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/ Which factor would the nurse consider when communicating with adolescents?
Be alert for clues to their emotional state.
Ask closed-ended questions to get straight answers.
Avoid looking for meaning behind adolescents' words or actions.
Avoid discussing sensitive issues such as sex and drugs. - Answer-Be alert for clues to
their emotional state.
Adolescents are searching for their identities and trying to become emotionally
independent from parents while still maintaining family ties. Depression, substance
abuse, and violence are all real concerns during this period; thus, the nurse must be
aware of an adolescent's emotional state. Open-ended questions are used to get more
detailed answers. The nurse would look for meaning behind adolescents' words or
actions. It is also important to discuss issues such as sex and drugs; sex and drugs are
very important issues during this age
/.Which sense is affected by presbyopia?
Hearing
Sight
Smell
Taste - Answer-Sight
Sensory changes in the eyes are characterized by the presence of decreased
accommodation to near or far vision, which is called presbyopia. Sensory changes in
the ears include thickening of the tympanic membrane and sclerosis of the ear. Sensory
changes of smell include a diminished sense of smell. Sensory changes in taste are
often characterized by fewer taste buds.
/.Which clinical feature is related to depression in older adults?
Apraxia
Agitation
Hypervigilance
Impaired orientation - Answer-Agitation
,Psychomotor disorientation, or agitation, is commonly seen in patients with depression.
Apraxia is a clinical feature associated with dementia but not depression. Patients with
delirium have increased alertness (hypervigilance). However, the alertness in patients
with depression is usually normal. Impaired orientation is associated with delirium, and
patients with depression may have selective disorientation.
/.A patient is in labor with her first baby, which is coming 2 weeks early. Her husband is
in the military and might not get back in time, and neither family is able to be with her
during labor. Which support person employed by the birthing area is the health care
provider most likely to call in to be present during labor?
Nurse
Midwife
Assistant
Lay doula - Answer-Lay doula
A lay doula is a support person who is present during labor to assist women who have
no other source of support. This woman has no family available to support her during
the laboring process and delivery. Although the nurse and a midwife would be
supportive during labor, the scope of practice for nurses and midwives far exceeds that
of a support person present during labor. An assistant is incorrect.
/.Which condition does the nurse suspect in an older-adult patient who has reported
daily hearing decline?
Delirium
Dementia
Presbyopia
Presbycusis - Answer-Prebycusis
Presbycusis refers to the progressive loss of hearing that occurs with age. Delirium is a
cognitive impairment resulting in a confused state. Dementia is an impairment of
intellectual functioning that interferes with social and occupational functioning.
Presbyopia is a progressive decline of vision.
/.Which factor would the nurse assess when determining the knowledge base of a
middle-aged adult with chronic illness and his or her family? Select all that apply. One,
some, or all responses may be correct.
The medical course of the illness
The prognosis for the patient
Coping mechanisms of the patient and family
,The need for community and social services
The family's nutritional needs - Answer-The medical course of the illness
The prognosis for the patient
Coping mechanisms of the patient and family
The need for community and social services
When assessing a patient with a chronic illness, the nurse should determine how much
the patient and the family know about how the illness has progressed and the long-term
prognosis for the patient. This includes understanding the patient's and family's ability
and readiness to accept the illness and the outlook for the patient. Understanding the
coping mechanisms used by the patient and family helps the nurse to determine how to
teach and counsel them about the treatment regimen and whether or not community or
social services are needed and will be accepted to help the patient and family.
/.Which physical change occurs during adolescence?
Elongation of limbs
Slow and consistent growth rate
Improved large muscle coordination
Alteration in distribution of muscle and fat - Answer-Alteration in distribution of muscle
and fat
There is a significant alteration in the distribution of fat and muscles within the body of
adolescents. Because of the many physical changes, the shoulder and hip width
increase, normally increasing the width of the body. Elongation of limbs mostly occurs in
the years immediately before the onset of puberty and usually slows by the time of
adolescence. Growth rate is slow and consistent in school-age children, whereas the
growth rate of the skeleton, muscles, and viscera increases during adolescence.
Improved large muscle coordination starts when children are of school age, when the
strength of the child doubles.
/.The nurse is reviewing the diagnostic report of four patients. Which patient will have
difficulty hearing the nurse?
The patient who has a cataract.
The patient who has presbyopia.
The patient who has presbycusis.
The patient who has macular degeneration. - Answer-The patient who has presbycusis.
, Presbycusis refers to an age-related hearing impairment in older adults. The nurse
suspects that the patient who has been diagnosed with presbycusis will have difficulty
hearing. The nurse will suspect that the patient with a cataract will have a loss of
transparency in the eye lens. The nurse will suspect retinal damage in the patient with
presbyopia. The nurse will suspect a change in the macula of the patient's eye in the
patient with macular degeneration
/.Which statement best explains sexuality in an older adult?
When the sexual partner passes away, the survivor no longer feels sexual.
A decrease in an older adult's libido occurs.
Any outward expression of sexuality suggests that the older adult is having a
developmental problem.
All older adults, whether healthy or frail, need to express sexual feelings. - Answer-All
older adults, whether healthy or frail, need to express sexual feelings.
Sexuality is normal throughout the life span, and older adults need to be able to express
their sexual feelings. Even when a sexual partner passes away, the survivor will still feel
the need to express sexual feelings, even if it takes time. Not all older adults experience
a decrease in libido. An outward expression of sexuality is normal and does not indicate
a developmental problem.
/.When does the anterior fontanelle close?
Between 1 and 6 months
Between 6 and 12 months
Between 12 and 18 months
Between 18 and 24 months - Answer-Between 12 and 18 months
The anterior fontanelle is diamond shaped and has frontal and parietal bones
surrounding it. The anterior fontanelle is usually palpable in infants and closes by 12 to
18 months. Before 12 months, the skull bones and sutures are too tender to ossify and
close. By 18 months of age, the skull bones usually ossify, and it is too late for a
fontanelle to close after that. The posterior fontanelle closes by the end of the second or
third month.
/.Sharing eating utensils with a person who has a contagious illness is an example of a
health risk resulting from which factor?
Lifestyle
Community
Family history