OLDER ADULT FINAL EXAM Q&A
The nurse is planning care with an older adult who is at risk for falling because of
postural hypotension. Which of the following will be most effective in preventing falls in
this client?
a) Complete a fall diary.
b) Attach a sensor to the client that will alarm when client attempts to get up.
c) Encourage a family member to stay with the client.
d) Instruct the client to sit, obtain balance, dangle legs, and rise slowly. - Answer-d)
Instruct the client to sit, obtain balance, dangle legs, and rise slowly.
A gerontological nurse is monitoring signs of suspected abuse in an 89-year-old patient
who was admitted from home. When planning for the patient's discharge, the nurse's
first action is to:
a) delay discharge by informing the provider of the suspected abuse.
b) enlist the help of family members with transitioning the patient home.
c) notify Adult Protective Services of the patient's discharge.
d) restrict the family members' access to the patient prior to discharge. - Answer-c)
notify Adult Protective Services of the patient's discharge.
Which information obtained by the home health nurse when making a visit to an 88-
year-old with mild forgetfulness is of the most concern?
A. The patient's son uses a marked pillbox to set up the patient's medications weekly.
B. The patient has lost 10 pounds (4.5 kg) during the last month.
C. The patient is cared for by a daughter during the day and stays with a son at night.
D. The patient tells the nurse that a close friend recently died. - Answer-B. The patient
has lost 10 pounds (4.5 kg) during the last month.
In reviewing changes in the older adult, the nurse recognizes that which of the following
statements related to cognitive functioning in the older client is true?
A. Delirium is usually easily distinguished from irreversible dementia.
B. Therapeutic drug intoxication is a common cause of senile dementia.
C. Reversible systemic disorders are often implicated as a cause of delirium.
D. Cognitive deterioration is an inevitable outcome of the human aging process. -
Answer-C. Reversible systemic disorders are often implicated as a cause of delirium.
An elderly woman wakes up confused and disoriented. She is normally lucid and alert.
What should the nurse look for? Select all that apply.
A. This is a normal finding of aging.
B. An undiagnosed infection.
C. Dehydration
D. Alzheimer's Disease - Answer-B. An undiagnosed infection
C. Dehydration
,What are the classic clinical manifestations of Parkinson's Disease? Select all that
apply.
A. Tremor
B. Rigidity
C. Bradykinesia
D. Cough
E. Fatigue - Answer-A. Tremor
B. Rigidity
C. Bradykinesia
Which of the following interventions should be taken to help an older client to prevent
osteoporosis?
A. Decrease dietary calcium intake.
B. Increase sedentary lifestyles
C. Increase dietary protein intake.
D. Encourage regular exercise. - Answer-D. Encourage regular exercise.
A 75-year-old patient with a history of CHF, hypertension, and diabetes is waiting on a
visit from their homecare nurse. When speaking with his/her client, what statement by
the patient would the nurse want to investigate first?
a) My last three blood sugars have been under 105 mg/dl.
b) I normally sleep with three pillows but last night I had to sleep with four.
c) Yesterday I went to the bathroom a lot yesterday but I haven't at all this afternoon
d) My son hasn't come to visit me; I don't think he cares about me anymore. - Answer-
b) I normally sleep with three pillows but last night I had to sleep with four.
The nurse is performing an assessment on an older client who is having difficulty
sleeping at night. Which statement by the client indicates the need for further teaching
regarding measures to improve sleep?
a) "I swim three times a week."
b) "I have stopped smoking cigars."
c) "I drink hot chocolate before bedtime."
d) "I read for 40 minutes before bedtime." - Answer-c) "I drink hot chocolate before
bedtime."
The home health nurse is visiting a client for the first time. While assessing the client's
medication history, it is noted that there are 19 prescriptions and several over-the-
counter medications that the client has been taking. Which intervention should the nurse
take first?
a) Check for medication interactions.
b) Determine whether there are medication duplications.
