5/14/25, 10:29 PM Edit · NRNP 6645 MIDTERM AND FINAL EXAM 2023 (5 DIFFERENT VERSIONS 500 QS & ANS) /NRNP6645 PSYCHOTHERA…
Title
NRNP 6645 MIDTERM AND FINAL EXAM 2023 (5 DIFFERENT VERSIONS 500 QS & AN
Description
NRNP6645 PSYCHOTHERAPY
Import Add diagram Create from notes
1
1. Mrs. Williams is 76 years old and 1. Answer: 1
Image
comes in to have a wound checked on Page: 96
her right leg. She fell a month ago and
the wound has not healed. She is
concerned that something is wrong. Feedback
The nurse practitioner examines the 1.
wound and sees that it has been Skin renewal turnover
cleaned properly and has no signs of time increases to
infection. The edges are approximated, approximately 87 days
but the skin around the wound is red in older adults,
and tender to touch. The best response compared with 20 days
regarding Mrs. Williams' concern is: during youth.
2.
1. Wound healing for older people may The perceived extended
take up to four times longer than it healing time is not
does for younger people. related to diet.
2. Let us talk about what you are eating. 3.
3. Had you come in earlier, I would This is false hope, as
have ordered medicine that would there is no medication
have healed that right up. that will heal this wound
4. I will order an antibiotic to prevent quickly.
infection. 4.
https://quizlet.com/1044131813/autosaved 1/163
,5/14/25, 10:29 PM Edit · NRNP 6645 MIDTERM AND FINAL EXAM 2023 (5 DIFFERENT VERSIONS 500 QS & ANS) /NRNP6645 PSYCHOTHERA…
TERM
Prophylactic antibiotics
are not appropriate
when there are no signs
or symptoms of
infection.
DEFINITION
2
2. The nurse practitioner is conducting 2. Answer: 2
Image
patient rounds in a long-term care Page: 96
facility. As she talks with Mrs. Jones, she
notices that her arms and elbows are
excoriated and the skin is shearing. The Feedback
nurse practitioner explains to the staff 1.
that Mrs. Jones needs frequent Lack of activity alone
assessment of her skin and protection does not cause skin
provided to prevent skin breakdown breakdown.
because: 2.
Fat is redistributed to
1. Her lack of activity causes the skin to the abdomen and
tear. thighs, leaving bony
2. Fat has redistributed to the abdomen surfaces, such as the
and thighs, leaving bony surfaces in face, hands, and sacrum,
areas such as the face, hands, and exposed to potential
sacrum. This can result in injury. injury, especially skin
3. She has lost weight and is in tears from shearing,
jeopardy of falling. friction forces and
4. She picks at herself and causes skin pressure ulcer
breakdown. development.
3.
TERM
Although losing weight
may be a risk factor for
falling, it is not directly
related to skin
breakdown.
https://quizlet.com/1044131813/autosaved 2/163
,5/14/25, 10:29 PM Edit · NRNP 6645 MIDTERM AND FINAL EXAM 2023 (5 DIFFERENT VERSIONS 500 QS & ANS) /NRNP6645 PSYCHOTHERA…
4.
There is no evidence
that she is picking at
herself, as there is
nothing reported
anywhere else on her
arms.
DEFINITION
3
3. Mr. James is 91 years old. His 3. Answer: 2
Image
daughter notices that he has bruises Page: 97
and lacerations on his arms and reports
this to the nurse practitioner, who tells
her that older people bruise easily due Feedback
to their fragile blood vessels. The skin 1.
lacerations happen because he has thin Markings on the skin
skin. Even so, the nurse practitioner may be signs of aging, a
assures the daughter that she will disease, or
investigate further to ensure that he is maltreatment.
getting proper care. She says this 2.
because she understands that: Poorly healing wounds
or chronic pressure
1. These markings on the patient's skin ulcers may signal a
are part of aging skin. problem not only with
2. Bruises and lacerations can indicate the patient but with the
inadequate care. caregiver's ability to
3. The daughter needs assurance that provide adequate care.
her father is okay. Welts, lacerations,
4. The patient is being abused. burns, and distinctive
markings may indicate a
TERM
need for intervention.
3.
This is a result of the
nurse practitioner
https://quizlet.com/1044131813/autosaved 3/163
, 5/14/25, 10:29 PM Edit · NRNP 6645 MIDTERM AND FINAL EXAM 2023 (5 DIFFERENT VERSIONS 500 QS & ANS) /NRNP6645 PSYCHOTHERA…
addressing it further
rather than the reason
for addressing it.
4.
A professional cannot
assume abuse without
good reason.
DEFINITION
4
4. The nurse practitioner assesses a 4. Answer: 1
Image
patient's skin and finds an infectious Page: 97
lesion on the lower leg. The lesion is
considered a secondary lesion. The
nurse practitioner explains that a Feedback
secondary lesion is one that: 1.
Secondary lesions
1. Arises from changes to a primary (infections) arise from
lesion. changes to the primary
2. Is a complication of an underlying lesion.
disease. 2.
3. Is difficult to treat. Secondary lesions are
4. Is a normal sign of aging. not necessarily the
result of an underlying
TERM
disease.
3.
Secondary lesions can
be treated with
medications or surgery.
4.
