NRNP 6645 MIDTERM AND FINAL EXAM 2023 (5 DIFFERENT VERSIONS 5
QS & ANS) /NRNP6645 PSYCHOTHERAPY WITH MULTIPLE MODALITIES
Study online at https://quizlet.com/_hg4gna
1. 1. Mrs. Williams is 76 years 1. Answer: 1
old and comes in to have Page: 96
a wound checked on her
right leg. She fell a month
Feedback
ago and the wound has
1.
not healed. She is con-
Skin renewal turnover time increases to approximately 87 days in
cerned that something is
older adults, compared with 20 days during youth.
wrong. The nurse practi-
2.
tioner examines the wound
The perceived extended healing time is not related to diet.
and sees that it has been
3.
cleaned properly and has no
This is false hope, as there is no medication that will heal this
signs of infection. The edges
wound quickly.
are approximated, but the
4.
skin around the wound is
Prophylactic antibiotics are not appropriate when there are no
red and tender to touch.
signs or symptoms of infection.
The best response regard-
ing 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.
3. Had you come in earlier,
I would have ordered medi-
cine that would have healed
that right up.
4. I will order an antibiotic to
prevent infection.
, NRNP 6645 MIDTERM AND FINAL EXAM 2023 (5 DIFFERENT VERSIONS 5
QS & ANS) /NRNP6645 PSYCHOTHERAPY WITH MULTIPLE MODALITIES
Study online at https://quizlet.com/_hg4gna
2. 2. The nurse practitioner is 2. Answer: 2
conducting patient rounds Page: 96
in a long-term care facili-
ty. As she talks with Mrs.
Feedback
Jones, she notices that her
1.
arms and elbows are excori-
Lack of activity alone does not cause skin breakdown.
ated and the skin is shear-
2.
ing. The nurse practitioner
Fat is redistributed to the abdomen and thighs, leaving bony
explains to the staff that
surfaces, such as the face, hands, and sacrum, exposed to po-
Mrs. Jones needs frequent
tential injury, especially skin tears from shearing, friction forces
assessment of her skin and
and pressure ulcer development.
protection provided to pre-
3.
vent skin breakdown be-
Although losing weight may be a risk factor for falling, it is not
cause:
directly related to skin breakdown.
1. Her lack of activity causes 4.
the skin to tear. There is no evidence that she is picking at herself, as there is
2. Fat has redistributed to nothing reported anywhere else on her arms.
the abdomen and thighs,
leaving bony surfaces in ar-
eas 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.
3. 3. Mr. James is 91 years old. 3. Answer: 2
His daughter notices that he Page: 97
, NRNP 6645 MIDTERM AND FINAL EXAM 2023 (5 DIFFERENT VERSIONS 5
QS & ANS) /NRNP6645 PSYCHOTHERAPY WITH MULTIPLE MODALITIES
Study online at https://quizlet.com/_hg4gna
has bruises and lacerations
on his arms and reports Feedback
this to the nurse practition- 1.
er, who tells her that older Markings on the skin may be signs of aging, a disease, or mal-
people bruise easily due to treatment.
their fragile blood vessels. 2.
The skin lacerations happen Poorly healing wounds or chronic pressure ulcers may signal
because he has thin skin. a problem not only with the patient but with the caregiver's
Even so, the nurse practi- ability to provide adequate care. Welts, lacerations, burns, and
tioner assures the daugh- distinctive markings may indicate a need for intervention.
ter that she will investigate 3.
further to ensure that he This is a result of the nurse practitioner addressing it further
is getting proper care. She rather than the reason for addressing it.
says this because she under- 4.
stands that: A professional cannot assume abuse without good reason.
1. These markings on the
patient's skin are part of ag-
ing skin.
2. Bruises and lacerations
can indicate inadequate
care.
3. The daughter needs as-
surance that her father is
okay.
4. The patient is being
abused.
4. 4. The nurse practitioner as- 4. Answer: 1
sesses a patient's skin and Page: 97
finds an infectious lesion on
, NRNP 6645 MIDTERM AND FINAL EXAM 2023 (5 DIFFERENT VERSIONS 5
QS & ANS) /NRNP6645 PSYCHOTHERAPY WITH MULTIPLE MODALITIES
Study online at https://quizlet.com/_hg4gna
the lower leg. The lesion is Feedback
considered a secondary le- 1.
sion. The nurse practitioner Secondary lesions (infections) arise from changes to the primary
explains that a secondary le- lesion.
sion is one that: 2.
Secondary lesions are not necessarily the result of an underlying
1. Arises from changes to a disease.
primary lesion. 3.
2. Is a complication of an un- Secondary lesions can be treated with medications or surgery.
derlying disease. 4.
3. Is difficult to treat. Secondary lesions arise as a condition not normal to aging.
4. Is a normal sign of aging.
5. 5. Ms. Rose, 88 years old, 5. Answer: 3
comes to the nurse prac- Page: 97
titioner with a complaint
about a growth on her hand.
Feedback
She wants to have a biopsy
1.
done. The nurse practitioner
An injury would not stimulate growth.
asks the following question:
2.
1. Have you injured your A reaction to a detergent would more likely be a rash.
hand recently? 3.
2. Are you using a different Lesions that warrant biopsy are those that have changed, bleed,
detergent? or are painful.
3. Has this growth changed, 4.
bled, or is it painful? The ability to put on her ring is not the problem.
4. Has this growth made it
difficult to put on your rings?
