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2024 NR 509 WEEK 6 EXAM WITH CORRECT ANSWERS
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2024 NR 509 WEEK 6 EXAM WITH CORRECT ANSWERS
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2024 NR 509 WEEK 6 EXAM WITHCORRECT ANSWERS
As a mandatory reporter of elder abuse, which of these must be present
before an FNP notifies the authorities? - CORRECT-ANSWERSANS: Suspicion
of elder abuse and/or neglect
Many health care workers are under the erroneous assumption that proof is
required before notification of suspected abuse can occur. Only a suspicion
of elder abuse or neglect is necessary.
A 30-year-old female patient is describing feelings of hopelessness and
depression. She has attempted self-mutilation and has a history of prior
suicide attempts. She describes difficulty sleeping at night and has lost 10
pounds in the past month. Which of these statements or questions is the
FNP's best response in this situation?
a. Do you have a weapon?
b. How do other people treat you?
c. Are you feeling so hopeless that you feel like hurting yourself now?
d. People often feel hopeless, but the feelings resolve within a few weeks. -
CORRECT-ANSWERSANS: Are you feeling so hopeless that you feel like
hurting yourself now?
When the person expresses feelings of hopelessness, despair, or grief,
assessing the risk of physical harm to him or herself is important. This
process begins with more general questions. If the answers are affirmative,
then the assessment continues with more specific questions.
For persons age 12 years and older which of these illicit substances was one
of the most commonly used? - CORRECT-ANSWERSMarijuana
Which of these individuals would the FNP consider at highest risk for suicide
attempt?
A. Man who jokes about death
B. Woman who, during a past episode of major depression, attempted
suicide
, C. Adolescent who has just broken up with her boyfriend and states that she
would like to kill herself
D. Elderly man who tells the nurse that he is going to "join his wife in
heaven" tomorrow and plans to use a gun - CORRECT-ANSWERSANS: D
When the person expresses feelings of sadness, hopelessness, despair, or
grief, it is important to assess any possible risk of physical harm to himself or
herself. Begin with more general questions. If the nurse hears affirmative
answers, then he or she should continue with more specific questions. A
precise suicide plan to take place in the next 24 to 48 hours with use of a
lethal method constitutes high risk.
3. The nurse is assessing a patient who has been admitted for cirrhosis of the
liver secondary to chronic alcohol use. During the physical assessment, the
nurse looks for cardiac problems that are associated with chronic heavy use
of alcohol, such as:
A. Hypertension.
B. Ventricular fibrillation.
C. Bradycardia.
D. Mitral valve prolapse. - CORRECT-ANSWERSANS: A
Chronic heavy use of alcohol is associated with hypertension, atrial
fibrillation, and alcoholic cardiomyopathy, with an increase in left ventricular
mass, dilation of ventricles, and wall thinning. Ventricular fibrillation,
bradycardia, and mitral valve prolapse are not associated with chronic heavy
use of alcohol.
A woman has come to the clinic to seek help with a substance-abuse
problem. She admits to using cocaine just before arrival. Which of these
assessment findings would the FNP expect to find when examining the
woman? - CORRECT-ANSWERSANS: Dilated pupils, pacing, psychomotor
agitation
A cocaine user's appearance includes pupillary dilation, tachycardia or
bradycardia, elevated or lowered blood pressure, sweating, chills, nausea,
vomiting, and weight loss. The person's behavior includes euphoria,
talkativeness, hypervigilance, pacing, psychomotor agitation, impaired social
or occupational functioning, fighting, grandiosity, and visual or tactile
hallucinations.
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