351 exam 2 (ELNEC) Questions and
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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.
Ans: 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?
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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."
Ans: 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
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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
Ans: 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."