DNP701 Advanced Practice Nursing in the Care of Older Adults (2022/2023)100% Correct Answe, Exams of Nursing

Download DNP701 Advanced Practice Nursing in the Care of Older Adults (2022/2023)100% Correct Answe and more Exams Nursing in PDF only on Docsity! DNP701 Advanced Practice Nursing in the Care of Older Adults (2022/2023)100% Correct Answers . Mrs. Smith, 75 years old, reports that she is weak, has difficulty urinating, and is dehydrated. Although she is afebrile, the nurse conducts a thorough physical examination, including urinalysis and complete blood count (CBC). The total assessment is necessary because: 1. All body systems interact, and symptoms could indicate a variety of diagnoses. 2. The symptoms are vague and may be signs of aging. 3. There may be other signs or symptoms more indicative of the condition. 4. Mrs. Smith may not be reporting all significant information. - correct answer ✅Answer: 1 Page: 2 Feedback 1. The clinician must be aware that all the systems interact and, in doing so, can increase the older person's vulnerability to illness/disease. 2. DNP701 Advanced Practice Nursing in the Care of Older Adults (2022/2023)100% Correct Answers The nurse must not attribute symptoms only to the aging process. 3. There may be comorbidities accompanying this condition. 4. Assumptions of not reporting properly may not be true. A patient with renal disease has blood work drawn, and the results show an increase in serum creatinine. The nurse practitioner needs to know which of the following laboratory values before ordering medications? 1. CBC 2. Culture and sensitivity of the urine 3. Creatinine clearance 4. Uric acid levels - correct answer ✅Answer: 3 Page: 3 DNP701 Advanced Practice Nursing in the Care of Older Adults (2022/2023)100% Correct Answers . Janey, 25 years old, may experience arthritis differently than 65-year-old Mrs. Johnson because: 1. The body undergoes physiological changes with aging. 2. A healthy body does not experience significant changes as one gets older. 3. Older patients do not feel any systemic symptoms, such as malaise and weight loss. 4. Even though the same joints are usually affected, age makes it feel different. - correct answer ✅Answer: 1 Page: 5 Feedback 1. Knowledge of the bimodality of age onset of certain disease conditions will aid the advanced practice nurse in avoiding misdiagnosis or delay in diagnosis due to lack of recognition. 2. DNP701 Advanced Practice Nursing in the Care of Older Adults (2022/2023)100% Correct Answers Symptoms of rheumatoid arthritis may be different depending on the age of the patient. 3. Younger patients may not experience constitutional symptoms such as fever, malaise, weight loss, and depression. 4. In late-onset rheumatoid arthritis, the joint involvement is more often in the larger joints. The nurse practitioner is examining an 85-year-old man with reports of abdominal pain, weakness, and loss of appetite. Which is the most likely condition to be tested for and ruled out? 1. Neoplasms and carcinomas 2. Partial seizure 3. Sarcopenia 4. Hirschsprung's disease. - correct answer ✅Answer: 1 Page: 4 DNP701 Advanced Practice Nursing in the Care of Older Adults (2022/2023)100% Correct Answers Feedback 1. Certain diseases, such as neoplasms and carcinomas, are more common in the elderly, and an understanding of the epidemiology is critical in the interpretation. 2. Partial seizure is more common in early old age. 3. Sarcopenia is more common in early old age. 4. Hirschsprung's disease is most common in infancy. . For individuals over 65 years old, the most common morbidities are related to: 1. Heart disease, arthritis 2. Respiratory problems, cancer 3. Diabetes, stroke DNP701 Advanced Practice Nursing in the Care of Older Adults (2022/2023)100% Correct Answers 4. A thorough examination will detect objective indicators. The nurse practitioner performs a thorough systemic examination of a patient who reports diarrhea and pain in the upper left quadrant of the abdomen. One possible diagnosis would be: 1. Hirschsprung's disease 2. Pancreatitis 3. Appendicitis 4. Gastrointestinal inflammatory bowel disease (GIBD) - correct answer ✅Answer: 4 Page: 5 Feedback 1. Hirschsprung's disease is an obstruction of the colon in infancy. 2. DNP701 Advanced Practice Nursing in the Care of Older Adults (2022/2023)100% Correct Answers Diarrhea is not associated with pancreatitis. 3. Appendicitis is more common in younger patients than in older patients. 4. GIBD is manifested differently in a bimodal pattern. A 70-year-old man is seeing a nurse practitioner because he is feeling weak and dizzy. The nurse practitioner is discussing a care plan with him and makes which of the following statements? Select all that apply. 1. I want to order a test for your heart to evaluate its function. 2. I will perform a thorough examination of your functional abilities. 3. I will order a blood sugar test to check for diabetes. 4. Many older people feel this way. It is to be expected. 5. I will assess you for the presence of other conditions. - correct answer ✅Answer: 1, 2, 3, 5 Page: 2, 3 DNP701 Advanced Practice Nursing in the Care of Older Adults (2022/2023)100% Correct Answers Feedback 1. A complete assessment will help differentiate signs of aging from disease. 2. All systems interact and can affect an existing condition. 