MIDTERM bEXAM: bNRNP b6645/ bNRNP6645
bPSYCHOTHERAPY bWITH bMULTIPLE
bMODALITIES b(GRADE bA) b| bQUESTIONS bAND
bANSWERS b2024/2025 b| bVERIFIED bANSWERS
1. bMrs. bWilliams bis b76 byears bold band bcomes bin bto bhave ba bwound bchecked bon
bher bright bleg. bShe bfell ba bmonth bago band bthe bwound bhas bnot bhealed. bShe bis
bconcerned bthat bsomething bis bwrong. bThe bnurse bpractitioner bexamines bthe bwound
band bsees bthat bit bhas bbeen bcleaned bproperly band bhas bno bsigns bof binfection. bThe
bedges bare bapproximated, bbut bthe bskin baround bthe bwound bis bred band btender bto
btouch. bThe bbest bresponse bregarding bMrs. bWilliams' bconcern bis:
1. bWound bhealing bfor bolder bpeople bmay btake bup bto bfour btimes blonger bthan bit
bdoes bfor byounger bpeople.
2. bLet bus btalk babout bwhat byou bare beating.
3. bHad byou bcome bin bearlier, bI bwould bhave bordered bmedicine bthat bwould bhave
bhealed bthat bright bup.
4. bI bwill border ban bantibiotic bto bprevent binfection. b- banswers1. bAnswer: b1
Page: b96
Feedback
1.
Skin brenewal bturnover btime bincreases bto bapproximately b87 bdays bin bolder badults,
bcompared bwith b20 bdays bduring byouth.
2.
The bperceived bextended bhealing btime bis bnot brelated bto bdiet.
3.
This bis bfalse bhope, bas bthere bis bno bmedication bthat bwill bheal bthis bwound bquickly.
4.
Prophylactic bantibiotics bare bnot bappropriate bwhen bthere bare bno bsigns bor bsymptoms
bof binfection.
2. bThe bnurse bpractitioner bis bconducting bpatient brounds bin ba blong-term bcare bfacility.
bAs bshe btalks bwith bMrs. bJones, bshe bnotices bthat bher barms band belbows bare
bexcoriated band bthe bskin bis bshearing. bThe bnurse bpractitioner bexplains bto bthe bstaff
bthat bMrs. bJones bneeds bfrequent bassessment bof bher bskin band bprotection bprovided
bto bprevent bskin bbreakdown bbecause:
1. bHer black bof bactivity bcauses bthe bskin bto btear.
2. bFat bhas bredistributed bto bthe babdomen band bthighs, bleaving bbony bsurfaces bin
bareas bsuch bas bthe bface, bhands, band bsacrum. bThis bcan bresult bin binjury.
3. bShe bhas blost bweight band bis bin bjeopardy bof bfalling.
4. bShe bpicks bat bherself band bcauses bskin bbreakdown. b- banswers2. bAnswer: b2
Page: b96
,Feedback
1.
Lack bof bactivity balone bdoes bnot bcause bskin bbreakdown.
2.
Fat bis bredistributed bto bthe babdomen band bthighs, bleaving bbony bsurfaces, bsuch bas
bthe bface, bhands, band bsacrum, bexposed bto bpotential binjury, bespecially bskin btears
bfrom bshearing, bfriction bforces band bpressure bulcer bdevelopment.
3.
Although blosing bweight bmay bbe ba brisk bfactor bfor bfalling, bit bis bnot bdirectly brelated
bto bskin bbreakdown.
4.
There bis bno bevidence bthat bshe bis bpicking bat bherself, bas bthere bis bnothing breported
banywhere belse bon bher barms.
3. bMr. bJames bis b91 byears bold. bHis bdaughter bnotices bthat bhe bhas bbruises band
blacerations bon bhis barms band breports bthis bto bthe bnurse bpractitioner, bwho btells bher
bthat bolder bpeople bbruise beasily bdue bto btheir bfragile bblood bvessels. bThe bskin
blacerations bhappen bbecause bhe bhas bthin bskin. bEven bso, bthe bnurse bpractitioner
bassures bthe bdaughter bthat bshe bwill binvestigate bfurther bto bensure bthat bhe bis
bgetting bproper bcare. bShe bsays bthis bbecause bshe bunderstands bthat:
1. bThese bmarkings bon bthe bpatient's bskin bare bpart bof baging bskin.
