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Comprehensive Case 26 year old Kathleen Parks Frequent Severe nr 509-I human-week-6
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Comprehensive Case 26 year old Kathleen Parks Frequent Severe nr 509-I human-week-6
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Comprehensive Case 26 year oldKathleen Parks Frequent Severe nr
509-I human-week-6
No amount of alcohol has been determined to be safe for pregnant women. The
potential adverse effects of alcohol use for the fetus are well known; women who are
pregnant should be screened for alcohol use, and abstinence should be recommended.
Symptoms such as pain are often influenced by a person's cultural heritage. Which of
the following is a true statement regarding pain?
a.
Nurses' attitudes toward their patients' pain are unrelated to their own experiences with
pain.
b.
Nurses need to recognize that many cultures practice silent suffering as a response to
pain.
c.
A nurse's area of clinical practice will most likely determine his or her assessment of a
patient's pain.
d.
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? - ANS✔✔--ANS: 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.
A 63-year-old Chinese American man enters the office with complaints of chest pain,
shortness of breath, and palpitations. Which statement most accurately reflect the FNPs
best course of action?
, A) The nurse should focus on performing a full cardiac assessment.
B) The nurse should focus on psychosomatic complaints because he has just learned
that his wife has cancer.
C) This patient is not in any danger at present, so the nurse should send him home with
instructions to contact his physician.
D) It is unclear what is happening with this patient, so the nurse should perform an
assessment in both the physical and the psychosocial realms. - ANS✔✔--D) It is
unclear what is happening with this patient, so the nurse should perform an assessment
in both the physical and the psychosocial realms.
The FNP is planning to assess new memory with the patient. The best way for the FNP
to do this would be
a. Administer the FACT test.
b. Ask him to describe his first job.
c. Give him the Four Unrelated Words Test.
d. Ask him to describe what television show he was watching before coming to the
clinic. - ANS✔✔--ANS: Give him the Four Unrelated Words Test.
Ask questions that can be corroborated, which screens for the occasional person who
confabulates or makes up answers to fill in the gaps of memory loss. The Four
Unrelated Words Test tests the persons ability to lay down new memories and is a
highly sensitive and valid memory test.
During the health history the FNP asks a female patient "how many alcoholic drinks do
you have a week?" Which answer by the patient would indicate at risk drinking? -
ANS✔✔--ANS: "No amount of alcohol has been determined to be safe during
pregnancy."
A nurse's years of clinical experience and current position are strong indicators of his or
her response to patient pain. - ANS✔✔--B
Silent suffering is a potential response to pain in many cultures. The nurse's
assessment of pain needs to be embedded in a cultural context. The other responses
are not correct.
The FNP suspect abuse when a 10-year-old child is taken to the urgent care center for
leg injury. The best way to document the history and physical findings is to - ANS✔✔-
-ANS: use the words the child has given to describe how the injury occurred.
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