Secondary lesions arise
as a condition not
normal to aging.
DEFINITION
https://quizlet.com/1044131813/autosaved 4/163
Title
NRNP 6645 MIDTERM AND FINAL EXAM 2023 (5 DIFFERENT VERSIONS 500 QS & AN
Description
NRNP6645 PSYCHOTHERAPY
Import Add diagram Create from notes
1
1. Mrs. Williams is 76 years old and 1. Answer: 1
Image
comes in to have a wound checked on Page: 96
her right leg. She fell a month ago and
the wound has not healed. She is
concerned that something is wrong. Feedback
The nurse practitioner examines the 1.
wound and sees that it has been Skin renewal turnover
cleaned properly and has no signs of time increases to
infection. The edges are approximated, approximately 87 days
but the skin around the wound is red in older adults,
and tender to touch. The best response compared with 20 days
regarding Mrs. Williams' concern is: during youth.
2.
1. Wound healing for older people may The perceived extended
take up to four times longer than it healing time is not
does for younger people. related to diet.
2. Let us talk about what you are eating. 3.
3. Had you come in earlier, I would This is false hope, as
have ordered medicine that would there is no medication
have healed that right up. that will heal this wound
4. I will order an antibiotic to prevent quickly.
infection. 4.
https://quizlet.com/1044131813/autosaved 1/163
,5/14/25, 10:29 PM Edit · NRNP 6645 MIDTERM AND FINAL EXAM 2023 (5 DIFFERENT VERSIONS 500 QS & ANS) /NRNP6645 PSYCHOTHERA…
TERM
Prophylactic antibiotics
are not appropriate
when there are no signs
or symptoms of
infection.
DEFINITION
2
2. The nurse practitioner is conducting 2. Answer: 2
Image
patient rounds in a long-term care Page: 96
facility. As she talks with Mrs. Jones, she
notices that her arms and elbows are
excoriated and the skin is shearing. The Feedback
nurse practitioner explains to the staff 1.
that Mrs. Jones needs frequent Lack of activity alone
assessment of her skin and protection does not cause skin
provided to prevent skin breakdown breakdown.
because: 2.
Fat is redistributed to
1. Her lack of activity causes the skin to the abdomen and
tear. thighs, leaving bony
2. Fat has redistributed to the abdomen surfaces, such as the
and thighs, leaving bony surfaces in face, hands, and sacrum,
areas such as the face, hands, and exposed to potential
sacrum. This can result in injury. injury, especially skin
3. She has lost weight and is in tears from shearing,
jeopardy of falling. friction forces and
4. She picks at herself and causes skin pressure ulcer
breakdown. development.
3.
TERM
Although losing weight
may be a risk factor for
falling, it is not directly
related to skin
breakdown.
https://quizlet.com/1044131813/autosaved 2/163
,5/14/25, 10:29 PM Edit · NRNP 6645 MIDTERM AND FINAL EXAM 2023 (5 DIFFERENT VERSIONS 500 QS & ANS) /NRNP6645 PSYCHOTHERA…
4.
There is no evidence
that she is picking at
herself, as there is
nothing reported
anywhere else on her
arms.
DEFINITION
3
3. Mr. James is 91 years old. His 3. Answer: 2
Image
daughter notices that he has bruises Page: 97
and lacerations on his arms and reports
this to the nurse practitioner, who tells
her that older people bruise easily due Feedback
to their fragile blood vessels. The skin 1.
lacerations happen because he has thin Markings on the skin
skin. Even so, the nurse practitioner may be signs of aging, a
assures the daughter that she will disease, or
investigate further to ensure that he is maltreatment.
getting proper care. She says this 2.
because she understands that: Poorly healing wounds
or chronic pressure
1. These markings on the patient's skin ulcers may signal a
are part of aging skin. problem not only with
2. Bruises and lacerations can indicate the patient but with the
inadequate care. caregiver's ability to
3. The daughter needs assurance that provide adequate care.
her father is okay. Welts, lacerations,
4. The patient is being abused. burns, and distinctive
markings may indicate a
TERM
need for intervention.
3.
This is a result of the
nurse practitioner
https://quizlet.com/1044131813/autosaved 3/163
, 5/14/25, 10:29 PM Edit · NRNP 6645 MIDTERM AND FINAL EXAM 2023 (5 DIFFERENT VERSIONS 500 QS & ANS) /NRNP6645 PSYCHOTHERA…
addressing it further
rather than the reason
for addressing it.
4.
A professional cannot
assume abuse without
good reason.
DEFINITION
4
4. The nurse practitioner assesses a 4. Answer: 1
Image
patient's skin and finds an infectious Page: 97
lesion on the lower leg. The lesion is
considered a secondary lesion. The
nurse practitioner explains that a Feedback
secondary lesion is one that: 1.
Secondary lesions
1. Arises from changes to a primary (infections) arise from
lesion. changes to the primary
2. Is a complication of an underlying lesion.
disease. 2.
3. Is difficult to treat. Secondary lesions are
4. Is a normal sign of aging. not necessarily the
result of an underlying
TERM
disease.
3.
Secondary lesions can
be treated with
medications or surgery.
4.
Secondary lesions arise
as a condition not
normal to aging.
DEFINITION
https://quizlet.com/1044131813/autosaved 4/163
