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NR341 COMPLEX ADULT HEALTH EXAM 1 TEXTBOOK
QUESTIONS WITH RATIONALES EXAM QUESTIONS AND
VERIFIED SOLUTIONS |2026| EXAM QUESTIONS &
ANSWERS TEST || ELABORATED &DETAILED ANSWERS!!
A nurse is caring for a group of older adult clients. Which of the
following manifestations indicates one of the clients is experiencing
delirium?
A. A client wants to know the current time while there is a clock on the
wall.
B. A client attempts to climb out of bed and repeatedly states she must
get home.
C. A client requests extra blankets when the thermostat in the room
indicates 25.6 Degrees C (78 F).
D. A client refuses to get out of bed and has no motivation to attend to
daily hygiene. ......ANSWER......B.
(Delirium is characterized by a change in cognition that occurs over a
short period of time. It results from a secondary physiological
condition (e.g., infection, surgery, prolonged hospitalization, hypoxia,
fever, medications) and is a transient disorder. Although delirium can
occur with any age, it is more common in older adults. It frequently
progresses in the evening hours and is sometimes called "sundown
syndrome." Delirium is characterized by alterations in memory,
agitation, restlessness, illusions, or hallucinations. A client who
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becomes acutely confused and agitated may be showing
manifestations of delirium.)
A community health nurse is providing teaching to the family of a client
who has primary dementia. Which of the following manifestations
should the nurse tell the family to expect?
A. Decreased auditory and visual acuity.
B. Decreased display of emotion.
C. Personality traits that are opposite of original traits.
D. Forgetfulness gradually progressing to disorientation.
......ANSWER......D.
(Dementia usually appears first as forgetfulness. Other manifestations
may be apparent only upon neurologic examination or cognitive
testing. Loss of functioning progresses slowly from impaired language
skills and difficulty with ordinary daily activities to severe memory
loss and complete disorientation with withdrawal from social
interaction.)
A nurse is caring for a client who has dementia. When performing a
Mental Status Examination (MSE) the nurse should include which of the
following data? (Select all that apply.)
A. Ability to perform calculations
B. Level of consciousness
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C. Recall ability
D. Long-term memory
E. Level of orientation ......ANSWER......A, C, E.
(Evaluating the client's ability to perform calculations is an included
component of an MSE. Determining the client's level of consciousness
is not a component of an MSE. Identifying the client's ability to recall a
list of objects or words is an included component of an MSE.
Evaluating long-term memory is not a component of an MSE.
Determining the client's level of orientation is an included component
of an MSE.)
A nurse is caring for a client who has dementia due to Alzheimer's
disease and was admitted to a long-term care facility following the
death of her partner of 40 years. The client states, " I want to go home;
my husband is waiting for me to cook dinner. "Which of the following
responses by the nurse is appropriate?
A. " this is where you live now."
B. " this is a safer place for you to live."
C. "Tell me what you like to cook for dinner."
D. "Your family said there is no one to care for you at home."
......ANSWER......C.
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(Alzheimer's disease is a progressive cognitive disorder. Dementia due
to Alzheimer's disease means that the client is experiencing the later
stages of the illness with moderately severe to severe cognitive
decline. By asking the client to talk about what she likes to cook for
dinner, the nurse is demonstrating validation therapy by asking the
client to talk about the areas that concerned her. The nurse could
continue the conversation by discussing how much the client misses
her home and partner. Validation therapy helps clients who have
cognitive disorders discuss their feelings about past events and
people.)
A nurse on a long-term care unit is creating a plan of care for a client
who has Alzheimer's disease. Which of the following interventions
should the nurse include in the plan?
A. rotate assignment of daily caregivers.
B. provide an activity schedule that changes from day to day.
C. limit time for the client to perform activities.
D. talk the client through tasks one step at a time. ......ANSWER......D
(The nurse should plan to talk the client through tasks one step at a
time to minimize confusion and promote independence, which will
decrease the client's anxiety level.)
A nurse is caring for a client who is cognitively impaired. Which of the
following rooms will provide a therapeutic environment for this client?
