Final exam nursing 601

Final exam nursing 601 The primary risk for injury experienced by a client diagnosed with asthma is: - CORRECT ANSWER-infections of the lower respiratory tract Which intervention demonstrates effective care for an individual who has expressed a wish to "retire sometime soon"? - CORRECT ANSWER-Asking about when they plan to retire Assessing their ability to handle the stresses of retirement Engaging them in a conversation about their interests Inquiring about the existence of any chronic illnesses D All of the above Answer D Which intervention addresses a guiding principle for creating an elder-friendly acute care facility? - CORRECT ANSWER-A client is asked when they would prefer to bathe; morning, afternoon or evening Which characteristic is seen in a family's 'kin-keeper'? - CORRECT ANSWEROrganizes the yearly family reunion The nurse practitioner is providing care for an older client who is experiencing mild cognitive impairment. Which communication technique is most likely to bring about a negative outcome? - CORRECT ANSWER-Asking the family to answer interview questions Which of the following does not demonstrate an understanding of the factors affecting physical wellness of the older adult client when - CORRECT ANSWER-Asking each client if "they come from a healthy family" Research has shown that long-term care (LTC) facility nursing - CORRECT ANSWERis comparable to the complexity and demand of intensive care nursing is a nursing intensive environment crosses the continuum of care D) all of the above Answer D An older client diagnosed with dementia resides with his daughter. When the home care nurse visits, the daughter tearfully tells the nurse that her father scratched her hand and cursed at her when she was attempting to feed him. She states, "I don't know why he hates me and wants to hurt me. I try so hard to take good care of him. I love him." How will the nurse respond to the client's daughter? - CORRECT ANSWER-"Let's try to figure out what your father was trying to say with his behavior." What factor is an important contribution to polypharmacy in older adults? - CORRECT ANSWER-Inadequate communication among medical care providers A client who reported, "a problem sleeping" shows an understanding of good sleep hygiene when: - CORRECT ANSWER-limiting the afternoon nap to just 30 minutes Each of the following data supports the diagnosis of sleep apnea in the older adult except: - CORRECT ANSWER-followed a vegetarian diet for last 28 years A widowed grandmother is about to assume the role of custodial parent for her 6-yearold grandchild. Which intervention has priority when preparing the grandmother for long-term success in this new role? - CORRECT ANSWER-Teaching stress management and relaxation techniques Which client statement indicates an understanding of a primary benefit to be derived from moderately intense aerobic exercise? - CORRECT ANSWER-"Exercise will help keep my heart strong." An 88-year-old, being admitted to rule out lung cancer, is assessed using the short form of the Geriatric Depression Scale tool. When it is determines that the earned score is 9, the nurse practitioner initially: - CORRECT ANSWER-asks if they have any thoughts of committing suicide A 78-year-old patient who is dying of colon cancer with metastases to the liver is refusing to eat or drink. He is alert and oriented, and states that he has no desire to eat, which is causing the family great distress. In order to best address the client and family, you should: - CORRECT ANSWER-Educate the family that this is normal behavior in this situation Of the following agents, which is least likely to cause a chronic or recurrent cough? - CORRECT ANSWER-Gabapentin Which behavior suggests that an older adult who has lost their life partner is successfully managing the exploration stage of the adjustment process? - CORRECT ANSWER-Smiles when reminiscing about the trips they took over the years The area in which nurse practitioners have the greatest effect on the safe, effective medication therapy of an older client is: - CORRECT ANSWER-educating the client to all aspects of the medication. The following precautions are beneficial in minimizing an older adult's risk of being a victim of fraud except: - CORRECT ANSWER-Rely on the advice of people who only friends have recommended. The nurse is most concerned by observing which of the following during an older client's physical assessment: - CORRECT ANSWER-a slightly raised irregular patch that is bluish black in color Which reaction to the loss of a spouse or long-term partner is a unique example of older adult male bereavement? - CORRECT ANSWER-Remarrying within months of the loss When developing a teaching plan for an older, newly diagnosed diabetic client, the nurse practitioner best ensures an understanding of oral hypoglycemic medications when providing: - CORRECT ANSWER-oral explanations and sending the client home with a written copy Which factor is the greatest barrier to an older adult living independently? - CORRECT ANSWER-Deficits in vision and/or hearing resulting in safety issues In order to focus on the older population with the greatest risk for suicide the nurse practitioner would conduct a depression screening that targets: - CORRECT ANSWERWhite men Which housing arrangement would best address the family who wants to provide housing for an older family member who has a large degree of physical