, c) Call the prescribing health care provider (HCP) and report polypharmacy.
d) Determine whether a family member supervises medication administration. - Answer-
b) Determine whether there are medication duplications.
An 80-year old patient has lost his hearing and does not have the ability to read. A
nurse caring for this patient is preparing discharge for the next day as his family will be
visiting soon before the discharge. What can you do to help patient understand the
discharge instructions?
a) Write the instructions so the patient's family can explain the patient at home
b) Sit facing the patient so he can read lip movements and facial expressions
c) Speak loudly so the patient can hear you
d) Explain the instructions to the family members instead - Answer-b) Sit facing the
patient so he can read lip movements and facial expressions
The nurse is providing an educational session to new employees during orientation, and
the topic is about abuse of the older client. The nurse helps the employees identify
which client would mist likely be a victim of abuse?
a) A 75-year-old man who has moderate hypertension
b) A 90-year-old woman who has advanced Parkinson's disease
c) A 68-year-old man who has newly diagnosed cataracts
d) A 70-year-old woman who has early diagnosed Lyme disease - Answer-b) A 90-year-
old woman who has advanced Parkinson's disease
2. The home health nurse is visiting a client for the first time. While assessing the
client's medication history, it is noted that there are 19 prescriptions and several over-
the-counter medications that the client has been taking. Which intervention should the
nurse take first?
a) Check for medication interactions.
b) Determine whether there are medication duplications.
c) Call the prescribing health care provider (HCP) and report polypharmacy.
d) Determine whether a family member supervises medication administration. - Answer-
b) Determine whether there are medication duplications.
A visiting nurse who observes that the older male client is confined by his daughter-in-
law to his room. When the nurse suggests that he walk to the den and join the family, he
says, "I'm in everyone's way; my daughter-in-law needs me to stay here." Which is the
most important action for the nurse to take?
a) Say to the daughter-in-law, "Confining your father-in-law to his room is inhumane."
b) Suggest to the client and daughter-in-law that they consider a nursing home for the
client.
c) Say nothing, because it is best for the nurse to remain neutral and wait to be asked
for help.
The nurse is planning care with an older adult who is at risk for falling because of
postural hypotension. Which of the following will be most effective in preventing falls in
this client?
a) Complete a fall diary.
b) Attach a sensor to the client that will alarm when client attempts to get up.
c) Encourage a family member to stay with the client.
d) Instruct the client to sit, obtain balance, dangle legs, and rise slowly. - Answer-d)
Instruct the client to sit, obtain balance, dangle legs, and rise slowly.
A gerontological nurse is monitoring signs of suspected abuse in an 89-year-old patient
who was admitted from home. When planning for the patient's discharge, the nurse's
first action is to:
a) delay discharge by informing the provider of the suspected abuse.
b) enlist the help of family members with transitioning the patient home.
c) notify Adult Protective Services of the patient's discharge.
d) restrict the family members' access to the patient prior to discharge. - Answer-c)
notify Adult Protective Services of the patient's discharge.
Which information obtained by the home health nurse when making a visit to an 88-
year-old with mild forgetfulness is of the most concern?
A. The patient's son uses a marked pillbox to set up the patient's medications weekly.
B. The patient has lost 10 pounds (4.5 kg) during the last month.
C. The patient is cared for by a daughter during the day and stays with a son at night.
D. The patient tells the nurse that a close friend recently died. - Answer-B. The patient
has lost 10 pounds (4.5 kg) during the last month.
In reviewing changes in the older adult, the nurse recognizes that which of the following
statements related to cognitive functioning in the older client is true?
A. Delirium is usually easily distinguished from irreversible dementia.
B. Therapeutic drug intoxication is a common cause of senile dementia.
C. Reversible systemic disorders are often implicated as a cause of delirium.
D. Cognitive deterioration is an inevitable outcome of the human aging process. -
Answer-C. Reversible systemic disorders are often implicated as a cause of delirium.
An elderly woman wakes up confused and disoriented. She is normally lucid and alert.
What should the nurse look for? Select all that apply.
