ACHPN Exam Questions And Answers With Verified Solutions Graded A+
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Course
ACHPN
Institution
ACHPN
ACHPN Exam Questions And Answers With Verified Solutions Graded A+
APRN begins to overly identify with pain and suffering of patients; skips lunch, trouble concentrating, and nightmares
A. depression
B. compassion fatigue
C. anxiety
D. empathy Correct Answer: B. compassion fatigue
Patient wit...
ACHPN Exam Questions And Answers With Verified Solutions Graded A+ APRN begins to overly identify with pain and suffering of patients; skips lunch, trouble concent rating, and nightmares A. depression B. compassion fatigue C. anxiety D. empathy Correct Answer: B. compassion fatigue Patient with chronic bowel disease has developed persistent diarrhea, treatment most indicated to treat is: A. lope amide B. codeine C. diph enoxylate D. methylcellulose Correct Answer: A. lope amide - indicated for nonspecific diarrhea but should be avoided if gross bloody stool or temp above 101 degrees or if C. diff expected. 4mg initially, then 2mg after each loose stool, NTE 16mg/day. When utilizing the SPIRIT pneumonic, as a spiritual assessment tool for a hospice patient, the first question to ask for "S" part is: A. does spirituality play a part in your personal life? B. restrictions that affect healthcare decisions? C. how does faith affect how you feel about death? D. do you have a normal religious affiliation? Correct Answer: D. Spiritual: formal religious affiliation? Personal: practices/beliefs, daily life? Integration: spiritual community Ritual: specific prac tices that affect healthcare Implication: aspects of care to keep in mind Terminal events: does faith affect feelings about death? Obese patient, diabetes; underwent surgery for bowel obstruction 6 days ago and has persistent N/V. Feels "popping" sensati on at incision site -->intestinal evisceration. Initial response: A. administer opioid, no intervention B. semi -fowler's knees up, notify surgeon C. explain what is happening, ask for guidance D. supinate patient, cover with dry sterile gauze Correct Answe r: B. INITIAL RESPONSE: notify surgeon Next- cover sterile soaked gauze, IV site, O2 76 year old female, generally good health, new pathologic fracture of proximal femur. pt states it occurred while walking - most likely cause: A. abuse B. multiple myeloma C. osteoporosis D. bone cyst Correct Answer: C. osteoporosis - DEXA scan gold standard; T -score -2 indicates osteoporosis When collaborating with patient and family on POC, it's important for them to understand: A. rights and responsibilities B. limitatio ns C. organizations philosophy D. difference between goals and objectives Correct Answer: A. rights and responsibilities - ask them what goals and expectations are, what is important to them Native American patient, stage IV multiple myeloma, on hospice in extended care facility. Reportedly little pain AEB does not request medicine but does lay in fetal position and refuses food and fluids. APRN should advise nursing staff: A. pt probably comfortable without pain medication B. pt may avoid outward expressio ns of pain C. staff nurse should be more aware of pt needs D. pt probably prefers to suffer than take medications Correct Answer: B. pt may avoid outward expressions of pain, but his body language indicates otherwise Middle Eastern hospice pt, cared for at home by sisters and daughters. On exam, rows of circular slightly reddened areas up and down back. Most appropriate response: A. notify APS of abuse B. tell family hospice pts cannot receive cupping C. acknowledge use of cupping D. provide supportive care for pressure sores Correct Answer: C. acknowledge cupping - ancient form of healing that releases toxins Pt with progressive onset MS has chronic bladder dysfunction with spasms, frequency, incontinence. He takes ER oxybutynin. Wh ich dietary restrictions should APRN advise? A. simple carbs B. citrus fruits C. apples and apple juice D. caffeine and alcohol Correct Answer: D. caffeine and alcohol are bladder irritants and promote diuresis Family reports patient has not attended mass in 50 years. Pt is nearing death but remains responsive and not requested priest. APRN should: A. assume pt will not want to see a priest B. ask priest on call to visit C. ask the patient if he/she wants to see a priest D. ask the family if priest should be called Correct Answer: C. ask the patient, never make assumptions When educating a patient or family about disease or treatment, the first step is to begin by assessing the patient's: A. emotional status B. knowledge base C. experience D. physical con dition Correct Answer: B. knowledge base - first assess by asking "can you tell me what you know about your illness"? Indications that the spouse of a patient who died is suffering from traumatic grief include prolonged period (>60 days): A. expressing ang er, bitterness, blame regarding the death
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