WALDEN UNIVERSITY NRNP6645
PSYCHOTHERAPY WITH MULTIPLE
MODALITIES MIDTERM EXAM 2
QUESTIONS WITH VERIFIED ANSWERS
1. sMrs. sWilliams sis s76 syears sold sand scomes sin sto shave sa swound schecked son sher sright sleg. sShe
sfell sa smonth sago sand sthe swound shas snot shealed. sShe sis sconcerned sthat ssomething sis swrong.
sThe snurse spractitioner sexamines sthe swound sand ssees sthat sit shas sbeen scleaned sproperly sand shas
sno ssigns sof sinfection. sThe sedges sare sapproximated, sbut sthe sskin saround sthe swound sis sred sand
stender sto stouch. sThe sbest sresponse sregarding sMrs. sWilliams' sconcern sis:
1. sWound shealing sfor solder speople smay stake sup sto sfour stimes slonger sthan sit sdoes sfor syounger
speople.
2. sLet sus stalk sabout swhat syou sare seating.
3. sHad syou scome sin searlier, sI swould shave sordered smedicine sthat swould shave shealed sthat sright
sup.
4. sI swill sorder san santibiotic sto sprevent sinfection. s- sAnswer s- s1. sAnswer: s1
Page: s96
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1.
Skin srenewal sturnover stime sincreases sto sapproximately s87 sdays sin solder sadults, scompared swith
s20 sdays sduring syouth.
2.
The sperceived sextended shealing stime sis snot srelated sto sdiet.
3.
This sis sfalse shope, sas sthere sis sno smedication sthat swill sheal sthis swound squickly.
,4.
Prophylactic santibiotics sare snot sappropriate swhen sthere sare sno ssigns sor ssymptoms sof sinfection.
2. sThe snurse spractitioner sis sconducting spatient srounds sin sa slong-term scare sfacility. sAs sshe stalks
swith sMrs. sJones, sshe snotices sthat sher sarms sand selbows sare sexcoriated sand sthe sskin sis sshearing.
sThe snurse spractitioner sexplains sto sthe sstaff sthat sMrs. sJones sneeds sfrequent sassessment sof sher
sskin sand sprotection sprovided sto sprevent sskin sbreakdown sbecause:
1. sHer slack sof sactivity scauses sthe sskin sto stear.
2. sFat shas sredistributed sto sthe sabdomen sand sthighs, sleaving sbony ssurfaces sin sareas ssuch sas sthe
sface, shands, sand ssacrum. sThis scan sresult sin sinjury.
3. sShe shas slost sweight sand sis sin sjeopardy sof sfalling.
4. sShe spicks sat sherself sand scauses sskin sbreakdown. s- sAnswer s- s2. sAnswer: s2
Page: s96
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1.
Lack sof sactivity salone sdoes snot scause sskin sbreakdown.
2.
Fat sis sredistributed sto sthe sabdomen sand sthighs, sleaving sbony ssurfaces, ssuch sas sthe sface, shands,
sand ssacrum, sexposed sto spotential sinjury, sespecially sskin stears sfrom sshearing, sfriction sforces sand
spressure sulcer sdevelopment.
3.
Although slosing sweight smay sbe sa srisk sfactor sfor sfalling, sit sis snot sdirectly srelated sto sskin
sbreakdown.
4.
There sis sno sevidence sthat sshe sis spicking sat sherself, sas sthere sis snothing sreported sanywhere selse
son sher sarms.
3. sMr. sJames sis s91 syears sold. sHis sdaughter snotices sthat she shas sbruises sand slacerations son shis
sarms sand sreports sthis sto sthe snurse spractitioner, swho stells sher sthat solder speople sbruise seasily
,sdue sto stheir sfragile sblood svessels. sThe sskin slacerations shappen sbecause she shas sthin sskin. sEven
sso, sthe snurse spractitioner sassures sthe sdaughter sthat sshe swill sinvestigate sfurther sto sensure sthat
she sis sgetting sproper scare. sShe ssays sthis sbecause sshe sunderstands sthat:
1. sThese smarkings son sthe spatient's sskin sare spart sof saging sskin.
2. sBruises sand slacerations scan sindicate sinadequate scare.
3. sThe sdaughter sneeds sassurance sthat sher sfather sis sokay.
4. sThe spatient sis sbeing sabused. s- sAnswer s- s3. sAnswer: s2
Page: s97
Feedback
1.
Markings son sthe sskin smay sbe ssigns sof saging, sa sdisease, sor smaltreatment.
