NRNP 6540 Exam 7 - Questions With Expert
Solutions
Mrs. James is 78 years old and comes to the clinic for an annual checkup. The
nurse practitioner addresses the psychosocial needs of older adults and
specifically the need for which of the following?
1. Dependence.
2. Dignity, credibility, and respect.
3. Being alone.
4. Not being touched. Correct Answer - 2. Dignity, credibility, and
respect.
Mr. Slobinsky, 80 years old, is unable to leave his home due to mobility
problems. The nurse practitioner conducts a social support assessment
because Mr. Slobinsky:
1. May not want to see anyone.
2. Is not missing the cultural traditions of community activities.
3. Has made frequent appointments for consultation with the practitioner.
4. Looks forward to sharing his loneliness with the nurse practitioner.
Correct Answer - 3. Has made frequent appointments for consultation with
the practitioner.
Mrs. Khan is 89 years old and is reported to have bouts of agitation. The nurse
practitioner is counseling her family that these periods of agitation can be
triggered by which of the following?
1. Silence and soft music.
2. Dim lights.
3. Approaches from other people.
4. A feeling of appetite satiety Correct Answer - 3. Approaches from
other people.
The nurse practitioner is considering ordering medications to help control an
older patient's agitation. She chooses which of the following?
, 1. Psychotropic medications
2. Seizure medications
3. Stimulants
4. Depressants Correct Answer - 1. Psychotropic medications
The nurse practitioner is conducting an admitting assessment of a 69-year-old
man. He has diminished ability to ambulate and has difficulty with activities of
daily living (ADLs). In the interview, the nurse practitioner asks him if he
drinks alcohol. He says, "Yes." The practitioner follows up with a psycho-social
evaluation because:
1. Physiological dynamics need to be ruled out as a possible contribution.
2. His drinking may be a function of the environment where he lives.
3. Criteria from the DSM-V is the same for people of any age.
4. His condition could be related to a long-term usage of alcohol or a new
occurrence Correct Answer - 4. His condition could be related to a long-
term usage of alcohol or a new occurrence
The daughter of a 70-year-old woman asks the nurse practitioner why her
mother has had a change in functional ability recently. The mother has
regularly been drinking for 40 years, however, her behavior is changing. The
nurse practitioner replies that:
1. The concentration of alcohol in her body remains the same as she ages.
2. Her change in behavior has nothing to do with any drugs she is taking.
3. There are different types of alcoholism in older adults, and the change in
behavior is related to the specific type.
4. Physical changes due to aging affect the body's metabolism of alcohol
differently. Correct Answer - 4. Physical changes due to aging affect the
body's metabolism of alcohol differently.
The son of a 72-year-old man brings his father into the practitioner to plan for
treatment of the patient's alcoholism. The nurse practitioner has several
options available. Which is the first choice?
1. Treat for anxiety.
2. Begin with higher doses of anti-anxiety medications.
3. The last choice for medication is serotonin uptake inhibitors
Solutions
Mrs. James is 78 years old and comes to the clinic for an annual checkup. The
nurse practitioner addresses the psychosocial needs of older adults and
specifically the need for which of the following?
1. Dependence.
2. Dignity, credibility, and respect.
3. Being alone.
4. Not being touched. Correct Answer - 2. Dignity, credibility, and
respect.
Mr. Slobinsky, 80 years old, is unable to leave his home due to mobility
problems. The nurse practitioner conducts a social support assessment
because Mr. Slobinsky:
1. May not want to see anyone.
2. Is not missing the cultural traditions of community activities.
3. Has made frequent appointments for consultation with the practitioner.
4. Looks forward to sharing his loneliness with the nurse practitioner.
Correct Answer - 3. Has made frequent appointments for consultation with
the practitioner.
Mrs. Khan is 89 years old and is reported to have bouts of agitation. The nurse
practitioner is counseling her family that these periods of agitation can be
triggered by which of the following?
1. Silence and soft music.
2. Dim lights.
3. Approaches from other people.
4. A feeling of appetite satiety Correct Answer - 3. Approaches from
other people.
The nurse practitioner is considering ordering medications to help control an
older patient's agitation. She chooses which of the following?
, 1. Psychotropic medications
2. Seizure medications
3. Stimulants
4. Depressants Correct Answer - 1. Psychotropic medications
The nurse practitioner is conducting an admitting assessment of a 69-year-old
man. He has diminished ability to ambulate and has difficulty with activities of
daily living (ADLs). In the interview, the nurse practitioner asks him if he
drinks alcohol. He says, "Yes." The practitioner follows up with a psycho-social
evaluation because:
1. Physiological dynamics need to be ruled out as a possible contribution.
2. His drinking may be a function of the environment where he lives.
3. Criteria from the DSM-V is the same for people of any age.
4. His condition could be related to a long-term usage of alcohol or a new
occurrence Correct Answer - 4. His condition could be related to a long-
term usage of alcohol or a new occurrence
The daughter of a 70-year-old woman asks the nurse practitioner why her
mother has had a change in functional ability recently. The mother has
regularly been drinking for 40 years, however, her behavior is changing. The
nurse practitioner replies that:
1. The concentration of alcohol in her body remains the same as she ages.
2. Her change in behavior has nothing to do with any drugs she is taking.
3. There are different types of alcoholism in older adults, and the change in
behavior is related to the specific type.
4. Physical changes due to aging affect the body's metabolism of alcohol
differently. Correct Answer - 4. Physical changes due to aging affect the
body's metabolism of alcohol differently.
The son of a 72-year-old man brings his father into the practitioner to plan for
treatment of the patient's alcoholism. The nurse practitioner has several
options available. Which is the first choice?
1. Treat for anxiety.
2. Begin with higher doses of anti-anxiety medications.
3. The last choice for medication is serotonin uptake inhibitors
