NURS 601 Quiz Questions with correct answers

Which of the following diagnostic and assessment findings from among the patients on a geriatric medical unit most warrants further investigation? a. 78 y/o males stomach pH has increased b. 78 y/o man has recently developed urinary incontinence c. 71 y/o male client's echocardiogram reveals slight left ventricular hypertrophy d. 81 y/o woman's glomerular filtration rate (GFR) is low d. 81 y/o woman's glomerular filtration rate (GFR) is low Decreased renal mass and reduced glomerular filtration make it especially important that nurses: a. Assist elderly patients with frequent toileting b. Ensure that age-adjusted drug dosages are prescribed c. Frequently check urine for glucose d. Look for signs of UTI b. Ensure that age-adjusted drug dosages are prescribed Which of the following is the most common urinary problem among men aged 65 years and older? a. Frequency b. Stress incontinence c. Glucosuria d. High urinary volume b. Stress incontinence Which of the following are typical activities of daily living? (Select all that apply.) a. Cooking b. Dressing c. Moving d. Toiling e. Eating b. Dressing c. Moving d. Toiling e. Eating Which of the following nursing practices commonly performed in the geriatric medical unit of a hospital is most in need of modification or correction? a. The discharge planning process is begun immediately following admission. b. Patients at risk for urinary incontinence are catheterized in order to reduce the risk of urinary tract infections. c. Reality orientation is provided to patients who exhibit cognitive deficits. d. Patients are regularly prompted to practice deep-breathing and coughing exercises in order to mobilize secretions and prevent atelectasis. b. Patients at risk for urinary incontinence are catheterized in order to reduce the risk of urinary tract infections. An elderly woman suffering from abdominal pain, nausea, urinary incontinence, fever, and vomiting is brought to the emergency department. What is the most likely preliminary diagnosis? a.Colon cancer b. Appendicitis c. Aneurysm d. Urinary tract infection d. Urinary tract infection The nurse discusses hand hygiene with the staff specifically regarding Clostridium difficile. Which of the following should the nurse include in teaching plan? a. The spores are transmitted only from direct contact, so wear gloves when touching the patient. b. Use of alcohol-based hand cleansers is appropriate for use before and after each patient contact. c. Avoid the use of bleach and bleach cleaners in C. difficile isolation rooms, as the bleach does not kill the spores. d. Hand washing is required with running water and soap to remove the spores from the caregivers' hands d. Hand washing is required with running water and soap to remove the spores from the caregivers' hands In examining a client with several diseases diagnosed, including hypertension and depression, the nurse examines the physiology of the effect of stress on the immune system. Which of the following physiologic responses affects this client the most strongly? a. An increase in the level of serum cortisol. b. An increase the number of immature T cells. c. A reduction in the level of virus-fighting interferon. d. A reduction in the antibody response to vaccines. d. A reduction in the antibody response to vaccines. In what way can a nurse differentiate strong research from poor research? a. through author dialogue b. by conducting the research c. through the nurse's own informal investigation d. by critiquing the study d. by critiquing the study The nurse researcher would like to gather data about the attitudes of young adults on spirituality and health care. What is the most effective form of research on this topic? a. Qualitative research b. Delphi study c. Methodologic survey d. Quantitative research a. Qualitative research Mr. J, age 81, has been admitted to hospital for the treatment of diverticulitis. It is noted in his history that Mr. J has a history of depression. Which of the following nursing actions is most likely to foster his mental health? a. Selecting a roommate for Mr. J who is social and optimistic. b. Performing as many of Mr. J's ADLs as possible to minimize his perceived burden of responsibility. c. Encouraging Mr. J to make decisions regarding his routine and care. d. Organizing a life review to remind Mr. J of the positives that exist in his life. c. Encouraging Mr. J to make decisions regarding his routine and care. Which one of the following residents of a long-term care facility is most likely exhibiting signs and symptoms of depression? Ms. K, age 73, who has visited her primary care physician with complaints of palpitations and labored breathing accompanied by feelings of doom. Mr. U, age 76, whose neighbors have stated that he has become progressively more forgetful in the last several Mrs. D, age 82, who is frequently tearful following the death