Question: A nurse is screening the following individuals for age-related changes. Which activity would be most important to recommend to a “young-old” adult aged 65 to 70. Which activity is most appropriate? A. Using a magnifying glass to read B. Learning how to join an online social network C. Discussing national leadership during the Vietnam War D. Identifying the most troubling story in today’s newspaper
Answer Choices: Not provided.
Answer: B
Question: Which beliefs facilitate provision of safe, effective care for older adult patients? (Select all that apply.) A. Sexual interest declines with aging. B. Older adults are able to learn new tasks. C. Aging results in a decline in restorative sleep. D. Older adults are prone to become crime victims. E. Older adults are usually lonely and socially isolated.
Answer Choices: Not provided.
Answer: B, C, D
Question: A nurse assessing an older adult patient for depression should include questions about mood as well as which other symptoms? (Select all that apply.) A. Increased appetite B. Sleep pattern changes C. Anhedonia and anergia D. Increased social isolation E. Increased concern with bodily functions
Answer Choices: Not provided.
Answer: B, C, D, E
Question: An older patient reports drinking a six-pack of beer daily. The patient tells the community health nurse, “I’ve been having trouble with my arthritis lately, so I take acetaminophen four times a day for pain.” What are the nurse’s priority interventions? (Select all that apply.) A. Inquiring about sleep disturbances caused by mixing alcohol and analgesic medications B. Determining the safety of the daily acetaminophen dose the patient is ingesting C. Advising the patient of harmful effects of alcohol and acetaminophen on the liver D. Suggesting an increase in the acetaminophen dose because alcohol produces faster excretion E. Assessing the patient for declining functional status associated with medication-induced dementia
Answer Choices: Not provided.
Answer: B, C
Question: A nurse caring for an older adult patient population should be familiar with which legal and ethical issues that are common concerns for this group? (Select all that apply.) A. Physical abuse B. Emotional abuse C. Autonomy decision D. Economic abuse E. Need for medication therapy
Answer Choices: Not provided.
Answer: A, C
Question: What behavior by a nurse caring for a patient diagnosed with an eating disorder indicates the nurse needs supervision?
Answer Choices: a. The nurse’s comments are compassionate and nonjudgmental. b. The nurse uses an authoritarian manner when interacting with the patient. c. The nurse teaches the patient to recognize signs of increasing anxiety and ways to intervene. d. The nurse refers the patient to a self-help group for individuals with eating disorders.
Answer: b. The nurse uses an authoritarian manner when interacting with the patient.
Question: A nursing diagnosis for a patient diagnosed with bulimia nervosa is: ineffective coping, related to feelings of loneliness as evidenced by overeating to comfort self, followed by self-induced vomiting. The best outcome related to this diagnosis is that within 2 weeks the patient will demonstrate what?
Answer Choices: a. Appropriate expression of angry feelings b. Verbalization of two positive things about self c. Verbalization the importance of eating a balanced diet d. Identification of two alternative methods of coping with loneliness
Answer: d. Identification of two alternative methods of coping with loneliness
Question: Which nursing intervention has the highest priority for a patient diagnosed with bulimia nervosa?
Answer Choices: a. Assist the patient to identify triggers to binge eating. b. Provide corrective consequences for weight loss. c. Explore patient needs for health teaching. d. Assess for signs of impulsive eating.
Answer: a. Assist the patient to identify triggers to binge eating.
Question: One bed is available on the inpatient eating disorders unit. Which patient experiencing a weight should be admitted?
Answer Choices: a. 150 to 100 pounds over a 4-month period. Vital signs: temperature, 35.9° C; pulse, 38 beats/min; blood pressure, 60/40 mm Hg. b. 120 to 90 pounds over a 3-month period. Vital signs: temperature, 36° C; pulse, 50 beats/min; blood pressure, 70/50 mm Hg. c. 110 to 70 pounds over a 4-month period. Vital signs: temperature, 36.5° C; pulse, 60 beats/min; blood pressure, 80/66 mm Hg. d. 90 to 78 pounds over a 5-month period. Vital signs: temperature, 36.7° C; pulse, 62 beats/min; blood pressure, 74/48 mm Hg.
