Font size
WorksheetsPN Exam 2
Total questions: 50
Worksheet time: 2hrs 36mins
Which medical condition is most likely to increase the risk for hyperthermia?
Hypothyroidism
Osteoporosis
Urinary incontinence
Overhydration
The home health nurse helps the family improve the safety of the environment for the 85-year-old male patient with Parkinson disease who is a risk for falls related to:
Cognitive changes
Postural hypotension
Altered gait
Altered vision
The older patient had a stroke two years ago but now lives independently in his own home. He has some mild residual unilateral weakness. Which assessment related to safety is the nurse most likely to emphasize?
Vision changes, such as loss of depth perception.
Cardiac changes, such as cardiac arrhythmias.
Neurologic changes, such as alterations in balance.
Musculoskeletal changes, such as joint pain and stiffness.
Language is a very complex term which utilizes both hemispheres of the cerebral cortex contribute to the process of encoding and decoding. Select the region of the brain that is located in the posterior temporal lobe.
Broca's
Wernicke's area
Sundown syndrome
Hemianopsia
An older patient with dementia is trying to open the front door of the memory care unit because “I have to get Tommy from school.” She becomes agitated and frustrated when the door will not open. What is the nurse’s best response?
“Tommy is not at school. He is all grown up now, remember?”
“You can’t leave; it isn’t safe for you to go out in the street”
“Tommy doesn’t want you to leave. He told you that yesterday"
“Tommy is okay. Could you come with me? I need your help
For an older patient with hemianopsia, which intervention is the nurse most likely to use?
Face the patient and speak slowly in a low tone of voice
Teach the patient to turn the head and visually sweep the environment
Use a calendar to point out important events, such as holidays
Clean eyeglasses regularly and make sure that they fit properly
The home health nurse is meeting the older patient for the first time. The patient displays a short attention span, memory impairment, and lethargy. Which question will the nurse direct toward the patient’s family member to differentiate delirium from dementia?
Has he acted confused, agitated, or argumentative?
When did you first notice the lethargy and memory problems?
Can he independently dress and feed himself?
Has he been able to recognize and identify family members?
A nurse who considers himself an agnostic is assigned to be the primary care nurse for an older patient in hospice care. The patient asks the nurse if they could pray together at every visit. What should the nurse do first?
Pray with the patient, as requested, to help the patient meet spiritual needs related to dying
Ask the hospice agency to reassign the patient to a nurse who has the same faith as the patient
Respectfully inform the patient that their personal beliefs are different, so praying is inappropriate
Examine personal values and beliefs to determine if meeting the patient’s request is possible
Which actions indicate that the nurse is providing culturally competent care? Select all that apply:
Assists an older Muslim man to wash before praying and then provides privacy
Picks up the patient’s Koran and expresses an interest in learning more about the book
Contacts a Spanish translator to assist in taking a history from an older Latino woman
Assists an older Jewish patient to eat breakfast by cutting the ham into bite-sized pieces
Ensures that an older Muslim woman is cared for by female health care workers
What does perception refer to in the environment?
Intellect
Judgement
Memory
Interpretation
Which culture have an organized set of rituals or sacraments to address life events such as marriage, holidays, and death?
American Indians
Latinos
Jewish descent
Euro-Americans
The nurse observes an older adult who saves unopened crackers, jelly and juice packages for the meal tray. What does this behavior most likely not indicate? Select all that apply:
That the person would like an additional snack
That the person has problems with hoarding that needs to be evaluated
A habit that means nothing in particular
That the person is frugal and does not want to waste good, usable items
What type of stimulants can help a person overcome fatigue and lethargy? Select all that apply:
Caffeine
Prescription drugs
Alcohol
Xanax
A calorie restricted low sodium diet was prescribed for a terminally ill patient who has diabetes is in renal failure and has to do not resuscitate order. As death nears, the patient has very little appetite and picks at the food. What should appropriate nursing interventions include? Select all that apply:
Encourage family to bring in small amounts of food from home
Continue diet as ordered
Serve food in a place free from odors
Require person to eat at least one bite of each food group
Provide good oral hygiene
Which actions indicate that the nurse is providing culturally competent care? Select all that apply:
Assists an older Muslim man to wash before praying and then provides privacy
Picks up the patient’s Koran and expresses an interest in learning more about the book
Contacts a Spanish translator to assist in taking a history from an older Latino woman
Ensures that an older Muslim woman is cared for by female health care workers
Contacts a Spanish translator to assist in taking a history from an older Latino woman
Believes in the reincarnation and rebirth of the soul leading to a higher state of completeness. Death is viewed as the temporary stopping of physical activity.
