NURS 1100 - EXAM 3 (CHAPTERS 11-15, 24, 26, 36. NEEDS
AND DEVELOPMENT, OLDER ADULTS AND GRIEF,
COMMUNICATION AND DOCUMENTATION) | QUESTIONS
AND ANSWERS | WITH COMPLETE SOLUTION.
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.
AND DEVELOPMENT, OLDER ADULTS AND GRIEF,
COMMUNICATION AND DOCUMENTATION) | QUESTIONS
AND ANSWERS | WITH COMPLETE SOLUTION.
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.
