FINAL EXAM
1. 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. - ANSWERS-1. Answer: 2
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1.
The psychosocial assessment of the older adult entails an evaluation of
the following basic needs: autonomy and independence.
2.
The psychosocial assessment of the older adult entails an evaluation of
the following basic needs: dignity, credibility, and respect.
3.
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, WALDEN NRNP 6540 LATEST
FINAL EXAM
The psychosocial assessment of the older adult entails an evaluation of
the following basic needs: communication and belonging.
4.
The psychosocial assessment of the older adult entails an evaluation of
the following basic needs: touch.
2. 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. -
ANSWERS-2. Answer: 3
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, WALDEN NRNP 6540 LATEST
FINAL EXAM
1.
Older adults who are alone and lonely may also be depressed.
2.
Specific to older adults, ethnic traditions and expectations are factors
that should be addressed in the psychosocial assessment.
3.
A positive correlation exists between the need for social supports and the
use of health-care services by older adults.
4.
Older adults may be reluctant to reveal social or emotional concerns and,
in some cultures, may feel that it is unacceptable to share personal
problems with outsiders. However, they may feel comfortable discussing
a physical manifestation, such as pain or sleeplessness, with a health-
care provider.
3. 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.
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, WALDEN NRNP 6540 LATEST
FINAL EXAM
3. Approaches from other people.
4. A feeling of appetite satiety. - ANSWERS-3. Answer: 3
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1.
Environmental triggers, such as noise and visual cues from television
and physical surroundings, can also lead to agitation.
2.
Environmental triggers, such as light, can trigger agitation.
3.
Psychosocial triggers, such as the approach taken by staff and interaction
with other residents, can contribute to agitation.
4.
Chronic bedrest, pain, and hunger can precipitate episodes of agitation.
4. The nurse practitioner is considering ordering medications to help
control an older patient's agitation. She chooses which of the following?
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