An older adult patient with breast cancer is reluctant to agree to the suggested treatment plan because I have heard such horrible things about radiation therapy. The nurse responds
a. Radiation therapy no longer causes such terrible side effects.
b. Your chances of recovery are best when radiation is included.
c. Ask the oncologist if there are alternative treatments.
d. Actually there is very effective symptom control now.
Question 2A confused patient is admitted to the hospital after suffering a fall. When asked about pain, the patient does not respond. What action by the nurse is best?
a. Ask the patient again using different words.
b. Pantomime what you are asking the pa-tient.
c. Observe the patient's nonverbal behaviors.
d. Ask the family members if they think the patient has pain.
Question 3Nurses should evaluate health programs based on what data?
a. Effect on quality of life
b. Cost-benefit ratio of service
c. Adherence statistics
d. Ease of following through
Question 4A student nurse is caring for a patient who has vancomycin-resistant enterococcus (VRE). What action by the student requires the nurse to intervene?
a. Washes hands for 15 seconds prior to en-tering the room
b. Takes own stethoscope and unit Gluco-meter in the room
c. Helps transfer the patient into a private room for isolation
d. Puts on gloves and a gown prior to changing the linens
Question 5The nurse working in long-term care knows there are several barriers to sexual expression for older patients. Which of the following are barriers? (Select all that apply.)
a. Decreasing desire
b. Medication side effects
c. Disease processes
d. Social circumstances
e. Increased libido
Question 6The nurse helps minimize an older adult patient's risk of developing pernicious anemia by
a. suggesting supplementing vitamin A.
b. encouraging regular intake of citrus.
c. identifying iron-rich foods.
d. suggesting supplementing vitamin B12.
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