NURS 5461 Adult Gerontology Final Actual
Exam Test Bank 1 / NURS 5461 Adult
Gerontology Final Preparation /NURS 5461
Adult Gerontology Final Practice Exam
With Complete Verified Questions And Correct
Answers With Detailed Rationales Graded A +
An older client asks the nurse to differentiate delirium and dementia. The nurse would include which
important information in the explanation? Select all that apply.
A - Delirium is chronic confusion, usually irreversible.
B - Dementia is progressive impairment in cognitive function.
C - Delirium is acute confusion, usually reversible.
D - Delirium is acute confusion, usually irreversible.
E - Dementia is irreversible impairment in cognitive function. –
Correct Answer :Dementia is progressive impairment in cognitive function.
Delirium is acute confusion, usually reversible
Dementia is irreversible impairment in cognitive function.
Delirium is acute confusion that is can be reversed if treated promptly and dementia is irreversible and
progressive impairment in cognitive function.
Adult children of an older client have returned the money that they took from the client's checking
account and guaranteed that they would never steal from their parent again. What should the nurse
assess during every home visit with the older client?
A - the client has help with keeping the home safe and clean
,B - the client has food, medication, and all needs are being met
C - the adult children have time away from the client
D - the adult children are working for their own money –
Correct Answer :the client has food, medication, and all needs are being met
The nurse must consider that caregiving burdens often increase over time; therefore, ongoing
interventions are necessary to prevent future abuse after the immediate episode has been resolved. The
nurse should continue to assess if the client has food, medication, and that all needs are being met. The
adult children's activities and employment are not something for the nurse to be concerned about. The
client's home cleanliness and safety are not as high a priority as having food and medication.
The nurse prepares to assess an older client's cognitive functioning. What should the nurse do to enhance
the assessment process?
A - avoid eye contact while asking questions
B - restrict the amount of small talk before the assessment
C - explain the reason for the assessment
D - stand next to the client while performing the assessment –
Correct Answer :explain the reason for the assessment
Because clients may be anxious, embarrassed, suspicious, or insulted by having their mental status
reviewed, explain the importance of and the reasons for the examination. The nurse should be positioned
at the same level as the client and eye contact should be made. Making the client comfortable and
establishing rapport before the assessment can reduce some of the barriers to an effective mental health
examination.
The nurse notes that an older client has an irregular heart beat and elevated blood pressure. What should
the nurse ask the client during the assessment?
A - "What do you do for relaxation?"
B - "Have you been eating regularly?"
,C - "Have you considered causing harm to yourself?"
D - "How often do you ingest alcohol?" –
Correct Answer :"How often do you ingest alcohol?"
Cardiac disorders can result from alcoholism and can be displayed by hypertension and an irregular
heartbeat due to cardiomyopathy. Eating regularly would help assess for depression. Asking about
relaxation would be appropriate to assess for an anxiety disorder. Asking about self-harm would be
appropriate to assess for suicide risk.
The adult daughter asks when an older client with dementia will regain memory function. What should
the nurse include when responding to the daughter?
A - memory will return when the underlying cause is treated
B - the memory losses are irreversible
C - return of memory depends upon health status
D - orientation and reasoning will most likely return in time –
Correct Answer :the memory losses are irreversible
Dementia is an irreversible, progressive impairment in cognitive function affecting memory, orientation,
judgment, reasoning, attention, language, and problem-solving. The return of memory will not depend
upon the client's health status. Orientation and reasoning will not return. The return of memory occurs
with delirium, when the underlying cause is treated.
The nurse notes that an older client has adopted the practice of writing everything down including what
was eaten for each meal and what television shows were watched. What should the nurse suspect is
occurring with this client?
A - progressive paranoia
B - data collection for a lawsuit
C - early phase of Alzheimer's disease
D - performing a life-review for future generations –
, Correct Answer :early phase of Alzheimer's disease
Early in Alzheimer's disease, the client may be aware of changes in intellectual ability and attempt to
compensate by writing down information. The client is not demonstrating other signs of paranoia. It is
unlikely that the client is planning to file a lawsuit. This behavior is not consistent with that of a life-
review.
During an assessment the nurse asks an older client to pick up a cup, pour water into the cup, and then
take a drink. What is the nurse assessing in this client?
A - Judgment
B - Comprehension
C - Orientation
D - Calculation –
Correct Answer :Comprehension
Testing cognitive function includes the areas of judgment, orientation, and calculation. Asking the client
to complete a 3 stage command is a cognitive test of comprehension.
Which statement made by an older adult client demonstrates a sense of internalized ageism?
A - "My grandchild doesn't seem to want to spend time with me."
B - "I think its time to think about moving into an assisted living apartment."
C - "I'm way too old to learn to use a computer."
D - "I find it difficult to walk like I used too." –
Correct Answer :"I'm way too old to learn to use a computer."
A common myth associated with aging is that a person becomes "too old" to accomplish a task like
learning new skills. Although learning may require new strategies, age is not a barrier to learning. The
other options are statements concerning the individuals perceptions of current events.
