• NURS 5461 Exam 09/13/2026
NURS 5461 Quiz UPDATED ACTUAL Exam
| Actual Q&A with Rationale (NURS6521 Exam 1) |
Walden University
1. A nurse is leading a word-quiz game with a group of nursing home residents because the nurse knows this
activity will assist the residents in maintaining:
A) Fluid intelligence
B) Adaptive thinking
C) Crystallized intelligence
D) Psychomotor memory - Correct Answer :Ans: C
Crystallized intelligence refers to vocabulary skills, information, and verbal comprehension. Fluid intelligence
involves a person's inherent abilities, such as memory and recognition, and involves adaptive thinking. Memory
involves retrieval and storage of information.
P 1
, • NURS 5461 Exam 09/13/2026
2. A 69-year-old has recently been diagnosed with mild cognitive impairment and has asked the nurse to help her
remember things better. Which of the following nursing diagnoses is appropriate for this older adult?
A) Knowledge deficit
B) Altered thought processes
C) Health-seeking behaviors
D) Altered health maintenance - Correct Answer :Ans: C
The nursing diagnosis of health-seeking behaviors is defined as "the state in which an individual in stable health
actively seeks ways to alter personal health habits and/or the environment in order to move toward a higher
level of wellness." The older adult is seeking help from the nurse to remember things better so this is the most
appropriate diagnosis
3. A 70-year-old tells a nurse, "I am worried that I'm losing my mind, I have difficulty remembering names as well
as I used to, and I missed two health care appointments in the past month because I forgot about them." The
nurse initiates a memory training program, although the nurse has been unable to identify any risk factors that
might affect the older adult's cognitive abilities. Which of the following questions is the best approach to
evaluating the effectiveness of the memory training program?
A) "Have you seen an improvement in your memory?"
B) "Are you less worried about your memory now?"
C) "How have the memory training techniques helped you?"
D) "Are you using the memory training techniques now?" - Correct Answer :Ans: C
The question, "How have the memory training techniques helped you?," allows the older adult to tell the nurse
how memory training has helped and is more open-ended than the other options. It also communicates positive
expectations. The question helps identify the techniques that are most effective for the individual.
P 2
, • NURS 5461 Exam 09/13/2026
4. A nurse assesses a 61-year-old adult who reveals that he can't process as quickly as when younger, and that
"all these people talk about multi-tasking, but I can't do that!" Which of the following responses by the nurse is
appropriate?
A) "Have you had any other symptoms of cognitive impairment?"
B)"Slower processing of information is an age-related change, and there are things you can do to help with this."
C) "The declines in cognitive skills usually begin around the age or 60."
D) "You shouldn't expect to see a decline the cognitive functions that you use all the time." - Correct Answer
:Ans: B
Healthy older adults will not experience any significant cognitive impairment that interferes with daily life, but
they will notice minor deficits in some aspects of cognitive function and improvements in other aspects. The
earliest cognitive changes are due to decreased perceptual speed. The other distracters do not answer his
question. It is important for the nurse to address the client's concerns; in this case, the client is asking if it is
expected to already have age-related functional consequences. Age-related declines in some cognitive skills
begin around the age of 40, but there are substantial individual variations in these changes. Cognitive functions
that depend on experience, accumulated knowledge, and well-practiced tasks (e.g., vocabulary) do not decline
in healthy older adults, and may even improve.
5. Which of the following points should the nurse emphasize when educating older adults about memory and
cognition?
A) Long-term memory loss is normal.
B) Using calendars, notes, and imagery can help enhance memory.
C) Drinking caffeinated beverages for mental stimulation is a good idea.
D) Having a diminished capacity for learning is an inevitable part of growing older. - Correct Answer :Ans: B
P 3
, • NURS 5461 Exam 09/13/2026
Metacognition means that an individual understands his or her own cognitive process, and this process will
impact performance. Health education provides information about techniques to enhance cognitive abilities.
Older adults benefit from internal and external memory-enhancing techniques, such as calendars, imagery, and
notes.
6. An older adult is brought to the community clinic by an adult child with the concern of increasingly frequent
lapses in memory. Which assessment question is most likely to identify potential risk factors for impaired
cognitive functioning?
A) "What did your mother and father die of?"
B) "What line of work were you in?"
C) "What medications are you currently taking?"
D) "Where are you currently living?" - Correct Answer :Ans: C
Adverse medication effects can have a profound influence on the cognitive functioning of older adults. Genetic,
environmental, and occupation factors are potential risk factors, but medications are more commonly implicated
7. 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?
A) The older adult is likely experiencing the early stages of Alzheimer disease.
B)The older adult is likely experiencing a temporary state of delirium that will self-resolve.
C) The older adult may be experiencing age-related changes in personality.
