NURS 421 Final Questions with correct answers
True or false
GI age related changes include increased motility, decreased blood flow,
increased absorption Correct Answer-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 Correct Answer-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 Correct Answer-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 Correct Answer-c. maintain good eye contact and a relaxed and
smiling approach
Mr 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
Correct Answer-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 Correct Answer-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 Correct
Answer-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 adamantly opposed 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 Correct Answer-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 Correct Answer-a, b, and d
True or false
GI age related changes include increased motility, decreased blood flow,
increased absorption Correct Answer-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 Correct Answer-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 Correct Answer-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 Correct Answer-c. maintain good eye contact and a relaxed and
smiling approach
Mr 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
Correct Answer-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 Correct Answer-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 Correct
Answer-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 adamantly opposed 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 Correct Answer-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 Correct Answer-a, b, and d