2. bBruises band blacerations bcan bindicate binadequate bcare.
3. bThe bdaughter bneeds bassurance bthat bher bfather bis bokay.
4. bThe bpatient bis bbeing babused. b- banswers3. bAnswer: b2
Page: b97
Feedback
1.
Markings bon bthe bskin bmay bbe bsigns bof baging, ba bdisease, bor bmaltreatment.
2.
Poorly bhealing bwounds bor bchronic bpressure bulcers bmay bsignal ba bproblem bnot bonly
bwith bthe bpatient bbut bwith bthe bcaregiver's bability bto bprovide badequate bcare. bWelts,
blacerations, bburns, band bdistinctive bmarkings bmay bindicate ba bneed bfor bintervention.
3.
This bis ba bresult bof bthe bnurse bpractitioner baddressing bit bfurther brather bthan bthe
breason bfor baddressing bit.
4.
A bprofessional bcannot bassume babuse bwithout bgood breason.
4. bThe bnurse bpractitioner bassesses ba bpatient's bskin band bfinds ban binfectious blesion
bon bthe blower bleg. bThe blesion bis bconsidered ba bsecondary blesion. bThe bnurse
bpractitioner bexplains bthat ba bsecondary blesion bis bone bthat:
,1. bArises bfrom bchanges bto ba bprimary blesion.
2. bIs ba bcomplication bof ban bunderlying bdisease.
3. bIs bdifficult bto btreat.
4. bIs ba bnormal bsign bof baging. b- banswers4. bAnswer: b1
Page: b97
Feedback
1.
Secondary blesions b(infections) barise bfrom bchanges bto bthe bprimary blesion.
2.
Secondary blesions bare bnot bnecessarily bthe bresult bof ban bunderlying bdisease.
3.
Secondary blesions bcan bbe btreated bwith bmedications bor bsurgery.
4.
Secondary blesions barise bas ba bcondition bnot bnormal bto baging.
5. bMs. bRose, b88 byears bold, bcomes bto bthe bnurse bpractitioner bwith ba bcomplaint
babout ba bgrowth bon bher bhand. bShe bwants bto bhave ba bbiopsy bdone. bThe bnurse
bpractitioner basks bthe bfollowing bquestion:
1. bHave byou binjured byour bhand brecently?
2. bAre byou busing ba bdifferent bdetergent?
3. bHas bthis bgrowth bchanged, bbled, bor bis bit bpainful?
4. bHas bthis bgrowth bmade bit bdifficult bto bput bon byour brings? b- banswers5. bAnswer: b3
Page: b97
Feedback
1.
An binjury bwould bnot bstimulate bgrowth.
2.
A breaction bto ba bdetergent bwould bmore blikely bbe ba brash.
3.
Lesions bthat bwarrant bbiopsy bare bthose bthat bhave bchanged, bbleed, bor bare bpainful.
4.
The bability bto bput bon bher bring bis bnot bthe bproblem.
6. bA b60-year-old bmale benters bthe bburn bcenter bfor btriage band btreatment bdue bto ba
bburn bhe breceived bat ba bcampfire. bHis bleft barm bhas ban barea bthat bis berythematous
band bpainful, band banother barea bhas ba bblister. bWhat bdoes bthe bnurse bpractitioner
brecord bas bthe bdegree bof bburn?
1. bFirst bdegree
2. bSecond bdegree
, 3. bFirst band bsecond bdegree
4. bSecond band bthird bdegree b- banswers6. bAnswer: b3
Page: b98
Feedback
1.
First-degree bburns binvolving bthe bepidermis bare berythematous band bpainful bbut bdo
bnot bblister.
2.
Second-degree bburns binvolve bthe bdermis band bare bcharacterized bby bblisters.
