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NYU AE 1 Final Exam questions and verified detailed answers .

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NYU AE 1 Final Exam questions and verified detailed answers .NYU AE 1 Final Exam questions and verified detailed answers .NYU AE 1 Final Exam questions and verified detailed answers .

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Science Medicine Nursing




NYU AE 1 Final
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A student nurse is caring for a D

78-year-old patient with

multiple sclerosis. The patient The patient may have subtle symptoms of a urinary tract

has had an indwelling Foley infection, as evidenced by a slight increase in body temperature,

catheter in for 3 days. Eight development of confusion, and the dark-colored urine.

hours ago the patient's Temporary confusion is not a normal condition in older adults.

temperature was 37.1° C (98.8° Increasing the fluid intake is acceptable but not a

F). The student reports her recommendation for the set of symptoms the patient presents.

recent assessment to the The presenting set of symptoms is not normal.

registered nurse (RN): the

patient's temperature is 37.2° C

(99° F); the Foley catheter is still

in place, draining dark urine; and

the patient is uncertain what

time of day it is. From what the

RN knows about presentation of

symptoms in older adults, what

should he recommend?



A. Tell the student that

temporary confusion is normal

and simply requires

reorientation

B. Tell the student to increase

the patient's fluid intake since

the urine is concentrated

C. Tell the student that her

assessment findings are normal

for an older adult

D. Tell the student that he will

notify the physician of the

findings

,A patient's family member is B, C, E

considering having her mother

placed in a nursing center. You Adequate staffing, provision of social activities, and active family

have talked with the family involvement are essential. Meals should be high quality with

before and know that this is a options for what to eat and when it is served. A nursing center

difficult decision. Which of the should be clean, but it should look like a person's home.

following criteria would you

recommend in choosing a

nursing center? (Select all that

apply.)



A. The center should be clean,

and rooms should look like a

hospital room.

B. There should be adequate

staffing on all shifts.

C. Social activities should be

available for all residents.

D. Three meals should be served

daily with a set menu and

serving schedule.

E. Family involvement in care

planning and assisting with

physical care is necessary.

See an expert-written answer!




A nurse has conducted an B

assessment of a new patient

who has come to the medical Factors that often lead to depression include presence of a

clinic. The patient is 82 years old chronic disease or a recent change or life event (such as loss).

and has had osteoarthritis for 10 Patients are alert but easily distracted in conversation.

years and diabetes mellitus for

20 years. He is alert but

becomes easily distracted

during the nursing history. He

recently moved to a new

apartment, and his pet beagle

died just 2 months ago. He is

most likely experiencing:



A. Dementia.

B. Depression.

C. Delirium.

D. Disengagement.

See an expert-written answer!

,A major life event such as the C

death of a loved one, a move to

a nursing home, or a cancer The onset of depression could be abrupt or gradual, but the

diagnosis could precipitate: usual cause is a major life-altering event in the life of the person

experiencing the depression.

A. Dementia.

B. Delirium.

C. Depression.

D. Stroke.

See an expert-written answer!




Sexuality is maintained D

throughout our lives. Which

answer below best explains Sexuality is normal throughout the life span, and older adults

sexuality in an older adult? need to be able to express their sexual feelings.



A. When the sexual partner

passes away, the survivor no

longer feels sexual.

B. A decrease in an older adult's

libido occurs.

C. Any outward expression of

sexuality suggests that the older

adult is having a developmental

problem.

D. All older adults, whether

healthy or frail, need to express

sexual feelings.

See an expert-written answer!




Older adults experience a D

change in sexual activity. Which

best explains this change? As a result of loss of a loved one or a chronic illness in

themselves or their partner, opportunities for sexual activity may

A. The need to touch and be decline.

touched is decreased.

B. The sexual preferences of

older adults are not as diverse.

C. Physical changes usually do

not affect sexual functioning.

D. Frequency and opportunities

for sexual activity may decline.

See an expert-written answer!

, You see a 76-year-old woman in C

the outpatient clinic. Her chief

complaint is vision. She states Cataracts normally result in blurred vision, sensitivity to glare,

she has really noticed glare in and gradual loss of vision. Presbyopia is a common eye condition

the lights at home. Her vision is resulting in a person having difficulty adjusting to near and far

blurred; and she is unable to vision. The symptoms are not reflective of depression since her

play cards with her friends, read, vision affects her ability to interact. She has not chosen to avoid

or do her needlework. You her friends. Disengagement is a term referring to aging theory.

suspect that she may have:



A. Presbyopia.

B. Disengagement.

C. Cataract(s).

D. Depression.


A nurse is caring for a patient B, C, E

preparing for discharge from the

hospital the next day. The patient Teaching and communication are more effective with older

does not read and has a hearing adults when you sit and face the patient and present one idea or

loss. His family caregiver will be concept at a time. This requires planning. Speaking loudly can

visiting before discharge. What distort sound. Speak in a normal tone. Sending instructions is

can you do to facilitate the helpful but will not directly facilitate the patient's own

patient's understanding of his understanding. Sharing information with a caregiver provides

discharge instructions? (Select someone to clarify instructions

all that apply.)



A. Speak loudly so the patient

can hear you.

B. Sit facing the patient so he is

able to watch your lip

movements and facial

expressions.

C. Present one idea or concept

at a time.

D. Send a written copy of the

instructions home with him and

tell him to have the family review

them.

E. Include the family caregiver in

the teaching session.

See an expert-written answer!




Taste buds atrophy and lose B

sensitivity, and appetite may

decrease. As a result, the older Often an older adult uses "heavy" spices because of his or her

adult is less able to discern: inability to taste the food.



A. Spicy and bland foods.

B. Salty, sour, and bitter tastes.

C. Hot and cold food

temperatures.

D. Moist and dry food

preparations.

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