OLDER ADULTS EXAM SET QUESTIONS
WITH COMPLETE SOLUTIONS
During an interview with an older adult, the client moves her chair back. Which of the
following responses by the nurse is most appropriate? - Answer-Sit upright, leaning
back.
A nurse in the postoperative unit monitors for hypothermia. Which of the following older
adults' assessment findings indicates the onset of hypothermia? - Answer-shallow
breathing?? not for sure
An older woman returns to her hospital room after abdominal surgery. As the nurse
completes her assessment, the client asks the nurse to pin her "prayer cloth" to her
pillow. Which of the following interventions is priority? - Answer-
A nurse assesses risk factors for vision loss in a 71-year-old client. Which question
should the nurse include in this assessment? - Answer-"Do you have high blood
pressure or diabetes?"
A nurse is conducting a class at a senior citizens' center on factors that protect against
dementia. Which of the following statements by an older adult in the class indicates a
need for further teaching by the nurse? - Answer-"No healthy lifestyle is going to ward
off dementia."
A nurse monitors older adults in a long-term care facility. Which of the following
symptoms would require follow-up by the nurse to assess for depression in the older
adult? - Answer-Anorexia
The aging process is accompanied by a number of changes in thermoregulation. Which
of the following clinical phenomena in older adults is likely to result from these changes?
- Answer-Lack of detection of an acute infection
A gerontological nurse conducts an assessment of an older adult who has a history of
depression. Assessment reveals that the client has been drinking up to two bottles of
wine each day for the last several months. What should the nurse teach the client about
alcohol use and depression? - Answer-"Alcohol has been shown to contribute to
depression and vice versa."
As part of a comprehensive physical assessment of an older adult client, a nurse is
performing an otoscopic examination. Which of the following assessment findings most
clearly warrants further assessment and possible intervention? - Answer-The epithelial
lining is bright red.
, An older adult was diagnosed with depression shortly after relocating to the nursing
home 6 weeks ago. What intervention should the nurse implement to address the
depression? - Answer-Provide opportunities for the client to engage with other residents
A nurse performs a psychosocial assessment on an older adult in the hospital. Which of
the following statements may suggest low self-esteem? - Answer-"When I was younger,
I worked around the clock and now I can't even make it to the toilet."
A new nursing assistant asks the nurse how best to approach a hearing-impaired older
adult. Which of the following approaches should the nurse recommend? - Answer-
Lower the tone of your voice
A 69-year-old woman is saddened by her recent diagnosis of type 2 diabetes, which is a
stressor that will make numerous demands on her life in the coming years. Which of the
following actions demonstrates a problem-focused approach to this stressor? - Answer-
obtaining diabetic cookbooks and learning to change her cooking habits
A nurse discusses recent changes with a 74-year-old client. The client is distraught
stating, "I forgot an important appointment; and I lost my wallet!" The older adult has
always cherished being intelligent, alert, and informed, so even minor lapses in
cognition are a source of stress. How should the nurse best interpret these recent
deficits in memory? - Answer-The older adult may be experiencing mild cognitive
impairment.
A 78-year-old client states, "I often have dry eyes, it is bothersome and irritating." What
intervention should the nurse recommend? - Answer-Use of over-the-counter artificial
tears
A community care nurse plans care for older adults as the fall season sets in a cooler
weather starts. Which of the following clients is at greatest risk for development of
hypothermia? - Answer-Older Adult who has dementia and lives alone
A nurse manager of an extended care facility works to promote psychosocial health.
Which of the following interventions should the nurse manager include? - Answer-Adapt
the environment to compensate for residents' sensory impairments.
A nurse in the intensive care unit monitors an older adult admitted with hypothermia.
Which of the following assessment findings indicates the need to notify the primary
health care provider immediately? - Answer-Urine output of 25 mL per hour
Which of the following points should the nurse emphasize when educating older adults
about memory and cognition? - Answer-Using calendars, notes, and imagery can help
enhance memory
WITH COMPLETE SOLUTIONS
During an interview with an older adult, the client moves her chair back. Which of the
following responses by the nurse is most appropriate? - Answer-Sit upright, leaning
back.
