NUR 353 Exam 2 Questions with Correct answers
A 55-year-old female presents to the outpatient clinic describing irregular menstrual periods and
hot flashes. Which information should the nurse share with the patient?
The patient should stop regular exercise because that is probably causing these symptoms.
Those symptoms are abnormal when a woman undergoes the climacteric.
An assessment is not really needed because these problems are normal for older women.
The patient's assessment points toward normal menopause. - ✔✔Normal menopause
A 50-year-old male patient is seen in the clinic. He tells a nurse that he has recently lost his job
and his wife of 26 years has asked for a divorce. He has a flat affect. Family history reveals that
his father committed suicide at the age of 53. The nurse assesses for the following:
Iron deficiency anemia
Sexually transmitted infection
Cardiovascular disease
Depression - ✔✔Depression
A nurse determines that a middle-aged patient is a typical example of the "sandwich generation."
What did the nurse discover the patient is caught between?
Job responsibilities or family responsibilities
Stopping old habits and starting new ones
Advancing in career or retiring
Caring for children and aging parents - ✔✔Children & aging parents
A nurse is preparing a health promotion course for a group of middle adults. Which of the
following strategies should the nurse recommend? (select all that apply.)
Decrease intake of calcium supplements
Eye examination every 1-3 years
Dexascan screening for osteoporosis
Screening for depressive disorders - ✔✔All but decreased intake of Ca
Upon assessment of a middle-aged adult, the nurse observes uneven weight bearing and
decreased range of joint motion. Which area is priority?
Abuse potential
Fall Precautions
Stroke prevention
Self-esteem issues - ✔✔Fall precautions
What is the major component of life transitions in the older adult?
a. change
b. increased happiness
c. loss
d. independence - ✔✔c loss
,Life transitions, of which loss is a major component, include retirement and the associated
financial changes, changes in roles and relationships, alterations in health and functional ability,
changes in one's social network, and relocation. p. 180 Potter
The suicide rate of which group is the highest in the United States?
a. Black females over the age of 85
b. Black males over the age of 85
c. White females over the age of 85
d. White males over the age of 85 - ✔✔d
In fact, white men age 85 and older have the highest suicide rate in the United States (National
Institute of Mental Health, n.d.Links to an external site.). Potter p. 179
An older adult who is subject to threats, insults, harassment and isolation is receiving what kind
of mistreatment?
a. physical abuse
b. financial exploitation
c. psychosocial/emotional abuse
d. self-neglect - ✔✔c psycho/emotional
These are verbal and nonverbal acts that inflict mental pain, anguish and distress. Potter p. 188
An example of therapeutic touch for the older age group includes all of the following except:
a. Touching their arm
b. Standing close to another
c. Patting someone on the head
d. Reaching to hold someone's hand - ✔✔c patting
p. 188 Potter, do not use touch in a condescending manner such as patting an older adult on the
head.
Forgetfulness is an expected consequence of aging.
True
False - ✔✔false
Forgetfulness as an expected consequence of aging is a myth. Potter p. 179
What primary prevention measures are appropriate to implement to maintain optimum mobility?
SATA
a. Fall prevention measures
b. Optimal nutrition
c. Regular physical activity
d. Mobile mammography
e. PSA testing - ✔✔abc. fall prevention, regular physical activity, and optimal nutrition
, The nurse will instruct the patient with a fractured left radius that the cast will need to remain in
place:
a. For at least 3 weeks
b. Until x-rays show incomplete bony union.
c. Until swelling of the wrist has resolved
d. For several months - ✔✔a. for at least 3 weeks
A patient with a fracture of the left femoral neck has Buck's traction in place while waiting for
surgery. To assess for pressure areas on the patient's back and sacral area and to provide skin
care, the nurse should:
a. Have the patient lift the buttocks slightly by using a trapeze over the bed
b. Place a pillow between the patient's legs and turn gently to each side
c. Loosen the traction and help the patient turn onto the unaffected side
d. Turn the patient partially to each side with the assistance of another nurse - ✔✔a. have the
patient lift buttocks slighty
A patient with a right lower leg fracture will be discharged home with an external fixation device
in place. Which information will the nurse teach?
a. "Check and clean the pin insertion sites daily."
b. "Remove the external fixator for your shower."
c. "Remain on bed rest until bone healing is complete."
d. "Take prophylactic antibiotics until the fixator is removed." - ✔✔a. check and clean pin
insertion sites
After a motorcycle accident, a patient arrives in the emergency department with severe swelling
of the left lower leg. Which action will the nurse take first?
a. Apply a compression bandage
b. Assess leg pulses and sensation
c. Elevate the leg on 2 pillows
d. Place ice packs on the lower leg - ✔✔b. assess leg pulses and sensation
The nurse planning to assess the structure of a family should ask which question?
a. "Who lives with you in this home?"
b. "Who does the grocery shopping?"
c. "Who provides support in your family?"
d. "How old are the members of your family?" - ✔✔a
When reviewing the purposes of a family assessment, the nurse educator would identify a need
for further teaching if the student responded that family assessment is used to gain an
understanding of which aspect of the family?
a. Development
b. Function
c. Political views
d. Structure - ✔✔c
A 55-year-old female presents to the outpatient clinic describing irregular menstrual periods and
hot flashes. Which information should the nurse share with the patient?