Answer: a. 150 to 100 pounds over a 4-month period. Vital signs: temperature, 35.9° C; pulse, 38 beats/min; blood pressure, 60/40 mm Hg.
Question: While providing health teaching for a patient diagnosed with bulimia nervosa, what information should a nurse emphasize?
Answer Choices: a. Self-monitoring of daily food and fluid intake b. Establishing the desired daily weight gain c. Recognizing symptoms of hypokalemia d. Self-esteem maintenance
Answer: c. Recognizing symptoms of hypokalemia
Question: As a patient admitted to the eating disorders unit undresses, a nurse observes that the patient’s body is covered by fine, downy hair. The patient weighs 70 pounds and is 5 feet, 4 inches tall. Which condition should be documented?
Answer Choices: a. Amenorrhea b. Alopecia c. Lanugo d. Stupor
Answer: c. Lanugo
Question: A patient being admitted to the eating disorders unit has a yellow cast to the skin and fine downy hair covering the body. The patient weighs 70 pounds; height is 5 feet, 4 inches. The patient is quiet and says only, “I won’t eat until I look thin.” What is the priority initial nursing diagnosis?
Answer Choices: a. Anxiety, related to fear of weight gain b. Disturbed body image, related to weight loss c. Ineffective coping, related to lack of conflict resolution skills d. Imbalanced nutrition: less than body requirements, related to self-starvation
Answer: d. Imbalanced nutrition: less than body requirements, related to self-starvation
Question: A nurse conducting group therapy on the eating disorders unit schedules the sessions immediately after meals for what primary purpose?
Answer Choices: a. Maintaining patients’ concentration and attention b. Shifting the patients’ focus from food to psychotherapy c. Focusing on weight control mechanisms and food preparation d. Processing the heightened anxiety associated with eating
Answer: d. Processing the heightened anxiety associated with eating
Question: Physical assessment of a patient diagnosed with bulimia nervosa often reveals what data?
Answer Choices: a. Prominent parotid glands b. Peripheral edema c. Thin, brittle hair d. Amenorrhea
Answer: a. Prominent parotid glands
Question: Which personality characteristic is a nurse most likely to assess in a patient diagnosed with anorexia nervosa?
Answer Choices: a. Carefree flexibility b. Rigidity, perfectionism c. Open displays of emotion d. High spirits and optimism
Answer: b. Rigidity, perfectionism
Question: Which assessment finding for a patient diagnosed with an eating disorder meets a criterion for hospitalization?
Answer Choices: a. Urine output: 40 mL/hr b. Pulse rate: 58 beats/min c. Serum potassium: 3.4 mEq/L d. Systolic blood pressure: 62 mm Hg
Answer: d. Systolic blood pressure: 62 mm Hg
Question: Which statement is a nurse most likely to hear from a patient diagnosed with anorexia nervosa?
Answer Choices: a. “I would be happy if I could lose 20 more pounds.” b. “My parents don’t pay much attention to me.” c. “I’m thin for my height.” d. “I have nice eyes.”
Answer: a. “I would be happy if I could lose 20 more pounds.”
Question: Which nursing diagnosis is more applicable for a patient diagnosed with anorexia nervosa who restricts intake and is 20% below normal weight than for a 130-pound patient diagnosed with bulimia nervosa who purges?
Answer Choices: Not provided.
Answer: Powerlessness
Question: An outpatient diagnosed with anorexia nervosa has begun refeeding. Between the first and second appointments, the patient gained 8 pounds. The nurse should implement what intervention to assess patient safety?
Answer Choices: a. Assess lung sounds and extremities. b. Suggest the use of an aerobic exercise program. c. Positively reinforce the patient for the weight gain. d. Establish a higher goal for weight gain the next week.
Answer: a. Assess lung sounds and extremities.
Question: When observing a patient diagnosed with anorexia nervosa vigorously exercising before gaining the agreed-upon weekly weight, what response should the nurse provide?
Answer Choices: a. “You and I will have to sit down and discuss this problem.” b. “It bothers me to see you exercising. You’ll lose more weight.” c. “Let’s discuss the relationship between exercise and weight loss and how that affects your body.” d. “According to our agreement, no exercising is permitted until you have gained a specific amount of weight.”
Answer: d. “According to our agreement, no exercising is permitted until you have gained a specific amount of weight.”