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NR601 | NR 601 Final Exam | Primary Care of the Maturing & Aged Family Practicum 2024/2025 Final Exam Questions and Answers | 100% Pass | Grades A+| Chamberlain $10.49
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NR601 | NR 601 Final Exam | Primary Care of the Maturing & Aged Family Practicum 2024/2025 Final Exam Questions and Answers | 100% Pass | Grades A+| Chamberlain
NR601 | NR 601 Final Exam | Primary Care of the Maturing & Aged Family Practicum 2024/2025 Final Exam Questions and Answers | 100% Pass | Grades A+| Chamberlain
NR601 | NR 601 Final Exam | Primary Care of the Maturing & Aged Family Practicum 2024/2025 Final Exam Questions and Answers | 100% Pas...
NR601 | NR 601 Final Exam | Primary
Care of the Maturing & Aged Family
Practicum 2024/2025 Final Exam
Questions and Answers | 100% Pass |
Grades A+| Chamberlain
Mrs. Gloth is an 84-year-old woman whom you are admitting to the
nursing home. Her son takes you aside and tells you that she has
metastatic ovarian cancer but has not been told the diagnosis. He asks
that you not tell her, because she would "lose all hope and die." Which of
the following is an appropriate response?
- Correct Answer - Suggest that you discuss this further after getting to
know the patient and family a little better.
Dr. Smith is obtaining informed consent from Mr. Jones to perform a
colonoscopy, because the patient had blood in his stool and Dr. Smith is
concerned that this might indicate the presence of carcinoma of the
colon. Mr. Jones is able to recite back to Dr. Smith what a colonoscopy
is, how it is done, and that a colonoscopy is performed to look for cancer.
He then tells Dr. Smith that he is refusing the procedure; he knows he
does not have cancer because he has not experienced any bleeding. Of
the following required elements for Mr. Jones's decision-making
capacity, which is impaired?
,- Correct Answer - Appreciation
George Hall is a 91-year-old man visiting his physician to receive the
results of a recent computed tomography scan of his abdomen. He is
cognitively intact and still works 2 days a week. He is accompanied by
his daughter Eleanor. She takes the doctor aside before the appointment
and says, "Please do not tell my father any bad news. It would just kill
him." If the physician were to agree, which ethical principles might this
violate?
- Correct Answer - Autonomy
Lenore White is an 80-year-old woman who smokes two packs of
cigarettes per day. She is hospitalized for pneumonia because she has
presenting symptoms of cough and fever. On her second day of
hospitalization, she asks the nurse to please wheel her outside so she
can smoke a cigarette. The nurse feels uncomfortable agreeing to this
and speaks to her clinical nurse manager. What two ethical principles
are in conflict?
- Correct Answer - Autonomy and nonmaleficence
Ms. Greta Thornberg is an 88-year-old woman admitted to the hospital
with a diagnosis of squamous cell carcinoma of the lung with metastases
to liver. She has signed a POLST indicating that she would like no
limitation on life-sustaining measures, including resuscitation, artificial
feeding, antibiotics, and hydration. On the second day of her stay, she
sustains a stroke, resulting in global aphasia and hemiparesis. As her
, clinician, in addition to instituting appropriate medical management, you
contact her healthcare agent and:
- Correct Answer - Inform her healthcare agent of the POLST and notify
her that the change of condition requires that the POLST be reviewed.
A 75-year-old man with lung cancer metastatic to the bones is receiving
hospice care in his home. His predominant symptom is nociceptive and
neuropathic right chest wall pain caused by a fourth rib metastasis. In
recent days he has experienced a dramatic increase in his pain, and
hospice staff have titrated his pain regimen to gabapentin 900 mg three
times daily, extended release morphine 100 mg three times daily, and
immediate release morphine 30 mg every 2 hours as needed. The
hospice nurse calls you to ask about next steps, and reports that he is
still in severe pain but is now nonverbal, and his family is struggling to
administer his medication orally because of his somnolence. The
patient's family is exhausted. What is the best next step to assure the
patient's comfort?
- Correct Answer - Admit to an inpatient facility under the General
Inpatient Hospice benefit.
An 85-year-old woman with congestive heart failure, end-stage chronic
obstructive pulmonary disease, chronic kidney disease stage 4, and
frailty is brought to your office for a routine appointment. She has
preserved cognition and her last Mini-Mental State Examination was 26.
Affect is normal, and she has no history of depression. She has a loving
and supportive family with whom she lives. During the visit, she shares
that her quality of life is no longer acceptable, and asks about options to
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