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NR601 Test Bank: Questions on Medication Therapy and Older Adults, Exams of Nursing

A test bank of questions related to the safe and effective medication therapy of older adults. The questions cover various topics such as the beers list, sleep hygiene, fall prevention, dementia care, and more. The test bank is designed for nursing students and is graded a+.

Typology: Exams

2023/2024

Available from 05/16/2024

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Download NR601 Test Bank: Questions on Medication Therapy and Older Adults and more Exams Nursing in PDF only on Docsity! NR 601 Test Bank / NR601 POSSIBLE QUESTIONS-with 100% verified solutions- 2023-2024 |already Graded A+ NR 601 Test Bank / NR601 POSSIBLE QUESTIONS-with 100% verified solutions- 2023 With 100 Q&A 1. A 77-year-old Hispanic Catholic Nun (retired) who immigrated to the United States 15 years ago lives alone but in an apartment complex where her sister lives as well. She is being discharged home after a hospitalization for congestive heart failure with prescriptions for 8 different medications. She is consideredat risk for noncompliance due to the following contributing factors except: • Ethnic background 2. A 78-year-old patient who is dying of colon cancer with metastases to the liver is refusing to eat or drink. He is alert and oriented, and states that he has no desire to eat, which is causing the family great distress. Inorder to best address the client and family, you should: • Educate the family that this is normal behavior in this situation 3. A 79-year-old female client resides independently in the community. The client’s daughter is concerned because her mother insists on wearing a sweater and keeps all of the windows closed even though it is 90 degrees Fahrenheit outside. The nurse practitioner initially recognizes that this behavior may be related to: • age-related neurosensory changes that diminish awareness of temperature changes 4. An 88-year-old, being admitted to rule out lung cancer, is assessed using the short form of the GeriatricDepression Scale tool. When it is determines that the earned score is 9, the nurse practitioner initially: • asks if they have any thoughts of committing suicide 5. The area in which nurse practitioners have the greatest effect on the safe, effective medication therapy of anolder client is: • educating the client to all aspects of the medication. NR 601 Test Bank / NR601 POSSIBLE QUESTIONS-with 100% verified solutions- 2023-2024 |already Graded A+ 6. The Beers list is an effective tool for healthcare professionals prescribing and/or managing the medicationtherapy of older adults since it identifies medications that for this population: • have a higher than usual risk for injury 7. A client who reported, “a problem sleeping” shows an understanding of good sleep hygiene when: • limiting the afternoon nap to just 30 minutes NR 601 Test Bank / NR601 POSSIBLE QUESTIONS-with 100% verified solutions- 2023-2024 |already Graded A+ independently in a safe environment. Which assessment data supports this evaluation? • The client demonstrates the home's security alarm system. Various safety features were installed when the bathroom was remodeled.The nurse observes the client NR 601 Test Bank / NR601 POSSIBLE QUESTIONS-with 100% verified solutions- 2023-2024 |already Graded A+ wearing a safety alarm bracelet. The client's home is within walking distance of a grocery store. 22. The nurse practitioner educates the older client that the greatest risk related to poor foot care results is: • loss of independent mobility. 23. The nurse practitioner has the obligation to ask questions and obtain specific information about the use ofherbs and supplements. Which of the following statements is most accurate regarding herbal therapy? • may interact with prescription medications 24. A nurse practitioner in an area of the country that is prone to tornadoes routinely discusses disasterpreparedness with older adult clients. What is the primary rationale for this intervention? • Older adults are less likely to seek formal and informal help when affected by natural disasters. 25. A nurse practitioner is preparing an educational program focused on herbal supplements. Which of thefollowing is a likely interested target group? • White females who own their own successful businesses NR 601 Test Bank / NR601 POSSIBLE QUESTIONS-with 100% verified solutions- 2023-2024 |already Graded A+ 26. The nurse practitioner is preparing educational material concerning fire safety in the home. What researchdata will be included in the material? • fire mortality is highest in adults older than 65 years of age 27. The nurse practitioner is providing care for an older client who is experiencing mild cognitive impairment. Which communication technique is most likely to bring about a negative outcome? • Asking the family to answer interview questions 28. The nurse practitioner makes the greatest impact on the safe management of an 81-year-old client’smedication administration when included in education is: • a pillbox with compartments for each day and each of the doses 29. The nurse practitioner’s first response when told by a client during an assessment interview that they “can’ttake furosemide (Lasix)” is to ask: • "Can you describe what happened when you took Lasix?" 