NR 601 Final Exam-NR 601 care of the mature
adults
• A 77-year-old Hispanic Catholic Nun (retired) who immigrated
tothe United States 15 years ago lives alone but in an apartment
complex where her sister lives as well. She is being discharged
home after a hospitalization for congestive heart failure with
prescriptions for 8 different medications. She is considered at
riskfor noncompliance due to the following contributing factors
except:
• Ethnic background
• A 78-year-old patient who is dying of colon cancer with
metastasesto the liver is refusing to eat or drink. He is alert and
oriented, and states that he has no desire to eat, which is causing
the family greatdistress. In order to best address the client and
family, you should:
• Educate the family that this is normal behavior in this
situation
• A 79-year-old female client resides independently in the
community. The client’s daughter is concerned because her
motherinsists on wearing a sweater and keeps all of the windows
closed even though it is 90 degrees Fahrenheit outside. The
nurse practitioner initially recognizes that this behavior may be
related to:
, • age-related neurosensory changes that diminish awareness of
temperature changes
• An 88-year-old, being admitted to rule out lung cancer, is
assessedusing the short form of the Geriatric Depression Scale
tool. When it is determines that the earned score is 9, the nurse
practitioner initially:
• asks if they have any thoughts of committing suicide
• The area in which nurse practitioners have the greatest effect
onthe safe, effective medication therapy of an older client is:
• educating the client to all aspects of the medication.
• The Beers list is an effective tool for healthcare professionals
prescribing and/or managing the medication therapy of older
adultssince it identifies medications that for this population:
• have a higher than usual risk for injury
• A client who reported, “a problem sleeping” shows
anunderstanding of good sleep hygiene when:
• limiting the afternoon nap to just 30 minutes
• Common causes of dyspnea in the older adult may include
whichof the following?
• Heart failure
adults
• A 77-year-old Hispanic Catholic Nun (retired) who immigrated
tothe United States 15 years ago lives alone but in an apartment
complex where her sister lives as well. She is being discharged
home after a hospitalization for congestive heart failure with
prescriptions for 8 different medications. She is considered at
riskfor noncompliance due to the following contributing factors
except:
• Ethnic background
• A 78-year-old patient who is dying of colon cancer with
metastasesto the liver is refusing to eat or drink. He is alert and
oriented, and states that he has no desire to eat, which is causing
the family greatdistress. In order to best address the client and
family, you should:
• Educate the family that this is normal behavior in this
situation
• A 79-year-old female client resides independently in the
community. The client’s daughter is concerned because her
motherinsists on wearing a sweater and keeps all of the windows
closed even though it is 90 degrees Fahrenheit outside. The
nurse practitioner initially recognizes that this behavior may be
related to:
, • age-related neurosensory changes that diminish awareness of
temperature changes
• An 88-year-old, being admitted to rule out lung cancer, is
assessedusing the short form of the Geriatric Depression Scale
tool. When it is determines that the earned score is 9, the nurse
practitioner initially:
• asks if they have any thoughts of committing suicide
• The area in which nurse practitioners have the greatest effect
onthe safe, effective medication therapy of an older client is:
• educating the client to all aspects of the medication.
• The Beers list is an effective tool for healthcare professionals
prescribing and/or managing the medication therapy of older
adultssince it identifies medications that for this population:
• have a higher than usual risk for injury
• A client who reported, “a problem sleeping” shows
anunderstanding of good sleep hygiene when:
• limiting the afternoon nap to just 30 minutes
• Common causes of dyspnea in the older adult may include
whichof the following?
• Heart failure
