NURSING 439 Quiz 6

Quiz 6 NURSING 439 1) A woman has come to the clinic to seek help with a substance-abuse problem. She admits to using cocaine just before arrival. Which of these assessment findings would the FNP expect to find when ...

Quiz 6 NURSING 439 1) A woman has come to the clinic to seek help with a substance-abuse problem. She admits to using cocaine just before arrival. Which of these assessment findings would the FNP expect to find when examining the woman? Dilated pupils, pacing, psycho motor agitation Dilated pupil, unsteady gait, aggressiveness Pupil constriction, lethargy, apathy, dysphoria Constricted pupils, euphoria, decreased temperature 2) A 63-year-old Chinese American man enters the office with complaints of chest pain, shortness of breath, and palpitations. Which statement most accurately reflect the FNPs best course of action? It is unclear what is happening with this patient so the FNP should perform an assessment in both the physical and psychosocial realms The FNP should focus on performing a full cardiac assessment The FNP should focus on psychosomatic complaints because he has just learned that his wife has cancer This patient is not in any danger at present, so the FNP should send him home 3) The FNP is planning to assess new memory with the patient. The best way for the FNP to do this would be Give him the four unrelated words test Administer the FACT test Ask him to describe his first job Ask him to describe what television show he was watching before coming to the clinic 4) During the health history the FNP asks a female patient “how many alcoholic drinks do you have a week?” Which answer by the patient would indicate at risk drinking? I have 7 or 8 drinks a week but I never get drunk I have one or two drinks a week I usually have three or four drinks a week I‟ll have a glass or two of wine every now and then 5) Symptoms such as pain are often influenced by a person‟s cultural heritage. Which of the following is a true statement regarding pain? The FNP needs to recognize that many cultures practice silent suffering as a response to pain 6) The FNP suspect abuse when a 10-year-old child is taken to the urgent care center for leg injury. The best way to document the history and physical findings is to Use the words the child is given to describe how the injury occurred Write what the child‟s caregiver tells the FNP Write what the FNP observes during the conversation Rely on photographs of the injuries 7) During a mental status assessment, which question by the FNP would best assess a persons judgment?Quiz 6 Tell me about what you plan to do once you‟re discharged from the hospital Do you feel that you are being watched, followed, or controlled? What does the statement, “People in glass houses shouldn‟t throw stones” mean to you? What would you do if you found a stamped, addressed envelope on the sidewalk? 8) The FNP is performing a mental status assessment on a five-year-old girl. Her parents are undergoing a bitter divorce and are worried about the effect it is having on their daughter. Which action or statement might leave FNP to be concerned about the girls mental status? Her mother states that her daughter prefers to play with toddlers instead of kids her own age well in daycare She clings to her mother whenever the FNP is in the room She appears angry and will not make eye contact with the FNP Her mother states that she has begun to ride a tricycle around their yard 9) During mental status examination, the FNP wants to assess a patient‟s affect. The FNP should ask the patient which question? How do you feel today? Would you please repeat the following words Have these medications had any effect on your pain? Has this pain affected your ability to get dressed by yourself? 10) During an examination FNP notices a patterned injury on a patients back. Which of these would cause such an injury? Whipping from an extension cord 11) The FNP is aware that intimate partner violence screening should occur with which situation? As a routine part of each healthcare encounter When IPV is suspected When a woman has an unexplained injury When there is a known history of abuse in the family 12) Which statement is best for the FNP to use when preparing to administer the abuse assessment screen? We ask the following questions because domestic violence is so common in our society We are required by law to ask these questions We need to talk about whether you feel you have been abused We are asking these questions because we suspect that you are being abused 13) The FNP is conducting a class on alcohol and the effects of alcohol on the body. How many standard drinks (each containing 12 g alcohol) Per day are associated with increased deaths from cirrhosis, cancers of the mouth, esophagus and injuries in men? 4 14) A woman who has just discovered that she is pregnant is in the clinic for her first obstetric visit. She asked the FNP how many drinks a day safe for my baby? The FNP„s best response is: No amount of alcohol has been determined to be safe during pregnancy You should limit your drinking to once or twice a week It‟s okay to have up to two glasses of wine a dayQuiz 6 As long as you avoid getting drunk you should be safe 15) The FNP is performing the Denver II screen test on a 12 month old infant during a routine well child visit. The FNP should tell the infants parents that the Denver II Is a screening instrument designed to detect children who are slow in development Tests three areas of development: cognitive, physical, and psychological Will indicate whether the child has a speech disorder so that treatment can begin Is a test to determine intellectual ability and may indicate whether there will be problems attending school 16) Which term refers to a one produced by tearing or splitting of body tissue usually from blunt impact of a bony surface Laceration 17) When reviewing the use of alcohol by older adults the FNP notes that the older adults have several characteristics that can increase the risk of alcohol use which would increase the bioavailability of alcohol in the blood for longer periods of time in the older adult? Decreased liver and kidney functioning Increased muscle mass Decreased blood pressure Increased cardiac output 18) The FNP is reviewing concepts of cultural aspects of pain. Which statement is true regarding pain? Just as patients vary in their perceptions of pain so will they vary in their expressions of pain All patients will behave the same way when in pain Cultural norms have very little to do with pain tolerance because pain tolerance is always biologically determined A patients expression of pain is largely dependent on the amount of tissue injury associated with the pain 19) The FNP is planning to assess a child using behavioral checklist. This tool is most appropriate for a(an) 8 year old child 16 year old child 5 year old child, just before kindergarten Child having difficulty with gross motor skills 20) The FNP is assessing orientation in a 79-year-old patient. Which of these responses would leave the FNP to conclude that the patient is oriented? I know that my name is John. I am at my primary care providers office. I couldn‟t tell you what the date is but I know that it is February of a new year I know that my name is John. I couldn‟t tell you where I am. I think it is 1999 though I know that my name is John but to tell you the truth, I get kind of confused about the date I know that my name is John, I guess I‟m at you house. No, I don‟t know the date 21) As a mandatory reporter of elder abuse, which of these must be present before an FNP notifies the authorities? Suspicion of elder abuse and or neglectQuiz 6 Statements from the victim Statements from the witnesses Proof of abuse and/or neglect 22) A 30-year-old female patient is describing feelings of hopelessness and depression. She has attempted self-mutilation and has a history of prior suicide attempts. She describes difficulty sleeping at night and has lost 10 pounds in the past month. Which of these statements or questions is the FNP„s best response in this situation? Are you feeling so hopeless that you feel like hurting yourself now? Do you have a weapon? How do other people treat you? Oftentimes people feel hopeless, but the feelings resolve within a few weeks 23) For persons age 12 years and older which of these illicit substances was one of the most commonly used? Marijuana Crack cocaine Heroin Hallucinogins 24) Which of these individuals would the FNP consider at highest risk for suicide attempt? Elderly man who tells the FNP that he is going to join his wife in heaven tomorrow and plans to use a gun Man who jokes about death Woman who during a past episode of major depression attempted suicide Adolescent who has just broken up with her boyfriend and states that she would like to kill herself 25) The FNP is assessing a patient who has been admitted for cirrhosis of the liver secondary to chronic alcohol use. During the physical assessment the FNP looks for cardiac problems that are associated with chronic heavy use of alcohol such as Hypertension