Description

1. Question: 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:
2. Question: 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:
3. Question: 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:
4. Question: 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:
5. Question: The area in which nurse practitioners have the greatest effect on the safe, effective medication therapy of an older client is:
6. Question: 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:
7. Question: A client who reported, “a problem sleeping” shows an understanding of good sleep hygiene when:
8. Question: Common causes of dyspnea in the older adult may include which of the following?
9. Question: Common ethical issues in the nursing home may include which of the following?
10. Question: The cost of nursing home care is significant. The primary payer for nursing home care is:
11. Question: Each of the following assessment finding is a contributor to an older client’s risk for falls except:
12. Question: Each of the following data supports the diagnosis of sleep apnea in the older adult except:
13. Question: Factors that affect the pharmacokinetics of lipophilic medications in older include:
14. Question: The following precautions are beneficial in minimizing an older adult’s risk of being a victim of fraud except:
15. Question: In order to focus on the older population with the greatest risk for suicide the nurse practitioner would conduct a depression that targets:
16. Question: In planning teaching for a client with diabetes, which precaution related to fall prevention is particularly important for the nurse practitioner to include?
17. Question: It is imperative that nursing take a leadership role in providing effective health care across the lifespan and in various health care settings.
18. Question: Which intervention will have the greatest impact on achieving positive outcomes concerning that issue?
19. Question: The nurse is most concerned by observing which of the following during an older client’s physical assessment:
20. Question: The nurse is providing care to a client diagnosed with dementia. What option is an example of the appropriate use of implied consent by the nurse?
21. Question: The nurse practitioner demonstrates an understanding of the older client’s preventable risk factors for early death when:
22. Question: The nurse practitioner documents that an older adult client is living independently in a safe environment. Which assessment data supports this evaluation?
23. Question: The nurse practitioner educates the older client that the greatest risk related to poor foot care results is:
24. Question: The nurse practitioner has the obligation to ask questions and obtain specific information about the use of herbs and supplements.
25. Question: Which of the following statements is most accurate regarding herbal therapy?
26. Question: A nurse practitioner in an area of the country that is prone to tornadoes routinely discusses disaster preparedness with older adult clients. What is the primary rationale for this intervention?
27. Question: A nurse practitioner is preparing an educational program focused on herbal supplements. Which of the following is a likely interested target group?
28. Question: The nurse practitioner is preparing educational material concerning fire safety in the home. What research data will be included in the material?
29. Question: 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?
30. Question: The nurse practitioner makes the greatest impact on the safe management of an 81-year-old client’s medication administration when included in education is:
31. Question: The nurse practitioner’s first response when told by a client during an assessment interview that they “can’t take furosemide (Lasix)” is to ask:
32. Question: The nurse practitioner suspects that a client is experiencing tardive dyskinesia when observing:
33. Question: The nurse suspects that an older adult client is experiencing symptomology seen in herpes zoster when the client
34. Question: A nurse suspects that her next-door neighbor, an older woman, is a victim of elder abuse by her daughter. What is the appropriate action for the nurse to do in this situation?
35. Question: Of the following agents, which is least likely to cause a chronic or recurrent cough?