351 Exam 2 (ELNEC) Q&A
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. Correct Ans -
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." Correct
Ans - 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
Correct Ans - 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."
Correct Ans - 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." Correct Ans - 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." Correct Ans - C. "Would you like me
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. Correct Ans -
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." Correct
Ans - 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
Correct Ans - 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."
Correct Ans - 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." Correct Ans - 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." Correct Ans - C. "Would you like me
