NYU AE 1 Final Exam Questions with
Complete Solutions78
A student nurse is caring for a 78-year-old patient with multiple sclerosis. The patient has had
an indwelling Foley catheter in for 3 days. Eight hours ago the patient's temperature was 37.1° C
(98.8° F). The student reports her recent assessment to the registered nurse (RN): the patient's
temperature is 37.2° C (99° F); the Foley catheter is still in place, draining dark urine; and the
patient is uncertain what time of day it is. From what the RN knows about presentation of
symptoms in older adults, what should he recommend?
A. Tell the student that temporary confusion is normal and simply requires reorientation
B. Tell the student to increase the patient's fluid intake since the urine is concentrated
C. Tell the student that her assessment findings are normal for an older adult
D. Tell the student that he will notify the physician of the findings - ANSWERS-D
The patient may have subtle symptoms of a urinary tract infection, as evidenced by a slight
increase in body temperature, development of confusion, and the dark-colored urine.
Temporary confusion is not a normal condition in older adults. Increasing the fluid intake is
acceptable but not a recommendation for the set of symptoms the patient presents. The
presenting set of symptoms is not normal.
A patient's family member is considering having her mother placed in a nursing center. You have
talked with the family before and know that this is a difficult decision. Which of the following
criteria would you recommend in choosing a nursing center? (Select all that apply.)
A. The center should be clean, and rooms should look like a hospital room.
B. There should be adequate staffing on all shifts.
C. Social activities should be available for all residents.
,D. Three meals should be served daily with a set menu and serving schedule.
E. Family involvement in care planning and assisting with physical care is necessary. - ANSWERS-
B, C, E
Adequate staffing, provision of social activities, and active family involvement are essential.
Meals should be high quality with options for what to eat and when it is served. A nursing
center should be clean, but it should look like a person's home.
A nurse has conducted an assessment of a new patient who has come to the medical clinic. The
patient is 82 years old and has had osteoarthritis for 10 years and diabetes mellitus for 20 years.
He is alert but becomes easily distracted during the nursing history. He recently moved to a new
apartment, and his pet beagle died just 2 months ago. He is most likely experiencing:
A. Dementia.
B. Depression.
C. Delirium.
D. Disengagement. - ANSWERS-B
Factors that often lead to depression include presence of a chronic disease or a recent change
or life event (such as loss). Patients are alert but easily distracted in conversation.
A major life event such as the death of a loved one, a move to a nursing home, or a cancer
diagnosis could precipitate:
A. Dementia.
B. Delirium.
C. Depression.
D. Stroke. - ANSWERS-C
,The onset of depression could be abrupt or gradual, but the usual cause is a major life-altering
event in the life of the person experiencing the depression.
Sexuality is maintained throughout our lives. Which answer below best explains sexuality in an
older adult?
A. When the sexual partner passes away, the survivor no longer feels sexual.
B. A decrease in an older adult's libido occurs.
C. Any outward expression of sexuality suggests that the older adult is having a developmental
problem.
D. All older adults, whether healthy or frail, need to express sexual feelings. - ANSWERS-D
Sexuality is normal throughout the life span, and older adults need to be able to express their
sexual feelings.
Older adults experience a change in sexual activity. Which best explains this change?
A. The need to touch and be touched is decreased.
B. The sexual preferences of older adults are not as diverse.
C. Physical changes usually do not affect sexual functioning.
D. Frequency and opportunities for sexual activity may decline. - ANSWERS-D
As a result of loss of a loved one or a chronic illness in themselves or their partner,
opportunities for sexual activity may decline.
You see a 76-year-old woman in the outpatient clinic. Her chief complaint is vision. She states
she has really noticed glare in the lights at home. Her vision is blurred; and she is unable to play
cards with her friends, read, or do her needlework. You suspect that she may have:
, A. Presbyopia.
B. Disengagement.
C. Cataract(s).
D. Depression. - ANSWERS-C
Cataracts normally result in blurred vision, sensitivity to glare, and gradual loss of vision.
Presbyopia is a common eye condition resulting in a person having difficulty adjusting to near
and far vision. The symptoms are not reflective of depression since her vision affects her ability
to interact. She has not chosen to avoid her friends. Disengagement is a term referring to aging
theory.
A nurse is caring for a patient preparing for discharge from the hospital the next day. The
patient does not read and has a hearing loss. His family caregiver will be visiting before
discharge. What can you do to facilitate the patient's understanding of his discharge
instructions? (Select all that apply.)
A. Speak loudly so the patient can hear you.
B. Sit facing the patient so he is able to watch your lip movements and facial expressions.
C. Present one idea or concept at a time.
D. Send a written copy of the instructions home with him and tell him to have the family review
them.
