351 exam 2 (ELNEC) Q&A 2022/2023

Symptom management in older adults with serious illness is complicated because: A. They never take their medications correctly. B. Many have multiple comorbidities. C. They tend to ignore their symptoms. D. They like to over-report the severity of their symptoms. - Answer- B. Many have multiple comorbidities. Mrs. Smith has end-stage COPD and is admitted with severe dyspnea and is started on morphine sulfate. Which of the following statements by her husband demonstrates he understands the use of morphine in patients with COPD? A. "Morphine is addictive and I am worried that she will become an addict." B. "We have to be really careful with this drug because I have heard it could make her stop breathing." C. "My wife has a lung condition and morphine prevents her lungs from causing her pain." D. "The morphine is being used to treat her shortness of breath." - Answer- D. "The morphine is being used to treat her shortness of breath." Geraldine is an 80-year-old woman with Parkinson's disease. She is still functioning at home and is able to safely care for herself. Ever since her diagnosis she has been extremely anxious about her disease and how debilitated she might get as it progresses. Which of the following interventions is most appropriate to help treat her anxiety? A. A benzodiazepine like valium B. Active listening and presence as she talks about her fears and concerns C. Activities to distract her from her anxiety so she won't dwell on the future D. Suggest she go to an exercise class to preserve her balance and strength - Answer- B. Active listening and presence as she talks about her fears and concerns You have been assigned to care for a woman who was recently admitted for advanced cancer, and who reports ongoing fatigue. Her husband offers observations about his wife's fatigue. Which statement by the husband indicates the most correct understanding of his wife's fatigue? A. "She sleeps quite a bit, so she shouldn't be as tired as she is." B. "She's lost some weight. I know she'll feel better if she eats more." C. "She's been in pain. If we control that maybe, she'll have more energy." D. "She seems moody, so we need to cheer her up and make her laugh." - Answer- C. "She's been in pain. If we control that maybe, she'll have more energy." You are teaching the son of a 65-year-old male patient with cancer about his father's an