UTAH VALLEY UNIVERSITY
NUR 345 SERIESFINAL EXAM PASADO
4. A patient who was admitted to the hospital with hyperglycemia and
newly diagnosed diabetes mellitus is scheduled for discharge the second
day after admission. When implementing patient teaching, what is the
priority action forthe nurse?
• Instruct about the increased risk for cardiovascular disease.
• Provide detailed information about dietary control of glucose.
• Teach glucose self-monitoring and medication administration.
• Give information about the effects of
exercise on glucose control. ANS: C
When time is limited, the nurse should focus on the priorities of teaching.
In this situation, the patient should know how to test blood glucose and
administer medications to control glucose levels. The patient will need
further teaching about the role of diet, exercise, various medications, and
the many potential complications of diabetes, but these topics can be
addressed through planning for appropriate referrals.
• A 75-year-old patient is admitted for pancreatitis. Which tool would
be the most appropriate for the nurse to use during the admission
assessment?
• Drug Abuse Screening Test (DAST-10)
• Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised (CIWA-Ar)
• Screening Test-Geriatric Version (SMAST-G)
• Mini-
Mental State
Examination
ANS: C
Because the abuse of alcohol is a common factor associated with the
development of pancreatitis, the first assessment step is to screen for
alcohol use using a validated screening questionnaire. The SMAST-G is a
short-form alcoholism screening instrument tailored specifically to the
needs of the older adult. If the patient scores positively on the SMAST-G,
then the CIWA-Ar would be a useful tool for determining treatment. The
DAST-10 provides more general information regarding substance use. The
Mini-Mental State Examination is used to screen for cognitive
impairment.
1. The sister of a patient diagnosed with BRCA gene–related breast
cancer asks the nurse, “Do you think I should be tested for the gene?”
Which response by the nurse is most appropriate?
• “In most cases, breast cancer is not caused by the BRCA gene.”
• “It depends on how you will feel if the test is positive for the BRCA gene.”
• “There are many things to consider before deciding to have genetic testing.”
• “You should decide first whether you are willing to have a
bilateral mastectomy.” ANS: C
Although presymptomatic testing for genetic disorders allows patients to
take action (such as mastectomy) to prevent the development of some
genetically caused disorders, patients also need to consider that test results
in their medical record may affect insurance, employability, etc.
Telling a patient that a decision about mastectomy should be made before
testing implies that the nurse has made a judgment about what the patient
should do if the test is positive. Although the patient may need to think
