WALDEN UNIVERSITY NRNP6645
PSYCHOTHERAPY WITH MULTIPLE
MODALITIES MIDTERM EXAM 2
DIFFERENT VERSIONS QUESTIONS
AND ANSWERS WITH CORRECT
UPDATE
1. bMrs. bWilliams bis b76 byears bold band bcomes bin bto bhave ba bwound bchecked bon bher
bright bleg. bShe bfell ba bmonth bago band bthe bwound bhas bnot bhealed. bShe bis bconcerned
bthat bsomething bis bwrong. bThe bnurse bpractitioner bexamines bthe bwound band bsees bthat bit
bhas bbeen bcleaned bproperly band bhas bno bsigns bof binfection. bThe bedges bare bapproximated,
bbut bthe bskin baround bthe bwound bis bred band btender bto btouch. bThe bbest bresponse
bregarding bMrs. bWilliams' bconcern bis:
1. bWound bhealing bfor bolder bpeople bmay btake bup bto bfour btimes blonger bthan bit bdoes bfor
byounger bpeople.
2. bLet bus btalk babout bwhat byou bare beating.
3. bHad byou bcome bin bearlier, bI bwould bhave bordered bmedicine bthat bwould bhave bhealed
bthat bright bup.
4. bI bwill border ban bantibiotic bto bprevent binfection. b- bAnswer b- b1. bAnswer: b1
Page: b96
Feedback
1.
Skin brenewal bturnover btime bincreases bto bapproximately b87 bdays bin bolder badults, bcompared
bwith b20 bdays bduring byouth.
2.
,The bperceived bextended bhealing btime bis bnot brelated bto bdiet.
3.
This bis bfalse bhope, bas bthere bis bno bmedication bthat bwill bheal bthis bwound bquickly.
4.
Prophylactic bantibiotics bare bnot bappropriate bwhen bthere bare bno bsigns bor bsymptoms bof
binfection.
2. bThe bnurse bpractitioner bis bconducting bpatient brounds bin ba blong-term bcare bfacility. bAs
bshe btalks bwith bMrs. bJones, bshe bnotices bthat bher barms band belbows bare bexcoriated band
bthe bskin bis bshearing. bThe bnurse bpractitioner bexplains bto bthe bstaff bthat bMrs. bJones bneeds
bfrequent bassessment bof bher bskin band bprotection bprovided bto bprevent bskin bbreakdown
bbecause:
1. bHer black bof bactivity bcauses bthe bskin bto btear.
2. bFat bhas bredistributed bto bthe babdomen band bthighs, bleaving bbony bsurfaces bin bareas
bsuch bas bthe bface, bhands, band bsacrum. bThis bcan bresult bin binjury.
3. bShe bhas blost bweight band bis bin bjeopardy bof bfalling.
4. bShe bpicks bat bherself band bcauses bskin bbreakdown. b- bAnswer b- b2. bAnswer: b2
Page: b96
Feedback
1.
Lack bof bactivity balone bdoes bnot bcause bskin bbreakdown.
2.
Fat bis bredistributed bto bthe babdomen band bthighs, bleaving bbony bsurfaces, bsuch bas bthe
bface, bhands, band bsacrum, bexposed bto bpotential binjury, bespecially bskin btears bfrom
bshearing, bfriction bforces band bpressure bulcer bdevelopment.
3.
Although blosing bweight bmay bbe ba brisk bfactor bfor bfalling, bit bis bnot bdirectly brelated bto
bskin bbreakdown.
4.
,There bis bno bevidence bthat bshe bis bpicking bat bherself, bas bthere bis bnothing breported
banywhere belse bon bher barms.
3. bMr. bJames bis b91 byears bold. bHis bdaughter bnotices bthat bhe bhas bbruises band blacerations
bon bhis barms band breports bthis bto bthe bnurse bpractitioner, bwho btells bher bthat bolder
bpeople bbruise beasily bdue bto btheir bfragile bblood bvessels. bThe bskin blacerations bhappen
bbecause bhe bhas bthin bskin. bEven bso, bthe bnurse bpractitioner bassures bthe bdaughter bthat
bshe bwill binvestigate bfurther bto bensure bthat bhe bis bgetting bproper bcare. bShe bsays bthis
bbecause bshe bunderstands bthat:
1. bThese bmarkings bon bthe bpatient's bskin bare bpart bof baging bskin.
2. bBruises band blacerations bcan bindicate binadequate bcare.
3. bThe bdaughter bneeds bassurance bthat bher bfather bis bokay.
4. bThe bpatient bis bbeing babused. b- bAnswer b- b3. bAnswer: b2
Page: b97
Feedback
1.
