NR 601 Final Exam Questions and Answers, Quizzes of Nursing

Download NR 601 Final Exam Questions and Answers and more Quizzes Nursing in PDF only on Docsity! 1 Chamberlain College of Nursing NR 601 Final Exam 2 – Question with Answers (Latest, Graded A) 1. A 77-year-old Hispanic Catholic Nun (retired) who immigrated to the United States 15 years ago lives alone but in an apartment complex where her sister lives as well. She is being discharged home after a hospitalization for congestive heart failure with prescriptions for 8 different medications. She is considered at risk for noncompliance due to the following contributing factors except: • Ethnic background 2. 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: • Educate the family that this is normal behavior in this situation 3. A 79-year-old female client resides independently in the community. The client’s daughter is concerned because her mother insists on wearing a sweater and keeps all of the windows closed even though it is 90 degrees Fahrenheit outside. The nurse practitioner initially recognizes that this behavior may be related to: • age-related neurosensory changes that diminish awareness of temperature changes 4. 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: • asks if they have any thoughts of committing suicide 5. The area in which nurse practitioners have the greatest effect on the safe, effective medication therapy of an older client is: • educating the client to all aspects of the medication. 6. The Beers list is an effective tool for healthcare professionals prescribing and/or managing the medication therapy of older adults since it identifies medications that for this population: • have a higher than usual risk for injury 7. A client who reported, “a problem sleeping” shows an understanding of good sleep hygiene when: • limiting the afternoon nap to just 30 minutes 8. Common causes of dyspnea in the older adult may include which of the following? • Heart failure Asthma 2 Chronic obstructive lung disease Pneumonia 9. Common ethical issues in the nursing home may include which of the following? • Quality of life Decision-making capacity Preservation of autonomy Surrogate decision making 10. The cost of nursing home care is significant. The primary payer for nursing home care is: • Medicaid and private pay. 11. Each of the following assessment finding is a contributor to an older client’s risk for falls except: • client has a history of contact dermatitis and psoriasis 12. Each of the following data supports the diagnosis of sleep apnea in the older adult except: • followed a vegetarian diet for last 28 years 13. Factors that affect the pharmacokinetics of lipophilic medications in older include: • greater adipose tissue ratio to body mass 14. The following precautions are beneficial in minimizing an older adult’s risk of being a victim of fraud except: • Rely on the advice of people who only friends have recommended. 15. In order to focus on the older population with the greatest risk for suicide the nurse practitioner would conduct a depression that targets: • White men 16. In planning teaching for a client with diabetes, which precaution related to fall prevention is particularly important for the nurse practitioner to include? • Rising slowly from the table after meals 17. It is imperative that nursing take a leadership role in providing effective health care across the lifespan and in various health care settings. Which intervention will have the greatest impact on achieving positive outcomes concerning that issue? • A baccalaureate degree nursing program including a geriatric care course into the curriculum 18. The nurse is most concerned by observing which of the following during an older client’s physical assessment: • a slightly raised irregular patch that is bluish black in color 5 37. An older adult is concerned that if her spouse, who recently suffered a stroke, is placed in a nursing home, “they will take everything in order to pay for his care.” What response will the nurse practitioner make? • "A spouse is allowed to keep a percentage of the family income and cash as well as the family home, car, and personal property." 38. An older adult patient with a history of osteoporosis is hospitalized for wrist surgery. Which medication that is currently being prescribed would be most likely to interfere with bone integrity? • heparin 39. 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? • "Let's try to figure out what your father was trying to say with his behavior." 40. An older client prescribed a transdermal morphine patch for severe chronic pain is being educated on the appropriate administration of the medication. The nurse shows an understanding of essential information regarding this route of drug administration when stating: • “Since you have problems with digestion, this is a good way to take your medication." 41. The original intent of Social Security was to: • minimize the dependency of older members on younger members of society. 42. The primary risk for injury experienced by a client diagnosed with asthma is: • infections of the lower respiratory tract 43. Research has shown that long-term care (LTC) facility nursing • is comparable to the complexity and demand of intensive care nursing is a nursing intensive environment crosses the continuum of care 44. Snoring is a symptom of which of the following disorders: • Sleep apnea 45. State Death with Dignity Laws require that the terminally ill client be • educated regarding treatment alternatives. 46. Weight loss is frequently caused by ingestion of the following drugs. • Antibiotics Digoxin 6 Nonsteroidal anti-inflammatory drugs (NSAIDs) Theophylline 47. What factor is an important contribution to polypharmacy in older adults? • Inadequate communication among medical care providers 48. What research finding is the basis for care planning of the client receiving palliative care? • Pain management is inadequately addressed among the terminally ill population. 49. When a chronically ill 80-year-old client is admitted to your acute care facility in an unconscious state, the nurse practitioner’s priority is to determine: • who is the client's durable power of attorney for health care (DPAHC). 