E. Include the family caregiver in the teaching session. - ANSWERS-B, C, E
Teaching and communication are more effective with older adults when you sit and face the
patient and present one idea or concept at a time. This requires planning. Speaking loudly can
distort sound. Speak in a normal tone. Sending instructions is helpful but will not directly
facilitate the patient's own understanding. Sharing information with a caregiver provides
someone to clarify instructions
Complete Solutions78
A student nurse is caring for a 78-year-old patient with multiple sclerosis. The patient has had
an indwelling Foley catheter in for 3 days. Eight hours ago the patient's temperature was 37.1° C
(98.8° F). The student reports her recent assessment to the registered nurse (RN): the patient's
temperature is 37.2° C (99° F); the Foley catheter is still in place, draining dark urine; and the
patient is uncertain what time of day it is. From what the RN knows about presentation of
symptoms in older adults, what should he recommend?
A. Tell the student that temporary confusion is normal and simply requires reorientation
B. Tell the student to increase the patient's fluid intake since the urine is concentrated
C. Tell the student that her assessment findings are normal for an older adult
D. Tell the student that he will notify the physician of the findings - ANSWERS-D
The patient may have subtle symptoms of a urinary tract infection, as evidenced by a slight
increase in body temperature, development of confusion, and the dark-colored urine.
Temporary confusion is not a normal condition in older adults. Increasing the fluid intake is
acceptable but not a recommendation for the set of symptoms the patient presents. The
presenting set of symptoms is not normal.
A patient's family member is considering having her mother placed in a nursing center. You have
talked with the family before and know that this is a difficult decision. Which of the following
criteria would you recommend in choosing a nursing center? (Select all that apply.)
A. The center should be clean, and rooms should look like a hospital room.
B. There should be adequate staffing on all shifts.
C. Social activities should be available for all residents.
,D. Three meals should be served daily with a set menu and serving schedule.
E. Family involvement in care planning and assisting with physical care is necessary. - ANSWERS-
B, C, E
Adequate staffing, provision of social activities, and active family involvement are essential.
Meals should be high quality with options for what to eat and when it is served. A nursing
center should be clean, but it should look like a person's home.
A nurse has conducted an assessment of a new patient who has come to the medical clinic. The
patient is 82 years old and has had osteoarthritis for 10 years and diabetes mellitus for 20 years.
He is alert but becomes easily distracted during the nursing history. He recently moved to a new
apartment, and his pet beagle died just 2 months ago. He is most likely experiencing:
A. Dementia.
B. Depression.
C. Delirium.
D. Disengagement. - ANSWERS-B
Factors that often lead to depression include presence of a chronic disease or a recent change
or life event (such as loss). Patients are alert but easily distracted in conversation.
A major life event such as the death of a loved one, a move to a nursing home, or a cancer
diagnosis could precipitate:
A. Dementia.
B. Delirium.
C. Depression.
D. Stroke. - ANSWERS-C
,The onset of depression could be abrupt or gradual, but the usual cause is a major life-altering
event in the life of the person experiencing the depression.
Sexuality is maintained throughout our lives. Which answer below best explains sexuality in an
older adult?
A. When the sexual partner passes away, the survivor no longer feels sexual.
B. A decrease in an older adult's libido occurs.
C. Any outward expression of sexuality suggests that the older adult is having a developmental
problem.
D. All older adults, whether healthy or frail, need to express sexual feelings. - ANSWERS-D
Sexuality is normal throughout the life span, and older adults need to be able to express their
sexual feelings.
Older adults experience a change in sexual activity. Which best explains this change?
A. The need to touch and be touched is decreased.
B. The sexual preferences of older adults are not as diverse.
C. Physical changes usually do not affect sexual functioning.
D. Frequency and opportunities for sexual activity may decline. - ANSWERS-D
As a result of loss of a loved one or a chronic illness in themselves or their partner,
opportunities for sexual activity may decline.
You see a 76-year-old woman in the outpatient clinic. Her chief complaint is vision. She states
she has really noticed glare in the lights at home. Her vision is blurred; and she is unable to play
cards with her friends, read, or do her needlework. You suspect that she may have:
, A. Presbyopia.
B. Disengagement.
C. Cataract(s).
D. Depression. - ANSWERS-C
Cataracts normally result in blurred vision, sensitivity to glare, and gradual loss of vision.
Presbyopia is a common eye condition resulting in a person having difficulty adjusting to near
and far vision. The symptoms are not reflective of depression since her vision affects her ability
to interact. She has not chosen to avoid her friends. Disengagement is a term referring to aging
theory.
A nurse is caring for a patient preparing for discharge from the hospital the next day. The
patient does not read and has a hearing loss. His family caregiver will be visiting before
discharge. What can you do to facilitate the patient's understanding of his discharge
instructions? (Select all that apply.)
A. Speak loudly so the patient can hear you.
B. Sit facing the patient so he is able to watch your lip movements and facial expressions.
C. Present one idea or concept at a time.
D. Send a written copy of the instructions home with him and tell him to have the family review
them.
E. Include the family caregiver in the teaching session. - ANSWERS-B, C, E
Teaching and communication are more effective with older adults when you sit and face the
patient and present one idea or concept at a time. This requires planning. Speaking loudly can
distort sound. Speak in a normal tone. Sending instructions is helpful but will not directly
facilitate the patient's own understanding. Sharing information with a caregiver provides
someone to clarify instructions
