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NRNP 6531 / NRNP6531 Advanced Primary Care of Adults Midterm / Final Exam Quiz Bank Highly Rated |Questions and Answers | Latest 2022/2023$15.49
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NRNP 6531 / NRNP6531 Advanced Primary Care of Adults Midterm / Final Exam Quiz Bank Highly Rated |Questions and Answers | Latest 2022/2023
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Course
NRNP 6531 / NRNP6531 (NRNP6531)
Institution
Walden University
NRNP 6531 / NRNP6531 Advanced Primary Care of Adults Midterm / Final Exam Quiz Bank Highly Rated |Questions and Answers | Latest 2022/2023
1. Dan, age 82, recently lost his wife to breast cancer. He presents with weight loss, fatigue, and difficulty sleeping. What should your first response ...
NRNP 6531 / NRNP6531 Advanced Primary
Care of Adults Midterm / Final Exam Quiz Bank
Highly Rated |Questions and Answers | Latest
2022/2023
1. Dan, age 82, recently lost his wife to breast cancer. He presents with weight loss, fatigue,
and difficulty sleeping. What should your first response be?
A. " Do you have a history of thyroid problems in your family? "
B. " Do you think a sleeping pill might help you sleep at night? "
C. " Things might look up if you added nutritional supplements to your diet. "
D. " Have you thought of suicide? "
Rationale:
Direct confrontation should be used when suspecting depression and the possibility of
suicide. Fatigue, loss of weight, and insomnia, in combination with the client ' s history of
the death of his spouse, should point in the direction of depression with a suicidal
potential.
2. If you suspect that your client abuses alcohol, the most appropriate action would be to
A. confront the client.
B. obtain further confirmatory information.
C. consult with family members.
D. suggest Alcoholics Anonymous (AA).
Rationale:
, If you suspect that your client abuses alcohol, the most appropriate action would be to
confront the client.
3. The use of tricyclic antidepressants in the elderly increases the risk of
A. suicide.
B. cardiac arrhythmias.
C. reactive depression.
D. shortness of breath.
Rationale:
A study by the Heart and Lung Institute of the National Institute of Health in the mid-
1980s showed that class 1 antiarrhythmic drugs given to patients with ventricular
arrhythmias following myocardial infarction, instead of preventing deaths, actually
increased the number of patients dying
4. In the depressed client, antidepressants are most effective in alleviating
A. suicidal feelings.
B. interpersonal problems.
C. sleep disturbances.
D. anxiety disorders.
Rationale:
In the depressed client, antidepressants are most effective in alleviating sleep and appetite
disturbances. Psychotherapy is most effective in dealing with suicidal feelings and
interpersonal problems.
,5. Jim, age 45, has two small children. He states that his wife made him come to this
appointment because she thinks he has been impossible to live with lately. He admits to
being stressed and depressed because he is working two jobs, and he says he sometimes
takes his stress out on his family. About twice a week he complains of palpitations along
with nervous energy. What is the most important question to ask him at this time?
A. " How is your wife handling stress? "
B. " Have you thought about committing suicide? "
C. " Do you and your wife spend time alone together? "
D. " Tell me more about what you think is causing this. "
Rationale:
Although all the questions are important, suicidal ideation is an emergency situation, and
if it is present, the client needs immediate admission, preferably to a psychiatric hospital
6. What is the medication of choice for obsessive-compulsive disorders?
A. Alprazolam (Xanax)
B. Carbamazepine (Tegretol)
C. Clomipramine (Anafranil)
D. Buspirone (Buspar)
Rationale:
The medication of choice for obsessive-compulsive disorders is clomipramine
(Anafranil), a tricyclic antidepressant. It seems to have a much better effect than
alprazolam (Xanax), an antianxiety agent; carbamazepine (Tegretol), an anticonvulsant;
or buspirone (Buspar), a nonbenzodiazepine anxiolytic.
, 7. Which of the following objective data are associated with significantly better long-term
outcomes in children born with open spina bifida?
A. A higher APGAR score
B. Presence of Babinski ' s reflex
C. Perineal sensation
D. A higher score on the Glasgow Coma Scale
Rationale:
In infants with open spina bifida, the presence of perineal sensation is associated with
significantly better long-term outcomes
8. Karen Ann, age 52, has four children and a very stressful job. After you perform her
physical, which was normal, she tells you she has insomnia. You make several
suggestions for lifestyle changes that might assist in promoting helpful sleep. You know
she misunderstands when she states which of the following?
A. " I ' ll wind down before bedtime by taking a warm bath or by reading for 10
minutes. "
B. " I ' ll try some valerian extract from the health food store. "
C. " I ' ll exercise in the evening to tire myself out before bed. "
D. " I won ' t read or watch television while in bed. "
Rationale:
Suggestions for making lifestyle changes that might assist a client in promoting helpful
sleep include advising the client to wind down before bedtime by taking a warm bath or
by reading for 10 minutes, to try some valerian extract (obtainable from a health food
store), and not to read or watch television while in bed.
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