NR 509 WEEK 6 TEST EXAM|| LATEST AND
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A woman has come to the clinic to seek help with a substance-abuse problem. She
admits to using cocaine just before arrival. Which of these assessment findings
would the FNP expect to find when examining the woman? - ANSWER: ANS:
Dilated pupils, pacing, psychomotor agitation
A cocaine user's appearance includes pupillary dilation, tachycardia or bradycardia,
elevated or lowered blood pressure, sweating, chills, nausea, vomiting, and weight
loss. The person's behavior includes euphoria, talkativeness, hypervigilance,
pacing, psychomotor agitation, impaired social or occupational functioning,
fighting, grandiosity, and visual or tactile hallucinations.
A 63-year-old Chinese American man enters the office with complaints of chest
pain, shortness of breath, and palpitations. Which statement most accurately reflect
the FNPs best course of action?
A) The nurse should focus on performing a full cardiac assessment.
B) The nurse should focus on psychosomatic complaints because he has just
learned that his wife has cancer.
C) This patient is not in any danger at present, so the nurse should send him home
with instructions to contact his physician.
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D) It is unclear what is happening with this patient, so the nurse should perform an
assessment in both the physical and the psychosocial realms. - ANSWER: D) It is
unclear what is happening with this patient, so the nurse should perform an
assessment in both the physical and the psychosocial realms.
The FNP is planning to assess new memory with the patient. The best way for the
FNP to do this would be
a. Administer the FACT test.
b. Ask him to describe his first job.
c. Give him the Four Unrelated Words Test.
d. Ask him to describe what television show he was watching before coming to the
clinic. - ANSWER: ANS: Give him the Four Unrelated Words Test.
Ask questions that can be corroborated, which screens for the occasional person
who confabulates or makes up answers to fill in the gaps of memory loss. The Four
Unrelated Words Test tests the persons ability to lay down new memories and is a
highly sensitive and valid memory test.
During the health history the FNP asks a female patient "how many alcoholic
drinks do you have a week?" Which answer by the patient would indicate at risk
drinking? - ANSWER: ANS: "No amount of alcohol has been determined to be
safe during pregnancy."
No amount of alcohol has been determined to be safe for pregnant women. The
potential adverse effects of alcohol use for the fetus are well known; women who