NURS 1100 QUESTIONS WITH COMPLETE
SOLUTIONS
Which factor would the nurse consider when communicating with adolescents?
Be alert for clues to their emotional state.
Ask closed-ended questions to get straight answers.
Avoid looking for meaning behind adolescents' words or actions.
Avoid discussing sensitive issues such as sex and drugs.
Be alert for clues to their emotional state.
Adolescents are searching for their identities and trying to become emotionally independent from
parents while still maintaining family ties. Depression, substance abuse, and violence are all real
concerns during this period; thus, the nurse must be aware of an adolescent's emotional state.
Open-ended questions are used to get more detailed answers. The nurse would look for meaning
behind adolescents' words or actions. It is also important to discuss issues such as sex and drugs;
sex and drugs are very important issues during this age
Which sense is affected by presbyopia?
Hearing
Sight
,Smell
Taste
Sight
Sensory changes in the eyes are characterized by the presence of decreased accommodation to
near or far vision, which is called presbyopia. Sensory changes in the ears include thickening of
the tympanic membrane and sclerosis of the ear. Sensory changes of smell include a diminished
sense of smell. Sensory changes in taste are often characterized by fewer taste buds.
Which clinical feature is related to depression in older adults?
Apraxia
Agitation
Hypervigilance
Impaired orientation
Agitation
Psychomotor disorientation, or agitation, is commonly seen in patients with depression. Apraxia
is a clinical feature associated with dementia but not depression. Patients with delirium have
increased alertness (hypervigilance). However, the alertness in patients with depression is
usually normal. Impaired orientation is associated with delirium, and patients with depression
may have selective disorientation.
,A patient is in labor with her first baby, which is coming 2 weeks early. Her husband is in
the military and might not get back in time, and neither family is able to be with her during
labor. Which support person employed by the birthing area is the health care provider
most likely to call in to be present during labor?
Nurse
Midwife
Assistant
Lay doula
Lay doula
A lay doula is a support person who is present during labor to assist women who have no other
source of support. This woman has no family available to support her during the laboring process
and delivery. Although the nurse and a midwife would be supportive during labor, the scope of
practice for nurses and midwives far exceeds that of a support person present during labor. An
assistant is incorrect.
Which condition does the nurse suspect in an older-adult patient who has reported daily
hearing decline?
Delirium
Dementia
, Presbyopia
Presbycusis
Prebycusis
Presbycusis refers to the progressive loss of hearing that occurs with age. Delirium is a cognitive
impairment resulting in a confused state. Dementia is an impairment of intellectual functioning
that interferes with social and occupational functioning. Presbyopia is a progressive decline of
vision.
Which factor would the nurse assess when determining the knowledge base of a middle-
aged adult with chronic illness and his or her family? Select all that apply. One, some, or
all responses may be correct.
The medical course of the illness
The prognosis for the patient
Coping mechanisms of the patient and family
The need for community and social services
The family's nutritional needs
The medical course of the illness
The prognosis for the patient
SOLUTIONS
Which factor would the nurse consider when communicating with adolescents?
Be alert for clues to their emotional state.
Ask closed-ended questions to get straight answers.
Avoid looking for meaning behind adolescents' words or actions.
Avoid discussing sensitive issues such as sex and drugs.
Be alert for clues to their emotional state.
Adolescents are searching for their identities and trying to become emotionally independent from
parents while still maintaining family ties. Depression, substance abuse, and violence are all real
concerns during this period; thus, the nurse must be aware of an adolescent's emotional state.
Open-ended questions are used to get more detailed answers. The nurse would look for meaning
behind adolescents' words or actions. It is also important to discuss issues such as sex and drugs;
sex and drugs are very important issues during this age
Which sense is affected by presbyopia?
Hearing
Sight
,Smell
Taste
Sight
Sensory changes in the eyes are characterized by the presence of decreased accommodation to
near or far vision, which is called presbyopia. Sensory changes in the ears include thickening of
the tympanic membrane and sclerosis of the ear. Sensory changes of smell include a diminished
sense of smell. Sensory changes in taste are often characterized by fewer taste buds.
Which clinical feature is related to depression in older adults?
Apraxia
Agitation
Hypervigilance
Impaired orientation
Agitation
Psychomotor disorientation, or agitation, is commonly seen in patients with depression. Apraxia
is a clinical feature associated with dementia but not depression. Patients with delirium have
increased alertness (hypervigilance). However, the alertness in patients with depression is
usually normal. Impaired orientation is associated with delirium, and patients with depression
may have selective disorientation.
,A patient is in labor with her first baby, which is coming 2 weeks early. Her husband is in
the military and might not get back in time, and neither family is able to be with her during
labor. Which support person employed by the birthing area is the health care provider
most likely to call in to be present during labor?
Nurse
Midwife
Assistant
Lay doula
Lay doula
A lay doula is a support person who is present during labor to assist women who have no other
source of support. This woman has no family available to support her during the laboring process
and delivery. Although the nurse and a midwife would be supportive during labor, the scope of
practice for nurses and midwives far exceeds that of a support person present during labor. An
assistant is incorrect.
Which condition does the nurse suspect in an older-adult patient who has reported daily
hearing decline?
Delirium
Dementia
, Presbyopia
Presbycusis
Prebycusis
Presbycusis refers to the progressive loss of hearing that occurs with age. Delirium is a cognitive
impairment resulting in a confused state. Dementia is an impairment of intellectual functioning
that interferes with social and occupational functioning. Presbyopia is a progressive decline of
vision.
Which factor would the nurse assess when determining the knowledge base of a middle-
aged adult with chronic illness and his or her family? Select all that apply. One, some, or
all responses may be correct.
The medical course of the illness
The prognosis for the patient
Coping mechanisms of the patient and family
The need for community and social services
The family's nutritional needs
The medical course of the illness
The prognosis for the patient
