Final exam nursing 601(with solved solutions)
The primary risk for injury experienced by a client diagnosed with asthma is: correct
answersinfections of the lower respiratory tract
Which intervention demonstrates effective care for an individual who has expressed a wish to
"retire sometime soon"? correct answersAsking about when they plan to retire
Assessing their ability to handle the stresses of retirement
Engaging them in a conversation about their interests
Inquiring about the existence of any chronic illnesses
D All of the above
Answer D
Which intervention addresses a guiding principle for creating an elder-friendly acute care
facility? correct answersA client is asked when they would prefer to bathe; morning, afternoon or
evening
Which characteristic is seen in a family's 'kin-keeper'? correct answersOrganizes the yearly
family reunion
The nurse practitioner is providing care for an older client who is experiencing mild cognitive
impairment. Which communication technique is most likely to bring about a negative outcome?
correct answersAsking the family to answer interview questions
Which of the following does not demonstrate an understanding of the factors affecting physical
wellness of the older adult client when correct answersAsking each client if "they come from a
healthy family"
Research has shown that long-term care (LTC) facility nursing correct answersis comparable to
the complexity and demand of intensive care nursing
is a nursing intensive environment
crosses the continuum of care
D) all of the above
Answer D
An older client diagnosed with dementia resides with his daughter. When the home care nurse
visits, the daughter tearfully tells the nurse that her father scratched her hand and cursed at her
when she was attempting to feed him. She states, "I don't know why he hates me and wants to
hurt me. I try so hard to take good care of him. I love him." How will the nurse respond to the
client's daughter? correct answers"Let's try to figure out what your father was trying to say with
his behavior."
What factor is an important contribution to polypharmacy in older adults? correct
answersInadequate communication among medical care providers
, A client who reported, "a problem sleeping" shows an understanding of good sleep hygiene
when: correct answerslimiting the afternoon nap to just 30 minutes
Each of the following data supports the diagnosis of sleep apnea in the older adult except: correct
answersfollowed a vegetarian diet for last 28 years
A widowed grandmother is about to assume the role of custodial parent for her 6-year-old
grandchild. Which intervention has priority
when preparing the grandmother for long-term success in this new role? correct
answersTeaching stress management and relaxation techniques
Which client statement indicates an understanding of a primary benefit to be derived from
moderately intense aerobic exercise? correct answers"Exercise will help keep my heart strong."
An 88-year-old, being admitted to rule out lung cancer, is assessed using the short form of the
Geriatric Depression Scale tool. When it is determines that the earned score is 9, the nurse
practitioner initially: correct answersasks if they have any thoughts of committing suicide
A 78-year-old patient who is dying of colon cancer with metastases to the liver is refusing to eat
or drink. He is alert and oriented, and states that he has no desire to eat, which is causing the
family great distress. In order to best address the client and family, you should: correct
answersEducate the family that this is normal behavior in this situation
Of the following agents, which is least likely to cause a chronic or recurrent cough? correct
answersGabapentin
Which behavior suggests that an older adult who has lost their life partner is successfully
managing the exploration stage of the adjustment process? correct answersSmiles when
reminiscing about the trips they took over the years
The area in which nurse practitioners have the greatest effect on the safe, effective medication
therapy of an older client is: correct answerseducating the client to all aspects of the medication.
The following precautions are beneficial in minimizing an older adult's risk of being a victim of
fraud except: correct answersRely on the advice of people who only friends have recommended.
