NRNP 6645 PSYCHOTHERAPY TEST BANK MIDTERM & FINAL
EXAM \NEWEST EXAM WITH COMPLETE QUESTIONS AND
ACCURATE DETAILED ANSWERS \\VERIFIED ANSWERS
\ALREADY GRADED A+\2025 MULTIPLE MODALITIES
1. Mrs. Williams is 76 years 1. Answer: 1
old and comes in to have a Page: 96
wound checked on her
right leg.
She fell a month ago and the Feedba
wound has not healed. She ck 1.
is concerned that Skin renewal turnover time increases to approximately
something is wrong. The 87 days in older adults, compared with 20 days during
nurse practitioner examines youth.
2.
the wound and sees that it
The perceived extended healing time is
has been cleaned properly
not related to diet. 3.
and has no signs of
This is false hope, as there is no medication that
infection. The edges are
will heal this wound quickly. 4.
approximated, but the skin
Prophylactic antibiotics are not appropriate when there
around the wound is red
are no signs or symptoms of infection.
and
tender to touch. The
best response
regarding Mrs.
Williams' concern is:
1. Wound healing for older
people may take up to four
times longer than it does
for
younger people.
2. Let us talk about what you
are eating.
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3. Had you come in earlier,
I would have ordered
medicine that would have
healed that right up.
4. I will order an
antibiotic to prevent
infection.
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2. The nurse practitioner 2. Answer: 2
is conducting patient Page: 96
rounds in a long-term care
facility.
As she talks with Mrs. Feedba
Jones, she notices that her ck 1.
arms and elbows are Lack of activity alone does not
excoriated and the skin is cause skin breakdown. 2.
shearing. The nurse Fat is redistributed to the abdomen and thighs, leaving
practitioner explains to the bony surfaces, such as the face, hands, and sacrum,
staff that Mrs. Jones needs exposed to potential injury, especially skin tears from
frequent assessment of her shearing, friction forces and pressure
skin and protection ulcer development. 3.
provided to prevent skin Although losing weight may be a risk factor for falling, it
breakdown because: is not directly related to skin breakdown.
4.
There is no evidence that she is picking at herself, as
1. Her lack of activity causes
the skin to tear. there is nothing reported anywhere else on her arms.
2. Fat has redistributed to the
abdomen
and thighs, leaving bony
surfaces in areas such as the
face, hands, and sacrum.
This can result in injury.
3. She has lost weight and is
in jeopardy of falling.
4. She picks at herself and
causes skin breakdown.
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3. Mr. James is 91 years old. 3. Answer: 2
His daughter notices that he Page: 97
has bruises and lacerations
on his arms and reports
this to the nurse Feedba
practitioner, who tells her ck 1.
that older people bruise Markings on the skin may be signs of aging, a
easily due to their fragile disease, or maltreatment. 2.
blood Poorly healing wounds or chronic pressure ulcers may
vessels. The skin signal a problem not only with the patient but with
lacerations happen because the caregiver's ability to provide adequate care.
he has thin skin. Even so, the Welts, lacerations, burns, and distinctive markings
nurse practitioner assures may indicate a need for intervention. 3.
the daughter that she will This is a result of the nurse practitioner addressing it
investigate further to ensure further rather than the reason for addressing it.
4.
that he is getting proper
A professional cannot assume abuse without good reason.
care. She says this because
she understands that:
1. These markings on the
patient's skin are part of
aging skin.
2. Bruises and lacerations
can indicate inadequate
care.
3. The daughter needs
assurance that her father
is okay.
4. The patient is being abused.
4. Answer: 1
4. Thenurse practitioner Page: 97
assesses a
patient's skin and finds an
infectious lesion on the lower
Feedba
leg. The lesion is considered
ck 1.
a secondary lesion. The
Secondary lesions (infections) arise from
nurse practitioner
changes to the primary lesion. 2.
explains that a secondary
lesion is one that: Secondary lesions are not necessarily the result
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