50. When acting as a fictive kin, in which activity will a paid caregiver engage? • organizing the client's birthday celebration 51. When an older adult client is diagnosed with restless leg syndrome (RLS), the nurse practitioner is confident that client education on the condition’s contributing factors has been effective when the client states: • "I've cut way back on my caffeinated coffee, teas and sodas." 52. When answering an older client’s questions about diet, exercise, and bone integrity, which exercise would the nurse practitioner identify as ineffective at meeting the need for moderately intense aerobic activity? • Yoga for 45 minutes twice a week 53. When assessing an older client for indications of depression, the nurse practitioner bases the intervention on the knowledge that: • The older client's symptoms may be atypical for the disorder 54. When assessing the intellectual abilities of an older adult, the nurse practitioner demonstrates an understanding of a major barrier to reliable testing of this population when: • stating, "Just take your time and try to relax; there are no wrong answers to this test." 55. When caring for an ill adult client, the nurse is particularly concerned that the client communicates well since: • Assessment, planning of care and even the therapeutic relationship is based on effective communication? 56. When developing a teaching plan for an older, newly diagnosed diabetic client, the nurse practitioner best ensures an understanding of oral hypoglycemic medications when providing: • oral explanations and sending the client home with a written copy 7 57. When discussing pharmacological considerations, a 68-year-old client asks, “Why do medications seem to act differently than they did when I was younger?” The nurse practitioner bases the response on the concept that: • Age-related changes affect the way drugs are metabolized by older adults 58. When educating an older adult about Medicare Part D which information will be included? • It is an elective prescription drug plan with associated out-of-pocket premiums All persons with either Medicare Part A or B can voluntarily purchase a Medicare Part D prescription drug plan. The plan is not voluntary for individuals who are receiving both Medicaid and Medicare. This prescription drug plan requires client co-payments. 59. When performing the initial assessment on a new client in the geriatric outpatient’s practice, the most effective method the nurse practitioner can implement to elicit an accurate medication assessment is to ask that the client: • bring in all of the medications that they are currently taking 60. When preparing an educational program on the minimizing the effects of aging to a “seniors’ group,” the nurse practitioner’s discussion on exercise is based upon the fact that: • Losses experienced with age related mobility are associated with physical inactivity 61. When providing information regarding age-related visual problems, the nurse practitioner recognizes that the target population is: • African-American 62. When using the Fulmer SPICES assessment tool, the nurse practitioner expects to ask: • "Who helps you when you can't do something by yourself?" 63. When working with a bereaved individual, the goal of nursing interventions is to: • assist the individual to attain a healthy adjustment to the loss experience. 64. Which activity would a couple in the reorientation phase of their retirement engage in? • Establishing a new budget that will allow them to travel to see the grandchildren 65. Which behavior suggests that an older adult who has lost their life partner is successfully managing the exploration stage of the adjustment process? • Smiles when reminiscing about the trips they took over the years 66. Which characteristic is seen in a family’s ‘kin-keeper’? • Organizes the yearly family reunion 10 88. Which reaction to the loss of a spouse or long-term partner is a unique example of older adult male bereavement? • Remarrying within months of the loss 89. Which statement correctly describes normal changes of aging? • Individual variations are enormous at every age and in every part of the body. 90. Which statement made by a nurse regarding a resident of a long-term care facility requires follow up by the nurse manager? • "If he doesn't take his medication, he'll get no dessert tonight." 91. Which statement made by the resident of a long-term care facility is evidence that the facility is providing care in accordance with the Long-Term Care Residents’ Bill of Rights? • "I was told that if I didn't want to change rooms, I didn't have to." 92. Which statement reflects a need for further education on elder abuse? • "Abuse does not happen in people of financial means." 93. Which statements made by a couple who have recently retired support the nurse’s evaluation that the transition to retirement has been a successful one? • "I'm afraid we can't make it that weekend; we'll be visiting the grandchildren." 94. Which truism will the nurse practitioner base spousal grief counseling upon? • Women are generally more likely to outlive their spouses. 95. While the older African-American is at the highest risk for developing Alzheimer’s disease, the nurse practitioner demonstrates an understanding of this disease process’s risk factors when assessing this population’s: • Blood pressure and glucose serum ln 96. A widowed grandmother is about to assume the role of custodial parent for her 6-year-old grandchild. Which intervention has priority • Teaching stress management and relaxation techniques 97. Your client is cared for at home by his son and daughter-in-law, who are also responsible for the care of their four preschool-aged children. What is true of this “sandwich” generation? • The conflicts that arise from caring for both older adults and children can be very stressful. 98. You suspect that the spouse of a terminally ill client is experiencing anticipatory grief when they: • Dramatically reduce the time they spend attending to the client 99. Of the following risk factors, which is not associated with Alzheimer's disease (AD)? • history of respiratory infections 11 100 Which diagnosis is associated with the symptom of early morning awakening and poor quality of sleep: • Depression