VERIFIED ANSWERS WITH RATIONALE |GRADED A+
A woman has come to the clinic to seek help with a substance-abuse
problem. She admits to using cocaine just before arrival. Which of these
assessment findings would the FNP expect to find when examining the
woman?
ANS: Dilated pupils, pacing, psychomotor agitation
Rationale…A cocaine user's appearance includes pupillary dilation,
tachycardia or bradycardia, elevated or lowered blood pressure,
sweating, chills, nausea, vomiting, and weight loss. The person's behavior
includes euphoria, talkativeness, hypervigilance, pacing, psychomotor
agitation, impaired social or occupational functioning, fighting,
grandiosity, and visual or tactile hallucinations.
A 63-year-old Chinese American man enters the office with complaints of
chest pain, shortness of breath, and palpitations. Which statement most
accurately reflect the FNPs best course of action?
A) The nurse should focus on performing a full cardiac assessment.
B) The nurse should focus on psychosomatic complaints because he has
just learned that his wife has cancer.
C) This patient is not in any danger at present, so the nurse should send
him home with instructions to contact his physician.
D) It is unclear what is happening with this patient, so the nurse should
perform an assessment in both the physical and the psychosocial realms.
D) It is unclear what is happening with this patient, so the nurse should
perform an assessment in both the physical and the psychosocial realms.
, The FNP is planning to assess new memory with the patient. The best way
for the FNP to do this would be
a. Administer the FACT test.
b. Ask him to describe his first job.
c. Give him the Four Unrelated Words Test.
d. Ask him to describe what television show he was watching before
coming to the clinic.
ANS: Give him the Four Unrelated Words Test.
Rationale…Ask questions that can be corroborated, which screens for the
occasional person who confabulates or makes up answers to fill in the
gaps of memory loss. The Four Unrelated Words Test tests the persons
ability to lay down new memories and is a highly sensitive and valid
memory test.
During the health history the FNP asks a female patient "how many
alcoholic drinks do you have a week?" Which answer by the patient would
indicate at risk drinking?
ANS: "No amount of alcohol has been determined to be safe during
pregnancy."
Rationale…No amount of alcohol has been determined to be safe for
pregnant women. The potential adverse effects of alcohol use for the
fetus are well known; women who are pregnant should be screened for
alcohol use, and abstinence should be recommended.
Symptoms such as pain are often influenced by a person's cultural
heritage. Which of the following is a true statement regarding pain?
a.