The nurse is most concerned by observing which of the following during an older client's
physical assessment: correct answersa slightly raised irregular patch that is bluish black in color
Which reaction to the loss of a spouse or long-term partner is a unique example of older adult
male bereavement? correct answersRemarrying within months of the loss
When developing a teaching plan for an older, newly diagnosed diabetic client, the nurse
practitioner best ensures an understanding of oral hypoglycemic medications when providing:
correct answersoral explanations and sending the client home with a written copy
The primary risk for injury experienced by a client diagnosed with asthma is: correct
answersinfections of the lower respiratory tract
Which intervention demonstrates effective care for an individual who has expressed a wish to
"retire sometime soon"? correct answersAsking about when they plan to retire
Assessing their ability to handle the stresses of retirement
Engaging them in a conversation about their interests
Inquiring about the existence of any chronic illnesses
D All of the above
Answer D
Which intervention addresses a guiding principle for creating an elder-friendly acute care
facility? correct answersA client is asked when they would prefer to bathe; morning, afternoon or
evening
Which characteristic is seen in a family's 'kin-keeper'? correct answersOrganizes the yearly
family reunion
The nurse practitioner is providing care for an older client who is experiencing mild cognitive
impairment. Which communication technique is most likely to bring about a negative outcome?
correct answersAsking the family to answer interview questions
Which of the following does not demonstrate an understanding of the factors affecting physical
wellness of the older adult client when correct answersAsking each client if "they come from a
healthy family"
Research has shown that long-term care (LTC) facility nursing correct answersis comparable to
the complexity and demand of intensive care nursing
is a nursing intensive environment
crosses the continuum of care
D) all of the above
Answer D
An older client diagnosed with dementia resides with his daughter. When the home care nurse
visits, the daughter tearfully tells the nurse that her father scratched her hand and cursed at her
when she was attempting to feed him. She states, "I don't know why he hates me and wants to
hurt me. I try so hard to take good care of him. I love him." How will the nurse respond to the
client's daughter? correct answers"Let's try to figure out what your father was trying to say with
his behavior."
What factor is an important contribution to polypharmacy in older adults? correct
answersInadequate communication among medical care providers
, A client who reported, "a problem sleeping" shows an understanding of good sleep hygiene
when: correct answerslimiting the afternoon nap to just 30 minutes
Each of the following data supports the diagnosis of sleep apnea in the older adult except: correct
answersfollowed a vegetarian diet for last 28 years
A widowed grandmother is about to assume the role of custodial parent for her 6-year-old
grandchild. Which intervention has priority
when preparing the grandmother for long-term success in this new role? correct
answersTeaching stress management and relaxation techniques
Which client statement indicates an understanding of a primary benefit to be derived from
moderately intense aerobic exercise? correct answers"Exercise will help keep my heart strong."
An 88-year-old, being admitted to rule out lung cancer, is assessed using the short form of the
Geriatric Depression Scale tool. When it is determines that the earned score is 9, the nurse
practitioner initially: correct answersasks if they have any thoughts of committing suicide
A 78-year-old patient who is dying of colon cancer with metastases to the liver is refusing to eat
or drink. He is alert and oriented, and states that he has no desire to eat, which is causing the
family great distress. In order to best address the client and family, you should: correct
answersEducate the family that this is normal behavior in this situation
Of the following agents, which is least likely to cause a chronic or recurrent cough? correct
answersGabapentin
Which behavior suggests that an older adult who has lost their life partner is successfully
managing the exploration stage of the adjustment process? correct answersSmiles when
reminiscing about the trips they took over the years
The area in which nurse practitioners have the greatest effect on the safe, effective medication
therapy of an older client is: correct answerseducating the client to all aspects of the medication.
The following precautions are beneficial in minimizing an older adult's risk of being a victim of
fraud except: correct answersRely on the advice of people who only friends have recommended.
The nurse is most concerned by observing which of the following during an older client's
physical assessment: correct answersa slightly raised irregular patch that is bluish black in color
Which reaction to the loss of a spouse or long-term partner is a unique example of older adult
male bereavement? correct answersRemarrying within months of the loss
When developing a teaching plan for an older, newly diagnosed diabetic client, the nurse
practitioner best ensures an understanding of oral hypoglycemic medications when providing:
correct answersoral explanations and sending the client home with a written copy
