WITH VERIFIED ANSWERS GRADED A+
The nurse practitioner is conducting an admitting assessment of a 69-year-old man.
He has diminished ability to ambulate and has difficulty with activities of daily
living (ADLs). In the interview, the nurse practitioner asks him if he drinks
alcohol. He says, "Yes." The practitioner follows up with a psycho-social
evaluation because:
1. Physiological dynamics need to be ruled out as a possible contribution.
2. His drinking may be a function of the environment where he lives.
3. Criteria from the DSM-V is the same for people of any age.
4. His condition could be related to a long-term usage of alcohol or a new
occurrence
4. His condition could be related to a long-term usage of alcohol or a new
occurrence
The daughter of a 70-year-old woman asks the nurse practitioner why her mother
has had a change in functional ability recently. The mother has regularly been
drinking for 40 years, however, her behavior is changing. The nurse practitioner
replies that:
1. The concentration of alcohol in her body remains the same as she ages.
2. Her change in behavior has nothing to do with any drugs she is taking.
3. There are different types of alcoholism in older adults, and the change in
behavior is related to the specific type.
4. Physical changes due to aging affect the body's metabolism of alcohol
differently
,4. Physical changes due to aging affect the body's metabolism of alcohol
differently
The son of a 72-year-old man brings his father into the practitioner to plan for
treatment of the patient's alcoholism. The nurse practitioner has several options
available. Which is the first choice?
1. Treat for anxiety.
2. Begin with higher doses of anti-anxiety medications.
3. The last choice for medication is serotonin uptake inhibitors.
4. Buspirone and gabapentin are used as first-line choices.
1. Treat for anxiety.
Elisabeth, 67 years old, comes to the practitioner with her daughter, who is her
caregiver. The nurse practitioner notices that Elizabeth is very busy and always
moving and placing things in order within the waiting room. Along with this
increase in energy, which of the following suggest bipolar with mania or
hypomania? Select all that apply.
1. Ability to focus on a task
2. Flight of ideas
3. Rapid speech
4. Impulsivity
5. Thoughtfulness
2. Flight of ideas
3. Rapid speech
4. Impulsivity
, The nurse practitioner is assessing a 69-year-old man for possible bipolar disorder.
Which of the following will contribute to diagnosing this patient? Select all that
apply.
1. Complete blood count (CBC) and comprehensive metabolic panel, toxicology
screen, urinalysis, thyroid function tests.
2. Electroencephalogram (EEG) and magnetic resonance imaging (MRI).
3. Mini-Mental State Examination.
4. Saint Louis University Mental Status (SLUMS).
5. Total body computed tomography (CT) scan
3. Mini-Mental State Examination.
4. Saint Louis University Mental Status (SLUMS).
Mark, 82 years old, is in a rehabilitation center for therapy post-knee replacement.
The nurse practitioner is visiting Mark and finds him confused, disoriented, and
with speech difficulty. The staff nurse says that his condition changed quickly over
the last few hours. The nurse practitioner orders which of the following? Select all
that apply.
1. Pulse oximetry
2. Evaluation for infections
3. Assessment of change in medications
4. Brain scan
5. Radiology
1. Pulse oximetry
2. Evaluation for infections
3. Assessment of change in medications
4. Brain scan