2.
Poorly shealing swounds sor schronic spressure sulcers smay ssignal sa sproblem snot sonly swith sthe spatient
sbut swith sthe scaregiver's sability sto sprovide sadequate scare. sWelts, slacerations, sburns, sand
sdistinctive smarkings smay sindicate sa sneed sfor sintervention.
3.
This sis sa sresult sof sthe snurse spractitioner saddressing sit sfurther srather sthan sthe sreason sfor
saddressing sit.
4.
A sprofessional scannot sassume sabuse swithout sgood sreason.
4. sThe snurse spractitioner sassesses sa spatient's sskin sand sfinds san sinfectious slesion son sthe slower
sleg. sThe slesion sis sconsidered sa ssecondary slesion. sThe snurse spractitioner sexplains sthat sa
ssecondary slesion sis sone sthat:
1. sArises sfrom schanges sto sa sprimary slesion.
2. sIs sa scomplication sof san sunderlying sdisease.
3. sIs sdifficult sto streat.
, 4. sIs sa snormal ssign sof saging. s- sAnswer s- s4. sAnswer: s1
Page: s97
Feedback
1.
Secondary slesions s(infections) sarise sfrom schanges sto sthe sprimary slesion.
2.
Secondary slesions sare snot snecessarily sthe sresult sof san sunderlying sdisease.
3.
Secondary slesions scan sbe streated swith smedications sor ssurgery.
4.
Secondary slesions sarise sas sa scondition snot snormal sto saging.
5. sMs. sRose, s88 syears sold, scomes sto sthe snurse spractitioner swith sa scomplaint sabout sa sgrowth son
sher shand. sShe swants sto shave sa sbiopsy sdone. sThe snurse spractitioner sasks sthe sfollowing squestion:
1. sHave syou sinjured syour shand srecently?
2. sAre syou susing sa sdifferent sdetergent?
3. sHas sthis sgrowth schanged, sbled, sor sis sit spainful?
4. sHas sthis sgrowth smade sit sdifficult sto sput son syour srings? s- sAnswer s- s5. sAnswer: s3
Page: s97
Feedback
1.
An sinjury swould snot sstimulate sgrowth.
2.
A sreaction sto sa sdetergent swould smore slikely sbe sa srash.
PSYCHOTHERAPY WITH MULTIPLE
MODALITIES MIDTERM EXAM 2
QUESTIONS WITH VERIFIED ANSWERS
1. sMrs. sWilliams sis s76 syears sold sand scomes sin sto shave sa swound schecked son sher sright sleg. sShe
sfell sa smonth sago sand sthe swound shas snot shealed. sShe sis sconcerned sthat ssomething sis swrong.
sThe snurse spractitioner sexamines sthe swound sand ssees sthat sit shas sbeen scleaned sproperly sand shas
sno ssigns sof sinfection. sThe sedges sare sapproximated, sbut sthe sskin saround sthe swound sis sred sand
stender sto stouch. sThe sbest sresponse sregarding sMrs. sWilliams' sconcern sis:
1. sWound shealing sfor solder speople smay stake sup sto sfour stimes slonger sthan sit sdoes sfor syounger
speople.
2. sLet sus stalk sabout swhat syou sare seating.
3. sHad syou scome sin searlier, sI swould shave sordered smedicine sthat swould shave shealed sthat sright
sup.
4. sI swill sorder san santibiotic sto sprevent sinfection. s- sAnswer s- s1. sAnswer: s1
Page: s96
Feedback
1.
Skin srenewal sturnover stime sincreases sto sapproximately s87 sdays sin solder sadults, scompared swith
s20 sdays sduring syouth.
2.
The sperceived sextended shealing stime sis snot srelated sto sdiet.
3.
This sis sfalse shope, sas sthere sis sno smedication sthat swill sheal sthis swound squickly.
,4.
Prophylactic santibiotics sare snot sappropriate swhen sthere sare sno ssigns sor ssymptoms sof sinfection.
2. sThe snurse spractitioner sis sconducting spatient srounds sin sa slong-term scare sfacility. sAs sshe stalks
swith sMrs. sJones, sshe snotices sthat sher sarms sand selbows sare sexcoriated sand sthe sskin sis sshearing.
sThe snurse spractitioner sexplains sto sthe sstaff sthat sMrs. sJones sneeds sfrequent sassessment sof sher
sskin sand sprotection sprovided sto sprevent sskin sbreakdown sbecause:
1. sHer slack sof sactivity scauses sthe sskin sto stear.
