NR341 COMPLEX ADULT HEALTH EXAM 1 TEXTBOOK QUESTIONS WITH CORRECT ANSWERS RATIONALES 2025

NR341 COMPLEX ADULT HEALTH EXAM 1
TEXTBOOK QUESTIONS WITH CORRECT
ANSWERS RATIONALES 2025
AKnurseKisKcaringKforKaKgroupKofKolderKadultKclients.KWhichKofKtheKfollowingKmanifestationsKindicatesKoneKo
fKtheKclientsKisKexperiencingKdelirium?

A.KAKclientKwantsKtoKknowKtheKcurrentKtimeKwhileKthereKisKaKclockKonKtheKwall.

B.KAKclientKattemptsKtoKclimbKoutKofKbedKandKrepeatedlyKstatesKsheKmustKgetKhome.

C.KAKclientKrequestsKextraKblanketsKwhenKtheKthermostatKinKtheKroomKindicatesK25.6KDegreesKCK(78KF).

D.KAKclientKrefusesKtoKgetKoutKofKbedKandKhasKnoKmotivationKtoKattendKtoKdailyKhygiene.K-
KCORRECTKANSWERK-B.K




(DeliriumKisKcharacterizedKbyKaKchangeKinKcognitionKthatKoccursKoverKaKshortKperiodKofKtime.KItKresultsKfro
mKaKsecondaryKphysiologicalKconditionK(e.g.,Kinfection,Ksurgery,KprolongedKhospitalization,Khypoxia,Kfever,K
medications)KandKisKaKtransientKdisorder.KAlthoughKdeliriumKcanKoccurKwithKanyKage,KitKisKmoreKcommonKin
KolderKadults.KItKfrequentlyKprogressesKinKtheKeveningKhoursKandKisKsometimesKcalledK"sundownKsyndrome

."KDeliriumKisKcharacterizedKbyKalterationsKinKmemory,Kagitation,Krestlessness,Killusions,KorKhallucinations.K
AKclientKwhoKbecomesKacutelyKconfusedKandKagitatedKmayKbeKshowingKmanifestationsKofKdelirium.)



AKcommunityKhealthKnurseKisKprovidingKteachingKtoKtheKfamilyKofKaKclientKwhoKhasKprimaryKdementia.KWhi
chKofKtheKfollowingKmanifestationsKshouldKtheKnurseKtellKtheKfamilyKtoKexpect?

A.KDecreasedKauditoryKandKvisualKacuity.

B.KDecreasedKdisplayKofKemotion.

C.KPersonalityKtraitsKthatKareKoppositeKofKoriginalKtraits.

D.KForgetfulnessKgraduallyKprogressingKtoKdisorientation.K-KCORRECTKANSWERK-D.




(DementiaKusuallyKappearsKfirstKasKforgetfulness.KOtherKmanifestationsKmayKbeKapparentKonlyKuponKneuro
logicKexaminationKorKcognitiveKtesting.KLossKofKfunctioningKprogressesKslowlyKfromKimpairedKlanguageKskill
sKandKdifficultyKwithKordinaryKdailyKactivitiesKtoKsevereKmemoryKlossKandKcompleteKdisorientationKwithKwit
hdrawalKfromKsocialKinteraction.)

,AKnurseKisKcaringKforKaKclientKwhoKhasKdementia.KWhenKperformingKaKMentalKStatusKExaminationK(MSE)Kth
eKnurseKshouldKincludeKwhichKofKtheKfollowingKdata?K(SelectKallKthatKapply.)

A.KAbilityKtoKperformKcalculations

B.KLevelKofKconsciousness

C.KRecallKability

D.KLong-termKmemory

E.KLevelKofKorientationK-KCORRECTKANSWERK-A,KC,KE.




(EvaluatingKtheKclient'sKabilityKtoKperformKcalculationsKisKanKincludedKcomponentKofKanKMSE.KDeterminingK
theKclient'sKlevelKofKconsciousnessKisKnotKaKcomponentKofKanKMSE.KIdentifyingKtheKclient'sKabilityKtoKrecallKa
KlistKofKobjectsKorKwordsKisKanKincludedKcomponentKofKanKMSE.KEvaluatingKlong-

termKmemoryKisKnotKaKcomponentKofKanKMSE.KDeterminingKtheKclient'sKlevelKofKorientationKisKanKincludedK
componentKofKanKMSE.)



