10/9/24, 4:06 PM WALDEN UNIVERSITY NRNP6645 PSYCHOTHERAPY WITH MULTIPLE MODALITIES MIDTERM EXAM 2 DIFFERENT VE…
WALDEN UNIVERSITY NRNP6645
PSYCHOTHERAPY WITH MULTIPLE
MODALITIES MIDTERM EXAM 2 DIFFERENT
VERSIONS QS AND ANSWERS 2024-2025
GRADED A+
Terms in this set (179)
1. Answer: 1
1. In the assessment for
Page: 215
peripheral vascular
disorders, the clinician
should begin with which
Feedback
of
1.
the following after the
The clinician should begin with auscultation of the
general history and
carotid arteries bilaterally because cardiac murmurs
physical examination?
will usually radiate into the carotid arteries.
2.
1. Auscultation of the
After auscultation of the carotid and subclavian
carotid arteries
arteries, the clinician should proceed to palpation
bilaterally.
of the brachial, radial, and ulnar arteries.
2. Palpation of the carotid
3.
arteries bilaterally.
After auscultation and palpation, careful inspection
3. Inspection of the
should be performed of the distal fingers and the
carotid arteries
nail beds.
bilaterally.
4.
4. Order diagnostic
Diagnostic testing is usually ordered when areas of
testing.
concern are found.
,10/9/24, 4:06 PM WALDEN UNIVERSITY NRNP6645 PSYCHOTHERAPY WITH MULTIPLE MODALITIES MIDTERM EXAM 2 DIFFERENT VE…
1. Answer: 1
Page: 361
1. Mrs. Borden is 67 years
old and her primary care
physician wants her to be Feedback
seen by a nurse 1.
practitioner who The nurse practitioner recognizes that normal aging
specializes in geriatric changes of the endocrine system primarily are
issues. On completing related to a decrease in pancreatic function
the interview and (inability to sufficiently secrete insulin), resulting in
examination, the nurse diabetes mellitus.
practitioner tells Mrs. 2.
Borden that she will The nurse practitioner needs to screen older adults
order a blood laboratory periodically for diabetes mellitus and thyroid
specimen for thyroid disease because the incidence of these conditions
function and pancreatic increases with age.
function. Mrs. Borden 3.
asks what the reason is. The nurse practitioner managing the care of older
Which of the following is adults needs to differentiate among four clinical
the nurse practitioner's states. One of those is an endocrine function that is
best response? altered relative to that of younger patients, but is an
expected consequence of normal aging.
1. Diabetes is more 4.
common in older Overall, the nurse practitioner managing the care of
patients. older adults needs to differentiate among four
2. Thyroid issues are less clinical states:
common in older 1. An endocrine function that is altered relative to
patients. that of younger patients, but is an expected
3. These are common consequence of normal aging.
tests to be done on any 2. Altered endocrine function secondary to
new patient. coincident nonendocrine disease, but is not of
4. These tests are known pathological significance.
necessary to obtain 3. Iatrogenic changes in endocrine function that
baseline information. largely reflect the polypharmacy seen in the older
adult population.
4. Authentic endocrinopathy.
,10/9/24, 4:06 PM WALDEN UNIVERSITY NRNP6645 PSYCHOTHERAPY WITH MULTIPLE MODALITIES MIDTERM EXAM 2 DIFFERENT VE…
1. Answer: 2
Page: 428
1. Mrs. James is 78 years
old and comes to the Feedback
clinic for an annual 1.
checkup. The nurse The psychosocial assessment of the older adult
practitioner addresses entails an evaluation of the following basic needs:
the psychosocial needs autonomy and independence.
of older adults and 2.
specifically the need for The psychosocial assessment of the older adult
which of the following? entails 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
respect. entails 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.
, 10/9/24, 4:06 PM WALDEN UNIVERSITY NRNP6645 PSYCHOTHERAPY WITH MULTIPLE MODALITIES MIDTERM EXAM 2 DIFFERENT VE…
1. Mrs. M. W. comes into 1. Answer: 1
the primary care office Page: 225
for her regular yearly
checkup. The nurse
practitioner begins the Feedback
assessment by asking if 1.
there are concerns Mrs. Determining the sequence of events that triggered
M. 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
continues the assessment defecation, diarrhea, tenesmus, or constipation can
with which of the be clustered 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 older adult is usually subdued.
each episode. 4.
2. Conducting a Ask about the severity of pain by having the patient
complete neurological rate her pain on a scale of 1 to 10. Realize, however,
examination. that in older adults, pain may be blunted despite the
3. Collecting a urine underlying pathology.
specimen.
4. Evaluating abdominal
pain.
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