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NRNP 6645 MIDTERM AND FINAL EXAM 2024/2025 /NRNP6645 PSYCHOTHERAPY WITH MULTIPLE MODALITIES|COMPLETE QUESTIONS AND VERIFIED ANSWERS WITH RATIONALES€15,64
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,10/3/24, 1:20 PM NRNP 6645 MIDTERM AND FINAL EXAM 2024/2025 /NRNP6645 PSYCHOTHERAPY WITH MULTIPLE MODALITIES|COM…
1. Mrs. Williams is 76 years 1. Answer: 1
old and comes in to have a Page: 96
wound checked on her
right leg. She fell a month
ago and the wound has Feedback
not healed. She is 1.
concerned that something Skin renewal turnover time increases to approximately
is wrong. The nurse 87 days in older adults, compared with 20 days during
practitioner examines the youth.
wound and sees that it has 2.
been cleaned properly The perceived extended healing time is not related to
and has no signs of diet.
infection. The edges are 3.
approximated, but the skin This is false hope, as there is no medication that will
around the wound is red heal this wound quickly.
and tender to touch. The 4.
best response regarding Prophylactic antibiotics are not appropriate when
Mrs. Williams' concern is: there are no signs or symptoms of infection.
1. Wound healing for older
people may take up to four
times longer than it does
for younger people.
2. Let us talk about what
you are eating.
3. Had you come in earlier,
I would have ordered
medicine that would have
healed that right up.
4. I will order an antibiotic
to prevent infection.
,10/3/24, 1:20 PM NRNP 6645 MIDTERM AND FINAL EXAM 2024/2025 /NRNP6645 PSYCHOTHERAPY WITH MULTIPLE MODALITIES|COM…
2. The nurse practitioner is 2. Answer: 2
conducting patient rounds Page: 96
in a long-term care facility.
As she talks with Mrs.
Jones, she notices that her Feedback
arms and elbows are 1.
excoriated and the skin is Lack of activity alone does not cause skin breakdown.
shearing. The nurse 2.
practitioner explains to the Fat is redistributed to the abdomen and thighs, leaving
staff that Mrs. Jones needs bony surfaces, such as the face, hands, and sacrum,
frequent assessment of her exposed to potential injury, especially skin tears from
skin and protection shearing, friction forces and pressure ulcer
provided to prevent skin development.
breakdown because: 3.
Although losing weight may be a risk factor for falling,
1. Her lack of activity it is not directly related to skin breakdown.
causes the skin to tear. 4.
2. Fat has redistributed to There is no evidence that she is picking at herself, as
the abdomen and thighs, there is nothing reported anywhere else on her arms.
leaving bony surfaces in
areas such as the face,
hands, and sacrum. This
can result in injury.
3. She has lost weight and
is in jeopardy of falling.
4. She picks at herself and
causes skin breakdown.
, 10/3/24, 1:20 PM NRNP 6645 MIDTERM AND FINAL EXAM 2024/2025 /NRNP6645 PSYCHOTHERAPY WITH MULTIPLE MODALITIES|COM…
3. Mr. James is 91 years old. 3. Answer: 2
His daughter notices that Page: 97
he has bruises and
lacerations on his arms and
reports this to the nurse Feedback
practitioner, who tells her 1.
that older people bruise Markings on the skin may be signs of aging, a disease,
easily due to their fragile or maltreatment.
blood vessels. The skin 2.
lacerations happen Poorly healing wounds or chronic pressure ulcers may
because he has thin skin. signal a problem not only with the patient but with the
Even so, the nurse caregiver's ability to provide adequate care. Welts,
practitioner assures the lacerations, burns, and distinctive markings may
daughter that she will indicate a need for intervention.
investigate further to 3.
ensure that he is getting This is a result of the nurse practitioner addressing it
proper care. She says this further rather than the reason for addressing it.
because she understands 4.
that: A professional cannot assume abuse without good
reason.
1. These markings on the
patient's skin are part of
aging skin.
2. Bruises and lacerations
can indicate inadequate
care.
3. The daughter needs
assurance that her father is
okay.
4. The patient is being
abused.
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