3.
The bpatient bpresents bwith berythematous bskin, bpainful bwith bblisters, bwhich bindicates
bboth bfirst- band bsecond-degree bburn bareas.
4.
In bthird-degree bburns bthere bis bno bsensation bwhen bthe bwound bis bpinpricked.
7. bThe bnurse bpractitioner bis bconcerned bwith bprimary bprevention bstrategies. bHow
bcan bthe bnurse bpractitioner bimplement bprimary bprevention bstrategies bfor ban b80-
year-old bmale bpatient bwho bsmokes?
1. bReview bhome bfire bsafety bprotocols, bincluding bthe bproper buse bof bsmoke balarms,
band bdiscuss bsmoking bcessation.
2. bInform bhim bthat bif bhe bdoes bnot bstop bsmoking, bthe bnurse bpractitioner bcannot
bsee bhim bagain.
3. bHave ba bconference bwith bhis bfamily babout bhis bsmoking.
4. bPlan ba bfamily bmeeting bwith bthe bpatient bto bdiscuss bbenefits bof bhis bsmoking
bcessation. b- banswers7. bAnswer: b1
Page: b115, b116
Feedback
1.
Primary bprevention bincludes beducational bprograms bdesigned bto beducate bthe bpublic
bon bsafety. bFor bexample, bthe bindividual bsmoking bin bbed bwould bhopefully bbenefit
bfrom bsmoking bcessation bprograms bin bthe bcommunity, bas bwell bas binstruction bin
bsafety bprecautions.
2.
Threatening brefusal bof bcare bis bnot bethical.
3.
The bpatient bis bat brisk, bnot bthe bfamily.
4.
The bfact bthat bthe bpatient bsmokes bis bnot bthe bissue; bsafety bis bthe bissue.
8. bThe bnurse bpractitioner bis bconducting ba bsafety bclass bwith bcommunity-living bolder
badults. bWhich bof bthe bfollowing bshould bshe binclude bin bher bteaching bof brisks bof
bburns bfor bthis bpopulation? bSelect ball bthat bapply.
bPSYCHOTHERAPY bWITH bMULTIPLE
bMODALITIES b(GRADE bA) b| bQUESTIONS bAND
bANSWERS b2024/2025 b| bVERIFIED bANSWERS
1. bMrs. bWilliams bis b76 byears bold band bcomes bin bto bhave ba bwound bchecked bon
bher bright bleg. bShe bfell ba bmonth bago band bthe bwound bhas bnot bhealed. bShe bis
bconcerned bthat bsomething bis bwrong. bThe bnurse bpractitioner bexamines bthe bwound
band bsees bthat bit bhas bbeen bcleaned bproperly band bhas bno bsigns bof binfection. bThe
bedges bare bapproximated, bbut bthe bskin baround bthe bwound bis bred band btender bto
btouch. bThe bbest bresponse bregarding bMrs. bWilliams' bconcern bis:
1. bWound bhealing bfor bolder bpeople bmay btake bup bto bfour btimes blonger bthan bit
bdoes bfor byounger bpeople.
2. bLet bus btalk babout bwhat byou bare beating.
3. bHad byou bcome bin bearlier, bI bwould bhave bordered bmedicine bthat bwould bhave
bhealed bthat bright bup.
4. bI bwill border ban bantibiotic bto bprevent binfection. b- banswers1. bAnswer: b1
Page: b96
Feedback
1.
Skin brenewal bturnover btime bincreases bto bapproximately b87 bdays bin bolder badults,
bcompared bwith b20 bdays bduring byouth.
2.
The bperceived bextended bhealing btime bis bnot brelated bto bdiet.
3.
This bis bfalse bhope, bas bthere bis bno bmedication bthat bwill bheal bthis bwound bquickly.
4.
Prophylactic bantibiotics bare bnot bappropriate bwhen bthere bare bno bsigns bor bsymptoms
bof binfection.
