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NURS 1140 PHARM FINAL EXAM WITH 500+ QUESTIONS AND WELL DETAILED ANSWERS // ALREADY GRADED A+ // LATEST 2024/2025 // 500+ QUESTIONS // BEST!!! Which method should the nurse use to obtain a complete assessment of an older patient? a. Review the patie$25.49
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NURS 1140 PHARM FINAL EXAM WITH 500+ QUESTIONS AND WELL DETAILED ANSWERS // ALREADY GRADED A+ // LATEST 2024/2025 // 500+ QUESTIONS // BEST!!! Which method should the nurse use to obtain a complete assessment of an older patient? a. Review the patie
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NURS 1140 PHARM
Institution
NURS 1140 PHARM
NURS 1140 PHARM FINAL EXAM WITH 500+
QUESTIONS AND WELL DETAILED ANSWERS //
ALREADY GRADED A+ // LATEST 2024/2025 //
500+ QUESTIONS // BEST!!!
Which method should the nurse use to obtain a complete assessment of an older
patient?
a. Review the patient's health record for previous assess...
NURS 1140 PHARM FINAL EXAM WITH 500+
QUESTIONS AND WELL DETAILED ANSWERS //
ALREADY GRADED A+ // LATEST 2024/2025 //
500+ QUESTIONS // BEST!!!
Which method should the nurse use to obtain a complete assessment of an older
patient?
a. Review the patient's health record for previous assessments.
b. Use a geriatric assessment instrument to evaluate the patient.
c. Ask the patient to write down medical problems and medications.
d. Interview both the patient and the primary caregiver for the patient. - ANSWER-
ANS: B
The most complete information about the patient will be obtained by using an
assessment instrument specific to the geriatric population, which includes
information about both medical diagnoses and treatments and about functional
health patterns and abilities. A review of the medical record, interviews with the
patient and caregiver, and written information by the patient are all included in a
comprehensive geriatric assessment.
A nurse is caring for a dying client whose adult child confides frequent crying
episodes to the nurse. How does the nurse respond?
a. "It's normal. Most people move on within a few months."
b. "Whenever you start to cry, distract yourself with pleasant thoughts of your
,parent."
c. "You should try not to cry. Your parent will be in a better place soon."
d. "Your feelings are completely normal and may continue for a long time." -
ANSWER-ANS: D
Everyone grieves and mourns differently. The nurse would offer support to the
client and family during this time. By telling the adult child that the feelings are
normal and may continue, the nurse is providing support to whatever the person is
feeling. The
other statements all show lack of compassion and respect to the family member's
feelings.
After teaching a client about advance directives, a nurse assesses the client's
understanding. Which statement indicates that theclient correctly understands the
teaching?
a. "An advance directive will keep my children from selling my home when I'm
old."
b. "An advance directive will be completed as soon as I'm incapacitated and can't
think for myself."
c. "An advance directive will specify what I want done when I can no longer make
decisions about health care."
d. "An advance directive will allow me to keep my money out of the reach of my
family." - ANSWER-ANS: C
An advance directive is a written document prepared by a competent individual
that specifies what, if any, extraordinary actions a person would want to be taken
when he or she can no longer make decisions about personal health care. It does
not address issues
such as the client's residence or financial matters.
,A nurse teaches a client who is considering being admitted to hospice. Which
statement does the nurse include in this client's
teaching?
a. "Hospice admission has specific criteria. You may not be a viable candidate, so
we will look at alternative plans for your discharge."
b. "Hospice care focuses on a holistic approach to health care. It is not designed to
hasten death, but rather to relieve symptoms."
c. "Hospice care will not help with your symptoms of depression. I will refer you
to the facility's counseling services instead."
d. "You seem to be experiencing some difficulty with this stage of the grieving
process. Let's talk about your feelings." - ANSWER-ANS: B
As both a philosophy and a system of care, hospice care uses an interprofessional
approach to assess and address the holistic needs of clients and families to facilitate
quality of life and a peaceful death. This holistic approach neither hastens nor
postpones death
but provides relief of symptoms experienced by the dying client.
A nurse is caring for a dying client. The client's spouse states, "I think he is
choking to death." How would the nurse respond?
a. "Do not worry. The choking sound is normal during the dying process."
b. "I will administer more morphine to keep your spouse comfortable."
c. "I can ask the respiratory therapist to suction secretions out through his nose."
d. "I will have another nurse assist me to turn your spouse onto the side." -
ANSWER-ANS: D
, The choking sound or "death rattle" is common in dying clients. The nurse
acknowledges the spouse's concerns and provides interventions that will reduce the
choking sounds. Repositioning the client onto one side with a towel under the
mouth to collect secretions is the best intervention. The nurse would not minimize
the spouse's concerns. Morphine will assist with comfort but will not decrease the
choking sounds. Nasotracheal suctioning is not appropriate in a dying client and
may cause agitation.
The nurse is teaching a family member about various types of complementary
therapies that might be effective for relieving the
dying client's anxiety and restlessness. Which statement made by the family
member indicates understanding of the nurse's
teaching?
a. "Maybe we should just hire an around-the-clock sitter to stay with
Grandmother."
b. "I have some of her favorite hymns on a CD that I could bring for music
therapy."
c. "I don't think that she'll need pain medication along with her herbal treatments."
d. "I will burn therapeutic incense in the room so we can stop the anxiety pills." -
ANSWER-ANS: B
Music therapy is a complementary therapy that may produce relaxation by quieting
the mind and removing a client's inner restlessness. Hiring an around-the-clock
sitter does not demonstrate that the client's family understands complementary
therapies. Complementary therapies are used in conjunction with traditional
therapy. Complementary therapy would not replace pain or anxiety medication but
may help decrease the need for these medications.
A nurse is caring for a terminally ill client who has just died in a hospital setting
with family members at the bedside. Which action
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