A nurse in the postoperative unit monitors for hypothermia. Which of the following older
adults' assessment findings indicates the onset of hypothermia? - Answer-shallow
breathing?? not for sure
An older woman returns to her hospital room after abdominal surgery. As the nurse
completes her assessment, the client asks the nurse to pin her "prayer cloth" to her
pillow. Which of the following interventions is priority? - Answer-
A nurse assesses risk factors for vision loss in a 71-year-old client. Which question
should the nurse include in this assessment? - Answer-"Do you have high blood
pressure or diabetes?"
A nurse is conducting a class at a senior citizens' center on factors that protect against
dementia. Which of the following statements by an older adult in the class indicates a
need for further teaching by the nurse? - Answer-"No healthy lifestyle is going to ward
off dementia."
A nurse monitors older adults in a long-term care facility. Which of the following
symptoms would require follow-up by the nurse to assess for depression in the older
adult? - Answer-Anorexia
The aging process is accompanied by a number of changes in thermoregulation. Which
of the following clinical phenomena in older adults is likely to result from these changes?
- Answer-Lack of detection of an acute infection
A gerontological nurse conducts an assessment of an older adult who has a history of
depression. Assessment reveals that the client has been drinking up to two bottles of
wine each day for the last several months. What should the nurse teach the client about
alcohol use and depression? - Answer-"Alcohol has been shown to contribute to
depression and vice versa."
As part of a comprehensive physical assessment of an older adult client, a nurse is
performing an otoscopic examination. Which of the following assessment findings most
clearly warrants further assessment and possible intervention? - Answer-The epithelial
lining is bright red.
, An older adult was diagnosed with depression shortly after relocating to the nursing
home 6 weeks ago. What intervention should the nurse implement to address the
depression? - Answer-Provide opportunities for the client to engage with other residents
A nurse performs a psychosocial assessment on an older adult in the hospital. Which of
the following statements may suggest low self-esteem? - Answer-"When I was younger,
I worked around the clock and now I can't even make it to the toilet."
A new nursing assistant asks the nurse how best to approach a hearing-impaired older
adult. Which of the following approaches should the nurse recommend? - Answer-
Lower the tone of your voice
A 69-year-old woman is saddened by her recent diagnosis of type 2 diabetes, which is a
stressor that will make numerous demands on her life in the coming years. Which of the
following actions demonstrates a problem-focused approach to this stressor? - Answer-
obtaining diabetic cookbooks and learning to change her cooking habits
A nurse discusses recent changes with a 74-year-old client. The client is distraught
stating, "I forgot an important appointment; and I lost my wallet!" The older adult has
always cherished being intelligent, alert, and informed, so even minor lapses in
cognition are a source of stress. How should the nurse best interpret these recent
deficits in memory? - Answer-The older adult may be experiencing mild cognitive
impairment.
A 78-year-old client states, "I often have dry eyes, it is bothersome and irritating." What
intervention should the nurse recommend? - Answer-Use of over-the-counter artificial
tears
A community care nurse plans care for older adults as the fall season sets in a cooler
weather starts. Which of the following clients is at greatest risk for development of
hypothermia? - Answer-Older Adult who has dementia and lives alone
A nurse manager of an extended care facility works to promote psychosocial health.
Which of the following interventions should the nurse manager include? - Answer-Adapt
the environment to compensate for residents' sensory impairments.
A nurse in the intensive care unit monitors an older adult admitted with hypothermia.
Which of the following assessment findings indicates the need to notify the primary
health care provider immediately? - Answer-Urine output of 25 mL per hour
Which of the following points should the nurse emphasize when educating older adults
about memory and cognition? - Answer-Using calendars, notes, and imagery can help
enhance memory