The patient should stop regular exercise because that is probably causing these symptoms.
Those symptoms are abnormal when a woman undergoes the climacteric.
An assessment is not really needed because these problems are normal for older women.
The patient's assessment points toward normal menopause. - ✔✔Normal menopause
A 50-year-old male patient is seen in the clinic. He tells a nurse that he has recently lost his job
and his wife of 26 years has asked for a divorce. He has a flat affect. Family history reveals that
his father committed suicide at the age of 53. The nurse assesses for the following:
Iron deficiency anemia
Sexually transmitted infection
Cardiovascular disease
Depression - ✔✔Depression
A nurse determines that a middle-aged patient is a typical example of the "sandwich generation."
What did the nurse discover the patient is caught between?
Job responsibilities or family responsibilities
Stopping old habits and starting new ones
Advancing in career or retiring
Caring for children and aging parents - ✔✔Children & aging parents
A nurse is preparing a health promotion course for a group of middle adults. Which of the
following strategies should the nurse recommend? (select all that apply.)
Decrease intake of calcium supplements
Eye examination every 1-3 years
Dexascan screening for osteoporosis
Screening for depressive disorders - ✔✔All but decreased intake of Ca
Upon assessment of a middle-aged adult, the nurse observes uneven weight bearing and
decreased range of joint motion. Which area is priority?
Abuse potential
Fall Precautions
Stroke prevention
Self-esteem issues - ✔✔Fall precautions
What is the major component of life transitions in the older adult?
a. change
b. increased happiness
c. loss
d. independence - ✔✔c loss
,Life transitions, of which loss is a major component, include retirement and the associated
financial changes, changes in roles and relationships, alterations in health and functional ability,
changes in one's social network, and relocation. p. 180 Potter
The suicide rate of which group is the highest in the United States?
a. Black females over the age of 85
b. Black males over the age of 85
c. White females over the age of 85
d. White males over the age of 85 - ✔✔d
In fact, white men age 85 and older have the highest suicide rate in the United States (National
Institute of Mental Health, n.d.Links to an external site.). Potter p. 179
An older adult who is subject to threats, insults, harassment and isolation is receiving what kind
of mistreatment?
a. physical abuse
b. financial exploitation
c. psychosocial/emotional abuse
d. self-neglect - ✔✔c psycho/emotional
These are verbal and nonverbal acts that inflict mental pain, anguish and distress. Potter p. 188
An example of therapeutic touch for the older age group includes all of the following except:
a. Touching their arm
b. Standing close to another
c. Patting someone on the head
d. Reaching to hold someone's hand - ✔✔c patting
p. 188 Potter, do not use touch in a condescending manner such as patting an older adult on the
head.
Forgetfulness is an expected consequence of aging.
True
False - ✔✔false
Forgetfulness as an expected consequence of aging is a myth. Potter p. 179
What primary prevention measures are appropriate to implement to maintain optimum mobility?
SATA
a. Fall prevention measures
b. Optimal nutrition
c. Regular physical activity
d. Mobile mammography
e. PSA testing - ✔✔abc. fall prevention, regular physical activity, and optimal nutrition
, The nurse will instruct the patient with a fractured left radius that the cast will need to remain in
place:
a. For at least 3 weeks
b. Until x-rays show incomplete bony union.
c. Until swelling of the wrist has resolved
d. For several months - ✔✔a. for at least 3 weeks
A patient with a fracture of the left femoral neck has Buck's traction in place while waiting for
surgery. To assess for pressure areas on the patient's back and sacral area and to provide skin
care, the nurse should:
a. Have the patient lift the buttocks slightly by using a trapeze over the bed
b. Place a pillow between the patient's legs and turn gently to each side
c. Loosen the traction and help the patient turn onto the unaffected side
d. Turn the patient partially to each side with the assistance of another nurse - ✔✔a. have the
patient lift buttocks slighty
A patient with a right lower leg fracture will be discharged home with an external fixation device
in place. Which information will the nurse teach?
a. "Check and clean the pin insertion sites daily."
b. "Remove the external fixator for your shower."
c. "Remain on bed rest until bone healing is complete."
d. "Take prophylactic antibiotics until the fixator is removed." - ✔✔a. check and clean pin
insertion sites
After a motorcycle accident, a patient arrives in the emergency department with severe swelling
of the left lower leg. Which action will the nurse take first?
a. Apply a compression bandage
b. Assess leg pulses and sensation
c. Elevate the leg on 2 pillows
d. Place ice packs on the lower leg - ✔✔b. assess leg pulses and sensation
The nurse planning to assess the structure of a family should ask which question?
a. "Who lives with you in this home?"
b. "Who does the grocery shopping?"
c. "Who provides support in your family?"
d. "How old are the members of your family?" - ✔✔a
When reviewing the purposes of a family assessment, the nurse educator would identify a need
for further teaching if the student responded that family assessment is used to gain an
understanding of which aspect of the family?
a. Development
b. Function
c. Political views
d. Structure - ✔✔c
