,10/15/24, 6:18 AM NRNP 6645 Final Exam Psychotherapy ( 100 Questions And Correct Answers) With Multiple Modalities 2024 Flashcards | Qu…
1. Mrs. Williams is 76 years 1. Answer: 1
old and comes in to have Page: 96
a wound checked on her
right leg. She fell a month
ago and the wound has Feedback
not healed. She is 1.
concerned that Skin renewal turnover time increases to
something is wrong. The approximately 87 days in older adults, compared
nurse practitioner with 20 days during youth.
examines the wound and 2.
sees that it has been The perceived extended healing time is not related
cleaned properly and has to diet.
no signs of infection. The 3.
edges are approximated, This is false hope, as there is no medication that will
but the skin around the heal this wound quickly.
wound is red and tender 4.
to touch. The best Prophylactic antibiotics are not appropriate when
response regarding Mrs. there are no signs or symptoms of infection.
Williams' concern is:
1. Wound healing for
older people may take
up to four times longer
than it does for younger
people.
2. Let us talk about what
you are eating.
3. Had you come in
earlier, I would have
ordered medicine that
would have healed that
right up.
4. I will order an
antibiotic to prevent
infection.
,10/15/24, 6:18 AM NRNP 6645 Final Exam Psychotherapy ( 100 Questions And Correct Answers) With Multiple Modalities 2024 Flashcards | Qu…
2. The nurse practitioner 2. Answer: 2
is conducting patient Page: 96
rounds in a long-term
care facility. As she talks
with Mrs. Jones, she Feedback
notices that her arms and 1.
elbows are excoriated Lack of activity alone does not cause skin
and the skin is shearing. breakdown.
The nurse practitioner 2.
explains to the staff that Fat is redistributed to the abdomen and thighs,
Mrs. Jones needs leaving bony surfaces, such as the face, hands, and
frequent assessment of sacrum, exposed to potential injury, especially skin
her skin and protection tears from shearing, friction forces and pressure
provided to prevent skin ulcer development.
breakdown because: 3.
Although losing weight may be a risk factor for
1. Her lack of activity falling, it is not directly related to skin breakdown.
causes the skin to tear. 4.
2. Fat has redistributed to There is no evidence that she is picking at herself, as
the abdomen and thighs, there is nothing reported anywhere else on her
leaving bony surfaces in arms.
areas such as the face,
hands, and sacrum. This
can result in injury.
3. She has lost weight
and is in jeopardy of
falling.
4. She picks at herself
and causes skin
breakdown.
, 10/15/24, 6:18 AM NRNP 6645 Final Exam Psychotherapy ( 100 Questions And Correct Answers) With Multiple Modalities 2024 Flashcards | Qu…
3. Mr. James is 91 years 3. Answer: 2
old. His daughter notices Page: 97
that he has bruises and
lacerations on his arms
and reports this to the Feedback
nurse practitioner, who 1.
tells her that older Markings on the skin may be signs of aging, a
people bruise easily due disease, or maltreatment.
to their fragile blood 2.
vessels. The skin Poorly healing wounds or chronic pressure ulcers
lacerations happen may signal a problem not only with the patient but
because he has thin skin. with the caregiver's ability to provide adequate care.
Even so, the nurse Welts, lacerations, burns, and distinctive markings
practitioner assures the may indicate a need for intervention.
daughter that she will 3.
investigate further to This is a result of the nurse practitioner addressing it
ensure that he is getting further rather than the reason for addressing it.
proper care. She says this 4.
because she understands A professional cannot assume abuse without good
that: reason.
1. These markings on the
patient's skin are part of
aging skin.
2. Bruises and lacerations
can indicate inadequate
care.
3. The daughter needs
assurance that her father
is okay.
4. The patient is being
abused.
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