Exam 6 - NRSG 2200 - Units #11 And #12
Questions With Complete Answers
An older adult client tells the nurse, "I just don't seem to have an appetite and
food just doesn't taste as good as it used to." The nurse understands that which
factor may be playing a role in this client's lack of appetite? Select all that apply.
A - Ill fitting dentures
B - Decreased saliva production
C - Missing teeth
D - Decrease number of taste buds
E - Swallowing difficulties - ANSWER B - Decreased saliva production
D - Decrease number of taste buds
The nurse is assigned to a 52-year-old client. The client is talkative and usually
friendly when the nurse enters the room. Today, however, the client is standing
at the mirror and says: "I lost my job because the company downsized; there
isn't anything I can do." The nurse recognizes this expression of concern is
related to:
A - The clients compromised career goals and retirement plans
B - The client being in an androgenic crisis
C - Dissatisfaction with changes in appearance and energy levels
D - The client assuming the termination is their fault - ANSWER A - The clients
compromised career goals and retirement plans
A home health care nurse has observed that a client 80 years of age, who has
multiple chronic health problems, takes a total of 19 medications on either a
scheduled or PRN (as needed) basis. How should the nurse address this client's
risk of harm from polypharmacy?
A - Contact the clients local pharmacy to discuss possible changes to the
medication regimen
B - Recommend holistic and herbal remedies to replace some of the medications
C - Ensure that the clients care is coordinated and encourage the primary care
provider to review the medication regimen
D - Encourage the client to reduce the medication load by withholding some
medications when they are asymptomatic - ANSWER C - Ensure that the clients
care is coordinated and encourage the primary care provider to review the
medication regimen
,A nurse is developing a plan of care for an older adult who has chronic heart
disease. Which factor must be considered?
A - Almost 100% of all older adults have limitations from multiple chronic
illnesses
B - Family members do not need to be as involved in the care of the older adult
C - Medications, hospitalizations, and medical supplies increase economic
difficulties
D - Older adults do not want to maintain their health and independence -
ANSWER C - Medications, hospitalizations, and medical supplies increase
economic difficulties
Most older adults gradually modify activities or lifestyle to accommodate for
declines in strength and health. The nurse recognizes the need for older adults
to maintain activity and exercise in order to preserve all physiologic functions.
When encouraging activity, it is important to consider which of the following?
Select all that apply.
A - Chronic illness often accompanies aging
B - Assistive devices help to maintain mobility and safety
C - Pain is a normal consequence of agin
D - There is an increased risk of sleep disorders - ANSWER A - Chronic illness
often accompanies aging
B - Assistive devices help to maintain mobility and safety
D - There is an increased risk of sleep disorders
A nurse is working with a single-parent family. When planning the care for this
family, which need would the nurse anticipate as being a priority concern?
Select all that apply.
A - Child health issues
B - Shift in roles
C - Excessive support systems
D - Financial concerns
E - Health promotion - ANSWER B - Shift in roles
D - Financial concerns
The nurse is assessing the functions of a family. Which items are functions of the
family? Select all that apply.
A - Communicate cultural values and beliefs to family members
B - Provide emotional support to family members
C - Provide a safe, comfortable home in which to reside
D - Make referrals to community-based healthcare resources
E - Secure adequate income to meet the needs of the family - ANSWER A -
Communicate cultural values and beliefs to family members
,B - Provide emotional support to family members
C - Provide a safe, comfortable home in which to reside
E - Secure adequate income to meet the needs of the family
A nurse is conducting a community health assessment for high risk families.
What risk factors should the nurse identify? Select all that apply.
A - Nearest acute care facility is 45 minutes away
B - New sibling was introduced two months ago
C - Family adheres to a strict vegetarian diet
D - Family does not have health insurance
E - Home is located in an area with gang violence - ANSWER A - Nearest acute
care facility is 45 minutes away
B - New sibling was introduced two months ago
D - Family does not have health insurance
E - Home is located in an area with gang violence
A nurse is assessing a 55-year-old female client. What is a normal physical
change in the middle adult? Select all that apply.
A - Cognitive ability diminishes
B - Skin moisture increases
C - Hormone production increases
D - There is a loss of calcium from bones
E - Cardiac output begins to decrease
F - Hearing acuity diminishes - ANSWER D - There is a loss of calcium from
bones
E - Cardiac output begins to decrease
F - Hearing acuity diminishes
The nurse is planning interventions to promote the health of a family with young
children. Which family task does the nurse need to consider when planning
interventions?