30. The nurse practitioner suspects that a client is experiencing tardive dyskinesia when observing: • the client's facial muscles are twisting involuntarily 31. The nurse suspects that an older adult client is experiencing symptomology seen in herpes zoster when theclient • rates the pain as an 8 out of a possible 10 develops clusters of fluid-filled vesicles reports symptoms focused on one side of the body 32. A nurse suspects that her next-door neighbor, an older woman, is a victim of elder abuse by her daughter. What is the appropriate action for the nurse to do in this situation? • Complete a confidential report with the adult protective services in the area. 33. Of the following agents, which is least likely to cause a chronic or recurrent cough? • Gabapentin 34. Of the following risk factors, which is not NR 601 Test Bank / NR601 POSSIBLE QUESTIONS-with 100% verified solutions- 2023-2024 |already Graded A+ 39. An older client diagnosed with dementia resides with his daughter. When the home care nurse visits, thedaughter tearfully tells the nurse that her father scratched her hand and cursed at her when she was attempting to feed him. She states, “I don’t know why he hates me and wants to hurt me. I try so hard totake good care of him. I love him.” How will the nurse respond to the client’s daughter? • "Let's try to figure out what your father was trying to say with his behavior." 40. An older client prescribed a transdermal morphine patch for severe chronic pain is being educated on the appropriate administration of the medication. The nurse shows an understanding of essential information regarding this route of drug administration when stating: • “Since you have problems with digestion, this is a good way to take your medication." 41. The original intent of Social Security was to: • minimize the dependency of older members on younger members of society. 42. The primary risk for injury experienced by a client diagnosed with asthma is: • infections of the lower respiratory tract 43. Research has shown that long-term care (LTC) facility nursing • is comparable to the complexity and demand of intensive care nursingis a nursing intensive environment crosses the continuum of care 44. Snoring is a symptom of which of the following disorders: • Sleep apnea 45. State Death with Dignity Laws require that the terminally ill client be • educated regarding treatment alternatives. 46. Weight loss is frequently caused by ingestion of the following drugs. • Antibiot ics Digoxin Nonsteroidal anti-inflammatory drugs (NSAIDs) Theophylline NR 601 Test Bank / NR601 POSSIBLE QUESTIONS-with 100% verified solutions- 2023-2024 |already Graded A+ 47. What factor is an important contribution to polypharmacy in older adults? • Inadequate communication among medical care providers 48. What research finding is the basis for care planning of the client receiving palliative care? • Pain management is inadequately addressed among the terminally ill NR 601 Test Bank / NR601 POSSIBLE QUESTIONS-with 100% verified solutions- 2023-2024 |already Graded A+ population. 49. When a chronically ill 80-year-old client is admitted to your acute care facility in an unconscious state, thenurse practitioner’s priority is to determine: • who is the client's durable power of attorney for health care (DPAHC). 50. When acting as a fictive kin, in which activity will a paid caregiver engage? • organizing the client's birthday celebration 51. When an older adult client is diagnosed with restless leg syndrome (RLS), the nurse practitioner is confident that client education on the condition’s contributing factors has been effective when the clientstates: • "I've cut way back on my caffeinated coffee, teas and sodas." 52. When answering an older client’s questions about diet, exercise, and bone integrity, which exercise would the nurse practitioner identify as ineffective at meeting the need for moderately intense aerobic activity? NR 601 Test Bank / NR601 POSSIBLE QUESTIONS-with 100% verified solutions- 2023-2024 |already Graded A+ inactivity 61. When providing information regarding age-related visual problems, the nurse practitioner recognizes thatthe target population is: • African-American 62. When using the Fulmer SPICES assessment tool, the nurse practitioner expects to ask: • "Who helps you when you can't do something by yourself?" 63. When working with a bereaved individual, the goal of nursing interventions is to: • assist the individual to attain a healthy adjustment to the loss experience. 