COMPLEX ADULT HEALTH GUIDE 1 2026
EXAMPREP PRACTICE SET SOLUTION
QUESTIONS WITH FULL ANSWERS
◉ 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
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.
,(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?
A. A room adjacent to the nursing station
B. A room without a window
C. A room with dim lighting
D. A room containing personal belongings Answer: D
(A room that contains several of the clients personal belongings
assists in maintaining personal identity and provides a therapeutic
environment)
◉ The family of an older adult client brings him to the emergency
department after finding him wandering outside. During the initial
assessment, the nurse notes that the client flinches when she
palpates his abdomen yet response to questions only by nodding
and smiling. Which of the following factors should the nurse identify
as a likely explanation for the clients behavior?
A. he is hard of hearing
B. pain
C. confusion
D. language barrier Answer: C
EXAMPREP PRACTICE SET SOLUTION
QUESTIONS WITH FULL ANSWERS
◉ 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
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.
,(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?
A. A room adjacent to the nursing station
B. A room without a window
C. A room with dim lighting
D. A room containing personal belongings Answer: D
(A room that contains several of the clients personal belongings
assists in maintaining personal identity and provides a therapeutic
environment)
◉ The family of an older adult client brings him to the emergency
department after finding him wandering outside. During the initial
assessment, the nurse notes that the client flinches when she
palpates his abdomen yet response to questions only by nodding
and smiling. Which of the following factors should the nurse identify
as a likely explanation for the clients behavior?
A. he is hard of hearing
B. pain
C. confusion
D. language barrier Answer: C
