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.
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.
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