NR341 COMPLEX ADULT HEALTH EXAM 1 TEXTBOOK
QUESTIONS WITH RATIONALES EXAM QUESTIONS AND
VERIFIED SOLUTIONS |2026| EXAM QUESTIONS &
ANSWERS TEST || ELABORATED &DETAILED ANSWERS!!
A nurse is caring for a group of older adult clients. Which of the
following manifestations indicates one of the clients is experiencing
delirium?
A. A client wants to know the current time while there is a clock on the
wall.
B. A client attempts to climb out of bed and repeatedly states she must
get home.
C. A client requests extra blankets when the thermostat in the room
indicates 25.6 Degrees C (78 F).
D. A client refuses to get out of bed and has no motivation to attend to
daily hygiene. ......ANSWER......B.
(Delirium is characterized by a change in cognition that occurs over a
short period of time. It results from a secondary physiological
condition (e.g., infection, surgery, prolonged hospitalization, hypoxia,
fever, medications) and is a transient disorder. Although delirium can
occur with any age, it is more common in older adults. It frequently
progresses in the evening hours and is sometimes called "sundown
syndrome." Delirium is characterized by alterations in memory,
agitation, restlessness, illusions, or hallucinations. A client who
,2|Page
becomes acutely confused and agitated may be showing
manifestations of delirium.)
A community health nurse is providing teaching to the family of a client
who has primary dementia. Which of the following manifestations
should the nurse tell the family to expect?
A. Decreased auditory and visual acuity.
B. Decreased display of emotion.
C. Personality traits that are opposite of original traits.
D. Forgetfulness gradually progressing to disorientation.
......ANSWER......D.
(Dementia usually appears first as forgetfulness. Other manifestations
may be apparent only upon neurologic examination or cognitive
testing. Loss of functioning progresses slowly from impaired language
skills and difficulty with ordinary daily activities to severe memory
loss and complete disorientation with withdrawal from social
interaction.)
A nurse is caring for a client who has dementia. When performing a
Mental Status Examination (MSE) the nurse should include which of the
following data? (Select all that apply.)
A. Ability to perform calculations
B. Level of consciousness
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C. Recall ability
D. Long-term memory
E. Level of orientation ......ANSWER......A, C, E.
(Evaluating the client's ability to perform calculations is an included
component of an MSE. Determining the client's level of consciousness
is not a component of an MSE. Identifying the client's ability to recall a
list of objects or words is an included component of an MSE.
Evaluating long-term memory is not a component of an MSE.
Determining the client's level of orientation is an included component
of an MSE.)
A nurse is caring for a client who has dementia due to Alzheimer's
disease and was admitted to a long-term care facility following the
death of her partner of 40 years. The client states, " I want to go home;
my husband is waiting for me to cook dinner. "Which of the following
responses by the nurse is appropriate?
A. " this is where you live now."
B. " this is a safer place for you to live."
C. "Tell me what you like to cook for dinner."
D. "Your family said there is no one to care for you at home."
......ANSWER......C.
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(Alzheimer's disease is a progressive cognitive disorder. Dementia due
to Alzheimer's disease means that the client is experiencing the later
stages of the illness with moderately severe to severe cognitive
decline. By asking the client to talk about what she likes to cook for
dinner, the nurse is demonstrating validation therapy by asking the
client to talk about the areas that concerned her. The nurse could
continue the conversation by discussing how much the client misses
her home and partner. Validation therapy helps clients who have
cognitive disorders discuss their feelings about past events and
people.)
A nurse on a long-term care unit is creating a plan of care for a client
who has Alzheimer's disease. Which of the following interventions
should the nurse include in the plan?
A. rotate assignment of daily caregivers.
B. provide an activity schedule that changes from day to day.
C. limit time for the client to perform activities.
D. talk the client through tasks one step at a time. ......ANSWER......D
(The nurse should plan to talk the client through tasks one step at a
time to minimize confusion and promote independence, which will
decrease the client's anxiety level.)
A nurse is caring for a client who is cognitively impaired. Which of the
following rooms will provide a therapeutic environment for this client?
