Psych 3 test

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ssoucie
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245078
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Psych 3 test
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2013-11-04 23:04:20
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psych 3 test
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  1. Aricept (donepezil) is an Alzheimer's medication and is expected to do what?
    enhance the concentration of ___ in the brain, thus improve ________ ______.
    • -Acetylcholine
    • -cognitive functioning
  2. What is it called when the loss of the ability to recognize or identify familiar objects?
    Agnosia
  3. What is it when you're unable to perform previously known motor activities?
    Apraxia
  4. What types of drugs should be avoided in persons with dementia, as it can interfere with learning & might decrease cognitive abilities further?
    Benzodiazepines (ie. Valium)
  5. Hospital management is reviewing departmental statistics. Which of the following departments most likely has the highest death rate of patients over age 65, and why?
    a)Endocrinology, because the elderly already have compromised immune systems

    b)Cardiology, because heart disease remains the number one cause of death among the elderly despite a decline in recent years

    c)Neurology, because stroke and Alzheimer's disease together cause more deaths of the elderly than any other conditions

    d)Oncology, because the elderly have been exposed to more carcinogens in their long lifetimes
    b)Cardiology, because heart disease remains the number one cause of death among the elderly despite a decline in recent years
  6. A nurse is providing care for an 81-year-old Hispanic woman in the context of a geriatric medicine unit of a hospital. Which phenomena should the nurse anticipate?

    a)The woman's family will most likely delegate responsibility for her care to the hospital care team.

    b)She is likely to forego medical or traditional treatment due to a fatalistic view of health and illness.

    c)The client's family is likely to advocate for her placement in a nursing home at an early stage.

    d)The client is likely to prioritize the role of spirituality in the healing process.
    d)The client is likely to prioritize the role of spirituality in the healing process.
  7. A nurse who works in an inner-city clinic provides care for a large number of older black clients. Which  health promotion activities best reflects the particular health needs of this population?

    a)An education session on the positive health effects of good nutrition.

    b)A screening mammography campaign for older black women.

    c)A blood sugar and blood pressure monitoring program.

    d)A program that teaches black men the importance of regular prostate health screening.
    c)A blood sugar and blood pressure monitoring program.
  8. An 80-year-old resident of an assisted-living facility is proud of the fact that he was an elite athlete during his younger years. Despite his concerted efforts to remain physically active and maintain his stamina, he is lamenting his loss of exercise tolerance in recent years. How can his nurse best respond to these concerns?

    a)“As you age, it's common for your heart rate becomes less regular and this often results in fatigue.”

    b)“It's normal for your heart to contract less strongly as you age, and this makes you somewhat less able to exercise vigorously.”

    c)“The normal increase in blood pressure that accompanies aging leaves you with less cardiac reserve capacity than when you were young.”

    d)“It's inevitable that your heart increases in size as you age, and this is associated with a loss of cardiac efficiency.”
    b)“It's normal for your heart to contract less strongly as you age, and this makes you somewhat less able to exercise vigorously.”
  9. A hospital client, aged 82 years, is presently undergoing a  diagnostic workup in an effort to diagnose his increasing fatigue or unknown etiology. Which findings would his care team recognize as potentially pathological?

    a)Apparent decreased thyroid gland activity.

    b)Delayed and insufficient release of insulin by the beta cells.

    c)Decreased erythropoietin production by the kidneys.

    d)Pituitary gland atrophy and decreased somatotropic growth hormone levels.
    c)Decreased erythropoietin production by the kidneys
  10. The heart muscle commonly weakens with age. What is a consequence of this fact?

    a)Blood pressure lowers.

    b)The heart beats faster but pumps with less force.

    c)Fatty deposits and other substances clog narrowed coronary vessels.

    d)The time required for the heart's diastolic-systolic cycle decreases
    b)The heart beats faster but pumps with less force.
  11. The nurse is working with older adults and notices that they  appear rigid in their attitudes. What could be the cause of this?

    a)Diminished ability to learn new information

    b)Physical or mental limitations

    c)Decline in morale and self-esteem

    d)Changes in personality that accompany aging
    b)Physical or mental limitations
  12. With aging the skin becomes thinner and more fragile. The thinning of the skin's subcutaneous fat layer makes older adults more sensitive to:
    cold
  13. The nurse working with clients in the nursing home is aware that the common aging change of delayed esophageal emptying could put the client at risk of for?
    Aspiration
  14. As a nurse discharge planner explaining available outpatient services to a family contemplating discharge, what would the nurse explain about rehabilitation or skilled care:

    A)is focused on short-term functional outcomes.