Markings bon bthe bskin bmay bbe bsigns bof baging, ba bdisease, bor bmaltreatment.
2.
Poorly bhealing bwounds bor bchronic bpressure bulcers bmay bsignal ba bproblem bnot bonly bwith
bthe bpatient bbut bwith bthe bcaregiver's bability bto bprovide badequate bcare. bWelts, blacerations,
bburns, band bdistinctive bmarkings bmay bindicate ba bneed bfor bintervention.
3.
This bis ba bresult bof bthe bnurse bpractitioner baddressing bit bfurther brather bthan bthe breason
bfor baddressing bit.
4.
A bprofessional bcannot bassume babuse bwithout bgood breason.
4. bThe bnurse bpractitioner bassesses ba bpatient's bskin band bfinds ban binfectious blesion bon bthe
blower bleg. bThe blesion bis bconsidered ba bsecondary blesion. bThe bnurse bpractitioner bexplains
bthat ba bsecondary blesion bis bone bthat:
, 1. bArises bfrom bchanges bto ba bprimary blesion.
2. bIs ba bcomplication bof ban bunderlying bdisease.
3. bIs bdifficult bto btreat.
4. bIs ba bnormal bsign bof baging. b- bAnswer b- b4. bAnswer: b1
Page: b97
Feedback
1.
Secondary blesions b(infections) barise bfrom bchanges bto bthe bprimary blesion.
2.
Secondary blesions bare bnot bnecessarily bthe bresult bof ban bunderlying bdisease.
3.
Secondary blesions bcan bbe btreated bwith bmedications bor bsurgery.
4.
Secondary blesions barise bas ba bcondition bnot bnormal bto baging.
5. bMs. bRose, b88 byears bold, bcomes bto bthe bnurse bpractitioner bwith ba bcomplaint babout ba
bgrowth bon bher bhand. bShe bwants bto bhave ba bbiopsy bdone. bThe bnurse bpractitioner basks
bthe bfollowing bquestion:
1. bHave byou binjured byour bhand brecently?
2. bAre byou busing ba bdifferent bdetergent?
3. bHas bthis bgrowth bchanged, bbled, bor bis bit bpainful?
4. bHas bthis bgrowth bmade bit bdifficult bto bput bon byour brings? b- bAnswer b- b5. bAnswer: b3
Page: b97
PSYCHOTHERAPY WITH MULTIPLE
MODALITIES MIDTERM EXAM 2
DIFFERENT VERSIONS QUESTIONS
AND ANSWERS WITH CORRECT
UPDATE
1. bMrs. bWilliams bis b76 byears bold band bcomes bin bto bhave ba bwound bchecked bon bher
bright bleg. bShe bfell ba bmonth bago band bthe bwound bhas bnot bhealed. bShe bis bconcerned
bthat bsomething bis bwrong. bThe bnurse bpractitioner bexamines bthe bwound band bsees bthat bit
bhas bbeen bcleaned bproperly band bhas bno bsigns bof binfection. bThe bedges bare bapproximated,
bbut bthe bskin baround bthe bwound bis bred band btender bto btouch. bThe bbest bresponse
bregarding bMrs. bWilliams' bconcern bis:
1. bWound bhealing bfor bolder bpeople bmay btake bup bto bfour btimes blonger bthan bit bdoes bfor
byounger bpeople.
2. bLet bus btalk babout bwhat byou bare beating.
3. bHad byou bcome bin bearlier, bI bwould bhave bordered bmedicine bthat bwould bhave bhealed
bthat bright bup.
4. bI bwill border ban bantibiotic bto bprevent binfection. b- bAnswer b- b1. bAnswer: b1
Page: b96
Feedback
1.
Skin brenewal bturnover btime bincreases bto bapproximately b87 bdays bin bolder badults, bcompared
bwith b20 bdays bduring byouth.
2.
,The bperceived bextended bhealing btime bis bnot brelated bto bdiet.
3.
This bis bfalse bhope, bas bthere bis bno bmedication bthat bwill bheal bthis bwound bquickly.
4.
Prophylactic bantibiotics bare bnot bappropriate bwhen bthere bare bno bsigns bor bsymptoms bof
binfection.
2. bThe bnurse bpractitioner bis bconducting bpatient brounds bin ba blong-term bcare bfacility. bAs
bshe btalks bwith bMrs. bJones, bshe bnotices bthat bher barms band belbows bare bexcoriated band
bthe bskin bis bshearing. bThe bnurse bpractitioner bexplains bto bthe bstaff bthat bMrs. bJones bneeds
bfrequent bassessment bof bher bskin band bprotection bprovided bto bprevent bskin bbreakdown
bbecause:
1. bHer black bof bactivity bcauses bthe bskin bto btear.