2. bThe bnurse bpractitioner bis bconducting bpatient brounds bin ba blong-term bcare bfacility.
bAs bshe btalks bwith bMrs. bJones, bshe bnotices bthat bher barms band belbows bare
bexcoriated band bthe bskin bis bshearing. bThe bnurse bpractitioner bexplains bto bthe bstaff
bthat bMrs. bJones bneeds bfrequent bassessment bof bher bskin band bprotection bprovided
bto bprevent bskin bbreakdown bbecause:
1. bHer black bof bactivity bcauses bthe bskin bto btear.
2. bFat bhas bredistributed bto bthe babdomen band bthighs, bleaving bbony bsurfaces bin
bareas bsuch bas bthe bface, bhands, band bsacrum. bThis bcan bresult bin binjury.
3. bShe bhas blost bweight band bis bin bjeopardy bof bfalling.
4. bShe bpicks bat bherself band bcauses bskin bbreakdown. b- banswers2. bAnswer: b2
Page: b96
,Feedback
1.
Lack bof bactivity balone bdoes bnot bcause bskin bbreakdown.
2.
Fat bis bredistributed bto bthe babdomen band bthighs, bleaving bbony bsurfaces, bsuch bas
bthe bface, bhands, band bsacrum, bexposed bto bpotential binjury, bespecially bskin btears
bfrom bshearing, bfriction bforces band bpressure bulcer bdevelopment.
3.
Although blosing bweight bmay bbe ba brisk bfactor bfor bfalling, bit bis bnot bdirectly brelated
bto bskin bbreakdown.
4.
There bis bno bevidence bthat bshe bis bpicking bat bherself, bas bthere bis bnothing breported
banywhere belse bon bher barms.
3. bMr. bJames bis b91 byears bold. bHis bdaughter bnotices bthat bhe bhas bbruises band
blacerations bon bhis barms band breports bthis bto bthe bnurse bpractitioner, bwho btells bher
bthat bolder bpeople bbruise beasily bdue bto btheir bfragile bblood bvessels. bThe bskin
blacerations bhappen bbecause bhe bhas bthin bskin. bEven bso, bthe bnurse bpractitioner
bassures bthe bdaughter bthat bshe bwill binvestigate bfurther bto bensure bthat bhe bis
bgetting bproper bcare. bShe bsays bthis bbecause bshe bunderstands bthat:
1. bThese bmarkings bon bthe bpatient's bskin bare bpart bof baging bskin.
2. bBruises band blacerations bcan bindicate binadequate bcare.
3. bThe bdaughter bneeds bassurance bthat bher bfather bis bokay.
4. bThe bpatient bis bbeing babused. b- banswers3. bAnswer: b2
Page: b97
Feedback
1.
Markings bon bthe bskin bmay bbe bsigns bof baging, ba bdisease, bor bmaltreatment.
2.
Poorly bhealing bwounds bor bchronic bpressure bulcers bmay bsignal ba bproblem bnot bonly
bwith bthe bpatient bbut bwith bthe bcaregiver's bability bto bprovide badequate bcare. bWelts,
blacerations, bburns, band bdistinctive bmarkings bmay bindicate ba bneed bfor bintervention.
3.
This bis ba bresult bof bthe bnurse bpractitioner baddressing bit bfurther brather bthan bthe
breason bfor baddressing bit.
4.
A bprofessional bcannot bassume babuse bwithout bgood breason.
4. bThe bnurse bpractitioner bassesses ba bpatient's bskin band bfinds ban binfectious blesion
bon bthe blower bleg. bThe blesion bis bconsidered ba bsecondary blesion. bThe bnurse
bpractitioner bexplains bthat ba bsecondary blesion bis bone bthat:
,1. bArises bfrom bchanges bto ba bprimary blesion.
2. bIs ba bcomplication bof ban bunderlying bdisease.
3. bIs bdifficult bto btreat.
4. bIs ba bnormal bsign bof baging. b- banswers4. bAnswer: b1
Page: b97
Feedback
1.
Secondary blesions b(infections) barise bfrom bchanges bto bthe bprimary blesion.
2.
Secondary blesions bare bnot bnecessarily bthe bresult bof ban bunderlying bdisease.
