NR 509 week 6 Study Guide Questions and Correct Answers

NR 509 week 6 Study Guide Questions and Correct Answers 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? 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. 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. 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? Symptoms such as pain are often influenced by a person's cultural heritage. Which of the following is a true statement regarding pain? a. Nurses' attitudes toward their patients' pain are unrelated to their own experiences with pain. b. Nurses need to recognize that many cultures practice silent suffering as a response to pain. c. A nurse's area of clinical practice will most likely determine his or her assessment of a patient's pain. d. A nurse's years of clinical experience and current position are strong indicators of his or her response to patient pain. The FNP suspect abuse when a 10-year-old child is taken to the urgent care center for leg injury. The best way to document the history and physical findings is to During a mental status assessment, which question by the FNP would best assess a persons judgment? A. "Do you feel that you are being watched, followed, or controlled?" B. "Tell me about what you plan to do once you are discharged from the hospital." C. "What does the statement, 'People in glass houses shouldn't throw stones,' mean to you?" D. "What would you do if you found a stamped, addressed envelope lying on the sidewalk? The FNP is performing a mental status assessment on a five-year-old girl. Her parents are undergoing a bitter divorce and are worried about the effect it is having on their daughter. Which action or statement might leave FNP to be concerned about the girls mental status? a. She clings to her mother whenever the nurse is in the room. b. She appears angry and will not make eye contact with the nurse. c. Her mother states that she has begun to ride a tricycle around their yard. d. Her mother states that her daughter prefers to play with toddlers instead of kids her own age while in During mental status examination, the FNP wants to assess a patient's affect. The FNP should ask the patient which question? a. How do you feel today? b. Would you please repeat the following words? c. Have these medications had any effect on your pain? d. Has this pain affected your ability to get dressed by yourself? During an examination FNP notices a patterned injury on a patients back. Which of these would cause such an injury? The FNP is aware that intimate partner violence screening should occur with which situation? Which statement is best for the FNP to use when preparing to administer the abuse assessment screen? A) "We are required by law to ask these questions." B) "We need to talk about whether you feel you have been abused." C) "We are asking these questions because we suspect that you are being abused." D) "We ask the following questions because domestic violence is so common in our society." The FNP is conducting a class on alcohol and the effects of alcohol on the body. How many standard drinks (each containing 12 g alcohol) Per day are associated with increased deaths from cirrhosis, cancers of the mouth, esophagus and injuries in men? A. 2 B. 4 C. 6 D. 8 A woman who has just discovered that she is pregnant is in the clinic for her first obstetric visit. She asked the FNP how many drinks a day safe for my baby? The FNP's best response is The FNP is performing the Denver II screen test on a 12 month old infant during a routine well child visit. The FNP should tell the infants parents that the Denver II a. Tests three areas of development: cognitive, physical, and psychological b. Will indicate whether the child has a speech disorder so that treatment can begin. c. Is a screening instrument designed to detect children who are slow in development. d. Is a test to determine intellectual ability and may indicate whether problems will develop later in school. Which term refers to a one produced by tearing or splitting of body tissue usually from blunt impact of a bony surface When reviewing the use of alcohol by older adults the FNP notes that the older adults have several characteristics that can increase the risk of alcohol use which would increase the bioavailability of alcohol in the blood for longer periods of time in the older adult? A. Increased muscle mass B. Decreased liver and kidney functioning C. Decreased blood pressure D. Increased cardiac output The FNP is reviewing concepts of cultural aspects of pain. Which statement is true regarding pain? The FNP is planning to assess a child using behavioral checklist. This tool is most appropriate for a(an) A. 8-year-old child. B. 16-year-old child. C. 5-year-old child, just before kindergarten. D. Child having difficulty with gross motor skills 18. The nurse is assessing orientation in a 79-year-old patient. Which of these responses would lead the nurse to conclude that this patient is oriented? A. "I know that my name is John. I couldn't tell you where I am. I think it is 2010, though." B. "I know that my name is John, but to tell you the truth, I get kind of confused about the date." C. "I know that my name is John; I guess I'm at the hospital in Spokane. No, I don't know the date." D. "I know that my name is John. I am at the hospital in Spokane. I couldn't tell you what date it is, but I know that it is February of a new year—2010." As a mandatory reporter of elder abuse, which of these must be present before an FNP notifies the authorities? A 30-year-old female patient is describing feelings of hopelessness and depression. She has attempted self-mutilation and has a history of prior suicide attempts. She describes difficulty sleeping at night and has lost 10 pounds in the past month. Which of these statements or questions is the FNP's best response in this situation? a. Do you have a weapon? b. How do other people treat you? c. Are you feeling so hopeless that you feel like hurting yourself now? d. People often feel hopeless, but the feelings resolve within a few weeks. For persons age 12 years and older which of these illicit substances was one of the most commonly used? Which of these individuals would the FNP consider at highest risk for suicide attempt? A. Man who jokes about death B. Woman who, during a past episode of major depression, attempted suicide C. Adolescent who has just broken up with her boyfriend and states that she would like to kill herself D. Elderly man who tells the nurse that he is going to "join his wife in heaven" tomorrow and plans to use a gun 3. The nurse is assessing a patient who has been admitted for cirrhosis of the liver secondary to chronic alcohol use. During the physical assessment, the nurse looks for cardiac problems that are associated with chronic heavy use of alcohol, such as: A. Hypertension. B. Ventricular fibrillation. C. Bradycardia. D. Mitral valve prolapse.