NR 601 Midterm Study Guide Sonia NR 601 midterm study guide

NR 601 Midterm Study Guide Sonia

NR 601 midterm study guide

A client is newly diagnosed with type 2 diabetes mellitus. Which diagnostic test will best evaluate the management plan prescribed for this client?Quarterly hemoglobin A1C

After first managing the pain being experienced by the client with gout, the treatment

focuses on:

Preventing systemic involvement by altering the client's diet

The abrupt onset of symptoms of stress or urge incontinence is most often due to a urinary tract infection True

A 60-year-old woman presents with a chief complaint of uncomfortable breathing on exertion. She has had a minimally productive cough for several years that does not bother her. On further questioning, she states that her breathing gets much worse when

she lies down. The most likely cause of her dyspnea is:

Cardiac

Which of the following drugs do not trigger or aggravate a cough?Hydrochlorothiazide

Based on current demographic data, which statement identifies a predictive trend regarding the health care needs of society?More nursing services will be required to serve the needs of the population 85 years of age and older.

Which diagnostic laboratory test would the nurse practitioner typically not order for the purpose of evaluating an individual's acute, unexplained weight loss?Serum Potassium

It has been projected that the cultural group presenting the greatest growth rate among

the older adult population will be the:

Hispanic Americans

Which statement made by a client recently diagnosed with diverticular disease would indicate that she needs additional teaching regarding dietary considerations?"I'll have to give up eating right before I go to bed."

Ethnocentrism is defined as:

a belief that one's ethnic group is superior to that of another true

When diagnosed with diverticulosis, a client asks how this problem occurred. Which assessment data identifies a risk factor for diverticulosis?Maintains a diet low in fiber.

NR 601 Midterm Study Guide Sonia

A 77-year-old client being treated for glaucoma asks the nurse practitioner what causes glaucoma. The nurse bases the response on the knowledge that the increase in

intraocular pressure is a result of:

a breakdown in the absorption process

Weight loss is frequently caused by ingestion of one or more of the following drugs.Antibiotics Digoxin Nonsteroidal anti-inflammatory drugs (NSAIDs) Theophylline A, B, and C All of the above

Answer: All of the above

Which of the following culturally diverse male clients will most benefit from educational material related to "Staying Healthy into your 80s" Japanese

The following are true statements about bipolar disorders in older adults except "Bipolar disorder is the most commonly diagnosed psychiatric disorder in older adults." Which assessment data would not be of particular concern when attempting to manage an older adult's risk for dehydration?Chronic constipation

When educating the older adult population about the risks to physical health that chronic alcohol abuse presents, the nurse practitioner is especially careful to include the: Identification of the signs and symptoms of gastrointestinal bleeding

Which of the following drugs does not typically cause constipation?Magnesium-containing antacid

An older adult client has been voluntarily admitted for treatment of alcohol dependency.In implementing care, the nurse plans which intervention based upon knowledge about alcohol and aging?Assessing the client for both depression and anxiety

The greatest risk for injury for a client with progressed Parkinson's disease is: Falls

An older adult client shares with the nurse that, "I don't know what it is but it seems that I need more light for reading or even watching television as I get older." The nurse

explains that aging may cause this change due to the:

Slower ability of the pupil to adjust to changes in lighting.

NR 601 Midterm Study Guide Sonia

The nurse practitioner educates that client that Healthy People 2010:

offers direction for the achievement of improved quality of life across the life span

Which of the following is not a common cause of constipation?hypercalcemia

The nurse is teaching a health promotion class at a senior center. Which of the following

statements demonstrate that the participant does not understand the topic:

"We need to use caustic soaps and scrub aggressively with a wash cloth bathing to minimize bacteria on the skin."

The nurse practitioner shows an understanding of appropriate influenza vaccination

guidelines for a client over the age of 65 when stating:

"Regardless of your physical health you really should get a yearly flu shot."

The nurse shows understanding of the need to promote healthy skin in the older adult

when encouraging the client to all of the following except :

clean the skin with a moisturizing soap

. A 78-year-old man is being evaluated in the geriatric clinic. His daughter reports that he has been very forgetful lately, and she is concerned that he might be "senile." The advanced practice nurse administers the clock drawing test and the patient draws a distorted circular shape and places the numbers all on one side of the shape. Based on

his performance, the nurse concludes that the patient:

needs further evaluation

Tinnitus is defined as:

a buzzing, clicking, or ringing in the ear

Which intervention is not therapeutic when facilitating communication with a cognitively impaired older client?Use non-verbal as well as verbal cues to help get your message across to the client

When best promoting a sense of well-being, the role of the nurse practitioner caring for

a terminally ill client is to:

help empower the client to achieve his/her potential for wellness

A 68-year-old male presents with a chief complaint of episodes of lightheadedness or dizziness. He states that sweating, tachycardia, and some hand trembling are often associated with these episodes. Which one of the following questions should you ask to help confirm the diagnosis?Are these symptoms related to eating?

The caregiver for an older adult with cognitive impairment is concerned about the individual's seeming disinterest in eating. Which suggestion does the nurse practitioner offer based upon a known effect of dementia on a client's nutrition?

NR 601 Midterm Study Guide Sonia

Establish a routine of when and where the individual will have their meals.

A 68-year-old male presents with a chief complaint of episodic dizziness. Although not dizzy at present, he states that he has noted onset of dizzy episodes when he rolls over in bed and occasionally when he turns his head rapidly. Episodes last about 3 minutes.

The most likely diagnosis is:

Benign positional vertigo

What information will be included in client education for an older adult who needs to manage their calcium levels?Take your 1200-1500 mgs of daily calcium spread out between your meals and snacks

The nurse practitioner is developing a class on stroke prevention for a local senior citizens center. What would be an important focus when teaching stroke prevention directed at modifiable risk factors?Smoking cessation

The nurse practitioner provides a client with education regarding the use of My Pyramid.What is the primary advantage of the United States Department of Agriculture's (USDA) My Pyramid to the older adult client?

It's an easy method for identifying and correcting nutritional deficiencies in one's diet.An older adult recently diagnosed with depression asks, "How long will it take for the antidepressant medication to make me feel better?" The nurse practitioner correctly

responds:

"It can take up to 3 months for the full effects of the medication to be felt."

An older man has a history of medication therapy for hypertension. Which intervention does the nurse practitioner implement when the client reports that, "I've fallen twice in 5 weeks"?Orthostatic blood pressures

The nurse practitioner is caring for a client with a newly diagnosed chronic illness. In answering the client's questions, the nurse practitioner most accurately responds when

basing the response on the fact that:

chronic illness is lifelong, and coping can be influenced by perceived uncertainty. true

In the elderly population, the fastest growing group is the age range:

85 years or older

Which statement correctly describes normal changes of aging?Individual variations are enormous at every age and in every part of the body.Compared with acute pain, persistent chronic pain requires the nurse practitioner to: Educate the patient to the benefit of specific lifestyle changes