Final exam nursing 601
The primary risk for injury experienced by a client diagnosed with asthma is: - answer
infections of the lower respiratory tract
Which intervention demonstrates effective care for an individual who has expressed a
wish to "retire sometime soon"? - answer Asking about when they plan to retire
Assessing their ability to handle the stresses of retirement
Engaging them in a conversation about their interests
Inquiring about the existence of any chronic illnesses
D All of the above
Answer D
Which intervention addresses a guiding principle for creating an elder-friendly acute
care facility? - answerA client is asked when they would prefer to bathe; morning,
afternoon or evening
Which characteristic is seen in a family's 'kin-keeper'? - answerOrganizes the yearly
family reunion
The nurse practitioner is providing care for an older client who is experiencing mild
cognitive impairment. Which communication technique is most likely to bring about a
negative outcome? - answerAsking the family to answer interview questions
Which of the following does not demonstrate an understanding of the factors affecting
physical wellness of the older adult client when - answerAsking each client if "they come
from a healthy family"
Research has shown that long-term care (LTC) facility nursing - answeris comparable to
the complexity and demand of intensive care nursing
is a nursing intensive environment
crosses the continuum of care
D) all of the above
Answer D
An older client diagnosed with dementia resides with his daughter. When the home care
nurse visits, the daughter tearfully tells the nurse that her father scratched her hand and
cursed at her when she was attempting to feed him. She states, "I don't know why he
hates me and wants to hurt me. I try so hard to take good care of him. I love him." How
will the nurse respond to the client's daughter? - answer"Let's try to figure out what your
father was trying to say with his behavior."
, What factor is an important contribution to polypharmacy in older adults? -
answerInadequate communication among medical care providers
A client who reported, "a problem sleeping" shows an understanding of good sleep
hygiene when: - answerlimiting the afternoon nap to just 30 minutes
Each of the following data supports the diagnosis of sleep apnea in the older adult
except: - answerfollowed a vegetarian diet for last 28 years
A widowed grandmother is about to assume the role of custodial parent for her 6-year-
old grandchild. Which intervention has priority
when preparing the grandmother for long-term success in this new role? -
answerTeaching stress management and relaxation techniques
Which client statement indicates an understanding of a primary benefit to be derived
from moderately intense aerobic exercise? - answer"Exercise will help keep my heart
strong."
An 88-year-old, being admitted to rule out lung cancer, is assessed using the short form
of the Geriatric Depression Scale tool. When it is determines that the earned score is 9,
the nurse practitioner initially: - answerasks if they have any thoughts of committing
suicide
A 78-year-old patient who is dying of colon cancer with metastases to 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 great distress. In order to best address the client and family,
you should: - answerEducate the family that this is normal behavior in this situation
Of the following agents, which is least likely to cause a chronic or recurrent cough? -
answerGabapentin
Which behavior suggests that an older adult who has lost their life partner is
successfully managing the exploration stage of the adjustment process? -
answerSmiles when reminiscing about the trips they took over the years
The area in which nurse practitioners have the greatest effect on the safe, effective
medication therapy of an older client is: - answereducating the client to all aspects of the
medication.
The following precautions are beneficial in minimizing an older adult's risk of being a
victim of fraud except: - answerRely on the advice of people who only friends have
recommended.
The nurse is most concerned by observing which of the following during an older client's
physical assessment: - answera slightly raised irregular patch that is bluish black in
color
The primary risk for injury experienced by a client diagnosed with asthma is: - answer
infections of the lower respiratory tract
Which intervention demonstrates effective care for an individual who has expressed a
wish to "retire sometime soon"? - answer Asking about when they plan to retire
Assessing their ability to handle the stresses of retirement
Engaging them in a conversation about their interests
Inquiring about the existence of any chronic illnesses
D All of the above
Answer D
Which intervention addresses a guiding principle for creating an elder-friendly acute
care facility? - answerA client is asked when they would prefer to bathe; morning,
afternoon or evening
Which characteristic is seen in a family's 'kin-keeper'? - answerOrganizes the yearly
family reunion
The nurse practitioner is providing care for an older client who is experiencing mild
cognitive impairment. Which communication technique is most likely to bring about a
negative outcome? - answerAsking the family to answer interview questions
Which of the following does not demonstrate an understanding of the factors affecting
physical wellness of the older adult client when - answerAsking each client if "they come
from a healthy family"
Research has shown that long-term care (LTC) facility nursing - answeris comparable to
the complexity and demand of intensive care nursing
is a nursing intensive environment
crosses the continuum of care
D) all of the above
Answer D
An older client diagnosed with dementia resides with his daughter. When the home care
nurse visits, the daughter tearfully tells the nurse that her father scratched her hand and
cursed at her when she was attempting to feed him. She states, "I don't know why he
hates me and wants to hurt me. I try so hard to take good care of him. I love him." How
will the nurse respond to the client's daughter? - answer"Let's try to figure out what your
father was trying to say with his behavior."
, What factor is an important contribution to polypharmacy in older adults? -
answerInadequate communication among medical care providers
A client who reported, "a problem sleeping" shows an understanding of good sleep
hygiene when: - answerlimiting the afternoon nap to just 30 minutes
Each of the following data supports the diagnosis of sleep apnea in the older adult
except: - answerfollowed a vegetarian diet for last 28 years
A widowed grandmother is about to assume the role of custodial parent for her 6-year-
old grandchild. Which intervention has priority
when preparing the grandmother for long-term success in this new role? -
answerTeaching stress management and relaxation techniques
Which client statement indicates an understanding of a primary benefit to be derived
from moderately intense aerobic exercise? - answer"Exercise will help keep my heart
strong."
An 88-year-old, being admitted to rule out lung cancer, is assessed using the short form
of the Geriatric Depression Scale tool. When it is determines that the earned score is 9,
the nurse practitioner initially: - answerasks if they have any thoughts of committing
suicide
A 78-year-old patient who is dying of colon cancer with metastases to 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 great distress. In order to best address the client and family,
you should: - answerEducate the family that this is normal behavior in this situation
Of the following agents, which is least likely to cause a chronic or recurrent cough? -
answerGabapentin
Which behavior suggests that an older adult who has lost their life partner is
successfully managing the exploration stage of the adjustment process? -
answerSmiles when reminiscing about the trips they took over the years
The area in which nurse practitioners have the greatest effect on the safe, effective
medication therapy of an older client is: - answereducating the client to all aspects of the
medication.
The following precautions are beneficial in minimizing an older adult's risk of being a
victim of fraud except: - answerRely on the advice of people who only friends have
recommended.
The nurse is most concerned by observing which of the following during an older client's
physical assessment: - answera slightly raised irregular patch that is bluish black in
color
