A&E 1 Final Exam with correct answers

A&E 1 Final Exam with correct answers \| \| \| \| \| \|




A 70-year-old patient who suffers from worsening dementia is no longer able
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to live alone. When discussing health care services and possible long-term
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living arrangements with the patient's only son, what should the nurse
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suggest?

a. An apartment setting with neighbors close by
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b. Having the patient utilize weekly home health visits
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c. A nursing center because home care is no longer safe
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d. That placement is irrelevant because the patient is retreating to a place of
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inactivity - CORRECT ANSWERS ✔✔C \| \| \| \|




When comparing developmental tasks of middle-aged persons versus older
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adults, what should the nurse infer? \| \| \| \| \|




a. Learning to cope with loss is most common during the middle adult years.
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b. After age 65, most older adults age both biologically and psychologically the
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same way. \|




c. All older adults will need nursing assistance to deal with loss.
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d. Older adults fear and resent retirement as a disruption of their lifestyle. -
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CORRECT ANSWERS ✔✔C \| \|




An 80-year-old male is brought to the emergency department with an
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exacerbation of chronic obstructive pulmonary disease (COPD). He states that \| \| \| \| \| \| \| \| \| \|




he quit smoking 30 years ago, so it can't be COPD. He argues, "It's just these
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,colds I've been getting. They're just getting worse and worse." The nurse
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understands that \|




a. These symptoms are more associated with normal aging than with disease.
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b. Older adults do not have to alter physical activity because of physical
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changes.

c. The patient's age will require adjustment of lifestyle to one of inactivity.
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d. Older adults usually are aware and accepting of the aging process. -
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CORRECT ANSWERS ✔✔C \| \|




A new graduate nurse will make the best clinical decisions by applying the
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components of the nursing critical thinking model and which of the
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following?

a. Drawing on past clinical experiences to formulate standardized care plans
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b. Relying on recall of information from past lectures and textbooks
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c. Depending on the charge nurse to determine priorities of care
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d. Using the nursing process - CORRECT ANSWERS ✔✔D
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A recently widowed 80-year-old male is dehydrated and is admitted to the
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hospital for intravenous fluid replacement. During the evening shift, the
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patient becomes acutely confused. The nurse's best action is to assess the
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patient for which of the following reversible causes?(Select all that apply.)
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a. Electrolyte imbalance
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b. Hypoglycemia
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c. Drug effects
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d. Dementia
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,e. Cerebral anoxia - CORRECT ANSWERS ✔✔A, B, C, and E
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A patient continues to report postsurgical incision pain at a level of 9 out of 10
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after pain medicine is given. The next dose of pain medicine is not due for
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another hour. What should the critically thinking nurse do first?
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a. Explain to the patient that nothing else has been ordered.
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b. Explore other options for pain relief.
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c. Offer to notify the health care provider after morning rounds are completed.
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d. Discuss the surgical procedure and reason for the pain. - CORRECT
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ANSWERS ✔✔B \|




The nurse enters a room to find the patient sitting up in bed crying. How
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would the nurse display a critical thinking attitude in this situation?
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a. Tell the patient she'll be back in 30 minutes.
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b. Set a box of tissues at the patient's bedside before leaving the room.
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c. Ask the patient why she is crying.
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d. Limit visitors while the patient is upset. - CORRECT ANSWERS ✔✔C
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Professional standards influence a nurse's clinical decisions by
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a. Bypassing the patient's feelings to promote ethical standards.
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b. Establishing minimal passing standards for testing.
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c. Requiring the nurse to use critical thinking for the highest level of quality
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nursing care. \|




d. Utilizing evidence-based practice based on nurses' needs. - CORRECT
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ANSWERS ✔✔C \|

, The nursing process involves which of the following steps in the clinical
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decision-making process? (Select all that apply.) \| \| \| \| \|




a. Identifying patient needs
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b. Diagnosing the disease process
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c. Determining priorities of care
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d. Setting goals
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e. Performing nursing interventions
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f. Evaluating effectiveness of medical treatments - CORRECT ANSWERS
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✔✔A, C, D, and E\| \| \| \|




The nurse plans to complete a thorough assessment of an older patient.
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Which method should the nurse use to gather the most complete information?
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a. Use a geriatric assessment instrument to evaluate the patient.
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b. Ask the patient to write down medical problems and medications.
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c. Interview both the patient and the primary caregiver for the patient.
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d. Review the patient's medical record for a history of medical problems. -
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CORRECT ANSWERS ✔✔A \| \|




The nurse cares for an older adult patient who lives in a rural area. Which
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intervention should the nurse plan to implement to best meet this patient's
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needs?

a. Suggest that the patient move to an urban area.
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b. Assess the patient for chronic diseases that are unique to rural areas.
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c. Ensure transportation to appointments with the health care provider.
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