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.
,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 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.
,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 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
, 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.
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.
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.
,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 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.
,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 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
, 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.
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.
