NURS 421 Final Exam

True or false GI age related changes include increased motility, decreased blood flow, increased absorption - False, decreased motility Identify the correct statement describing the abuse of elderly persons in the United States. A. Elder abuse is the most often reported form of domestic violence B. Statistically, neglect is the most common form of elder abuse C. Most cases of elder abuse are reported to the proper authorities D. Healthcare practitioners are only mandated to report verified, not suspected, cases of elder abuse - b. Statistically, neglect is the most common form of elder abuse Which of the following cases seen by a nurse working in the ED identifies a situation that suggests a case of elder mistreatment? A. An 85 yr old male who has several areas of bruising on the back of the hands and is taking Clopidogrel sisulfate(Plavix) and aspirin daily B. An 86 yr old woman who has 3 dime sized burned areas on her upper inner thigh C. A 77 yr old woman who fell at home after tripping over her dog and broke her arm about 30 minutes earlier D. A 73 yr old male with a history of gastric ulcers who is found to be anemic after vomiting blood 3 hours earlier - b. An 86 yr old woman who has 3 dime sized burned areas on her upper inner thigh Which of the following are examples of appropriate communication techniques for dealing effectively with persons with dementia? A. Ask open ended questions so the person feels that he or she feels they can make choices B. For people in the later stages of dementia, talk to them as you would a child C. Maintain good eye contact and a relaxed and smiling approach D. When a person forgets something, remind them not forget it the next time - c. Maintain good eye contact and a relaxed and smiling approachMr Reynolds experienced a transient ischemic attack (TIA) 3 weeks ago that had significant effects on his motor and sensory function. Which of the following assessment findings should signal to the nurse to the possibility that Mr Reynolds is experiencing dysphagia? A. Mr. Reynolds complains of being excessively hungry in the mid afternoon and evening B. When providing oral care, the nurse finds food pocketed in Mr Reynolds cheek C. Mr Reynolds drinks large amounts of water, before, during and after meals D. Mr Reynolds prefers to sit in a high fowlers position after meals - b. When providing oral care, the nurse finds food pocketed in Mr Reynolds cheek Statistically, which of the following clients is at greatest risk for mistreatment in the domestic setting? A. An active 70 yr old woman with well controlled diabetes who live alone B. A healthy 75 yr old man who is a retied businessman and lives with his son C. An 82 yr old woman with severe osteoarthritis and macular degeneration who lives with her single daughter who has an adult son with cerebral palsy D. A 77 yr old man who has a history of coronary bypass surgery and lives with his wife - c. An 82 yr old woman with severe osteoarthritis and macular degeneration who lives with her single daughter who has an adult son with cerebral palsy When a patient is admitted to a hospital, he or she is asked if an advance directive is available in case terminal care is necessary. What does an advance directive do? A. It gives the patient's family control over terminal care regardless of the patient's wishes B. It gives the patient control over terminal care by appointing an decision maker in the event they cannot make their own decisions C. It gives the hospital control over terminal care D. It gives the attending physician control over terminal care - b. It gives the patient control over terminal care by appointing an decision maker in the event they cannot make their own decisions A 78 yr old woman was diagnosed with colorectal cancer 18 mos ago and underwent chemotherapy. A recent CT scan has shown has metastasized to her lungs and liver. The woman states that she feels well and does not want to undergo any further debilitating chemotherapy. The son and daughter are adamantlyopposed to their mother's forgoing treatment and have appealed to the nurse. What factor is the primary consideration in this scenario? A. The family's wishes B. The woman's prognosis C. The woman's autonomy D. The woman's treatment options - c. The woman's autonomy Which of the following are social risk factors for impaired nutrition? Select all that apply. A. Isolation B. Loneliness C. Depression D. Poverty - a, b, and d A mini nutritional score between 8 and 11 indicates dehydration. True or false - False Lab values associate with poor nutrition include... Select all that apply. A. Serum albumin B. Increased magnesium C. Serum prealbumin D. Cholesterol - a, c, and d What contributes to neuron death & may progress to Alzheimers? - B-amyloid What should you do before treating a patient with delirium? - Identify the underlying cause TRUE OR FALSE: During hospice care one physician must determine the patient has 6 months to live - FALSE; two physicians Hospice care is not appropriate in which of these circumstances? A. The patient decides to forego curative treatment. B. The patient's prognosis is 3 to 6 months. C. The patient is undergoing experimental chemotherapy.D. The patient is receiving palliative chemotherapy. - c. The patient is undergoing experimental chemotherapy. Rationale: Hospice care is not appropriate for patients undergoing active curative therapy. All other statements are correct regarding hospice care.