AKnurseKisKcaringKforKaKclientKwhoKhasKdementiaKdueKtoKAlzheimer'sKdiseaseKandKwasKadmittedKtoKaKlong-
termKcareKfacilityKfollowingKtheKdeathKofKherKpartnerKofK40Kyears.KTheKclientKstates,K"KIKwantKtoKgoKhome;K
myKhusbandKisKwaitingKforKmeKtoKcookKdinner.K"WhichKofKtheKfollowingKresponsesKbyKtheKnurseKisKappropri
ate?

A.K"KthisKisKwhereKyouKliveKnow."

B.K"KthisKisKaKsaferKplaceKforKyouKtoKlive."

C.K"TellKmeKwhatKyouKlikeKtoKcookKforKdinner."

D.K"YourKfamilyKsaidKthereKisKnoKoneKtoKcareKforKyouKatKhome."K-KCORRECTKANSWERK-C.




(Alzheimer'sKdiseaseKisKaKprogressiveKcognitiveKdisorder.KDementiaKdueKtoKAlzheimer'sKdiseaseKmeansKthat
KtheKclientKisKexperiencingKtheKlaterKstagesKofKtheKillnessKwithKmoderatelyKsevereKtoKsevereKcognitiveKdecli

ne.KByKaskingKtheKclientKtoKtalkKaboutKwhatKsheKlikesKtoKcookKforKdinner,KtheKnurseKisKdemonstratingKvalidat
ionKtherapyKbyKaskingKtheKclientKtoKtalkKaboutKtheKareasKthatKconcernedKher.KTheKnurseKcouldKcontinueKthe
KconversationKbyKdiscussingKhowKmuchKtheKclientKmissesKherKhomeKandKpartner.KValidationKtherapyKhelpsK

clientsKwhoKhaveKcognitiveKdisordersKdiscussKtheirKfeelingsKaboutKpastKeventsKandKpeople.)

, AKnurseKonKaKlong-
termKcareKunitKisKcreatingKaKplanKofKcareKforKaKclientKwhoKhasKAlzheimer'sKdisease.KWhichKofKtheKfollowingKi
nterventionsKshouldKtheKnurseKincludeKinKtheKplan?

A.KrotateKassignmentKofKdailyKcaregivers.

B.KprovideKanKactivityKscheduleKthatKchangesKfromKdayKtoKday.

C.KlimitKtimeKforKtheKclientKtoKperformKactivities.

D.KtalkKtheKclientKthroughKtasksKoneKstepKatKaKtime.K-KCORRECTKANSWERK-D




(TheKnurseKshouldKplanKtoKtalkKtheKclientKthroughKtasksKoneKstepKatKaKtimeKtoKminimizeKconfusionKandKpro
moteKindependence,KwhichKwillKdecreaseKtheKclient'sKanxietyKlevel.)



AKnurseKisKcaringKforKaKclientKwhoKisKcognitivelyKimpaired.KWhichKofKtheKfollowingKroomsKwillKprovideKaKthe
rapeuticKenvironmentKforKthisKclient?

A.KAKroomKadjacentKtoKtheKnursingKstation

B.KAKroomKwithoutKaKwindow

C.KAKroomKwithKdimKlighting

D.KAKroomKcontainingKpersonalKbelongingsK-KCORRECTKANSWERK-D




(AKroomKthatKcontainsKseveralKofKtheKclientsKpersonalKbelongingsKassistsKinKmaintainingKpersonalKidentityKa
ndKprovidesKaKtherapeuticKenvironment)



TheKfamilyKofKanKolderKadultKclientKbringsKhimKtoKtheKemergencyKdepartmentKafterKfindingKhimKwanderingK
outside.KDuringKtheKinitialKassessment,KtheKnurseKnotesKthatKtheKclientKflinchesKwhenKsheKpalpatesKhisKabd
omenKyetKresponseKtoKquestionsKonlyKbyKnoddingKandKsmiling.KWhichKofKtheKfollowingKfactorsKshouldKtheK
nurseKidentifyKasKaKlikelyKexplanationKforKtheKclientsKbehavior?

A.KheKisKhardKofKhearing

B.Kpain

C.Kconfusion

D.KlanguageKbarrierK-KCORRECTKANSWERK-C