and cognitive independence and a desire to be closely involved with the family? - CORRECT ANSWER-A "granny" apartment in a separate part of the house When assessing an older client for indications of depression, the nurse practitioner bases the intervention on the knowledge that: - CORRECT ANSWER-The older client's symptoms may be atypical for the disorder When using the Fulmer SPICES assessment tool the nurse practitioner expects to ask: - CORRECT ANSWER-"Who helps you when you can't do something by yourself?" When working with a bereaved individual, the goal of nursing interventions is to: - CORRECT ANSWER-assist the individual to attain a healthy adjustment to the loss experience. The nurse suspects that an older adult client is experiencing symptomology seen in herpes zoster when the client - CORRECT ANSWER-A) rates the pain as an 8 out of a possible 10 B) develops clusters of fluid-filled vesicles C) reports symptoms focused on one side of the body D) all of the above answer D Which statement made by the resident of a long-term care facility is evidence that the facility is providing care in accordance with the Long-Term Care Residents' Bill of Rights? - CORRECT ANSWER-"I was told that if I didn't want to change rooms, I didn't have to." When caring for an ill adult client, the nurse is particularly concerned that the client communicates well since: - CORRECT ANSWER-Assessment, planning of care and even the therapeutic relationship is based on effective communication? Which statement correctly describes normal changes of aging? - CORRECT ANSWERIndividual variations are enormous at every age and in every part of the body. In planning teaching for a client with diabetes, which precaution related to fall prevention is particularly important for the nurse practitioner to include? - CORRECT ANSWERRising slowly from the table after meals Which intervention addresses a right guaranteed a long-term care facility resident? - CORRECT ANSWER-Family members are welcome at anytime When providing information regarding age-related visual problems, the nurse practitioner recognizes that the target population is: - CORRECT ANSWER-AfricanAmerican While the older African-American is at the highest risk for developing Alzheimer's disease, the nurse practitioner demonstrates an understanding of this disease process's risk factors when assessing this population's: - CORRECT ANSWER-Blood pressure and glucose serum levels Which question will best assess the ability of the LGBT older couple to successfully adjust to the challenges of aging ? - CORRECT ANSWER-"Have you experienced prejudice and discrimination in your life?" Which pharmacokinetic/pharmacodynamic parameter is least affected by the aging process? - CORRECT ANSWER-Absorpition An older adult is concerned that if her spouse, who recently suffered a stroke, is placed in a nursing home, "they will take everything in order to pay for his care." What response will the nurse practitioner make? - CORRECT ANSWER-"A spouse is allowed to keep a percentage of the family income and cash as well as the family home, car, and personal property." The nurse practitioner has the obligation to ask questions and obtain specific information about the use of herbs and supplements. Which of the following statements is most accurate regarding herbal therapy? - CORRECT ANSWER-may interact with prescription medications Weight loss is frequently caused by ingestion of the following drugs. - CORRECT ANSWER-Antibiotics Digoxin Nonsteroidal anti-inflammatory drugs (NSAIDs) Theophylline D) All of the above Answer D Which truism will the nurse practitioner base spousal grief counseling upon? - CORRECT ANSWER-Women are generally more likely to outlive their spouses. The nurse practitioner makes the greatest impact on the safe management of an 81- year-old client's medication administration when included in education is: - CORRECT ANSWER-a pillbox with compartments for each day and each of the doses When preparing an educational program on the minimizing the effects of aging to a "seniors group," the nurse practitioner's discussion on exercise is based upon the fact that: - CORRECT ANSWER-Losses experienced with age related mobility are associated with physical inactivity Which statement reflects a need for further education on elder abuse? - CORRECT ANSWER-"Abuse does not happen in people of financial means." Which older adult meets the criteria for foster care housing? - CORRECT ANSWER-A cognitively impaired homeless individual diagnosed with congestive heart failure The nurse practitioner educates the older client that the greatest risk related to poor foot care results is: - CORRECT ANSWER-loss of independent mobility. Which older adult client has the greatest risk for readmission into the acute care health system and so is the focus of extensive nursing follow-up post discharge? - CORRECT ANSWER-The client recovering from an exacerbation of congestive heart failure Which intervention best demonstrates the nurse practitioner understands safe medication administration of rivastigmine (Exelon) to the older client experiencing symptoms of Alzheimer's disease? - CORRECT ANSWER-The client is carefully monitored for side effects before the medication dose is increased Common causes of dyspnea in the older adult may include which of the following? - CORRECT ANSWER-Heart failure Asthma Chronic obstructive lung disease Pneumonia D) All of the above Answer D