3. Identifying underlying conditions will avoid undertreatment. 4. Attributing symptoms to aging can contribute to depression in an older person. 5. There are changes in the sympathetic response which contribute to the orthostasis and falls, as well as lack of hypoglycemic response. The nurse practitioner is leading a class of seniors over age 65 years and is teaching about nutritional needs. One of the men asks why, even though he eats correctly according to the standards presented, he still feels weaker than he did 10 DNP701 Advanced Practice Nursing in the Care of Older Adults (2022/2023)100% Correct Answers 4. Blood work is not a reliable indicator of health because many things can affect your health that may not show up in the results of your blood work. 5. There is likely no significant difference as your body remains stable in its functioning. - correct answer ✅Answer: 2, 3 Page: 4, 5 Feedback 1. Biochemical individuality variation is often much smaller than variation within the larger group. 2. The aging process and decline in organ function may affect the health of elders. 3. Disease, nutrition, and medications affect the health of elders. 4. Although abnormal laboratory findings are often attributed to old age, rarely are they true aging changes. DNP701 Advanced Practice Nursing in the Care of Older Adults (2022/2023)100% Correct Answers 5. Many factors can influence laboratory value interpretation in the elderly, including the physiological changes with aging, the prevalence of chronic disease, changes in nutritional and fluid intake, lifestyle (including activity), and the medications that are taken. An elderly couple is discussing health concerns with the nurse practitioner. The couple is concerned that each of their individual blood studies show different results. One set of test results shows a significant decrease in blood sugar, but the test results of the partner does not show an equal decrease. Their physician does not seem concerned, and the couple is wondering why. How is it best for the nurse practitioner to respond? Select all that apply. 1. Studies show that each person's pattern of chemical make-up is different. 2. There is no difference between one person's range of blood results and that of any other person. 3. Each person's chemical make-up is the same as that of others of the same gender and age group. 4. Many factors affect an individual's chemical make-up. DNP701 Advanced Practice Nursing in the Care of Older Adults (2022/2023)100% Correct Answers 5. Ranges of the values provided by the laboratory are correct for any ag - correct answer ✅Answer: 1, 4 Page: 2, 3 Feedback 1. Individuals experience smaller variations in laboratory work than from the others in the same age group. 2. There are wider variations of laboratory results within a group of older people. 3. Laboratory values are determined by more than age and gender. 4. Laboratory values may vary as a result of nutrition, activity, and emotional status. 5. DNP701 Advanced Practice Nursing in the Care of Older Adults (2022/2023)100% Correct Answers . Mrs. Smith is 75 years old and has had type 2 diabetes for 30 years. She sees her nurse practitioner on a regular basis. Mrs. Smith asks the nurse practitioner why her treatment has not been changed, even though her laboratory values are seemingly out of normal range. Which of the following answers are best? Select all that apply. 1. A decision to make changes must be based on a pattern and not on one set of laboratory results. 2. The normal range charts are based on patients younger than 75 years. 3. Currently, it is too expensive to change your treatment. 4. Comparing new results with your prior results gives a more accurate picture. 5. Normal values for laboratory tests differ as one gets older - correct answer ✅Answer: 1, 4, 5 Page: 3 Feedback 1. DNP701 Advanced Practice Nursing in the Care of Older Adults (2022/2023)100% Correct Answers Blood studies are more valuable when assessing for an increase or decrease in values. 2. It is not helpful to use aging as an explanation for possible abnormal results. 3. If a change in treatment is appropriate, the least expensive alternative should be sought. 4. Significant disturbances in the same individual may be detected through serial laboratory tests. 5. The clinician must determine whether a value obtained reflects a normal aging change, a disease, or the potential for disease. Mr. Adams is 90 years old. In the last few months he appears unable to comply with the health-care plan developed by the nurse practitioner. The nurse practitioner considers which of the following reasons for noncompliance when updating his home care plan? Select all that apply. DNP701 Advanced Practice Nursing in the Care of Older Adults (2022/2023)100% Correct Answers 1. Polypharmacy 2. Treatment burden 3. Attending multiple appointments 4. Affording complex drug regimens 5. Cognitive ability only - correct answer ✅Answer: 1, 2, 3, 4 Page: 5 Feedback 1. As a patient ages, this correlates with more medications having been ordered. 2. Patients with multimorbidity are known to have a treatment burden in terms of understanding and self-care management of their conditions. 3. Patients with multimorbidity are known to have a treatment burden in terms of understanding and self-care management of their conditions. 4.