D) The older adult may be experiencing mild cognitive impairment. - Correct Answer :Ans: D
P 4
NURS 5461 Quiz UPDATED ACTUAL Exam
| Actual Q&A with Rationale (NURS6521 Exam 1) |
Walden University
1. A nurse is leading a word-quiz game with a group of nursing home residents because the nurse knows this
activity will assist the residents in maintaining:
A) Fluid intelligence
B) Adaptive thinking
C) Crystallized intelligence
D) Psychomotor memory - Correct Answer :Ans: C
Crystallized intelligence refers to vocabulary skills, information, and verbal comprehension. Fluid intelligence
involves a person's inherent abilities, such as memory and recognition, and involves adaptive thinking. Memory
involves retrieval and storage of information.
P 1
, • NURS 5461 Exam 09/13/2026
2. A 69-year-old has recently been diagnosed with mild cognitive impairment and has asked the nurse to help her
remember things better. Which of the following nursing diagnoses is appropriate for this older adult?
A) Knowledge deficit
B) Altered thought processes
C) Health-seeking behaviors
D) Altered health maintenance - Correct Answer :Ans: C
The nursing diagnosis of health-seeking behaviors is defined as "the state in which an individual in stable health
actively seeks ways to alter personal health habits and/or the environment in order to move toward a higher
level of wellness." The older adult is seeking help from the nurse to remember things better so this is the most
appropriate diagnosis
3. A 70-year-old tells a nurse, "I am worried that I'm losing my mind, I have difficulty remembering names as well
as I used to, and I missed two health care appointments in the past month because I forgot about them." The
nurse initiates a memory training program, although the nurse has been unable to identify any risk factors that
might affect the older adult's cognitive abilities. Which of the following questions is the best approach to
evaluating the effectiveness of the memory training program?
A) "Have you seen an improvement in your memory?"
B) "Are you less worried about your memory now?"
C) "How have the memory training techniques helped you?"
D) "Are you using the memory training techniques now?" - Correct Answer :Ans: C
The question, "How have the memory training techniques helped you?," allows the older adult to tell the nurse
how memory training has helped and is more open-ended than the other options. It also communicates positive
expectations. The question helps identify the techniques that are most effective for the individual.
P 2
, • NURS 5461 Exam 09/13/2026
4. A nurse assesses a 61-year-old adult who reveals that he can't process as quickly as when younger, and that
"all these people talk about multi-tasking, but I can't do that!" Which of the following responses by the nurse is
appropriate?
A) "Have you had any other symptoms of cognitive impairment?"
B)"Slower processing of information is an age-related change, and there are things you can do to help with this."
C) "The declines in cognitive skills usually begin around the age or 60."
D) "You shouldn't expect to see a decline the cognitive functions that you use all the time." - Correct Answer
:Ans: B
Healthy older adults will not experience any significant cognitive impairment that interferes with daily life, but
they will notice minor deficits in some aspects of cognitive function and improvements in other aspects. The
earliest cognitive changes are due to decreased perceptual speed. The other distracters do not answer his
question. It is important for the nurse to address the client's concerns; in this case, the client is asking if it is
expected to already have age-related functional consequences. Age-related declines in some cognitive skills
begin around the age of 40, but there are substantial individual variations in these changes. Cognitive functions
that depend on experience, accumulated knowledge, and well-practiced tasks (e.g., vocabulary) do not decline
in healthy older adults, and may even improve.
5. Which of the following points should the nurse emphasize when educating older adults about memory and
cognition?
A) Long-term memory loss is normal.
B) Using calendars, notes, and imagery can help enhance memory.
C) Drinking caffeinated beverages for mental stimulation is a good idea.
D) Having a diminished capacity for learning is an inevitable part of growing older. - Correct Answer :Ans: B
P 3
, • NURS 5461 Exam 09/13/2026
Metacognition means that an individual understands his or her own cognitive process, and this process will
impact performance. Health education provides information about techniques to enhance cognitive abilities.
Older adults benefit from internal and external memory-enhancing techniques, such as calendars, imagery, and
notes.
6. An older adult is brought to the community clinic by an adult child with the concern of increasingly frequent
lapses in memory. Which assessment question is most likely to identify potential risk factors for impaired
cognitive functioning?
A) "What did your mother and father die of?"
B) "What line of work were you in?"
C) "What medications are you currently taking?"
D) "Where are you currently living?" - Correct Answer :Ans: C
Adverse medication effects can have a profound influence on the cognitive functioning of older adults. Genetic,
environmental, and occupation factors are potential risk factors, but medications are more commonly implicated
7. 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?
A) The older adult is likely experiencing the early stages of Alzheimer disease.
B)The older adult is likely experiencing a temporary state of delirium that will self-resolve.
C) The older adult may be experiencing age-related changes in personality.
D) The older adult may be experiencing mild cognitive impairment. - Correct Answer :Ans: D
P 4