    B)deals with chronic decline in health status due to chronic illness.

    C)maintains cognitive function.

    D)includes respite care.
    A)is focused on short-term functional outcomes.
  15. You are assessing an adult victim of domestic violence. What might you expect to find during the history? That she has:

    A)An adequate self-esteem and knows that she can stop the abuse.

    B)Denial of the reality of her serious injuries.

    C)Few, if any, friends and little support from family members.

    D)Few memories of past hospitalizations for abuse
    C)Few, if any, friends and little support from family members.
  16. The nurse who is planning care for victims of domestic violence understands that during the Tension Building Phase of the Cycle of Violence, victims may protect themselves by exhibiting which behavior?

    A)Welcoming the idea to have someone else contact the authorities

    B)After the abuser apologizes, expresses hope about the future

    C)Attempting to keep the abuser happy

    D)If possible, leaving the abuser alone
    C)Attempting to keep the abuser happy
  17. Individuals who become abusive to children, their spouse, or the elderly often exhibit which of the following characteristics?

    A)History of military service

    B)Social affective disorder

    C)Poor impulse control

    D)Income >$25,000 annually
    C)Poor impulse control
  18. A client is an abused wife. The nurse believes the cycle of abuse is escalating and that the client may be in severe physical danger. What is the priority nursing intervention?

    A)Advise her to enter counseling at the mental health center

    B)Assist her to develop a plan to go to a shelter in case of a crisis

    C)Suggest she enroll in a women's studies course at a local college

    D)Teach her to counter verbal abuse with assertive replies
    B)Assist her to develop a plan to go to a shelter in case of a crisis
  19. The client is a 32-year-old woman who arrives at the emergency department with her three small children. She has multiple bruises around her face and neck. Her right eye is swollen shut.  She says to the nurse,"I didn't want to come. I'm really okay. He only does this when he has too much to drink. I just shouldn't have yelled at him." The best response by the nurse is:

    A)"How often does he drink too much?"

    B)"It is not your fault. You did the right thing by coming here."

    C)"How many times has he done this to you?"

    D)"He is not a good husband. You have to leave him before he kills you."
    B)"It is not your fault. You did the right thing by coming here."
  20. The nurse is caring for a 6 year-old girl admitted for burns to her arms and back. Her case is being investigated for child abuse by authorities. The child is mute during routine care procedures and is often later found crying. An important goal in providing care to this client would be to:

    A)Provide a variety of stimulation by having several nurses take care of the child

    B)Provide a non-threatening nurturing environment

    C)Discourage the child from expressing thoughts and feelings about the abuse

    D)Have the childs parents present during care activities
    B)Provide a non-threatening nurturing environment
  21. A group of children were discussing how their parents discipline them in their homes. Which of these children will likely exhibit physical aggression when dealing with his peers?

    A)The child who was placed in time-out for misbehaving

    B)The child who lost certain privileges for inappropriate behaviors

    C)The child who was spanked when she was in trouble

    D)The child who had to miss a special television program as punishment
    C)The child who was spanked when she was in trouble
  22. A nurse is caring for a child who has been abused and is concerned that the child be protected from the abuser. The nurse knows that the abuse of the child must be reported because:

    A)it is the right thing to do according to the board of nursing.

    B)the nurse has high standards of professional ethics.

    C)the nurse was also abused as a child.

    D)the laws in all 50 states require reporting it.
    D)the laws in all 50 states require reporting it.
  23. An elderly woman who has been abused by her caregiver daughter tells the nurse, "You don't have to worry about me. My daughter cried and apologized. She promised me she'll never hit me again." The nurse can assess that this is the stage in the cycle of violence know as:

    A)tension building.

    B)acute-battering.

    C)honeymoon.

    D)escalation.
    C)honeymoon.
  24. The nurse is making a home visit to asses the risk of elder abuse.  The nurse should be most aware of: 

    A)the stress level of the caregiver

    B)the amount of change in family routines the elder causes in the home.

    C)how much actual physical assistance the elder needs on a daily basis.

    D)the financial burden of the elder and the caregiver's early life experience with abuse.
    A)the stress level of the caregiver

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