2. bFat bhas bredistributed bto bthe babdomen band bthighs, bleaving bbony bsurfaces bin bareas
bsuch bas bthe bface, bhands, band bsacrum. bThis bcan bresult bin binjury.
3. bShe bhas blost bweight band bis bin bjeopardy bof bfalling.
4. bShe bpicks bat bherself band bcauses bskin bbreakdown. b- bAnswer b- b2. bAnswer: b2
Page: b96
Feedback
1.
Lack bof bactivity balone bdoes bnot bcause bskin bbreakdown.
2.
Fat bis bredistributed bto bthe babdomen band bthighs, bleaving bbony bsurfaces, bsuch bas bthe
bface, bhands, band bsacrum, bexposed bto bpotential binjury, bespecially bskin btears bfrom
bshearing, bfriction bforces band bpressure bulcer bdevelopment.
3.
Although blosing bweight bmay bbe ba brisk bfactor bfor bfalling, bit bis bnot bdirectly brelated bto
bskin bbreakdown.
4.
,There bis bno bevidence bthat bshe bis bpicking bat bherself, bas bthere bis bnothing breported
banywhere belse bon bher barms.
3. bMr. bJames bis b91 byears bold. bHis bdaughter bnotices bthat bhe bhas bbruises band blacerations
bon bhis barms band breports bthis bto bthe bnurse bpractitioner, bwho btells bher bthat bolder
bpeople bbruise beasily bdue bto btheir bfragile bblood bvessels. bThe bskin blacerations bhappen
bbecause bhe bhas bthin bskin. bEven bso, bthe bnurse bpractitioner bassures bthe bdaughter bthat
bshe bwill binvestigate bfurther bto bensure bthat bhe bis bgetting bproper bcare. bShe bsays bthis
bbecause bshe bunderstands bthat:
1. bThese bmarkings bon bthe bpatient's bskin bare bpart bof baging bskin.
2. bBruises band blacerations bcan bindicate binadequate bcare.
3. bThe bdaughter bneeds bassurance bthat bher bfather bis bokay.
4. bThe bpatient bis bbeing babused. b- bAnswer b- b3. bAnswer: b2
Page: b97
Feedback
1.
Markings bon bthe bskin bmay bbe bsigns bof baging, ba bdisease, bor bmaltreatment.
2.
Poorly bhealing bwounds bor bchronic bpressure bulcers bmay bsignal ba bproblem bnot bonly bwith
bthe bpatient bbut bwith bthe bcaregiver's bability bto bprovide badequate bcare. bWelts, blacerations,
bburns, band bdistinctive bmarkings bmay bindicate ba bneed bfor bintervention.
3.
This bis ba bresult bof bthe bnurse bpractitioner baddressing bit bfurther brather bthan bthe breason
bfor baddressing bit.
4.
A bprofessional bcannot bassume babuse bwithout bgood breason.
4. bThe bnurse bpractitioner bassesses ba bpatient's bskin band bfinds ban binfectious blesion bon bthe
blower bleg. bThe blesion bis bconsidered ba bsecondary blesion. bThe bnurse bpractitioner bexplains
bthat ba bsecondary blesion bis bone bthat:
, 1. bArises bfrom bchanges bto ba bprimary blesion.
2. bIs ba bcomplication bof ban bunderlying bdisease.
3. bIs bdifficult bto btreat.
4. bIs ba bnormal bsign bof baging. b- bAnswer b- b4. bAnswer: b1
Page: b97
Feedback
1.
Secondary blesions b(infections) barise bfrom bchanges bto bthe bprimary blesion.
2.
Secondary blesions bare bnot bnecessarily bthe bresult bof ban bunderlying bdisease.
3.
Secondary blesions bcan bbe btreated bwith bmedications bor bsurgery.
4.
Secondary blesions barise bas ba bcondition bnot bnormal bto baging.
5. bMs. bRose, b88 byears bold, bcomes bto bthe bnurse bpractitioner bwith ba bcomplaint babout ba
bgrowth bon bher bhand. bShe bwants bto bhave ba bbiopsy bdone. bThe bnurse bpractitioner basks
bthe bfollowing bquestion:
1. bHave byou binjured byour bhand brecently?
2. bAre byou busing ba bdifferent bdetergent?
3. bHas bthis bgrowth bchanged, bbled, bor bis bit bpainful?
4. bHas bthis bgrowth bmade bit bdifficult bto bput bon byour brings? b- bAnswer b- b5. bAnswer: b3
Page: b97
