,9/15/24, 6:58 AM WALDEN UNIVERSITY NRNP6645 PSYCHOTHERAPY WITH MULTIPLE MODALITIES MIDTERM EXAM 2 DIFFERENT VE…
3. Answer: 2
Page: 97
Feedback
1.
Markings on the skin may be signs of aging, a disease, or maltreatment.
2.
Poorly healing wounds or chronic pressure ulcers may signal a problem not
only with the patient but with the caregiver's ability to provide adequate
care. Welts, lacerations, burns, and distinctive markings may indicate a need
for intervention.
3.
This is a result of the nurse practitioner addressing it further rather than the
reason for addressing it.
4.
A professional cannot assume abuse without good reason.
Give this one a try later!
3. Mr. James is 91 years old. His daughter notices that he has bruises and lacerations
on his arms and reports this to the nurse practitioner, who tells her that older
people bruise easily due to their fragile blood vessels. The skin lacerations happen
because he has thin skin. Even so, the nurse practitioner assures the daughter that
she will investigate further to ensure that he is getting proper care. She says this
because she understands that:
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.
,9/15/24, 6:58 AM WALDEN UNIVERSITY NRNP6645 PSYCHOTHERAPY WITH MULTIPLE MODALITIES MIDTERM EXAM 2 DIFFERENT VE…
2 Which of the following is the best statement regarding dyspnea
Mark, 82 years old, is in a rehabilitation center for therapy post-knee replacement.
The nurse practitioner is visiting Mark and finds him confused, disoriented, and with
3 speech difficulty. The staff nurse says that his condition changed quickly over the
last few hours. The nurse practitioner orders which of the following? Select all that
apply.
One of the things affecting drug distribution is the bioavailability of the drug. Which
4 of the following factors may affect the amount of a drug that reaches the systemic
circulation? Select all that apply.
, 9/15/24, 6:58 AM WALDEN UNIVERSITY NRNP6645 PSYCHOTHERAPY WITH MULTIPLE MODALITIES MIDTERM EXAM 2 DIFFERENT VE…
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.
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