NUR 257 EXAM 2 ENRICHMENT UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
Question:
As a nurse, how do you establish rapport?
Answer:
Interview, report by proxy, and assessment/observation
Question:
Mini-Mental State Exam
Answer:
Used to screen cognitive status and monitor:
- orientation
- short-term memory and attention
- calculation ability
- language
- ability to correctly copy and figure (visuospatial proficiency)
Question:
Fulmer SPICES Tool
Answer:
Used to assess geriatric syndromes:
Sleep problems Problems with eating and feeding Incontinence Confusion Evidence of
falls Skin breakdown
Question:
Geriatric Depression Scale
Answer:
- used to measure mood
- helpful in determining depression
- it deemphasizes physical complaints, sex drive, and appetite
- not for use in patients with dementia or cognitive impairment
Question:
What do you, as a healthcare professional, do if a patient says, "I want to kill myself?"
Answer:
Report it
Question:
What do you need to remember when assessing IADLs?
Answer:
Determine their cognitive status
, Question:
SAFE DRIVE
Answer:
Safety record Attention skills Family report Ethanol use Drugs Reaction time
Intellectual impairment Vision and visuospatial function Executive functions
Question:
FANCAPES Assessment
Answer:
Used for assessing frail and medically complex patients:
Fluids: state of hydration Aeration: respiratory function Nutrition: type and amount of
food consumed Communication: adequate ability to communicate his/her needs
Activity: ability to meet basic needs of toileting, grooming, and meal preparation Pain:
physical, psychological, or spiritual pain Elimination: difficulty with bladder or bowel
elimination Socialization: ability to give and receive love and friendship
Question:
How many times a year are individuals with Dementia or Alzheimer's assessed for
driving?
Answer:
Every 6 months
Question:
When is the best time to educate the patient?
Answer:
When the pt is at their best: not in pain, haven't just taken narcotics
Question:
What is an intervention for a patient who doesn't like to eat d/t thinking the food tastes
bad?
Answer:
Teach them to take sips of water b/t food to rinse the taste out of their mouth
Question:
What are some S/S of dysphagia?
Answer:
Drooling, hiccups, clearing the throat
Question:
What does dysphagia cause a risk for?
Answer:
Choking and aspiration
QUESTIONS AND CORRECT ANSWERS
Question:
As a nurse, how do you establish rapport?
Answer:
Interview, report by proxy, and assessment/observation
Question:
Mini-Mental State Exam
Answer:
Used to screen cognitive status and monitor:
- orientation
- short-term memory and attention
- calculation ability
- language
- ability to correctly copy and figure (visuospatial proficiency)
Question:
Fulmer SPICES Tool
Answer:
Used to assess geriatric syndromes:
Sleep problems Problems with eating and feeding Incontinence Confusion Evidence of
falls Skin breakdown
Question:
Geriatric Depression Scale
Answer:
- used to measure mood
- helpful in determining depression
- it deemphasizes physical complaints, sex drive, and appetite
- not for use in patients with dementia or cognitive impairment
Question:
What do you, as a healthcare professional, do if a patient says, "I want to kill myself?"
Answer:
Report it
Question:
What do you need to remember when assessing IADLs?
Answer:
Determine their cognitive status
, Question:
SAFE DRIVE
Answer:
Safety record Attention skills Family report Ethanol use Drugs Reaction time
Intellectual impairment Vision and visuospatial function Executive functions
Question:
FANCAPES Assessment
Answer:
Used for assessing frail and medically complex patients:
Fluids: state of hydration Aeration: respiratory function Nutrition: type and amount of
food consumed Communication: adequate ability to communicate his/her needs
Activity: ability to meet basic needs of toileting, grooming, and meal preparation Pain:
physical, psychological, or spiritual pain Elimination: difficulty with bladder or bowel
elimination Socialization: ability to give and receive love and friendship
Question:
How many times a year are individuals with Dementia or Alzheimer's assessed for
driving?
Answer:
Every 6 months
Question:
When is the best time to educate the patient?
Answer:
When the pt is at their best: not in pain, haven't just taken narcotics
Question:
What is an intervention for a patient who doesn't like to eat d/t thinking the food tastes
bad?
Answer:
Teach them to take sips of water b/t food to rinse the taste out of their mouth
Question:
What are some S/S of dysphagia?
Answer:
Drooling, hiccups, clearing the throat
Question:
What does dysphagia cause a risk for?
Answer:
Choking and aspiration
