Nr509-week-6-ihuman-Comprehensive
Case 26Year Old Kathleen Parks
Frequent Severe Headache I Human
week #9
A person exercises judgment when he or she can compare and evaluate the
alternatives in a situation and reach an appropriate course of action. Rather than testing
the person's response to a hypothetical situation (as illustrated in the option with the
envelope), the nurse should be more interested in the person's judgment about daily or
long-term goals, the likelihood of acting in response to delusions or hallucinations and
the capacity for violent or suicidal behavior.
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?
a. She clings to her mother whenever the nurse is in the room.
b. She appears angry and will not make eye contact with the nurse.
c. Her mother states that she has begun to ride a tricycle around their yard.
d. Her mother states that her daughter prefers to play with toddlers instead of kids her
own age while in - ANS✔✔--ANS: Her mother states that her daughter prefers to play
with toddlers instead of kids her own age while in daycare.
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? -
ANS✔✔--ANS: "No amount of alcohol has been determined to be safe during
pregnancy."
A cocaine user's appearance includes pupillary dilation, tachycardia or bradycardia,
elevated or lowered blood pressure, sweating, chills, nausea, vomiting, and weight loss.
The person's behavior includes euphoria, talkativeness, hypervigilance, pacing,
psychomotor agitation, impaired social or occupational functioning, fighting, grandiosity,
and visual or tactile hallucinations.
, 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?
A) The nurse should focus on performing a full cardiac assessment.
B) The nurse should focus on psychosomatic complaints because he has just learned
that his wife has cancer.
C) This patient is not in any danger at present, so the nurse should send him home with
instructions to contact his physician.
D) It is unclear what is happening with this patient, so the nurse should perform an
assessment in both the physical and the psychosocial realms. - ANS✔✔--D) It is
unclear what is happening with this patient, so the nurse should perform an assessment
in both the physical and the psychosocial realms.
The FNP is planning to assess new memory with the patient. The best way for the FNP
to do this would be
a. Administer the FACT test.
b. Ask him to describe his first job.
c. Give him the Four Unrelated Words Test.
d. Ask him to describe what television show he was watching before coming to the
clinic. - ANS✔✔--ANS: Give him the Four Unrelated Words Test.
Ask questions that can be corroborated, which screens for the occasional person who
confabulates or makes up answers to fill in the gaps of memory loss. The Four
Unrelated Words Test tests the persons ability to lay down new memories and is a
highly sensitive and valid memory test.
No amount of alcohol has been determined to be safe for pregnant women. The
potential adverse effects of alcohol use for the fetus are well known; women who are
pregnant should be screened for alcohol use, and abstinence should be recommended.
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? - ANS✔✔--ANS: Dilated pupils,
pacing, psychomotor agitation
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