A. This is a normal finding of aging.
B. An undiagnosed infection.
C. Dehydration
D. Alzheimer's Disease - Answer-B. An undiagnosed infection
C. Dehydration
,What are the classic clinical manifestations of Parkinson's Disease? Select all that
apply.
A. Tremor
B. Rigidity
C. Bradykinesia
D. Cough
E. Fatigue - Answer-A. Tremor
B. Rigidity
C. Bradykinesia
Which of the following interventions should be taken to help an older client to prevent
osteoporosis?
A. Decrease dietary calcium intake.
B. Increase sedentary lifestyles
C. Increase dietary protein intake.
D. Encourage regular exercise. - Answer-D. Encourage regular exercise.
A 75-year-old patient with a history of CHF, hypertension, and diabetes is waiting on a
visit from their homecare nurse. When speaking with his/her client, what statement by
the patient would the nurse want to investigate first?
a) My last three blood sugars have been under 105 mg/dl.
b) I normally sleep with three pillows but last night I had to sleep with four.
c) Yesterday I went to the bathroom a lot yesterday but I haven't at all this afternoon
d) My son hasn't come to visit me; I don't think he cares about me anymore. - Answer-
b) I normally sleep with three pillows but last night I had to sleep with four.
The nurse is performing an assessment on an older client who is having difficulty
sleeping at night. Which statement by the client indicates the need for further teaching
regarding measures to improve sleep?
a) "I swim three times a week."
b) "I have stopped smoking cigars."
c) "I drink hot chocolate before bedtime."
d) "I read for 40 minutes before bedtime." - Answer-c) "I drink hot chocolate before
bedtime."
The home health nurse is visiting a client for the first time. While assessing the client's
medication history, it is noted that there are 19 prescriptions and several over-the-
counter medications that the client has been taking. Which intervention should the nurse
take first?
a) Check for medication interactions.
b) Determine whether there are medication duplications.
, c) Call the prescribing health care provider (HCP) and report polypharmacy.
d) Determine whether a family member supervises medication administration. - Answer-
b) Determine whether there are medication duplications.
An 80-year old patient has lost his hearing and does not have the ability to read. A
nurse caring for this patient is preparing discharge for the next day as his family will be
visiting soon before the discharge. What can you do to help patient understand the
discharge instructions?
a) Write the instructions so the patient's family can explain the patient at home
b) Sit facing the patient so he can read lip movements and facial expressions
c) Speak loudly so the patient can hear you
d) Explain the instructions to the family members instead - Answer-b) Sit facing the
patient so he can read lip movements and facial expressions
The nurse is providing an educational session to new employees during orientation, and
the topic is about abuse of the older client. The nurse helps the employees identify
which client would mist likely be a victim of abuse?
a) A 75-year-old man who has moderate hypertension
b) A 90-year-old woman who has advanced Parkinson's disease
c) A 68-year-old man who has newly diagnosed cataracts
d) A 70-year-old woman who has early diagnosed Lyme disease - Answer-b) A 90-year-
old woman who has advanced Parkinson's disease
2. The home health nurse is visiting a client for the first time. While assessing the
client's medication history, it is noted that there are 19 prescriptions and several over-
the-counter medications that the client has been taking. Which intervention should the
nurse take first?
a) Check for medication interactions.
b) Determine whether there are medication duplications.
c) Call the prescribing health care provider (HCP) and report polypharmacy.
d) Determine whether a family member supervises medication administration. - Answer-
b) Determine whether there are medication duplications.
A visiting nurse who observes that the older male client is confined by his daughter-in-
law to his room. When the nurse suggests that he walk to the den and join the family, he
says, "I'm in everyone's way; my daughter-in-law needs me to stay here." Which is the
most important action for the nurse to take?
a) Say to the daughter-in-law, "Confining your father-in-law to his room is inhumane."
b) Suggest to the client and daughter-in-law that they consider a nursing home for the
client.
c) Say nothing, because it is best for the nurse to remain neutral and wait to be asked
for help.
