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NR 601 FINAL EXAM

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NR 601 FINAL EXAM NR 601 FINAL EXAM – 2 Q&A 1. A 78-year-old patient who is dying of colon cancer with metastases to the liver is refusing to eat or drink. He is alert and oriented, and states that he has no desire to eat, which is causing the family great distress. In order to best address ...

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  • February 10, 2022
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NR 601 FINAL EXAM – 2 Q&A
1. A 78-year-old patient who is dying of colon cancer with metastases to
the liver is refusing to eat or drink. He is alert and oriented, and states
that he has no desire to eat, which is causing the family great distress.
In order to best address the client and family, you should:
 Educate the family that this is normal behavior in this situation

2. A 79-year-old female client resides independently in the community.
The client’s daughter is concerned because her mother insists on
wearing a sweater and keeps all of the windows closed even though it
is 90 degrees Fahrenheit outside. The nurse practitioner initially
recognizes that this behavior may be related to:
 age-related neurosensory changes that diminish awareness of
temperature changes

3. An 88-year-old, being admitted to rule out lung cancer, is assessed
using the short form of the Geriatric Depression Scale tool. When it is
determines that the earned score is 9, the nurse practitioner initially:
 asks if they have any thoughts of committing suicide

4. The area in which nurse practitioners have the greatest effect on the
safe, effective medication therapy of an older client is:
 educating the client to all aspects of the medication.

5. The Beers list is an effective tool for healthcare professionals
prescribing and/or managing the medication therapy of older adults
since it identifies medications that for this population:
 have a higher than usual risk for injury

6. A client who reported, “a problem sleeping” shows an understanding of
good sleep hygiene when:
 limiting the afternoon nap to just 30 minutes

7. Common causes of dyspnea in the older adult may include which of the
following?
 Heart failure
Asthma
Chronic obstructive lung disease
Pneumonia

8. Common ethical issues in the nursing home may include which of the
following?
 Quality of life
Decision-making capacity

, 2

Preservation of autonomy
Surrogate decision making

9. The cost of nursing home care is significant. The primary payer for
nursing home care is:
 Medicaid and private pay.

10. Each of the following assessment finding is a contributor to an
older client’s risk for falls except:
 client has a history of contact dermatitis and psoriasis

11. Each of the following data supports the diagnosis of sleep apnea
in the older adult except:
 followed a vegetarian diet for last 28 years

12. Factors that affect the pharmacokinetics of lipophilic medications
in older include:
 greater adipose tissue ratio to body mass

13. The following precautions are beneficial in minimizing an older
adult’s risk of being a victim of fraud except:
 Rely on the advice of people who only friends have
recommended.

14. In order to focus on the older population with the greatest risk for
suicide the nurse practitioner would conduct a depression that targets:
 White men

15. In planning teaching for a client with diabetes, which precaution
related to fall prevention is particularly important for the nurse
practitioner to include?
 Rising slowly from the table after meals

16. It is imperative that nursing take a leadership role in providing
effective health care across the lifespan and in various health care
settings. Which intervention will have the greatest impact on achieving
positive outcomes concerning that issue?
 A baccalaureate degree nursing program including a geriatric
care course into the curriculum

17. The nurse is most concerned by observing which of the following
during an older client’s physical assessment:
 a slightly raised irregular patch that is bluish black in color

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