The daughter of a 79-year-old woman notes that her mother, who has dementia and lives with her, is wetting herself when she attends her new day program. Program staff have requested that �something be done� as she is requiring a clothes change nearly every time she is there. She cannot describe the circumstances of leakage, saying �it just comes.� Leakage is uncommon at home. Her medications include donepezil and acetaminophen. Physical examination is normal. Initial treatment approach will require intervention by which of the following?- Skildor

Question 1 of 5

The daughter of a 79-year-old woman notes that her mother, who has dementia and lives with her, is wetting herself when she attends her new day program. Program staff have requested that �something be done� as she is requiring a clothes change nearly every time she is there. She cannot describe the circumstances of leakage, saying �it just comes.� Leakage is uncommon at home. Her medications include donepezil and acetaminophen. Physical examination is normal. Initial treatment approach will require intervention by which of the following?

A. Mrs. A�s physician B. Mrs. A�s daughter C. Day program staff D. Physical therapist through a home care agency

Correct Answer: A

Rationale: Given the complexity of dementia and incontinence, the physician should be involved in assessing the cause and recommending treatment.

Question 2 of 5

The nurse is reviewing a patient's medication list. The patient takes warfarin (Coumadin). What laboratory test should the nurse prioritize monitoring?

A. Complete blood count (CBC) B. Liver function tests C. Prothrombin time (PT) D. Blood glucose level

Correct Answer: C

Rationale: Warfarin affects clotting, so monitoring prothrombin time (PT) is essential to assess its therapeutic effect and avoid bleeding complications.

Question 3 of 5

Which medication is indicated for patients with generalized anxiety disorder?

A. Buspirone (Buspar) B. Citalopram (Celexa) C. Imipramine (Tofranil) D. Bupropion HCL (Wellbutrin)

Correct Answer: A

Rationale: Buspirone is specifically indicated for the treatment of generalized anxiety disorder.

Question 4 of 5

Which of these clinical vignettes are not part of the Fried frailty paradigms?

A. Mrs. P has a caregiver comb her hair now because of inability to hold her arm up long enough to brush it herself. B. Mr. J has just been diagnosed with congestive heart failure after a recent admission to the hospital for a myocardial infarction. C. Mr. K has been losing weight for the last year despite family support of bringing food and negative workup for a more insidious cause. D. Mrs. T tells you she spends the majority of her time in her chair and only walks to the bathroom now because she gets too fatigued for minor home care tasks.

Correct Answer: B

Rationale: The Fried frailty criteria do not involve recent diagnoses like congestive heart failure but focus on physical symptoms like weight loss and fatigue.

Question 5 of 5

A 79-year-old woman with a 1.5-cm breast cancer underwent lumpectomy. Pathology revealed ductal carcinoma that is hormone receptor negative (estrogen receptor 0%, progesterone receptor 1%) and HER2/neu negative. Surgical margins were adequate and uninvolved with cancer. Sentinel lymph node sampling was negative for lymph node involvement. She has good performance status and no activities of daily living (ADL) or instrumental (IADL) dependencies. What treatment would you recommend?

A. Adjuvant chemotherapy B. Adjuvant chemotherapy with radiation C. Adjuvant radiation only D. Hormonal therapy only

Correct Answer: E

Rationale: No further treatment is necessary given the patient's good prognosis and lack of lymph node involvement or metastasis.

physical examination and health assessment test bank

Skildor

ATI RN

ATI RN

physical examination and health assessment test bank Questions

Question 1 of 5

Question 2 of 5

Question 3 of 5

Question 4 of 5

Question 5 of 5

Similar Questions

Join Our Community Today!