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NUR 612 Advanced Health Assessment And Diagnostic Reasoning Final Exam

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NUR 612 Advanced Health Assessment And Diagnostic Reasoning Final Exam

Institution
RN - Registered Nurse
Course
RN - Registered Nurse

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NUR 612 Advanced Health Assessment And
Diagnostic Reasoning Final Exam



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NUR 612

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NUR 612 - FINAL EXAM


Larry is 69 years old and beginning to experience a cognitive decline. His son
brings him to the practitioner asking for an evaluation. The nurse practitioner
assesses for which of the following signs or symptoms? Select all that apply.
1. Cognitive decline in complex attention, executive function, learning, and
memory.
2. Gradual onset and the course of illness and progression are typically slow.
3. Impaired ability to care for oneself.
4. Total or partial loss of the ability to recognize familiar people.
5. Improvement in symptoms in time
1. Cognitive decline in complex attention, executive function, learning, and memory.
2. Gradual onset and the course of illness and progression are typically slow.
3. Impaired ability to care for oneself.
4. Total or partial loss of the ability to recognize familiar people.
Mr. Dan is 75 years old and suffering from depression. He tells the nurse
practitioner that he is tired of feeling so low. He asks if depression is a normal
part of aging. The nurse practitioner tells him that depression is which of the
following? Select all that apply.
1. Not a normal part of aging.
2. Related to nutritional deficiencies, especially vitamin B12 and vitamin D.
3. Triggered by one life event.
4. Learned helplessness, loss, and bereavement
5. A state of balanced neurotransmitters in the brain.
1. Not a normal part of aging.
2. Related to nutritional deficiencies, especially vitamin B12 and vitamin D.
3. Triggered by one life event.
Ms. Smith, 70 years old, is being treated for geriatric depression. What choices
does the nurse practitioner have to order? Select all that apply.

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1. Evaluate the present medication regimen.
2. Treat any comorbidity.
3. Maintain basic daily needs.
4. Order a selective serotonin reuptake inhibitor (SSRI).
5. Order Abilify.
1. Evaluate the present medication regimen.
2. Treat any comorbidity.
3. Maintain basic daily needs.
4. Order a selective serotonin reuptake inhibitor (SSRI).
5. Order Abilify.
Mrs. Smith is 90 years old and has a daytime caregiver. Her daughter stays
with her during the evening and nighttime. The daughter suspects her mother
is being abused. Which of the following statements would confirm this for the
nurse practitioner? Select all that apply.
1. My mother complains of physical pain and has bruises on her arm.
2. My mother is losing weight and is always hungry in the evening.
3. My mother has lost her wallet and funds are going out of her bank account.
4. My mother has been withdrawing from others.
5. My mother has burn marks on her body in the shape of a cigarette
1. My mother complains of physical pain and has bruises on her arm.
2. My mother is losing weight and is always hungry in the evening.
4. My mother has been withdrawing from others.
5. My mother has burn marks on her body in the shape of a cigarette
Mr. Hupp, 84 years old, lost his wife 2 months ago. He goes to his nurse
practitioner and complains of the same symptoms that his wife had before she
died. Possible treatment options available to the nurse practitioner include
which of the following? Select all that apply.
1. Educate him on normal signs of grieving.
2. Take time to remember his wife and discuss memories.
3. Provide emotional support.
4. Monitor current chronic medical conditions.
5. Encourage him to stay quiet at home and decrease his physical activity.
1. Educate him on normal signs of grieving.
2. Take time to remember his wife and discuss memories.

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3. Provide emotional support.
4. Monitor current chronic medical conditions.
Polypharmacy is a primary predictor for any undesired or unwanted
consequences that can occur because of taking medications. Which is of the
following is the correct term for these undesired or unwanted
consequences?1. Adverse drug reaction (ADR)
2. Prototype drug
3. Adverse drug event
4. Schedule II drugs
1. Adverse drug reaction (ADR)
Which of the following is related to the incidence of gastric acidity declining
with age because of decreased intestinal blood flow?
1. Drug metabolism
2. Drug distribution
3. Drug absorption
4. Drug elimination
3. Drug absorption
Biotransformation means chemical alteration of things such as nutrients,
amino acids, toxins, and drugs in the body. In which organ does
biotransformation occurs?
1. Intestines
2. Liver
3. Pancreas
4. Bile
2. Liver
Which of the following is most affected by pharmacokinetic change?
1. Distribution of drugs.
2. Elimination of drugs.
3. Absorption of drugs.
4. Metabolism of drugs
2. Elimination of drugs.
A patient is started on a low dose of a drug for safety but is never advanced to
a therapeutic dose while another drug is added. Which of the following does
this describe?

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Institution
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Course
RN - Registered Nurse

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