1|Page
NRNP 6645 Psychotherapy with Multiple Modalities
Final Exam Prep Test Bank Latest // NRNP 6645
Final Exam (Week 11) Questions and Correct
Answers
1. Mrs. Williams is 76 years old and comes in to have a
wound checked on her right leg. She fell a month ago and
the wound has not healed. She is concerned that
something is wrong. The nurse practitioner examines the
wound and sees that it has been cleaned properly and
has no signs of infection. The edges are approximated, but
the skin around the wound is red and tender to touch. The
best response regarding Mrs. Williams' concern is:
1. Wound healing for older people may take up to four
times longer than it does for younger people.
2. Let us talk about what you are eating.
3. Had you come in earlier, I would have ordered medicine
that would have healed that right up.
4. I will order an antibiotic to prevent infection. -
...ANSWER...✓✓ 1. Answer: 1
Page: 96
,2|Page
Feedback
1.
Skin renewal turnover time increases to approximately
87 days in older adults, compared with 20 days during
youth.
2.
The perceived extended healing time is not related to diet.
3.
This is false hope, as there is no medication that will heal
this wound quickly.
4.
Prophylactic antibiotics are not appropriate when there
are no signs or symptoms of infection.
3. Mr. James is 91 years old. His daughter notices that he
has bruises and lacerations on his arms and reports this
to the nurse practitioner, who tells her that older people
bruise easily due to their fragile blood vessels. The skin
lacerations happen because he has thin skin. Even so, the
nurse practitioner assures the daughter that she will
investigate further to ensure that he is getting proper
care. She says this because she understands that:
,3|Page
1. These markings on the patient's skin are part of aging
skin.
2. Bruises and lacerations can indicate inadequate care.
3. The daughter needs assurance that her father is okay.
4. The patient is being abused. - ...ANSWER...✓✓ 3.
Answer: 2
Page: 97
Feedback
1.
Markings on the skin may be signs of aging, a disease, or
maltreatment.
2.
Poorly healing wounds or chronic pressure ulcers may
signal a problem not only with the patient but with the
caregiver's ability to provide adequate care. Welts,
lacerations, burns, and distinctive markings may indicate
a need for intervention.
3.
, 4|Page
This is a result of the nurse practitioner addressing it
further rather than the reason for addressing it.
4.
A professional cannot assume abuse without good
reason.
4. The nurse practitioner assesses a patient's skin and
finds an infectious lesion on the lower leg. The lesion is
considered a secondary lesion. The nurse practitioner
explains that a secondary lesion is one that:
1. Arises from changes to a primary lesion.
2. Is a complication of an underlying disease.
3. Is difficult to treat.
4. Is a normal sign of aging. - ...ANSWER...✓✓ 4. Answer:
1
Page: 97
Feedback
1.
NRNP 6645 Psychotherapy with Multiple Modalities
Final Exam Prep Test Bank Latest // NRNP 6645
Final Exam (Week 11) Questions and Correct
Answers
1. Mrs. Williams is 76 years old and comes in to have a
wound checked on her right leg. She fell a month ago and
the wound has not healed. She is concerned that
something is wrong. The nurse practitioner examines the
wound and sees that it has been cleaned properly and
has no signs of infection. The edges are approximated, but
the skin around the wound is red and tender to touch. The
best response regarding Mrs. Williams' concern is:
1. Wound healing for older people may take up to four
times longer than it does for younger people.
2. Let us talk about what you are eating.
3. Had you come in earlier, I would have ordered medicine
that would have healed that right up.
4. I will order an antibiotic to prevent infection. -
...ANSWER...✓✓ 1. Answer: 1
Page: 96
,2|Page
Feedback
1.
Skin renewal turnover time increases to approximately
87 days in older adults, compared with 20 days during
youth.
2.
The perceived extended healing time is not related to diet.
3.
This is false hope, as there is no medication that will heal
this wound quickly.
4.
Prophylactic antibiotics are not appropriate when there
are no signs or symptoms of infection.
3. Mr. James is 91 years old. His daughter notices that he
has bruises and lacerations on his arms and reports this
to the nurse practitioner, who tells her that older people
bruise easily due to their fragile blood vessels. The skin
lacerations happen because he has thin skin. Even so, the
nurse practitioner assures the daughter that she will
investigate further to ensure that he is getting proper
care. She says this because she understands that:
,3|Page
1. These markings on the patient's skin are part of aging
skin.
2. Bruises and lacerations can indicate inadequate care.
3. The daughter needs assurance that her father is okay.
4. The patient is being abused. - ...ANSWER...✓✓ 3.
Answer: 2
Page: 97
Feedback
1.
Markings on the skin may be signs of aging, a disease, or
maltreatment.
2.
Poorly healing wounds or chronic pressure ulcers may
signal a problem not only with the patient but with the
caregiver's ability to provide adequate care. Welts,
lacerations, burns, and distinctive markings may indicate
a need for intervention.
3.
, 4|Page
This is a result of the nurse practitioner addressing it
further rather than the reason for addressing it.
4.
A professional cannot assume abuse without good
reason.
4. The nurse practitioner assesses a patient's skin and
finds an infectious lesion on the lower leg. The lesion is
considered a secondary lesion. The nurse practitioner
explains that a secondary lesion is one that:
1. Arises from changes to a primary lesion.
2. Is a complication of an underlying disease.
3. Is difficult to treat.
4. Is a normal sign of aging. - ...ANSWER...✓✓ 4. Answer:
1
Page: 97
Feedback
1.