Buddhism
Christianity
Hinduism
American Indian
The five stages of death of dying identified by Kubler-Ross. Select all that do not apply.
Denial
Depression
Self-Reflection
Bargaining
Acceptance
Select the option(s) which are normal progression of death?
Inability to take food and fluids by mouth
Constipation
Diarrhea
Dry mouth
Select the option below which reflects, If a person does not wish to be resuscitated, this has to be accurately recorded in all their health care records and communicated to anybody potentially involved in resuscitation efforts.
Attitude of End of life planning
Hospice
Values of End of life planning
Advance directive
A person's state of mind at the time of death is of great importance. A peaceful state may be achieved by listening to friends, family, or monks; reading scriptures; and chanting mantras.
Christianity
Islam
Buddhism
Hinduism
For an older patient with hemianopsia, which intervention is the nurse most likely to use?
Face the patient and speak slowly in a low tone of voice
Teach the patient to turn the head and visually sweep the environment
Use a calendar to point out important events, such as holidays
Clean eyeglasses regularly and make sure that they fit properly
The home health nurse is meeting the older patient for the first time. The patient displays a short attention span, memory impairment, and lethargy. Which question will the nurse direct toward the patient’s family member to differentiate delirium from dementia?
Has he been able to recognize and identify family members?
Has he acted confused, agitated, or argumentative?
When did you first notice the lethargy and memory problems?
Can he independently dress and feed himself?
After the 82-year-old female patient fell in her home, the home health nurse interviewed her about the incident because the information will:
Be collected for research purposes
Be reflected in the home health nurse’s documentation
Help the patient gain insight into the cause of the fall
Be used to guarantee no further falls
An older adult tells the nurse that she is having difficulty reading the newspaper. She states that she holds it away from her but still cannot see it. What is the best response for the nurse to make?
Reassure her that this situation is normal and encourage her to use a magnifying glass.
Ask her if any of her relatives have had this problem.
Suggest that she see an eye doctor for a prescription for reading glasses
An older man tells the nurse that all his family members mumble when they talk . How should the nurse respond to this statement?
Refer the family members to speech therapy
Suggest that the client have a hearing test.
Discuss with the family how to speak more clearly.
Ask the client if his parents had difficulty hearing.
Which group of people is likely to be the most homogeneous?
A group of retired people who sign up for a Caribbean cruise.
A group of older volunteers who serve meals to the homeless.
A group of retired nurses who meet monthly for coffee and chat.
A group of retired nurses who meet monthly for coffee and chat.
The older woman says, “I have to live with my son and his wife, and I have to live by their rules. I don’t have any choice.” For the nursing diagnosis of Powerlessness related to being dependent on family, which intervention would the nurse use?
Convince the family that older people need to be respected.
Tell the older woman that she has the right to refuse the rules.
Explore types of choices that can be made by all family members.
Tell the older woman to do as much for herself as possible.
An older patient seems uneasy and tells the nurse, “My son and daughter are coming to talk to me today, and I don’t know what to say.” The nurse suspects that the patient is experiencing some anxiety. Which intervention would the nurse use first?
Reassure the patient that the family is just concerned.
Provide a quiet and private environment for the family to talk.
Suggest that the patient watch television or work on a craft.
Encourage the patient to verbalize thoughts and feelings.
The older patient had a stroke two years ago but now lives independently in his own home. He has some mild residual unilateral weakness. Which assessment related to safety is the nurse most likely to emphasize?
Vision changes, such as loss of depth perception.
Cardiac changes, such as cardiac arrhythmias.
Neurologic changes, such as alterations in balance
Musculoskeletal changes, such as joint pain and stiffness.
The nurse should recognize what signs of suicide risk in older adults? Select all that apply.
Loss of a spouse or a close loved one
Obsession with clothes and appearance
Frequent complaints of physcial ailment
Giving away possessions to friends and family
Dependence on others to care for them
Why should the nurse use care when assessing pain level in older adults? Select all that apply.
Chronic pain is more common with aging
Older peole are able to tolerate more severe pain than younger persons
Older peole have increased sensory perception
Cognitive changes may alter the ability to report and describe pain
Behavioral changes may be indicators of pain
There are several approaches health care providers can utilized when working with confused older adults. Select the best options below. Select all that apply.
