NSG 1400 Exam 1 Questions And Answers With Complete
Solutions
A 45-year-old woman who is obese tells a nurse that she wants
to lose weight. After conducting a thorough assessment, the
nurse concludes that which of the following may be contributing
factors to the woman's obesity?
A. She works in an executive position that is very demanding.
B. She works out at the corporate gym at 5 am two mornings per
week.
C. She says that she has little time to prepare meals at home and
eats out at least four nights a week.
D. She says that she tries to eat "low-cholesterol" foods to help
lose weight.
E. She says that she vacations annually to reduce stress. Correct
Answers A. C. and D.
Demanding and stressful work environments can lead to
frequent "stress" eating of nonnutritious foods. Frequently eating
away from home and eating fast food have been identified as
contributing factors to obesity. Product claims that foods are
"lite" or "low cholesterol" do not always mean low fat or lower
calories.
A 50-year-old woman has elevated serum cholesterol levels that
increase her risk for cardiovascular disease. One method to
control this risk factor is to identify current diet trends and
describe dietary changes to reduce the risk. This nursing activity
is a form of:
A. Referral
B. Counseling
C. Health Education
,D. Stress- Management Techniques Correct Answers C. Health
Education
The nurse is engaged in health teaching when offering dietary
information to the woman to enable her to make decisions about
her dietary health practices in an attempt to lower her
cholesterol.
A 63-year-old patient is retiring from his job at an accounting
firm where he was in a management role for the past 20 years.
He has been with the same company for 42 years and was a
dedicated employee. His wife is a homemaker. She raised their
five children, babysits for her grandchildren as needed, and
belongs to numerous church committees. What are the major
concerns for this patient?
A.The loss of his work role
B. The risk of social isolation
C. A determination if the wife will need to start working
D. How the wife expects household tasks to be divided in the
home in retirement
E. The age the patient chose to retire Correct Answers A. and
D.
The psychosocial stresses of retirement are usually related to
role changes with a spouse or within the family and to loss of
the work role. Often there are new expectations of the retired
person. This patient is not likely to become socially isolated
because of the size of the family. Whether the wife will have to
work is not a major concern at this time nor is the age of the
patient.
A nurse is assessing an older adult brought to the emergency
department following a fall and wrist fracture. She notes that the
, patient is very thin and unkempt, has a stage 3 pressure ulcer to
her coccyx, and has old bruising to the extremities in addition to
her new bruises from the fall. She defers all of the questions to
her caregiver son who accompanied her to the hospital. The
nurse's next step is to:
A. Call social services to begin nursing home placement.
B. Ask the son to step out of the room so she can complete her
assessment.
C. Call adult protective services because you suspect elder
mistreatment.
D. Assess patient's cognitive status. Correct Answers B. Ask
the son to step out of the room so she can complete her
assessment.
The assessment leads you to suspect elder mistreatment, but the
nurse needs more information directly from the patient before
calling social services or the adult protective services. She will
best get this information by asking the son to leave so she can
ask the patient direct questions privately. If the son refuses to
leave, this will be another indication that elder mistreatment may
be occurring. Cognitive testing will be important but is not the
priority.
A nurse is caring for a patient preparing for discharge from the
hospital the next day. The patient does not read. His family
caregiver will be visiting before discharge. What can the nurse
do to facilitate the patient's understanding of his discharge
instructions?
A. Yell so the patient can hear you.
B. Sit facing the patient so he is able to watch your lip
movements and facial expressions.
C. Present one idea or concept at a time.
Solutions
A 45-year-old woman who is obese tells a nurse that she wants
to lose weight. After conducting a thorough assessment, the
nurse concludes that which of the following may be contributing
factors to the woman's obesity?
A. She works in an executive position that is very demanding.
B. She works out at the corporate gym at 5 am two mornings per
week.
C. She says that she has little time to prepare meals at home and
eats out at least four nights a week.
D. She says that she tries to eat "low-cholesterol" foods to help
lose weight.
E. She says that she vacations annually to reduce stress. Correct
Answers A. C. and D.
Demanding and stressful work environments can lead to
frequent "stress" eating of nonnutritious foods. Frequently eating
away from home and eating fast food have been identified as
contributing factors to obesity. Product claims that foods are
"lite" or "low cholesterol" do not always mean low fat or lower
calories.
A 50-year-old woman has elevated serum cholesterol levels that
increase her risk for cardiovascular disease. One method to
control this risk factor is to identify current diet trends and
describe dietary changes to reduce the risk. This nursing activity
is a form of:
A. Referral
B. Counseling
C. Health Education
,D. Stress- Management Techniques Correct Answers C. Health
Education
The nurse is engaged in health teaching when offering dietary
information to the woman to enable her to make decisions about
her dietary health practices in an attempt to lower her
cholesterol.
A 63-year-old patient is retiring from his job at an accounting
firm where he was in a management role for the past 20 years.
He has been with the same company for 42 years and was a
dedicated employee. His wife is a homemaker. She raised their
five children, babysits for her grandchildren as needed, and
belongs to numerous church committees. What are the major
concerns for this patient?
A.The loss of his work role
B. The risk of social isolation
C. A determination if the wife will need to start working
D. How the wife expects household tasks to be divided in the
home in retirement
E. The age the patient chose to retire Correct Answers A. and
D.
The psychosocial stresses of retirement are usually related to
role changes with a spouse or within the family and to loss of
the work role. Often there are new expectations of the retired
person. This patient is not likely to become socially isolated
because of the size of the family. Whether the wife will have to
work is not a major concern at this time nor is the age of the
patient.
A nurse is assessing an older adult brought to the emergency
department following a fall and wrist fracture. She notes that the
, patient is very thin and unkempt, has a stage 3 pressure ulcer to
her coccyx, and has old bruising to the extremities in addition to
her new bruises from the fall. She defers all of the questions to
her caregiver son who accompanied her to the hospital. The
nurse's next step is to:
A. Call social services to begin nursing home placement.
B. Ask the son to step out of the room so she can complete her
assessment.
C. Call adult protective services because you suspect elder
mistreatment.
D. Assess patient's cognitive status. Correct Answers B. Ask
the son to step out of the room so she can complete her
assessment.
The assessment leads you to suspect elder mistreatment, but the
nurse needs more information directly from the patient before
calling social services or the adult protective services. She will
best get this information by asking the son to leave so she can
ask the patient direct questions privately. If the son refuses to
leave, this will be another indication that elder mistreatment may
be occurring. Cognitive testing will be important but is not the
priority.
A nurse is caring for a patient preparing for discharge from the
hospital the next day. The patient does not read. His family
caregiver will be visiting before discharge. What can the nurse
do to facilitate the patient's understanding of his discharge
instructions?
A. Yell so the patient can hear you.
B. Sit facing the patient so he is able to watch your lip
movements and facial expressions.
C. Present one idea or concept at a time.
