NUR 460 Exam 1 Practice Questions and Correct Answers

NUR 460 Exam 1 Practice Questions and Correct Answers The nurse is preparing to conduct a health history with an older client. Which action should the nurse take to ensure the accuracy and efficiency of the client's health history? 1. Scheduling one -half hour for the medical history interview. 2. Requesting the client use the bathroom before starting the interview. 3. Ensuring the client has their identification and insurance card with them upon arrival. 4. Conducting the history in an environment with comfortable seating and proper lighting. ✅4 is correct - make sure environment is comfortable for client to increase efficiency 1 - Should be a minimum of 1 hour 2 - Seems irrelevant?? 3 - Also irrelevant Which of the following actions by the nurse would NOT meet the standard of care? 1. The nurse questioned a physician about a prescription where the dose was higher than the recommended dose. 2. The nurse medicated a client who reported severe chest pain with aspirin and then didn't called the physician to get a prescription. 3. The nurse brings a breakfast tray into the client's room and puts in on the counter away from the client who is vomiting and nauseous. 4. A nurse leaving the facility at the end of the shift witnesses a client fall. The nurse calls for help and tells the other nurse that during the next shift he or she will fill out the incident report. ✅2 is correct 1 - appropriate action due to patient safety 3 - pt vomiting and nauseous should not try to eat (could choke) 4 - Which of the following actions, if observed by the charge nurse, would require the charge nurse to intervene? 1. The nurse looks over the physician's shoulder to see the results of an assigned client's labs. 2. The nurse requires a client to fill out a release of information form when the client requests a copy of his or her medical record. 3. The nurse asks another nurse to quickly look up the results of an x -ray of a client since the other nurse is already signed on the computer. 4. The nurse faxed reports of client tests to a machine that is in the office of the client's primary care physician, and a nurse is expecting the report. ✅3. Other nurse should be looking at pt's information The nurse is preparing to discharge an older client with instructions on smoking cessation. The nurse states to a colleague, "This client has been smoking for years and isn't going to stop now." What does the nurse's statement most reflect? ✅Answer is negative stereotype. Myth of aging: "Health promotion wasted on older adults." An older patient has a subnormal body temperature and an infection. How does the nurse best describe this phenomenon? 1. The temperature regulating mechanism deteriorates with aging. 2. The patient's infection is improving with medication treatment. 3. The diagnosis of an infection is inaccurate and will be checked. 4. The temperature was obtained incorrectly and is inaccurate. ✅1 is correct 2 - Subnormal temperature doesnt mean infection is improving An older patient is refusing to receive the influenza and pneumococcal vaccinations because he believes he is "too old." How should the nurse respond to this patient? 1. "I understand your feelings." 2. "I will report your concerns to the physician." 3. "You are likely to get sick if you do not take the vaccines." 4. "It is never too late in life to begin health promotion activities." ✅4 is correct 1 - Doesn't address his concern 2 - Passing the buck 3 - Instilling fear?? A nursing student is preparing a program to review health concerns for seniors. Which statement should the student include in the presentation? 1. "Heart disease is the leading cause of death for senior citizens." 2. "Decreases have been shown in the rate of Alzheimer's disease." 3. "The rate of heart -disease death for senior citizens is steadily increasing." 4. "Cancer is currently steady within the senior citizen population." ✅1 is correct 2 - has increased 3 - has actually decreased (but not by much) 4 - not number one cause A 60-year-old patient in good health has asked the nurse about what steps can be taken to build muscle mass. What information should be provided to the patient? 1. Exercise can slow the loss of muscle mass. 2. Increasing protein and fat intake will increase muscle mass. 3. Muscle mass declines by 40% between the ages of 30 and 70. 4. There is little that can be done to reduce the loss of muscle mass associated with aging. ✅1 is correct. Exercise is most effective in slowing muscle loss 2 - less calorie burn in OAs, more fat could promote fat build -up 3 - 40% is too high 4 - Just not true The nurse is working on a care area that focuses on tertiary prevention. Which goal is most consistent with this focus?