©THESTAR 2024/2025 ALL RIGHTS RESERVED 1:27PM. A+
Older Adult Exam Questions And Answers
|Latest 2025 | Guaranteed Pass.
The nurse is caring for an 84-year-old man admitted with a diagnosis of severe Alzheimer
dementia. In the admission assessment, the nurse notes that the client can no longer recognize
familiar objects such as his glasses and toothbrush. The best term to describe this situation is:
1. Amnesia
2. Aphasia
3. Apraxia
4. Agnosia - Answer✔Correct
4. Agnosia
Agnosia is the term used to describe the loss of sensory ability to recognize familiar sounds and
objects, as well as loved ones or even parts of the affected individual's body. Amnesia is the
term for the impairment of memory both recent and remote. Aphasia is the term for the loss of
language ability, which progresses with the disease. Apraxia is the term for the loss of
purposeful movement in the absence of motor or sensory impairment. The individual is unable
to perform purposeful tasks such as walking or putting clothing on properly.
An 80-year-old client who lives at home has dementia of the Alzheimer type, stage 1. The client
is irritable and forgetful. The home care nurse concludes that this client:
1. Must be supervised closely at all times
2. Needs a home health aide to assist with activities of daily living
3. Should be allowed to function independently if therapeutically possible
4. Ought to be responsible for carrying out daily self-care activities without assistance -
Answer✔Correct
1|Page
, ©THESTAR 2024/2025 ALL RIGHTS RESERVED 1:27PM. A+
3. Should be allowed to function independently if therapeutically possible
Priority should be given to providing nursing care to maintain an optimal level of safe function
for as long as possible. Close supervision is usually not necessary during the early stages of
dementia. Constant supervision can be destructive to self-esteem. A home health aide is usually
not necessary during the early stages of dementia. The client may or may not be capable of
performing all daily self-care activities.
What should the nurse include in the plan of care for a client with dementia of the Alzheimer
type, stage 2 (moderate dementia)?
1. Discuss recent current events.
2. Teach the client new social skills.
3. Maintain a daily routine of living.
4. Encourage the client to talk about past experiences. - Answer✔Correct
3. Maintain a daily routine of living.
The client with this disorder will be most comfortable with a familiar and repetitive daily
routine because it will produce less anxiety. Cognitive changes probably make a discussion of
current events unrealistic. It probably is beyond the client's capability to develop new social
skills. Memory impairment may make talking about past events impossible.
A 54-year-old man has demonstrated increasing forgetfulness, irritability, and antisocial
behavior. After the man is found disoriented and semi-naked while walking down a street, the
diagnosis of dementia of the Alzheimer type is made. The client expresses fear and anxiety
when he is admitted to a long-term care facility. What is the best nursing intervention in light of
the client's diagnosis?
1. Exploring with him the reasons for his concerns
2. Reassuring him with the frequent presence of staff members
3. Providing him with a written schedule of planned interactions
4. Explaining to him why the admission to the facility is necessary - Answer✔Correct
2. Reassuring him with the frequent presence of staff members
The client needs constant reassurance because forgetfulness blocks previous explanations; the
frequent presence of staff members serves as a support system. This client will be unable to
explain the reasons for his concerns. The client will not be able to decode a written schedule;
2|Page
, ©THESTAR 2024/2025 ALL RIGHTS RESERVED 1:27PM. A+
he needs continual reassurance. This client will not remember the explanation from one
moment to the next.
An 84-year-old woman is admitted to the hospital with a diagnosis of dementia of the
Alzheimer type. The nurse knows that this disorder is a:
1. Problem that first emerges in the third decade of life
2. Nonorganic disorder that occurs in the later years of life
3. Cognitive problem that is a slow and relentless deterioration of the mind
4. Disorder that is easily diagnosed through laboratory and psychological tests -
Answer✔Correct
3. Cognitive problem that is a slow and relentless deterioration of the mind
Dementia of the Alzheimer's type accounts for 80% of dementias in older adults; it may be due
to a neurotransmitter deficiency and is characterized by a steady decline in intellectual
function, including memory deficits, disorientation, and decreased cognitive ability. More than
90% of people with dementia of the Alzheimer type are older than 50 years. It is an organic, not
functional, disorder. Dementia of the Alzheimer type is difficult to diagnose and often is made
when other causes of the dementia have been ruled out.
What is the priority nursing intervention for a forgetful, disoriented client with the diagnosis of
dementia of the Alzheimer type?
1. Restricting gross motor activity
2. Preventing further deterioration
3. Keeping the client oriented to time
4. Managing the client's unsafe behaviors - Answer✔Correct
4. Managing the client's unsafe behaviors
Clients with Alzheimer disease require external controls to minimize the danger of injury due to
lack of judgment. The staff should not prevent all gross motor activity; the client needs to use
the muscles, or atrophy will occur. Further deterioration usually cannot be prevented in this
disorder with nursing interventions; donepezil (Aricept) may help delay deterioration in some
clients. It may not be possible to keep the client continuously oriented.
The nurse supports cognitive ability in clients with Alzheimer dementia by: Select all that apply.