64. Which activity would a couple in the reorientation phase of their retirement engage in? • Establishing a new budget that will allow them to travel to see the grandchildren 65. Which behavior suggests that an older adult who has lost their life partner is successfully managing theexploration stage of the adjustment process? NR 601 Test Bank / NR601 POSSIBLE QUESTIONS-with 100% verified solutions- 2023-2024 |already Graded A+ • Smiles when reminiscing about the trips they took over the years 66. Which characteristic is seen in a family’s ‘kin-keeper’? • Organizes the yearly family reunion 67. Which client statement indicates an understanding of a primary benefit to be derived from moderatelyintense aerobic exercise? • "Exercise will help keep my heart strong." 68. Which diagnosis is associated with the symptom of early morning awakening and poor quality of sleep: • Sleep apnea 69. Which factor is the greatest barrier to an older adult living independently? • Deficits in vision and/or hearing resulting in safety issues 70. Which form of urinary incontinence is most common in older adults? • Urge 71. Which housing arrangement would best address the family who wants to provide housing for an older family member who has a large degree of physical and cognitive independence and a desire to be closelyinvolved with the family? • A "granny" apartment in a separate part of the house 72. Which intervention addresses a guiding principle for creating an elder- friendly acute care facility? • A client is asked when they would prefer to bathe; morning, afternoon or evening 73. Which intervention addresses a right guaranteed a long-term care facility resident? • Family members are welcome at anytime 74. Which intervention best addresses the principle that is the basis for communicating with a clientexperiencing post-surgical delirium? • Assuming that the client's statements are an attempt to express needs 75. Which intervention best demonstrates the nurse practitioner understands safe medication administration ofrivastigmine (Exelon) to the older client experiencing symptoms of Alzheimer’s disease? NR 601 Test Bank / NR601 POSSIBLE QUESTIONS-with 100% verified solutions- 2023-2024 |already Graded A+ • The client is carefully monitored for side effects before the medication dose is increased 76. Which intervention demonstrates effective care for an individual who has expressed a wish to “retiresometime soon”? • Asking about when they plan to retire NR 601 Test Bank / NR601 POSSIBLE QUESTIONS-with 100% verified solutions- 2023-2024 |already Graded A+ 89. Which statement correctly describes normal changes of aging? • Individual variations are enormous at every age and in every part of the body. 90. Which statement made by a nurse regarding a resident of a long-term care facility NR 601 Test Bank / NR601 POSSIBLE QUESTIONS-with 100% verified solutions- 2023-2024 |already Graded A+ requires follow up by thenurse manager? • "If he doesn't take his medication, he'll get no dessert tonight." 91. Which statement made by the resident of a long-term care facility is evidence that the facility is providing care in accordance with the Long-Term Care Residents’ Bill of Rights? • "I was told that if I didn't want to change rooms, I didn't have to." 92. Which statement reflects a need for further education on elder abuse? • "Abuse does not happen in people of financial means." 93. Which statements made by a couple who have recently retired support the nurse’s evaluation that thetransition to retirement has been a successful one? • "I'm afraid we can't make it that weekend; we'll be visiting the grandchildren." NR 601 Test Bank / NR601 POSSIBLE QUESTIONS-with 100% verified solutions- 2023-2024 |already Graded A+ 94. Which truism will the nurse practitioner base spousal grief counseling upon? • Women are generally more likely to outlive their spouses. 95. While the older African-American is at the highest risk for developing Alzheimer’s disease, the nursepractitioner demonstrates an understanding of this disease process’s risk factors when assessing this population’s: • Blood pressure and glucose serum ln 96. A widowed grandmother is about to assume the role of custodial parent for her 6-year-old grandchild.Which intervention has priority • Teaching stress management and relaxation techniques 97. Your client is cared for at home by his son and daughter-in-law, who are also responsible for the care oftheir four preschool-aged children. What is true of this “sandwich” generation? • The conflicts that arise from caring for both older adults and children can be very stressful. 98. You suspect that the spouse of a terminally ill client is experiencing anticipatory grief when they: • Dramatically reduce the time they spend attending to the client 99. Of the following risk factors, which is not associated with Alzheimer's disease (AD)? • history of respiratory infections 100 Which diagnosis is associated with the symptom of early morning awakening and poor quality of sleep: • Depression