NR 601 Final Exam 2-Question andAnswers11.A 77-year-old Hispanic Catholic Nun (retired) who immigrated to the United States 15 years ago livesalone but in an apartment complex where her sister lives as well. She is being discharged home after ahospitalization for congestive heart failure with prescriptions for8different medications. Sheisconsideredat risk for noncompliance due to the following contributing factors except:•Ethnic background2.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 statesthat he has no desire to eat, which is causing the family great distress. Inorder to best address the client and family, you should:•Educate the family that this is normal behavior in this situation3.A 79-year-old female clientresides independently inthe community. The client’s daughter is concernedbecause her mother insists on wearing a sweater and keeps all of the windows closed even though it is 90degrees Fahrenheit outside.The nurse practitioner initially recognizes that this behavior may be related to:•age-related neurosensory changes that diminish awareness of temperature changes4.An88-year-old,being admitted to rule out lung cancer, is assessed using the short form of the GeriatricDepression Scale tool. When it is determines that theearned score is 9, the nurse practitioner initially:•asks if they have any thoughts of committing suicide5.Thearea in which nurse practitioners have thegreatest effect on the safe, effective medication therapyof anolder client is:•educating the client to all aspects of the medication.6.TheBeers list is an effective tool for healthcare professionals prescribingand/or managing the medicationtherapy of older adults since it identifies medications that for this population:•have a higher than usual risk for injury7.A client who reported,“a problem sleeping” shows an understanding ofgood sleep hygienewhen:•limiting the afternoon nap to just 30 minutes8.Common causes of dyspneain the older adult may include which of the following?•Heart failureAsthmaChronic obstructive lung diseasePneumonia9.Common ethical issuesin the nursing home may include which of the following?•Quality of lifeDecision-making capacityPreservation of autonomySurrogate decision making10.Thecost of nursing home careis significant. Theprimary payer for nursing homecare is:•Medicaid and private pay.11.Each of the following assessment finding is acontributor to an older client’s risk for falls except:•client has a history of contact dermatitis and psoriasis12.Each of the followingdata supportsthe diagnosis ofsleep apneain the older adult except:•followed a vegetarian diet for last 28 years13.Factors that affect the pharmacokinetics oflipophilic medicationsin older include:Preview Mode
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