3.
Secondary blesions bcan bbe btreated bwith bmedications bor bsurgery.
4.
Secondary blesions barise bas ba bcondition bnot bnormal bto baging.
5. bMs. bRose, b88 byears bold, bcomes bto bthe bnurse bpractitioner bwith ba bcomplaint
babout ba bgrowth bon bher bhand. bShe bwants bto bhave ba bbiopsy bdone. bThe bnurse
bpractitioner basks bthe bfollowing bquestion:
1. bHave byou binjured byour bhand brecently?
2. bAre byou busing ba bdifferent bdetergent?
3. bHas bthis bgrowth bchanged, bbled, bor bis bit bpainful?
4. bHas bthis bgrowth bmade bit bdifficult bto bput bon byour brings? b- banswers5. bAnswer: b3
Page: b97
Feedback
1.
An binjury bwould bnot bstimulate bgrowth.
2.
A breaction bto ba bdetergent bwould bmore blikely bbe ba brash.
3.
Lesions bthat bwarrant bbiopsy bare bthose bthat bhave bchanged, bbleed, bor bare bpainful.
4.
The bability bto bput bon bher bring bis bnot bthe bproblem.
6. bA b60-year-old bmale benters bthe bburn bcenter bfor btriage band btreatment bdue bto ba
bburn bhe breceived bat ba bcampfire. bHis bleft barm bhas ban barea bthat bis berythematous
band bpainful, band banother barea bhas ba bblister. bWhat bdoes bthe bnurse bpractitioner
brecord bas bthe bdegree bof bburn?
1. bFirst bdegree
2. bSecond bdegree
, 3. bFirst band bsecond bdegree
4. bSecond band bthird bdegree b- banswers6. bAnswer: b3
Page: b98
Feedback
1.
First-degree bburns binvolving bthe bepidermis bare berythematous band bpainful bbut bdo
bnot bblister.
2.
Second-degree bburns binvolve bthe bdermis band bare bcharacterized bby bblisters.
3.
The bpatient bpresents bwith berythematous bskin, bpainful bwith bblisters, bwhich bindicates
bboth bfirst- band bsecond-degree bburn bareas.
4.
In bthird-degree bburns bthere bis bno bsensation bwhen bthe bwound bis bpinpricked.
7. bThe bnurse bpractitioner bis bconcerned bwith bprimary bprevention bstrategies. bHow
bcan bthe bnurse bpractitioner bimplement bprimary bprevention bstrategies bfor ban b80-
year-old bmale bpatient bwho bsmokes?
1. bReview bhome bfire bsafety bprotocols, bincluding bthe bproper buse bof bsmoke balarms,
band bdiscuss bsmoking bcessation.
2. bInform bhim bthat bif bhe bdoes bnot bstop bsmoking, bthe bnurse bpractitioner bcannot
bsee bhim bagain.
3. bHave ba bconference bwith bhis bfamily babout bhis bsmoking.
4. bPlan ba bfamily bmeeting bwith bthe bpatient bto bdiscuss bbenefits bof bhis bsmoking
bcessation. b- banswers7. bAnswer: b1
Page: b115, b116
Feedback
1.
Primary bprevention bincludes beducational bprograms bdesigned bto beducate bthe bpublic
bon bsafety. bFor bexample, bthe bindividual bsmoking bin bbed bwould bhopefully bbenefit
bfrom bsmoking bcessation bprograms bin bthe bcommunity, bas bwell bas binstruction bin
bsafety bprecautions.
2.
Threatening brefusal bof bcare bis bnot bethical.
3.
The bpatient bis bat brisk, bnot bthe bfamily.
4.
The bfact bthat bthe bpatient bsmokes bis bnot bthe bissue; bsafety bis bthe bissue.
8. bThe bnurse bpractitioner bis bconducting ba bsafety bclass bwith bcommunity-living bolder
badults. bWhich bof bthe bfollowing bshould bshe binclude bin bher bteaching bof brisks bof
bburns bfor bthis bpopulation? bSelect ball bthat bapply.
