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NRNP 6645 MIDTERM AND FINAL EXAM 2024/2025 /NRNP6645 PSYCHOTHERAPY WITH MULTIPLE MODALITIES|COMPLETE QUESTIONS AND VERIFIED ANSWERS WITH RATIONALES€15,14
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10/3/24, 1:25 PM NRNP 6645 MIDTERM AND FINAL EXAM 2024/2025 PSYCHOTHERAPY /COMPLETE QUESTIONS AND VERIFIED ANSW…
NRNP 6645 MIDTERM AND FINAL EXAM
2024/2025 PSYCHOTHERAPY /COMPLETE
QUESTIONS AND VERIFIED ANSWERS WITH
RATIONALES |GET IT 100% RIGHT!!
Terms in this set (179)
1. Answer: 1
Page: 215
1. In the assessment for
peripheral vascular
Feedback
disorders, the clinician
1.
should begin with which of
The clinician should begin with auscultation of the
the following after the
carotid arteries bilaterally because cardiac murmurs
general history and
will usually radiate into the carotid arteries.
physical examination?
2.
After auscultation of the carotid and subclavian
1. Auscultation of the
arteries, the clinician should proceed to palpation of
carotid arteries bilaterally.
the brachial, radial, and ulnar arteries.
2. Palpation of the carotid
3.
arteries bilaterally.
After auscultation and palpation, careful inspection
3. Inspection of the carotid
should be performed of the distal fingers and the nail
arteries bilaterally.
beds.
4. Order diagnostic testing.
4.
Diagnostic testing is usually ordered when areas of
concern are found.
,10/3/24, 1:25 PM NRNP 6645 MIDTERM AND FINAL EXAM 2024/2025 PSYCHOTHERAPY /COMPLETE QUESTIONS AND VERIFIED ANSW…
1. Answer: 1
Page: 361
1. Mrs. Borden is 67 years
Feedback
old and her primary care
1.
physician wants her to be
The nurse practitioner recognizes that normal aging
seen by a nurse
changes of the endocrine system primarily are related
practitioner who
to a decrease in pancreatic function (inability to
specializes in geriatric
sufficiently secrete insulin), resulting in diabetes
issues. On completing the
mellitus.
interview and examination,
2.
the nurse practitioner tells
The nurse practitioner needs to screen older adults
Mrs. Borden that she will
periodically for diabetes mellitus and thyroid disease
order a blood laboratory
because the incidence of these conditions increases
specimen for thyroid
with age.
function and pancreatic
3.
function. Mrs. Borden asks
The nurse practitioner managing the care of older
what the reason is. Which
adults needs to differentiate among four clinical states.
of the following is the
One of those is an endocrine function that is altered
nurse practitioner's best
relative to that of younger patients, but is an expected
response?
consequence of normal aging.
4.
1. Diabetes is more
Overall, the nurse practitioner managing the care of
common in older patients.
older adults needs to differentiate among four clinical
2. Thyroid issues are less
states:
common in older patients.
1. An endocrine function that is altered relative to that
3. These are common tests
of younger patients, but is an expected consequence
to be done on any new
of normal aging.
patient.
2. Altered endocrine function secondary to coincident
4. These tests are
nonendocrine disease, but is not of known
necessary to obtain
pathological significance.
baseline information.
3. Iatrogenic changes in endocrine function that
largely reflect the polypharmacy seen in the older
adult population.
4. Authentic endocrinopathy.
,10/3/24, 1:25 PM NRNP 6645 MIDTERM AND FINAL EXAM 2024/2025 PSYCHOTHERAPY /COMPLETE QUESTIONS AND VERIFIED ANSW…
1. Answer: 2
Page: 428
1. Mrs. James is 78 years
old and comes to the clinic
Feedback
for an annual checkup. The
1.
nurse practitioner
The psychosocial assessment of the older adult entails
addresses the
an evaluation of the following basic needs: autonomy
psychosocial needs of
and independence.
older adults and
2.
specifically the need for
The psychosocial assessment of the older adult entails
which of the following?
an evaluation of the following basic needs: dignity,
credibility, and respect.
1. Dependence.
3.
2. Dignity, credibility, and
The psychosocial assessment of the older adult entails
respect.
an evaluation of the following basic needs:
3. Being alone.
communication and belonging.
4. Not being touched.
4.
The psychosocial assessment of the older adult entails
an evaluation of the following basic needs: touch.
, 10/3/24, 1:25 PM NRNP 6645 MIDTERM AND FINAL EXAM 2024/2025 PSYCHOTHERAPY /COMPLETE QUESTIONS AND VERIFIED ANSW…
1. Mrs. M. W. comes into 1. Answer: 1
the primary care office for Page: 225
her regular yearly
checkup. The nurse
practitioner begins the Feedback
assessment by asking if 1.
there are concerns Mrs. M. Determining the sequence of events that triggered
W. has that need to be each symptom and inquiring about precipitating
addressed. The patient factors such as a meal, position of the body, use of
says that she has been caffeine, or alcohol and smoking will lead to a
experiencing periodic differential diagnosis.
episodes of abdominal 2.
cramps and diarrhea that Information regarding episodes of anorexia,
just comes and goes. The dyspepsia, dysphagia, heartburn, nausea,
nurse practitioner regurgitation, vomiting, painful or difficult defecation,
continues the assessment diarrhea, tenesmus, or constipation can be clustered
with which of the to form a differential diagnosis.
following? 3.
The physical examination is often unremarkable, and
1. Asking about the laboratory findings may not provide diagnostic
sequence of events and information because the presentation of illness in an
events that triggered each older adult is usually subdued.
episode. 4.
2. Conducting a complete Ask about the severity of pain by having the patient
neurological examination. rate her pain on a scale of 1 to 10. Realize, however,
3. Collecting a urine that in older adults, pain may be blunted despite the
specimen. underlying pathology.
4. Evaluating abdominal
pain.
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