Wednesday, March 15, 2006

Final rehash

My classmates and I gathered last night for chili and celebration at the end of the quarter. The final inevitably came up and I'm glad that I wasn't the only person puzzled by some of the questions. Like:

An 82 year old woman with history of right-sided CVA is admitted from the emergency room with a diagnosis of pneumonia. She is ambulatory and incontinent of urine. Which of the following would be appropriate:
A. Insert a catheter
B. Prompt her to go to the toilet every two hours
C. Put her in adult diapers
D. Regularly change the linen.

Or:

The daughter of your patient, a 71 year old man who had a left-sided stroke, reports that when she walks into the room, her father bursts into tears and says "I just don't know what to do." Should you say:
A. Your father really misses you and doesn't want to be in the hospital
B. He is being melodramatic; don't pay any attention to it
C. I think he is depressed because he will die soon
D. After a stroke, emotions can be unpredictable

I'm not sure if it's more disturbing that they expect us to know the answer to these, or that I actually DO know the correct one. I haven't met these people! It seems like the woman with the CVA and pneumonia may have some bigger issues than a little incontinence. What's wrong with an adult diaper? Maybe the guy's a loon. Or his daughter hits him. Despite my resistance, my performance on the final would seem to indicate that my brain is being warped and molded to that of an actual nurse.