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NRNP 6645 Psychotherapy with Multiple Modalities
Final Exam Prep Test Bank Latest // NRNP 6645
Final Exam (Week 11) Questions and Correct
Answers
1. Mrs. Williams is 76 years old and comes in to have a
wound checked on her right leg. She fell a month ago and
the wound has not healed. She is concerned that
something is wrong. The nurse practitioner examines the
wound and sees that it has been cleaned properly and
has no signs of infection. The edges are approximated, but
the skin around the wound is red and tender to touch. The
best response regarding Mrs. Williams' concern is:
1. Wound healing for older people may take up to four
times longer than it does for younger people.
2. Let us talk about what you are eating.
3. Had you come in earlier, I would have ordered medicine
that would have healed that right up.
4. I will order an antibiotic to prevent infection. -
...ANSWER...✓✓ 1. Answer: 1
Page: 96
,2|Page
Feedback
1.
Skin renewal turnover time increases to approximately
87 days in older adults, compared with 20 days during
youth.
2.
The perceived extended healing time is not related to diet.
3.
This is false hope, as there is no medication that will heal
this wound quickly.
4.
Prophylactic antibiotics are not appropriate when there
are no signs or symptoms of infection.
2. The nurse practitioner is conducting patient rounds in a
long-term care facility. As she talks with Mrs. Jones, she
notices that her arms and elbows are excoriated and the
skin is shearing. The nurse practitioner explains to the
staff that Mrs. Jones needs frequent assessment of her
skin and protection provided to prevent skin breakdown
because:
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1. Her lack of activity causes the skin to tear.
2. Fat has redistributed to the abdomen and thighs,
leaving bony surfaces in areas such as the face, hands,
and sacrum. This can result in injury.
3. She has lost weight and is in jeopardy of falling.
4. She picks at herself and causes skin breakdown. -
...ANSWER...✓✓ 2. Answer: 2
Page: 96
Feedback
1.
Lack of activity alone does not cause skin breakdown.
2.
Fat is redistributed to the abdomen and thighs, leaving
bony surfaces, such as the face, hands, and sacrum,
exposed to potential injury, especially skin tears from
shearing, friction forces and pressure ulcer development.
3.
Although losing weight may be a risk factor for falling, it
is not directly related to skin breakdown.
4.
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There is no evidence that she is picking at herself, as
there is nothing reported anywhere else on her arms.
3. Mr. James is 91 years old. His daughter notices that he
has bruises and lacerations on his arms and reports this
to the nurse practitioner, who tells her that older people
bruise easily due to their fragile blood vessels. The skin
lacerations happen because he has thin skin. Even so, the
nurse practitioner assures the daughter that she will
investigate further to ensure that he is getting proper
care. She says this because she understands that:
1. These markings on the patient's skin are part of aging
skin.
2. Bruises and lacerations can indicate inadequate care.
3. The daughter needs assurance that her father is okay.
4. The patient is being abused. - ...ANSWER...✓✓ 3.
Answer: 2
Page: 97
Feedback
1.
NRNP 6645 Psychotherapy with Multiple Modalities
Final Exam Prep Test Bank Latest // NRNP 6645
Final Exam (Week 11) Questions and Correct
Answers
1. Mrs. Williams is 76 years old and comes in to have a
wound checked on her right leg. She fell a month ago and
the wound has not healed. She is concerned that
something is wrong. The nurse practitioner examines the
wound and sees that it has been cleaned properly and
has no signs of infection. The edges are approximated, but
the skin around the wound is red and tender to touch. The
best response regarding Mrs. Williams' concern is:
1. Wound healing for older people may take up to four
times longer than it does for younger people.
2. Let us talk about what you are eating.
3. Had you come in earlier, I would have ordered medicine
that would have healed that right up.
4. I will order an antibiotic to prevent infection. -
...ANSWER...✓✓ 1. Answer: 1
Page: 96
,2|Page
Feedback
1.
Skin renewal turnover time increases to approximately
87 days in older adults, compared with 20 days during
youth.
2.
The perceived extended healing time is not related to diet.
3.
This is false hope, as there is no medication that will heal
this wound quickly.
4.
Prophylactic antibiotics are not appropriate when there
are no signs or symptoms of infection.
2. The nurse practitioner is conducting patient rounds in a
long-term care facility. As she talks with Mrs. Jones, she
notices that her arms and elbows are excoriated and the
skin is shearing. The nurse practitioner explains to the
staff that Mrs. Jones needs frequent assessment of her
skin and protection provided to prevent skin breakdown
because:
,3|Page
1. Her lack of activity causes the skin to tear.
2. Fat has redistributed to the abdomen and thighs,
leaving bony surfaces in areas such as the face, hands,
and sacrum. This can result in injury.
3. She has lost weight and is in jeopardy of falling.
4. She picks at herself and causes skin breakdown. -
...ANSWER...✓✓ 2. Answer: 2
Page: 96
Feedback
1.
Lack of activity alone does not cause skin breakdown.
2.
Fat is redistributed to the abdomen and thighs, leaving
bony surfaces, such as the face, hands, and sacrum,
exposed to potential injury, especially skin tears from
shearing, friction forces and pressure ulcer development.
3.
Although losing weight may be a risk factor for falling, it
is not directly related to skin breakdown.
4.
, 4|Page
There is no evidence that she is picking at herself, as
there is nothing reported anywhere else on her arms.
3. Mr. James is 91 years old. His daughter notices that he
has bruises and lacerations on his arms and reports this
to the nurse practitioner, who tells her that older people
bruise easily due to their fragile blood vessels. The skin
lacerations happen because he has thin skin. Even so, the
nurse practitioner assures the daughter that she will
investigate further to ensure that he is getting proper
care. She says this because she understands that:
1. These markings on the patient's skin are part of aging
skin.
2. Bruises and lacerations can indicate inadequate care.
3. The daughter needs assurance that her father is okay.
4. The patient is being abused. - ...ANSWER...✓✓ 3.
Answer: 2
Page: 97
Feedback
1.