6. 6. A 60-year-old male enters 6. Answer: 3
the burn center for triage Page: 98
QS & ANS) /NRNP6645 PSYCHOTHERAPY WITH MULTIPLE MODALITIES
Study online at https://quizlet.com/_hg4gna
1. 1. Mrs. Williams is 76 years 1. Answer: 1
old and comes in to have Page: 96
a wound checked on her
right leg. She fell a month
Feedback
ago and the wound has
1.
not healed. She is con-
Skin renewal turnover time increases to approximately 87 days in
cerned that something is
older adults, compared with 20 days during youth.
wrong. The nurse practi-
2.
tioner examines the wound
The perceived extended healing time is not related to diet.
and sees that it has been
3.
cleaned properly and has no
This is false hope, as there is no medication that will heal this
signs of infection. The edges
wound quickly.
are approximated, but the
4.
skin around the wound is
Prophylactic antibiotics are not appropriate when there are no
red and tender to touch.
signs or symptoms of infection.
The best response regard-
ing 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.
3. Had you come in earlier,
I would have ordered medi-
cine that would have healed
that right up.
4. I will order an antibiotic to
prevent infection.
, NRNP 6645 MIDTERM AND FINAL EXAM 2023 (5 DIFFERENT VERSIONS 5
QS & ANS) /NRNP6645 PSYCHOTHERAPY WITH MULTIPLE MODALITIES
Study online at https://quizlet.com/_hg4gna
2. 2. The nurse practitioner is 2. Answer: 2
conducting patient rounds Page: 96
in a long-term care facili-
ty. As she talks with Mrs.
Feedback
Jones, she notices that her
1.
arms and elbows are excori-
Lack of activity alone does not cause skin breakdown.
ated and the skin is shear-
2.
ing. The nurse practitioner
Fat is redistributed to the abdomen and thighs, leaving bony
explains to the staff that
surfaces, such as the face, hands, and sacrum, exposed to po-
Mrs. Jones needs frequent
tential injury, especially skin tears from shearing, friction forces
assessment of her skin and
and pressure ulcer development.
protection provided to pre-
3.
vent skin breakdown be-
Although losing weight may be a risk factor for falling, it is not
cause:
directly related to skin breakdown.
1. Her lack of activity causes 4.
the skin to tear. There is no evidence that she is picking at herself, as there is
2. Fat has redistributed to nothing reported anywhere else on her arms.
the abdomen and thighs,
leaving bony surfaces in ar-
eas 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.
3. 3. Mr. James is 91 years old. 3. Answer: 2
His daughter notices that he Page: 97
, NRNP 6645 MIDTERM AND FINAL EXAM 2023 (5 DIFFERENT VERSIONS 5
QS & ANS) /NRNP6645 PSYCHOTHERAPY WITH MULTIPLE MODALITIES
Study online at https://quizlet.com/_hg4gna
has bruises and lacerations
on his arms and reports Feedback
this to the nurse practition- 1.
er, who tells her that older Markings on the skin may be signs of aging, a disease, or mal-
people bruise easily due to treatment.
their fragile blood vessels. 2.
The skin lacerations happen Poorly healing wounds or chronic pressure ulcers may signal
because he has thin skin. a problem not only with the patient but with the caregiver's
Even so, the nurse practi- ability to provide adequate care. Welts, lacerations, burns, and
tioner assures the daugh- distinctive markings may indicate a need for intervention.
ter that she will investigate 3.
further to ensure that he This is a result of the nurse practitioner addressing it further
is getting proper care. She rather than the reason for addressing it.
says this because she under- 4.
stands that: A professional cannot assume abuse without good reason.
1. These markings on the
patient's skin are part of ag-
ing skin.
2. Bruises and lacerations
can indicate inadequate
care.
3. The daughter needs as-
surance that her father is
okay.
4. The patient is being
abused.
4. 4. The nurse practitioner as- 4. Answer: 1
sesses a patient's skin and Page: 97
finds an infectious lesion on
, NRNP 6645 MIDTERM AND FINAL EXAM 2023 (5 DIFFERENT VERSIONS 5
QS & ANS) /NRNP6645 PSYCHOTHERAPY WITH MULTIPLE MODALITIES
Study online at https://quizlet.com/_hg4gna
the lower leg. The lesion is Feedback
considered a secondary le- 1.
sion. The nurse practitioner Secondary lesions (infections) arise from changes to the primary
explains that a secondary le- lesion.
sion is one that: 2.
Secondary lesions are not necessarily the result of an underlying
1. Arises from changes to a disease.
primary lesion. 3.
2. Is a complication of an un- Secondary lesions can be treated with medications or surgery.
derlying disease. 4.
3. Is difficult to treat. Secondary lesions arise as a condition not normal to aging.
4. Is a normal sign of aging.
5. 5. Ms. Rose, 88 years old, 5. Answer: 3
comes to the nurse prac- Page: 97
titioner with a complaint
about a growth on her hand.
Feedback
She wants to have a biopsy
1.
done. The nurse practitioner
An injury would not stimulate growth.
asks the following question:
2.
1. Have you injured your A reaction to a detergent would more likely be a rash.
hand recently? 3.
2. Are you using a different Lesions that warrant biopsy are those that have changed, bleed,
detergent? or are painful.
3. Has this growth changed, 4.
bled, or is it painful? The ability to put on her ring is not the problem.
4. Has this growth made it
difficult to put on your rings?
6. 6. A 60-year-old male enters 6. Answer: 3
the burn center for triage Page: 98