Exam Test Bank 1 / NURS 5461 Adult
Gerontology Final Preparation /NURS 5461
Adult Gerontology Final Practice Exam
With Complete Verified Questions And Correct
Answers With Detailed Rationales Graded A +
An older client asks the nurse to differentiate delirium and dementia. The nurse would include which
important information in the explanation? Select all that apply.
A - Delirium is chronic confusion, usually irreversible.
B - Dementia is progressive impairment in cognitive function.
C - Delirium is acute confusion, usually reversible.
D - Delirium is acute confusion, usually irreversible.
E - Dementia is irreversible impairment in cognitive function. –
Correct Answer :Dementia is progressive impairment in cognitive function.
Delirium is acute confusion, usually reversible
Dementia is irreversible impairment in cognitive function.
Delirium is acute confusion that is can be reversed if treated promptly and dementia is irreversible and
progressive impairment in cognitive function.
Adult children of an older client have returned the money that they took from the client's checking
account and guaranteed that they would never steal from their parent again. What should the nurse
assess during every home visit with the older client?
A - the client has help with keeping the home safe and clean
,B - the client has food, medication, and all needs are being met
C - the adult children have time away from the client
D - the adult children are working for their own money –
Correct Answer :the client has food, medication, and all needs are being met
The nurse must consider that caregiving burdens often increase over time; therefore, ongoing
interventions are necessary to prevent future abuse after the immediate episode has been resolved. The
nurse should continue to assess if the client has food, medication, and that all needs are being met. The
adult children's activities and employment are not something for the nurse to be concerned about. The
client's home cleanliness and safety are not as high a priority as having food and medication.
The nurse prepares to assess an older client's cognitive functioning. What should the nurse do to enhance
the assessment process?
A - avoid eye contact while asking questions
B - restrict the amount of small talk before the assessment
C - explain the reason for the assessment
D - stand next to the client while performing the assessment –
Correct Answer :explain the reason for the assessment
Because clients may be anxious, embarrassed, suspicious, or insulted by having their mental status
reviewed, explain the importance of and the reasons for the examination. The nurse should be positioned
at the same level as the client and eye contact should be made. Making the client comfortable and
establishing rapport before the assessment can reduce some of the barriers to an effective mental health
examination.
The nurse notes that an older client has an irregular heart beat and elevated blood pressure. What should
the nurse ask the client during the assessment?
A - "What do you do for relaxation?"
B - "Have you been eating regularly?"
,C - "Have you considered causing harm to yourself?"
D - "How often do you ingest alcohol?" –
Correct Answer :"How often do you ingest alcohol?"
Cardiac disorders can result from alcoholism and can be displayed by hypertension and an irregular
heartbeat due to cardiomyopathy. Eating regularly would help assess for depression. Asking about
relaxation would be appropriate to assess for an anxiety disorder. Asking about self-harm would be
appropriate to assess for suicide risk.
The adult daughter asks when an older client with dementia will regain memory function. What should
the nurse include when responding to the daughter?
A - memory will return when the underlying cause is treated
B - the memory losses are irreversible
C - return of memory depends upon health status
D - orientation and reasoning will most likely return in time –
Correct Answer :the memory losses are irreversible
Dementia is an irreversible, progressive impairment in cognitive function affecting memory, orientation,
judgment, reasoning, attention, language, and problem-solving. The return of memory will not depend
upon the client's health status. Orientation and reasoning will not return. The return of memory occurs
with delirium, when the underlying cause is treated.
The nurse notes that an older client has adopted the practice of writing everything down including what
was eaten for each meal and what television shows were watched. What should the nurse suspect is
occurring with this client?
A - progressive paranoia
B - data collection for a lawsuit
C - early phase of Alzheimer's disease
D - performing a life-review for future generations –
, Correct Answer :early phase of Alzheimer's disease
Early in Alzheimer's disease, the client may be aware of changes in intellectual ability and attempt to
compensate by writing down information. The client is not demonstrating other signs of paranoia. It is
unlikely that the client is planning to file a lawsuit. This behavior is not consistent with that of a life-
review.
During an assessment the nurse asks an older client to pick up a cup, pour water into the cup, and then
take a drink. What is the nurse assessing in this client?
A - Judgment
B - Comprehension
C - Orientation
D - Calculation –
Correct Answer :Comprehension
Testing cognitive function includes the areas of judgment, orientation, and calculation. Asking the client
to complete a 3 stage command is a cognitive test of comprehension.
Which statement made by an older adult client demonstrates a sense of internalized ageism?
A - "My grandchild doesn't seem to want to spend time with me."
B - "I think its time to think about moving into an assisted living apartment."
C - "I'm way too old to learn to use a computer."
D - "I find it difficult to walk like I used too." –
Correct Answer :"I'm way too old to learn to use a computer."
A common myth associated with aging is that a person becomes "too old" to accomplish a task like
learning new skills. Although learning may require new strategies, age is not a barrier to learning. The
other options are statements concerning the individuals perceptions of current events.