A - Moving from the family home
B - Coping with loss of energy and privacy
C - Maintaining ties with younger and older generations
D - Balancing teenagers freedom with responsibility - ANSWER B - Coping with
loss of energy and privacy
Fall prevention is a major part of nursing and risk management. In order to
reduce the risk of falling, the nurse should do which of the following? Select all
that apply.
A - Ensure that the client wear their prescription glasses when up
B - Post signs to alert staff to the client at high risk for falls
, C - Always assist every client with ambulation
D - Assess the clients fatigue level
E - Monitor fait and balance - ANSWER A - Ensure that the client wear their
prescription glasses when up
B - Post signs to alert staff to the client at high risk for falls
D - Assess the clients fatigue level
E - Monitor fait and balance
A nurse caring for a 25-year-old client who has recently been diagnosed with
testicular cancer knows that this client's illness will impact every aspect of life.
What developmental task is likely to be affected?
A - Achieving self actualization
B - Marrying and starting a family
C - Establishing financial security
D - Reviewing lifes accomplishments - ANSWER B - Marrying and starting a
family
A family that consists of two homosexual parents and three children living in the
same house is an example of which type of family?
A - Single-parent
B - Extended
C - Nuclear
D - Blended - ANSWER C - Nuclear
The nurse is caring for a young adult client . What developmental task for this
age group does the nurse identify as a priority?
A - Portraying themselves as totally independent
B - Trying out as many new things as possible
C - Establishing an intimate relationship and family
D - Developing self-identity and emotional independence - ANSWER C -
Establishing an intimate relationship and family
The nurse has developed a strong therapeutic relationship with an electrician
who sustained severe burns while working on an industrial site. Which action by
the nurse most directly addresses the client's self-actualization needs?
A - Encouraging the clients friends and family to take an active role in the clients
care at the hospital
B - Reorganizing care and facility a day pass so that the client can spend
Thanksgiving with family
C - Discussing the clients strengths and dialoguing and body image
Questions With Complete Answers
An older adult client tells the nurse, "I just don't seem to have an appetite and
food just doesn't taste as good as it used to." The nurse understands that which
factor may be playing a role in this client's lack of appetite? Select all that apply.
A - Ill fitting dentures
B - Decreased saliva production
C - Missing teeth
D - Decrease number of taste buds
E - Swallowing difficulties - ANSWER B - Decreased saliva production
D - Decrease number of taste buds
The nurse is assigned to a 52-year-old client. The client is talkative and usually
friendly when the nurse enters the room. Today, however, the client is standing
at the mirror and says: "I lost my job because the company downsized; there
isn't anything I can do." The nurse recognizes this expression of concern is
related to:
A - The clients compromised career goals and retirement plans
B - The client being in an androgenic crisis
C - Dissatisfaction with changes in appearance and energy levels
D - The client assuming the termination is their fault - ANSWER A - The clients
compromised career goals and retirement plans
A home health care nurse has observed that a client 80 years of age, who has
multiple chronic health problems, takes a total of 19 medications on either a
scheduled or PRN (as needed) basis. How should the nurse address this client's
risk of harm from polypharmacy?
A - Contact the clients local pharmacy to discuss possible changes to the
medication regimen
B - Recommend holistic and herbal remedies to replace some of the medications
C - Ensure that the clients care is coordinated and encourage the primary care
provider to review the medication regimen
D - Encourage the client to reduce the medication load by withholding some
medications when they are asymptomatic - ANSWER C - Ensure that the clients
care is coordinated and encourage the primary care provider to review the
medication regimen
,A nurse is developing a plan of care for an older adult who has chronic heart
disease. Which factor must be considered?
A - Almost 100% of all older adults have limitations from multiple chronic
illnesses
B - Family members do not need to be as involved in the care of the older adult
C - Medications, hospitalizations, and medical supplies increase economic
difficulties
D - Older adults do not want to maintain their health and independence -
ANSWER C - Medications, hospitalizations, and medical supplies increase
economic difficulties
Most older adults gradually modify activities or lifestyle to accommodate for
declines in strength and health. The nurse recognizes the need for older adults
to maintain activity and exercise in order to preserve all physiologic functions.