Provide a calm, safe and structure environment with a limited number of stimuli
Speak normally and informally as though the person is not confused
Provide familiar clothing and personal items from home
Provide care with a variety of health care providers
Develop monthly routines for care and activities
Which one is common coping or defense mechanisms people use to handle stress:
Substitution
Reactive
Proactive
Relaxation
When planning goals for depression, what should be the nurses first choice:
Increase physical activity
Decreased symptoms of depression
Ensure frequent rest periods
Provide exercises in decision-making
Religious rituals are formal and observable ceremonies used to affirm faith and a sense of belonging. Which nursing interventions should take place in extended care facilities?
Arrange transportation to church every Sunday.
Identify significant people who provide spiritual support.
Tell the family to please take all spiritual belonging home with them, so not to upset other residents of different faith
Have the resident convert to the staff's religious beliefs for harmony
Physical signs of stress include: Select all that apply:
Decreased urine production
Increased urine production
Clammy hands
Tingling sensation
Decreased blood sugar
Mental state characterized by disorientation to time, place, or person, lack of orderly thought, and the inability to choose or act decisively
Aphasia
Confusion
Cognition
Hemianopsia
The nurse is caring for an older patient who refuses to get up and walk or do anything for himself because “I am going to fall.” What is the nurse’s best response?
"Don’t worry. You’ll be okay if you just try and steady yourself”.
"Just sitting there all day is really bad for your body”.
“Practice using the walker, and I’ll walk right beside you”.
“We are here to help you, but you have to help yourself too”.
What assessment finding would be indicative of delirium?
TThere is no change in the level of consciousness.There is no change in the level of consciousness
The onset of the behavior was rapid.
The absence of disorientation.
The absence of hallucinations.
Which sign/symptom is a cause for the greatest concern?
Loss of sensation in a swollen leg.
Emesis with frank blood.
Rigid abdomen with absent bowel sounds.
Chest pain with a pulse of 38/min.
The home health nurse instructs the family caring for an 80-year-old man to be alert for signs of depression, which include:
agitation and irritability.
daytime napping.
constant talking.
seeking the company of family members.
The long-term care facility nurse sees evidence that the most devastating blow to the self-concept of the older adult is institutional placement, because persons in a long-term care facility:
are perceived as a single group.
have individual needs that are not met.
have lost many belongings that made up their identity.
have lost social contact
The most appropriate environment for a person suffering from dementia, is one that has which of the following?
Change rooms often to decrease boredom.
Familiar items and clothes from home.
Dim lighting and soft music always playing.
Bright lights and loud television for stimulation.
The nurse reminds the resident that takes antihypertensives that in order for him to prevent falls from orthostatic hypotension, he should:
Avoid climbing the stairs alone.
Avoid taking a cold bath or shower
Walk without an assistive device.
Sit up a few minutes before ambulating.
The nurse is helping a family make “rules” for their father to help him drive safely. The rule that is inappropriate would be to:
Limit driving to nearby areas with easy access.
Drive way below the speed limit to maintain safety.
Plan ahead and know where he is going.
Wear prescribed glasses and hearing aids.
In adapting the environment for a person with right-sided hemianopsia, the nurse should:
Avoid turning his head to reduce added perceptual problems.
Arrange personal articles on the left side of the bed.
Touch the client on the right side to get his or her attention.
Approach the client from the right side.
The nurse lists factors that increase the risk of vehicular accidents for the older driver. The nurse would be accurate by pointing out which of the following factors? Select all that apply:
Changes in night vision.
Reduced flexibility.
Safety islands in the street.
Altered depth perception.
The nurse is discussing the care of a client who has a hearing deficit. Which suggestion is most appropriate to make to those around him?
Speak in a higher tone of voice
Raise your voice when speaking
Be sure to stand so there are no bright lights behind you
Keep the television or radio on when having a conversation.
Which of the following would indicate that the client is having possible suicidal thoughts?
Asks for assistance in rewriting his will.
Donates money to his favorite charity.
Voices the intention to visit a brother.
Asks the young widow next door for a dinner date.
The client with dementia becomes combative when being prepared for a bath in the shower. Which of the following should the nurse do first?
Call for assistance with the client and quickly complete the shower.
State to the client, “I understand you don’t want a shower, so I’ll give you a sponge bath.”
State to the client, “It’s alright if you don’t take your bath, it’s your right to remain dirty.”
Medicate the client with a sedative and complete the bath.
