Final exam nursing 601 Questions & Answers!!

The primary risk for injury experienced by a client diagnosed with asthma is: - ANSWER infections of the lower respiratory tract Which intervention demonstrates effective care for an individual who has expressed a wish to "retire sometime soon"? - ANSWER Asking about when they plan to retire Assessing their ability to handle the stresses of retirement Engaging them in a conversation about their interests Inquiring about the existence of any chronic illnesses D All of the above Answer D Which intervention addresses a guiding principle for creating an elder-friendly acute care facility? - ANSWER A client is asked when they would prefer to bathe; morning, afternoon or evening Which characteristic is seen in a family's 'kin-keeper'? - ANSWER Organizes the yearly family reunion The nurse practitioner is providing care for an older client who is experiencing mild cognitive impairment. Which communication technique is most likely to bring about a negative outcome? - ANSWER Asking the family to answer interview questions Which of the following does not demonstrate an understanding of the factors affecting physical wellness of the older adult client when - ANSWER Asking each client if "they come from a healthy family" Research has shown that long-term care (LTC) facility nursing - ANSWER is comparable to the complexity and demand of intensive care nursing is a nursing intensive environment crosses the continuum of care D) all of the above Answer D An older client diagnosed with dementia resides with his daughter. When the home care nurse visits, the daughter tearfully tells the nurse that her father scratched her hand and cursed at her when she was attempting to feed him. She states, "I don't know why he hates me and wants to hurt me. I try so hard to take good care of him. I love him." How will the nurse respond to the client's daughter? - ANSWER "Let's try to figure out what your father was trying to say with his behavior." What factor is an important contribution to polypharmacy in older adults? - ANSWER Inadequate communication among medical care providers A client who reported, "a problem sleeping" shows an understanding of good sleep hygiene when: - ANSWER limiting the afternoon nap to just 30 minutes Each of the following data supports the diagnosis of sleep apnea in the older adult except: - ANSWER followed a vegetarian diet for last 28 years A widowed grandmother is about to assume the role of custodial parent for her 6-year-old grandchild. Which intervention has priority when preparing the grandmother for long-term success in this new role? - ANSWER Teaching stress management and relaxation techniques Which client statement indicates an understanding of a primary benefit to be derived from moderately intense aerobic exercise? - ANSWER "Exercise will help keep my heart strong." An 88-year-old, being admitted to rule out lung cancer, is assessed using the short form of the Geriatric Depression Scale tool. When it is determines that the earned score is 9, the nurse practitioner initially: - ANSWER asks if they have any thoughts of committing suicide A 78-year-old patient who is dying of colon cancer with metastases to the liver is refusing to eat or drink. He is alert and oriented, and states that he has no desire to eat, which is causing the family great distress. In order to best address the client and family, you should: - ANSWER Educate the family that this is normal behavior in this situation Of the following agents, which is least likely to cause a chronic or recurrent cough? - ANSWER Gabapentin