NR341 Complex Adult Health Exam 1 Textbook
Questions and Correct Answers July 2026
Save
Terms in this set (123)
A nurse is caring for a group of B.
older adult clients. Which of the
following manifestations indicates
one of the clients is experiencing (Delirium is characterized by a change in
delirium? cognition that occurs over a short period of time.
A. A client wants to know the It results from a secondary physiological
current time while there is a clock condition (e.g., infection, surgery, prolonged
on the wall. hospitalization, hypoxia, fever, medications) and
B. A client attempts to climb out of is a transient disorder. Although delirium can
bed and repeatedly states she must occur with any age, it is more common in older
get home. adults. It frequently progresses in the evening
C. A client requests extra blankets hours and is sometimes called "sundown
when the thermostat in the room syndrome." Delirium is characterized by
indicates 25.6 Degrees C (78 F). alterations in memory, agitation, restlessness,
D. A client refuses to get out of bed illusions, or hallucinations. A client who becomes
and has no motivation to attend to acutely confused and agitated may be showing
daily hygiene. manifestations of delirium.)
,A community health nurse is D.
providing teaching to the family of a
client who has primary dementia.
Which of the following (Dementia usually appears first as forgetfulness.
manifestations should the nurse tell Other manifestations may be apparent only upon
the family to expect? neurologic examination or cognitive testing. Loss
A. Decreased auditory and visual of functioning progresses slowly from impaired
acuity. language skills and difficulty with ordinary daily
B. Decreased display of emotion. activities to severe memory loss and complete
C. Personality traits that are disorientation with withdrawal from social
opposite of original traits. interaction.)
D. Forgetfulness gradually
progressing to disorientation.
A nurse is caring for a client who A, C, E.
has dementia. When performing a
Mental Status Examination (MSE)
the nurse should include which of (Evaluating the client's ability to perform
the following data? (Select all that calculations is an included component of an MSE.
apply.) Determining the client's level of consciousness is
A. Ability to perform calculations not a component of an MSE. Identifying the
B. Level of consciousness client's ability to recall a list of objects or words is
C. Recall ability an included component of an MSE. Evaluating
D. Long-term memory long-term memory is not a component of an
E. Level of orientation MSE. Determining the client's level of orientation
is an included component of an MSE.)
,A nurse is caring for a client who C.
has dementia due to Alzheimer's
disease and was admitted to a
long-term care facility following the (Alzheimer's disease is a progressive cognitive
death of her partner of 40 years. disorder. Dementia due to Alzheimer's disease
The client states, " I want to go means that the client is experiencing the later
home; my husband is waiting for me stages of the illness with moderately severe to
to cook dinner. "Which of the severe cognitive decline. By asking the client to
following responses by the nurse is talk about what she likes to cook for dinner, the
appropriate? nurse is demonstrating validation therapy by
A. " this is where you live now." asking the client to talk about the areas that
B. " this is a safer place for you to concerned her. The nurse could continue the
live." conversation by discussing how much the client
C. "Tell me what you like to cook for misses her home and partner. Validation therapy
dinner." helps clients who have cognitive disorders
D. "Your family said there is no one discuss their feelings about past events and
to care for you at home." people.)
A nurse on a long-term care unit is D
creating a plan of care for a client
who has Alzheimer's disease. Which
of the following interventions (The nurse should plan to talk the client through
should the nurse include in the tasks one step at a time to minimize confusion
plan? and promote independence, which will decrease
A. rotate assignment of daily the client's anxiety level.)
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.
, A nurse is caring for a client who is D
cognitively impaired. Which of the
following rooms will provide a
therapeutic environment for this (A room that contains several of the clients
client? personal belongings assists in maintaining
A. A room adjacent to the nursing personal identity and provides a therapeutic
station environment)
B. A room without a window
C. A room with dim lighting
D. A room containing personal
belongings
The family of an older adult client C
brings him to the emergency
department after finding him
wandering outside. During the initial (since the client was manifesting signs of
assessment, the nurse notes that confusion before coming to the emergency
the client flinches when she department and currently seems unable to
palpates his abdomen yet response understand or respond to speech, the nurse
to questions only by nodding and should determine that the client has confusion)
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
Questions and Correct Answers July 2026
Save
Terms in this set (123)
A nurse is caring for a group of B.
older adult clients. Which of the
following manifestations indicates
one of the clients is experiencing (Delirium is characterized by a change in
delirium? cognition that occurs over a short period of time.
