NURS 5461 ADULT GERONTOLOGY FINAL ACTUAL EXAM TEST BANK 1 / NURS 5461 ADULT
GERONTOLOGY FINAL PREPARATION /NURS 5461 ADULT GERONTOLOGY FINAL PRACTICE EXAM |
WITH COMPLETE VERIFIED QUESTIONS AND CORRECT ANSWERS WITH DETAILED RATIONALES
GRADED A +
An older client asks the nurse to differentiate delirium and dementia. The nurse
would include which important information in the explanation? Select all that
apply.
A - Delirium is chronic confusion, usually irreversible.
B - Dementia is progressive impairment in cognitive function.
C - Delirium is acute confusion, usually reversible.
D - Delirium is acute confusion, usually irreversible.
E - Dementia is irreversible impairment in cognitive function. –
Correct Answer :Dementia is progressive impairment in cognitive function.
Delirium is acute confusion, usually reversible
Dementia is irreversible impairment in cognitive function.
Delirium is acute confusion that is can be reversed if treated promptly and
dementia is irreversible and progressive impairment in cognitive function.
Adult children of an older client have returned the money that they took from
the client's checking account and guaranteed that they would never steal from
their parent again. What should the nurse assess during every home visit with
the older client?
A - the client has help with keeping the home safe and clean
,B - the client has food, medication, and all needs are being met
C - the adult children have time away from the client
D - the adult children are working for their own money –
Correct Answer :the client has food, medication, and all needs are being
met
The nurse must consider that caregiving burdens often increase over time;
therefore, ongoing
interventions are necessary to prevent future abuse after the immediate
episode has been resolved. The
nurse should continue to assess if the client has food, medication, and that
all needs are being met. The
adult children's activities and employment are not something for the nurse
to be concerned about. The
client's home cleanliness and safety are not as high a priority as having
food and medication.
The nurse prepares to assess an older client's cognitive functioning. What
should the nurse do to enhance the assessment process?
A - avoid eye contact while asking questions
B - restrict the amount of small talk before the assessment
C - explain the reason for the assessment
D - stand next to the client while performing the assessment –
,Correct Answer :explain the reason for the assessment
Because clients may be anxious, embarrassed, suspicious, or insulted by
having their mental status reviewed, explain the importance of and the
reasons for the examination. The nurse should be positioned at the same
level as the client and eye contact should be made. Making the client
comfortable and establishing rapport before the assessment can reduce
some of the barriers to an effective mental health examination.
The nurse notes that an older client has an irregular heart beat and elevated
blood pressure. What should the nurse ask the client during the assessment?
A - "What do you do for relaxation?"
B - "Have you been eating regularly?"
A+ TEST BANK
C - "Have you considered causing harm to yourself?"
D - "How often do you ingest alcohol?" –
Correct Answer :"How often do you ingest alcohol?"
, Cardiac disorders can result from alcoholism and can be displayed by
hypertension and an irregular heartbeat due to cardiomyopathy. Eating
regularly would help assess for depression. Asking about relaxation would
be appropriate to assess for an anxiety disorder. Asking about self-harm
would be appropriate to assess for suicide risk.
The adult daughter asks when an older client with dementia will regain memory
function. What should the nurse include when responding to the daughter?
A - memory will return when the underlying cause is treated
B - the memory losses are irreversible
C - return of memory depends upon health status
D - orientation and reasoning will most likely return in time –
Correct Answer :the memory losses are irreversible
Dementia is an irreversible, progressive impairment in cognitive function
affecting memory, orientation, judgment, reasoning, attention, language,
and problem-solving. The return of memory will not depend upon the
client's health status. Orientation and reasoning will not return. The return
of memory occurs with delirium, when the underlying cause is treated.
The nurse notes that an older client has adopted the practice of writing
everything down including what was eaten for each meal and what television
shows were watched. What should the nurse suspect is occurring with this
client?
A - progressive paranoia
B - data collection for a lawsuit
GERONTOLOGY FINAL PREPARATION /NURS 5461 ADULT GERONTOLOGY FINAL PRACTICE EXAM |
WITH COMPLETE VERIFIED QUESTIONS AND CORRECT ANSWERS WITH DETAILED RATIONALES
GRADED A +
An older client asks the nurse to differentiate delirium and dementia. The nurse
would include which important information in the explanation? Select all that
apply.
A - Delirium is chronic confusion, usually irreversible.
B - Dementia is progressive impairment in cognitive function.
C - Delirium is acute confusion, usually reversible.
D - Delirium is acute confusion, usually irreversible.
E - Dementia is irreversible impairment in cognitive function. –
Correct Answer :Dementia is progressive impairment in cognitive function.
Delirium is acute confusion, usually reversible
Dementia is irreversible impairment in cognitive function.
Delirium is acute confusion that is can be reversed if treated promptly and
dementia is irreversible and progressive impairment in cognitive function.
Adult children of an older client have returned the money that they took from
the client's checking account and guaranteed that they would never steal from
their parent again. What should the nurse assess during every home visit with
the older client?
A - the client has help with keeping the home safe and clean
,B - the client has food, medication, and all needs are being met
C - the adult children have time away from the client
D - the adult children are working for their own money –
Correct Answer :the client has food, medication, and all needs are being
met
The nurse must consider that caregiving burdens often increase over time;
therefore, ongoing
interventions are necessary to prevent future abuse after the immediate
episode has been resolved. The
nurse should continue to assess if the client has food, medication, and that
all needs are being met. The
adult children's activities and employment are not something for the nurse
to be concerned about. The
client's home cleanliness and safety are not as high a priority as having
food and medication.
The nurse prepares to assess an older client's cognitive functioning. What
should the nurse do to enhance the assessment process?
A - avoid eye contact while asking questions
B - restrict the amount of small talk before the assessment
C - explain the reason for the assessment
D - stand next to the client while performing the assessment –
,Correct Answer :explain the reason for the assessment
Because clients may be anxious, embarrassed, suspicious, or insulted by
having their mental status reviewed, explain the importance of and the
reasons for the examination. The nurse should be positioned at the same
level as the client and eye contact should be made. Making the client
comfortable and establishing rapport before the assessment can reduce
some of the barriers to an effective mental health examination.
The nurse notes that an older client has an irregular heart beat and elevated
blood pressure. What should the nurse ask the client during the assessment?
A - "What do you do for relaxation?"
B - "Have you been eating regularly?"
A+ TEST BANK
C - "Have you considered causing harm to yourself?"
D - "How often do you ingest alcohol?" –
Correct Answer :"How often do you ingest alcohol?"
, Cardiac disorders can result from alcoholism and can be displayed by
hypertension and an irregular heartbeat due to cardiomyopathy. Eating
regularly would help assess for depression. Asking about relaxation would
be appropriate to assess for an anxiety disorder. Asking about self-harm
would be appropriate to assess for suicide risk.
The adult daughter asks when an older client with dementia will regain memory
function. What should the nurse include when responding to the daughter?
A - memory will return when the underlying cause is treated
B - the memory losses are irreversible
C - return of memory depends upon health status
D - orientation and reasoning will most likely return in time –
Correct Answer :the memory losses are irreversible
Dementia is an irreversible, progressive impairment in cognitive function
affecting memory, orientation, judgment, reasoning, attention, language,
and problem-solving. The return of memory will not depend upon the
client's health status. Orientation and reasoning will not return. The return
of memory occurs with delirium, when the underlying cause is treated.
The nurse notes that an older client has adopted the practice of writing
everything down including what was eaten for each meal and what television
shows were watched. What should the nurse suspect is occurring with this
client?
A - progressive paranoia
B - data collection for a lawsuit