2. sFat shas sredistributed sto sthe sabdomen sand sthighs, sleaving sbony ssurfaces sin sareas ssuch sas sthe
sface, shands, sand ssacrum. sThis scan sresult sin sinjury.
3. sShe shas slost sweight sand sis sin sjeopardy sof sfalling.
4. sShe spicks sat sherself sand scauses sskin sbreakdown. s- sAnswer s- s2. sAnswer: s2
Page: s96
Feedback
1.
Lack sof sactivity salone sdoes snot scause sskin sbreakdown.
2.
Fat sis sredistributed sto sthe sabdomen sand sthighs, sleaving sbony ssurfaces, ssuch sas sthe sface, shands,
sand ssacrum, sexposed sto spotential sinjury, sespecially sskin stears sfrom sshearing, sfriction sforces sand
spressure sulcer sdevelopment.
3.
Although slosing sweight smay sbe sa srisk sfactor sfor sfalling, sit sis snot sdirectly srelated sto sskin
sbreakdown.
4.
There sis sno sevidence sthat sshe sis spicking sat sherself, sas sthere sis snothing sreported sanywhere selse
son sher sarms.
3. sMr. sJames sis s91 syears sold. sHis sdaughter snotices sthat she shas sbruises sand slacerations son shis
sarms sand sreports sthis sto sthe snurse spractitioner, swho stells sher sthat solder speople sbruise seasily
,sdue sto stheir sfragile sblood svessels. sThe sskin slacerations shappen sbecause she shas sthin sskin. sEven
sso, sthe snurse spractitioner sassures sthe sdaughter sthat sshe swill sinvestigate sfurther sto sensure sthat
she sis sgetting sproper scare. sShe ssays sthis sbecause sshe sunderstands sthat:
1. sThese smarkings son sthe spatient's sskin sare spart sof saging sskin.
2. sBruises sand slacerations scan sindicate sinadequate scare.
3. sThe sdaughter sneeds sassurance sthat sher sfather sis sokay.
4. sThe spatient sis sbeing sabused. s- sAnswer s- s3. sAnswer: s2
Page: s97
Feedback
1.
Markings son sthe sskin smay sbe ssigns sof saging, sa sdisease, sor smaltreatment.
2.
Poorly shealing swounds sor schronic spressure sulcers smay ssignal sa sproblem snot sonly swith sthe spatient
sbut swith sthe scaregiver's sability sto sprovide sadequate scare. sWelts, slacerations, sburns, sand
sdistinctive smarkings smay sindicate sa sneed sfor sintervention.
3.
This sis sa sresult sof sthe snurse spractitioner saddressing sit sfurther srather sthan sthe sreason sfor
saddressing sit.
4.
A sprofessional scannot sassume sabuse swithout sgood sreason.
4. sThe snurse spractitioner sassesses sa spatient's sskin sand sfinds san sinfectious slesion son sthe slower
sleg. sThe slesion sis sconsidered sa ssecondary slesion. sThe snurse spractitioner sexplains sthat sa
ssecondary slesion sis sone sthat:
1. sArises sfrom schanges sto sa sprimary slesion.
2. sIs sa scomplication sof san sunderlying sdisease.
3. sIs sdifficult sto streat.
, 4. sIs sa snormal ssign sof saging. s- sAnswer s- s4. sAnswer: s1
Page: s97
Feedback
1.
Secondary slesions s(infections) sarise sfrom schanges sto sthe sprimary slesion.
2.
Secondary slesions sare snot snecessarily sthe sresult sof san sunderlying sdisease.
3.
Secondary slesions scan sbe streated swith smedications sor ssurgery.
4.
Secondary slesions sarise sas sa scondition snot snormal sto saging.
5. sMs. sRose, s88 syears sold, scomes sto sthe snurse spractitioner swith sa scomplaint sabout sa sgrowth son
sher shand. sShe swants sto shave sa sbiopsy sdone. sThe snurse spractitioner sasks sthe sfollowing squestion:
1. sHave syou sinjured syour shand srecently?
2. sAre syou susing sa sdifferent sdetergent?
3. sHas sthis sgrowth schanged, sbled, sor sis sit spainful?
4. sHas sthis sgrowth smade sit sdifficult sto sput son syour srings? s- sAnswer s- s5. sAnswer: s3
Page: s97
Feedback
1.
An sinjury swould snot sstimulate sgrowth.
2.
A sreaction sto sa sdetergent swould smore slikely sbe sa srash.
