NR 601 MIDTERM EXAM LATEST 2024 WITH UPDATED QUESTIONS AND VERIFIED WELL ELABORATED ANSWERS (GRADED A+)
8 views 0 purchase
Course
NR 601
Institution
NR 601
NR 601 MIDTERM EXAM LATEST 2024
WITH UPDATED QUESTIONS AND VERIFIED
WELL ELABORATED ANSWERS (GRADED
A+)
A 78-year-old nursing home resident with Alzheimer's disease,
chronic obstructive pulmonary disease, and seasonal allergies is
transferred to your hospital with poor oral intake and c...
A 78-year-old nursing home resident with Alzheimer's disease,
chronic obstructive pulmonary disease, and seasonal allergies is
transferred to your hospital with poor oral intake and confusion.
Physical examination reveals a thin man with dry mucous
membranes, tachypnea, tachycardia, and altered mental status. In
order to reliably identify delirium in this patient in a time-efficient
manner (<5 minutes), what will be your instrument of choice?
Folstein Mini-Mental State Examination (MMSE)
Confusion Assessment Method (CAM)
Diagnostic and Statistical Manual of Mental Disorders, Fourth
Edition (DSM-V)
Glasgow Coma Scale (GCS) - ANSWER-b. Confusion Assessment
,2|Page
Method (CAM)
An 84-year-old woman complains of nausea and vomiting for the
past 3 days. She has a history of multiple abdominal surgeries,
adhesions, and recurrent hospitalizations for partial small bowel
obstruction. She has visual and hearing impairment and is currently
taking oxybutynin for neurogenic bladder. You are worried about
her developing delirium and would like to prevent it. Interventions
that may prevent the onset of delirium among elderly hospitalized
patients include all of the following except:
Early mobilization
Ensuring 6 hours of uninterrupted sleep per night
Treating volume depletion
Using lorazepam for anxiety
Providing access to hearing and visual aids - ANSWER-d. Using
lorazepam for anxiety
,3|Page
An 80-year-old man with multi-infarct dementia, chronic kidney
disease, congestive heart failure, and uncontrolled hypertension
was hospitalized with a heart failure exacerbation. He was initially
treated with diuretics and salt restriction and his condition
stabilized. On day 2 of his hospital stay, he developed confusion,
inattention, and agitation. Application of nonpharmacologic
measures to treat delirium was unsuccessful. Which of the
pharmacologic agents mentioned below would be the best choice
for treating the agitation associated with his delirium?
Melatonin
Haloperidol
Diazepam
Gabapentin - ANSWER-b. Haloperidol
A 72-year-old woman has memory decline that has progressed
gradually over 18 months. Symptoms include repeating statements
and questions, frequently losing items, and forgetting things.
According to her husband, she is not as patient as usual but has no
, 4|Page
problems with mood, sleep, appetite, interpersonal relationships, or
activities of daily living and continues to work part-time as a
substitute teacher. She is independent on scales of activities of
daily living filled out by her husband. The patient is functioning
quite well day-to-day and has not restricted any of her activities.
What is the recommended action in this patient?
No dementia screening is needed because these are normal aging
changes.
Discuss with the patient about the decision for dementia screening.
Use the Mini-Cog, the MMSE, or SLUMS to screen for dementia.
Refer to specialist for further dementia assessment. - ANSWER-b.
Discuss with the patient about the decision for dementia screening
Mr. Brown is a 68-year-old retired teacher who lives with his wife
and has remained active in volunteer programs in their community.
However, according to Mrs. Brown, Mr. Brown has had several
angry outbursts the past few months. He has lost interest in his
hobby (building model cars) and has stopped participating in
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller edwinnyamoita. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $19.99. You're not tied to anything after your purchase.
