residual effects from a stroke
that includes memory loss and apathy. Which
intervention can best improve the brain's
functional reserve?
decrease overstimulating the patient to avoid
agitation
Which of the following considerations is necessary
for the NP who is evaluating the effectiveness of a
prescribed opioid for an elderly patient with
chronic, debilitating pain?
All of the above
The NP is providing chronic management for a 74-
year-old male with longstanding COPD. He
presents to the primary care office with increased
shortness of breath to the point that he is unable
to walk to the mailbox or send a flight of stairs in
his home. He reports that he still smokes 1/4 pack
,of cigarettes per day. He tells the NP I guess I'm
just getting too old to do normal things anymore.
The NP recognizes that the decline in the patient's
physical function is due to:
disease-related disability
The physiologic eye changes that occur in adults
between the ages of 42 to 50 years of age that
indicate the new reading glasses are due to
reduced lens elasticity
-year-old male reports to the primary care office
with a complaint of feeling down since the death of
his spouse eight months ago. He has suppressed
his depression through the use of alcohol. His
medical history includes gerd, atrial fibrillation,
and chronic back pain. His medications include:
Cyclobenzaprine 10 milligrams as needed for pain,
warfarin 5 milligrams daily, pantoprazole 40
milligrams daily, lisinopril 10 milligrams daily,
Flomax 0.4 milligrams daily, multivitamin daily,
vitamin C 500 milligrams daily, and vitamin D 1000
IU daily. The MP decides to perform the cage
assessment to determine the patient's extent of
alcohol dependency and obtains a score of three
which signifies alcohol use disorder. The NP also
performs a medication review and identifies that
some of his medications metabolic effects are
altered by alcohol. Which of the medications
should be of concern for the NP?
Cyclobenzaprine (Amrix), Warfarin, and
Pantoprazole (Protonix)
, A 68-year-old female presents to the primary care
office as a new patient who recently located from
Florida. The patient reports a past medical history
of vitamin B12 deficiency, hypertension,
hyperlipidemia, and gerd. The patient reports that
one year ago she was seen by gastroenterologist
for gerd symptoms where she was prescribed
omeprazole 40 milligrams daily. She reports that
after being on the omeprazole for two months she
stopped having guard symptoms. Therefore an
endoscopy was not indicated. Despite having no
symptoms she continued to take omeprazole
because she did not want her symptoms to return.
She also reports that diet modification has also
helped him reduce and gerd symptoms. The MP
determines that omeprazole should be prescribed.
The best prescribing method for this patient is
Reducing the omeprazole from 40 mg to 20 mg
To ensure the older adults correct use of
prescribed metered dose inhalers that NP should
Recommend a spacer device
A 64 year old homeless female reports to the
primary care clinic with shortness of breath.
Approximately one week the patient presented to
the emergency room with mild sternal chest pain.
A cardiac workup revealed no abnormalities And
the patient was released. Today the patient reports
that her breathlessness is worse. The pmh includes
hypertension, hyperlipidemia, atherosclerotic
heart disease. The patient is also pack year