1. Using calendars, clocks, and pictures to support memory
2. Encouraging caregivers to support protected independence
3|Page
Older Adult Exam Questions And Answers
|Latest 2025 | Guaranteed Pass.
The nurse is caring for an 84-year-old man admitted with a diagnosis of severe Alzheimer
dementia. In the admission assessment, the nurse notes that the client can no longer recognize
familiar objects such as his glasses and toothbrush. The best term to describe this situation is:
1. Amnesia
2. Aphasia
3. Apraxia
4. Agnosia - Answer✔Correct
4. Agnosia
Agnosia is the term used to describe the loss of sensory ability to recognize familiar sounds and
objects, as well as loved ones or even parts of the affected individual's body. Amnesia is the
term for the impairment of memory both recent and remote. Aphasia is the term for the loss of
language ability, which progresses with the disease. Apraxia is the term for the loss of
purposeful movement in the absence of motor or sensory impairment. The individual is unable
to perform purposeful tasks such as walking or putting clothing on properly.
An 80-year-old client who lives at home has dementia of the Alzheimer type, stage 1. The client
is irritable and forgetful. The home care nurse concludes that this client:
1. Must be supervised closely at all times
2. Needs a home health aide to assist with activities of daily living
3. Should be allowed to function independently if therapeutically possible
4. Ought to be responsible for carrying out daily self-care activities without assistance -
Answer✔Correct
1|Page
, ©THESTAR 2024/2025 ALL RIGHTS RESERVED 1:27PM. A+
3. Should be allowed to function independently if therapeutically possible
Priority should be given to providing nursing care to maintain an optimal level of safe function
for as long as possible. Close supervision is usually not necessary during the early stages of
dementia. Constant supervision can be destructive to self-esteem. A home health aide is usually
not necessary during the early stages of dementia. The client may or may not be capable of
performing all daily self-care activities.
What should the nurse include in the plan of care for a client with dementia of the Alzheimer
type, stage 2 (moderate dementia)?
1. Discuss recent current events.
2. Teach the client new social skills.
3. Maintain a daily routine of living.
4. Encourage the client to talk about past experiences. - Answer✔Correct
3. Maintain a daily routine of living.
The client with this disorder will be most comfortable with a familiar and repetitive daily
routine because it will produce less anxiety. Cognitive changes probably make a discussion of
current events unrealistic. It probably is beyond the client's capability to develop new social
skills. Memory impairment may make talking about past events impossible.
A 54-year-old man has demonstrated increasing forgetfulness, irritability, and antisocial
behavior. After the man is found disoriented and semi-naked while walking down a street, the
diagnosis of dementia of the Alzheimer type is made. The client expresses fear and anxiety
when he is admitted to a long-term care facility. What is the best nursing intervention in light of
the client's diagnosis?
1. Exploring with him the reasons for his concerns
2. Reassuring him with the frequent presence of staff members
3. Providing him with a written schedule of planned interactions
4. Explaining to him why the admission to the facility is necessary - Answer✔Correct
2. Reassuring him with the frequent presence of staff members
The client needs constant reassurance because forgetfulness blocks previous explanations; the
frequent presence of staff members serves as a support system. This client will be unable to
explain the reasons for his concerns. The client will not be able to decode a written schedule;
2|Page
, ©THESTAR 2024/2025 ALL RIGHTS RESERVED 1:27PM. A+
he needs continual reassurance. This client will not remember the explanation from one
moment to the next.
An 84-year-old woman is admitted to the hospital with a diagnosis of dementia of the
Alzheimer type. The nurse knows that this disorder is a:
1. Problem that first emerges in the third decade of life
2. Nonorganic disorder that occurs in the later years of life
3. Cognitive problem that is a slow and relentless deterioration of the mind
4. Disorder that is easily diagnosed through laboratory and psychological tests -
Answer✔Correct
3. Cognitive problem that is a slow and relentless deterioration of the mind
Dementia of the Alzheimer's type accounts for 80% of dementias in older adults; it may be due
to a neurotransmitter deficiency and is characterized by a steady decline in intellectual
function, including memory deficits, disorientation, and decreased cognitive ability. More than
90% of people with dementia of the Alzheimer type are older than 50 years. It is an organic, not
functional, disorder. Dementia of the Alzheimer type is difficult to diagnose and often is made
when other causes of the dementia have been ruled out.
What is the priority nursing intervention for a forgetful, disoriented client with the diagnosis of
dementia of the Alzheimer type?
1. Restricting gross motor activity
2. Preventing further deterioration
3. Keeping the client oriented to time
4. Managing the client's unsafe behaviors - Answer✔Correct
4. Managing the client's unsafe behaviors
Clients with Alzheimer disease require external controls to minimize the danger of injury due to
lack of judgment. The staff should not prevent all gross motor activity; the client needs to use
the muscles, or atrophy will occur. Further deterioration usually cannot be prevented in this
disorder with nursing interventions; donepezil (Aricept) may help delay deterioration in some
clients. It may not be possible to keep the client continuously oriented.
The nurse supports cognitive ability in clients with Alzheimer dementia by: Select all that apply.
1. Using calendars, clocks, and pictures to support memory
2. Encouraging caregivers to support protected independence
3|Page
