Brunner & Suddarth's Textbook of
Medical-Surgical Nursing
A client has recently brought her elderly mother home to live with her family. The client states that her
mother has moderate Alzheimer's disease and asks about appropriate activities for her mother. The
nurse tells the client to
Ensure that the mother does not have access to car keys or drive an automobile.
Encourage the mother to take responsibility for cooking and cleaning the house.
Allow the mother to smoke cigarettes outside on the porch without supervision.
Turn off lights at night so that the mother differentiates night and day. - correct answerEnsure that the
mother does not have access to car keys or drive an automobile.
A client reports to the nurse that her mother had macular degeneration and is concerned that she, too,
may be at risk. What should the nurse tell the client?
This condition is now curable.
Vision loss is not hereditary. It is related to diet.
Wear sunglasses with ultraviolet (UV) protection when outside.
Reduce the amount of cigarettes smoked daily from 20 to 10. - correct answerWear sunglasses with
ultraviolet (UV) protection when outside.
A client with Alzheimer disease becomes agitated while the nurse is attempting to take vital signs. What
action by the nurse is most appropriate?
Place the client in a secluded room until calm.
Document the inability to assess vital signs due to client's agitation.
Continue taking the vital signs.
Distract the client with a familiar object or music. - correct answerDistract the client with a familiar
object or music.
,A client with Alzheimer's disease is prescribed donepezil hydrochloride. When teaching the client and
family about this drug, which of the following would the nurse include?
"The client need to take this drug for the rest of his or her life."
"Once it becomes effective, you can stop the drug."
"The drug helps to control the symptoms of the disease."
"This drug will help to stop the disease from getting worse." - correct answer"The drug helps to control
the symptoms of the disease."
A department of nursing within a health care organization is adopting the Functional Consequences
Theory when caring for older adults. Which action would the nurse take to facilitate using this theory
when caring for a client?
Recognize that immune system changes cannot be altered.
Identify reasons for changes in musculoskeletal function.
Plan interventions to address consequences of age-related changes.
Establish improvement of cognitive function as the overall goal of care. - correct answerPlan
interventions to address consequences of age-related changes.
A nurse is assessing an elderly client with senile dementia. Which neurotransmitter condition is most
likely to contribute to this client's cognitive changes?
Increased norepinephrine level
Decreased acetylcholine level
Increased acetylcholine level
Decreased norepinephrine level - correct answerDecreased acetylcholine level
A nurse is educating a group of middle-aged adults on aging. What information should the nurse include
in the teaching?
Most older adults reside in a long-term care facility.
, A decline in sexual activity is a normal occurrence as you age.
How old you feel will be determined by your physical and cognitive abilities.
As an older adult, you will not be able to learn new skills or knowledge. - correct answerHow old you feel
will be determined by your physical and cognitive abilities.
A nurse is obtaining the health history of a 72-year-old woman who has come to the ambulatory care
center for an evaluation. When obtaining information about the woman's sleep patterns, which of the
following would the nurse expect to assess?
Statements that she rarely takes naps during the day
Reports that she has trouble waking up from sleeping
Reports that she falls asleep more quickly
Complaints about frequently waking up during the night - correct answerComplaints about frequently
waking up during the night
A nurse is preparing a health promotion class for a group of seniors at a local community center. As one
part of the presentation, the nurse is planning to address sexuality and sexual function. Which
statement would be least appropriate to include?
Response to sexual stimulation may be less intense.
It might take longer to complete sexual intercourse.
Sexual desire typically becomes progressively less.
Sexual arousal may take longer to occur. - correct answerSexual desire typically becomes progressively
less.
A nurse is preparing a presentation for a local senior center about the health status of older adults.
What trends in health promotion and disease prevention activities would the nurse explain as
contributing to declining death rates in the older adult population? Select all that apply.
decreased smoking
decreased community-based services
early detection of elevated cholesterol levels
Medical-Surgical Nursing
A client has recently brought her elderly mother home to live with her family. The client states that her
mother has moderate Alzheimer's disease and asks about appropriate activities for her mother. The
nurse tells the client to
Ensure that the mother does not have access to car keys or drive an automobile.
Encourage the mother to take responsibility for cooking and cleaning the house.
Allow the mother to smoke cigarettes outside on the porch without supervision.
Turn off lights at night so that the mother differentiates night and day. - correct answerEnsure that the
mother does not have access to car keys or drive an automobile.
A client reports to the nurse that her mother had macular degeneration and is concerned that she, too,
may be at risk. What should the nurse tell the client?
This condition is now curable.
Vision loss is not hereditary. It is related to diet.
Wear sunglasses with ultraviolet (UV) protection when outside.
Reduce the amount of cigarettes smoked daily from 20 to 10. - correct answerWear sunglasses with
ultraviolet (UV) protection when outside.
A client with Alzheimer disease becomes agitated while the nurse is attempting to take vital signs. What
action by the nurse is most appropriate?
Place the client in a secluded room until calm.
Document the inability to assess vital signs due to client's agitation.
Continue taking the vital signs.
Distract the client with a familiar object or music. - correct answerDistract the client with a familiar
object or music.
,A client with Alzheimer's disease is prescribed donepezil hydrochloride. When teaching the client and
family about this drug, which of the following would the nurse include?
"The client need to take this drug for the rest of his or her life."
"Once it becomes effective, you can stop the drug."
"The drug helps to control the symptoms of the disease."
"This drug will help to stop the disease from getting worse." - correct answer"The drug helps to control
the symptoms of the disease."
A department of nursing within a health care organization is adopting the Functional Consequences
Theory when caring for older adults. Which action would the nurse take to facilitate using this theory
when caring for a client?
Recognize that immune system changes cannot be altered.
Identify reasons for changes in musculoskeletal function.
Plan interventions to address consequences of age-related changes.
Establish improvement of cognitive function as the overall goal of care. - correct answerPlan
interventions to address consequences of age-related changes.
A nurse is assessing an elderly client with senile dementia. Which neurotransmitter condition is most
likely to contribute to this client's cognitive changes?
Increased norepinephrine level
Decreased acetylcholine level
Increased acetylcholine level
Decreased norepinephrine level - correct answerDecreased acetylcholine level
A nurse is educating a group of middle-aged adults on aging. What information should the nurse include
in the teaching?
Most older adults reside in a long-term care facility.
, A decline in sexual activity is a normal occurrence as you age.
How old you feel will be determined by your physical and cognitive abilities.
As an older adult, you will not be able to learn new skills or knowledge. - correct answerHow old you feel
will be determined by your physical and cognitive abilities.
A nurse is obtaining the health history of a 72-year-old woman who has come to the ambulatory care
center for an evaluation. When obtaining information about the woman's sleep patterns, which of the
following would the nurse expect to assess?
Statements that she rarely takes naps during the day
Reports that she has trouble waking up from sleeping
Reports that she falls asleep more quickly
Complaints about frequently waking up during the night - correct answerComplaints about frequently
waking up during the night
A nurse is preparing a health promotion class for a group of seniors at a local community center. As one
part of the presentation, the nurse is planning to address sexuality and sexual function. Which
statement would be least appropriate to include?
Response to sexual stimulation may be less intense.
It might take longer to complete sexual intercourse.
Sexual desire typically becomes progressively less.
Sexual arousal may take longer to occur. - correct answerSexual desire typically becomes progressively
less.
A nurse is preparing a presentation for a local senior center about the health status of older adults.
What trends in health promotion and disease prevention activities would the nurse explain as
contributing to declining death rates in the older adult population? Select all that apply.
decreased smoking
decreased community-based services
early detection of elevated cholesterol levels
