NUR 448 Exam 3 (Practice Questions) with answers

NUR 448 Exam 3 (Practice |\ |\ |\ |\ |\




Questions) with answers |\ |\




The focus of nursing care for a patient diagnosed with dementia
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is:
a.
individualizing care. |\




b.
improving cognition. |\




c.
maintaining optimum function. |\ |\




d.
promoting self-confidence and self-esteem. - CORRECT ANSWERS
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✔✔C


An older adult patient has fluctuating levels of awareness,
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anxiety, and appears to be picking things out of the air. The
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patient says, "I saw my granddaughter standing at the foot of the
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bed last night." The nurse should suspect:
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a.
delirium.
b.
dementia.
c.

,schizophrenia.
d.
bipolar disorder. - CORRECT ANSWERS ✔✔A
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An older adult presents with symptoms of delirium. The family
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says, "Everything was fine until yesterday." The most important
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assessment information to gather is: |\ |\ |\ |\




a.
a list of medications the patient currently takes.
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b.
whether or not the patient has experienced any recent losses.
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c.
whether or not the patient has ingested aged or fermented foods.
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d.
the patient's recent personality characteristics and changes. -
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CORRECT ANSWERS ✔✔A |\ |\




The family of a patient diagnosed with AD is concerned about the
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patient's occasional urinary incontinence. The nurse should give
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which suggestion? |\




a.
Use adult diapers. |\ |\




b.
Put a sign on the bathroom door.
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c.
Limit fluid intake to 1,000 ml daily.
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,d.
Take the patient to the bathroom every 2 hours. - CORRECT
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ANSWERS ✔✔D |\




A nurse gives anticipatory guidance to the family of a patient
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diagnosed with mild AD. Which problem common to that stage
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should be addressed?
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a.
Violent outbursts |\




b.
Emotional disinhibition |\




c.
Communication deficits |\




d.
Inability to feed or bathe self - CORRECT ANSWERS ✔✔C
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Which assessment finding would be expected in a patient in the
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early stage of HD?
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a.
Cogwheel rigidity |\




b.
Irritability
c.
Apraxia
d.

, Aphasia - CORRECT ANSWERS ✔✔B |\ |\ |\ |\




An older adult suddenly develops urinary incontinence. A family
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member says the patient "started walking oddly, like stepping on
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a sticky floor." Which problem would the nurse suspect?
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a.
Pick's disease |\




b.
Parkinson's disease |\




c.
HD
d.
Normal-pressure hydrocephalus (NPH) - CORRECT ANSWERS ✔✔D |\ |\ |\ |\ |\ |\




A patient diagnosed with dementia is watching a crime story on
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television. Suddenly, the patient begins to yell, "Stop! He's got a
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gun." What is the nurse's best intervention?
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a.
Administer a PRN dose of an atypical antipsychotic medication.
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b.
Turn off the television and tell the patient, "You are safe."
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c.
Reassure the patient that there are no guns nearby.
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d.
Provide a snack, and put the patient in bed. - CORRECT
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ANSWERS ✔✔B |\