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351 Exam 2 (ELNEC) Questions And Answers( Complete Solutions Rated A)
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351 Exam 2 (ELNEC)Symptom management in older adults with serious illness is complicated because:
A. They never take their medications correctly.
B. Many have multiple comorbidities.
C. They tend to ignore their symptoms.
D. They like to over-report the severity of their symptoms. - B. Many have multiple
comorbidities.
Mrs. Smith has end-stage COPD and is admitted with severe dyspnea and is started on
morphine sulfate. Which of the following statements by her husband demonstrates he
understands the use of morphine in patients with COPD?
A. "Morphine is addictive and I am worried that she will become an addict."
B. "We have to be really careful with this drug because I have heard it could make her
stop breathing."
C. "My wife has a lung condition and morphine prevents her lungs from causing her
pain."
D. "The morphine is being used to treat her shortness of breath." - D. "The morphine is
being used to treat her shortness of breath."
Geraldine is an 80-year-old woman with Parkinson's disease. She is still functioning at
home and is able to safely care for herself. Ever since her diagnosis she has been
extremely anxious about her disease and how debilitated she might get as it
progresses. Which of the following interventions is most appropriate to help treat her
anxiety?
A. A benzodiazepine like valium
B. Active listening and presence as she talks about her fears and concerns
C. Activities to distract her from her anxiety so she won't dwell on the future
D. Suggest she go to an exercise class to preserve her balance and strength - B. Active
listening and presence as she talks about her fears and concerns
You have been assigned to care for a woman who was recently admitted for advanced
cancer, and who reports ongoing fatigue. Her husband offers observations about his
wife's fatigue. Which statement by the husband indicates the most correct
understanding of his wife's fatigue?
A. "She sleeps quite a bit, so she shouldn't be as tired as she is."
B. "She's lost some weight. I know she'll feel better if she eats more."
C. "She's been in pain. If we control that maybe, she'll have more energy."
D. "She seems moody, so we need to cheer her up and make her laugh." - C. "She's
been in pain. If we control that maybe, she'll have more energy."
, You are teaching the son of a 65-year-old male patient with cancer about his father's
anorexia. Which statement by the son reassures you that the son understands your
teaching and ways to help his father?
A. "We can offer Dad small, frequent feedings rather than large, overwhelming meals."
B. "We need to limit Dad to a high protein diet so he gets good calories in."
C. "I need to insist that Dad eat at least half of every meal we give him, even if he
doesn't feel like eating."
D. "Since Dad isn't eating, it's probably time to put in a feeding tube, whether he agrees
or not." - A. "We can offer Dad small, frequent feedings rather than large, overwhelming
meals."
Mr. Tate tells you that he is very worried about dying. He knows his disease is terminal
and he only has a few months to live. He tells you he has done "some bad things" in his
younger days and thinks God is going to make him suffer with pain now because of his
past. After listening to his story, what is your best response?
A. "Oh don't worry Mr. Tate, that was a long time ago."
B. "Some people have pain at the end of life, but we can help you manage the pain."
C. "Would you like me to contact our chaplain? He's very good at helping people who
have concerns like yours?"
D. "I know that God doesn't make people suffer and I am sure that you will not suffer at
end of life for your past." - C. "Would you like me to contact our chaplain? He's very
good at helping people who have concerns like yours?"
You are caring for the following four patients. Which patient is at the highest risk for
developing constipation?
A. A 48-year-old with metastatic cancer of the breast on high doses of opioids for pain.
B. A 76-year-old who has had a recent history of diarrhea associated with a C-difficile
infection.
C. An 85-year-old with hepatic encephalopathy who is receiving lactulose to manage
high ammonia levels.
D. A 62 year-old with ulcerative colitis. - A. A 48-year-old with metastatic cancer of the
breast on high doses of opioids for pain.
Which of the following patients' statements suggest that the patient is experiencing an
existential crisis?
A. "I am so afraid that God has abandoned me in my time of need."
B. "I am mad that my minister has not come by to see me in the hospital."
C. "I believe strongly that God never gives a person more than they can handle."
D. "I find great comfort when I spend time among my flowers in my garden." - A. "I am
so afraid that God has abandoned me in my time of need."
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