When encouraging activity, it is important to consider which of the following?
Select all that apply.
A - Chronic illness often accompanies aging
B - Assistive devices help to maintain mobility and safety
C - Pain is a normal consequence of agin
D - There is an increased risk of sleep disorders - ANSWER A - Chronic illness
often accompanies aging
B - Assistive devices help to maintain mobility and safety
D - There is an increased risk of sleep disorders
A nurse is working with a single-parent family. When planning the care for this
family, which need would the nurse anticipate as being a priority concern?
Select all that apply.
A - Child health issues
B - Shift in roles
C - Excessive support systems
D - Financial concerns
E - Health promotion - ANSWER B - Shift in roles
D - Financial concerns
The nurse is assessing the functions of a family. Which items are functions of the
family? Select all that apply.
A - Communicate cultural values and beliefs to family members
B - Provide emotional support to family members
C - Provide a safe, comfortable home in which to reside
D - Make referrals to community-based healthcare resources
E - Secure adequate income to meet the needs of the family - ANSWER A -
Communicate cultural values and beliefs to family members
,B - Provide emotional support to family members
C - Provide a safe, comfortable home in which to reside
E - Secure adequate income to meet the needs of the family
A nurse is conducting a community health assessment for high risk families.
What risk factors should the nurse identify? Select all that apply.
A - Nearest acute care facility is 45 minutes away
B - New sibling was introduced two months ago
C - Family adheres to a strict vegetarian diet
D - Family does not have health insurance
E - Home is located in an area with gang violence - ANSWER A - Nearest acute
care facility is 45 minutes away
B - New sibling was introduced two months ago
D - Family does not have health insurance
E - Home is located in an area with gang violence
A nurse is assessing a 55-year-old female client. What is a normal physical
change in the middle adult? Select all that apply.
A - Cognitive ability diminishes
B - Skin moisture increases
C - Hormone production increases
D - There is a loss of calcium from bones
E - Cardiac output begins to decrease
F - Hearing acuity diminishes - ANSWER D - There is a loss of calcium from
bones
E - Cardiac output begins to decrease
F - Hearing acuity diminishes
The nurse is planning interventions to promote the health of a family with young
children. Which family task does the nurse need to consider when planning
interventions?
A - Moving from the family home
B - Coping with loss of energy and privacy
C - Maintaining ties with younger and older generations
D - Balancing teenagers freedom with responsibility - ANSWER B - Coping with
loss of energy and privacy
Fall prevention is a major part of nursing and risk management. In order to
reduce the risk of falling, the nurse should do which of the following? Select all
that apply.
A - Ensure that the client wear their prescription glasses when up
B - Post signs to alert staff to the client at high risk for falls
, C - Always assist every client with ambulation
D - Assess the clients fatigue level
E - Monitor fait and balance - ANSWER A - Ensure that the client wear their
prescription glasses when up
B - Post signs to alert staff to the client at high risk for falls
D - Assess the clients fatigue level
E - Monitor fait and balance
A nurse caring for a 25-year-old client who has recently been diagnosed with
testicular cancer knows that this client's illness will impact every aspect of life.
What developmental task is likely to be affected?
A - Achieving self actualization
B - Marrying and starting a family
C - Establishing financial security
D - Reviewing lifes accomplishments - ANSWER B - Marrying and starting a
family
A family that consists of two homosexual parents and three children living in the
same house is an example of which type of family?
A - Single-parent
B - Extended
C - Nuclear
D - Blended - ANSWER C - Nuclear
The nurse is caring for a young adult client . What developmental task for this
age group does the nurse identify as a priority?
A - Portraying themselves as totally independent
B - Trying out as many new things as possible
C - Establishing an intimate relationship and family
D - Developing self-identity and emotional independence - ANSWER C -
Establishing an intimate relationship and family
The nurse has developed a strong therapeutic relationship with an electrician
who sustained severe burns while working on an industrial site. Which action by
the nurse most directly addresses the client's self-actualization needs?
A - Encouraging the clients friends and family to take an active role in the clients
care at the hospital
B - Reorganizing care and facility a day pass so that the client can spend
Thanksgiving with family
C - Discussing the clients strengths and dialoguing and body image