A. A client wants to know the It results from a secondary physiological
current time while there is a clock condition (e.g., infection, surgery, prolonged
on the wall. hospitalization, hypoxia, fever, medications) and
B. A client attempts to climb out of is a transient disorder. Although delirium can
bed and repeatedly states she must occur with any age, it is more common in older
get home. adults. It frequently progresses in the evening
C. A client requests extra blankets hours and is sometimes called "sundown
when the thermostat in the room syndrome." Delirium is characterized by
indicates 25.6 Degrees C (78 F). alterations in memory, agitation, restlessness,
D. A client refuses to get out of bed illusions, or hallucinations. A client who becomes
and has no motivation to attend to acutely confused and agitated may be showing
daily hygiene. manifestations of delirium.)
,A community health nurse is D.
providing teaching to the family of a
client who has primary dementia.
Which of the following (Dementia usually appears first as forgetfulness.
manifestations should the nurse tell Other manifestations may be apparent only upon
the family to expect? neurologic examination or cognitive testing. Loss
A. Decreased auditory and visual of functioning progresses slowly from impaired
acuity. language skills and difficulty with ordinary daily
B. Decreased display of emotion. activities to severe memory loss and complete
C. Personality traits that are disorientation with withdrawal from social
opposite of original traits. interaction.)
D. Forgetfulness gradually
progressing to disorientation.
A nurse is caring for a client who A, C, E.
has dementia. When performing a
Mental Status Examination (MSE)
the nurse should include which of (Evaluating the client's ability to perform
the following data? (Select all that calculations is an included component of an MSE.
apply.) Determining the client's level of consciousness is
A. Ability to perform calculations not a component of an MSE. Identifying the
B. Level of consciousness client's ability to recall a list of objects or words is
C. Recall ability an included component of an MSE. Evaluating
D. Long-term memory long-term memory is not a component of an
E. Level of orientation MSE. Determining the client's level of orientation
is an included component of an MSE.)
,A nurse is caring for a client who C.
has dementia due to Alzheimer's
disease and was admitted to a
long-term care facility following the (Alzheimer's disease is a progressive cognitive
death of her partner of 40 years. disorder. Dementia due to Alzheimer's disease
The client states, " I want to go means that the client is experiencing the later
home; my husband is waiting for me stages of the illness with moderately severe to
to cook dinner. "Which of the severe cognitive decline. By asking the client to
following responses by the nurse is talk about what she likes to cook for dinner, the
appropriate? nurse is demonstrating validation therapy by
A. " this is where you live now." asking the client to talk about the areas that
B. " this is a safer place for you to concerned her. The nurse could continue the
live." conversation by discussing how much the client
C. "Tell me what you like to cook for misses her home and partner. Validation therapy
dinner." helps clients who have cognitive disorders
D. "Your family said there is no one discuss their feelings about past events and
to care for you at home." people.)
A nurse on a long-term care unit is D
creating a plan of care for a client
who has Alzheimer's disease. Which
of the following interventions (The nurse should plan to talk the client through
should the nurse include in the tasks one step at a time to minimize confusion
plan? and promote independence, which will decrease
A. rotate assignment of daily the client's anxiety level.)
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.
, A nurse is caring for a client who is D
cognitively impaired. Which of the
following rooms will provide a
therapeutic environment for this (A room that contains several of the clients
client? personal belongings assists in maintaining
A. A room adjacent to the nursing personal identity and provides a therapeutic
station environment)
B. A room without a window
C. A room with dim lighting
D. A room containing personal
belongings
The family of an older adult client C
brings him to the emergency
department after finding him
wandering outside. During the initial (since the client was manifesting signs of
assessment, the nurse notes that confusion before coming to the emergency
the client flinches when she department and currently seems unable to
palpates his abdomen yet response understand or respond to speech, the nurse
to questions only by nodding and should determine that the client has confusion)
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
