NURS 6540 FINAL EXAM PRACTICE 2026
COMPLETE STUDY SCRIPT WITH
EXPLANATORY SOLUTIONS
⩥ Mr. Slobinsky, 80 years old, is unable to leave his home due to
mobility problems. The nurse practitioner conducts a social support
assessment because Mr. Slobinsky:
1. May not want to see anyone.
2. Is not missing the cultural traditions of community activities.
3. Has made frequent appointments for consultation with the
practitioner.
4. Looks forward to sharing his loneliness with the nurse practitioner.
Answer: 3. Has made frequent appointments for consultation with the
practitioner.
⩥ Mrs. Khan is 89 years old and is reported to have bouts of agitation.
The nurse practitioner is counseling her family that these periods of
agitation can be triggered by which of the following?
1. Silence and soft music.
2. Dim lights.
3. Approaches from other people.
,4. A feeling of appetite satiety Answer: 3. Approaches from other people.
⩥ The nurse practitioner is considering ordering medications to help
control an older patient's agitation. She chooses which of the following?
1. Psychotropic medications
2. Seizure medications
3. Stimulants
4. Depressants Answer: 1. Psychotropic medications
⩥ The nurse practitioner is conducting an admitting assessment of a 69-
year-old man. He has diminished ability to ambulate and has difficulty
with activities of daily living (ADLs). In the interview, the nurse
practitioner asks him if he drinks alcohol. He says, "Yes." The
practitioner follows up with a psycho-social evaluation because:
1. Physiological dynamics need to be ruled out as a possible
contribution.
2. His drinking may be a function of the environment where he lives.
3. Criteria from the DSM-V is the same for people of any age.
4. His condition could be related to a long-term usage of alcohol or a
new occurrence Answer: 4. His condition could be related to a long-term
usage of alcohol or a new occurrence
, ⩥ The daughter of a 70-year-old woman asks the nurse practitioner why
her mother has had a change in functional ability recently. The mother
has regularly been drinking for 40 years, however, her behavior is
changing. The nurse practitioner replies that:
1. The concentration of alcohol in her body remains the same as she
ages.
2. Her change in behavior has nothing to do with any drugs she is taking.
3. There are different types of alcoholism in older adults, and the change
in behavior is related to the specific type.
4. Physical changes due to aging affect the body's metabolism of alcohol
differently. Answer: 4. Physical changes due to aging affect the body's
metabolism of alcohol differently.
⩥ The son of a 72-year-old man brings his father into the practitioner to
plan for treatment of the patient's alcoholism. The nurse practitioner has
several options available. Which is the first choice?
1. Treat for anxiety.
2. Begin with higher doses of anti-anxiety medications.
3. The last choice for medication is serotonin uptake inhibitors
4.Buspirone and gabapentin are used as first-line choices. Answer: 1.
Treat for anxiety.
COMPLETE STUDY SCRIPT WITH
EXPLANATORY SOLUTIONS
⩥ Mr. Slobinsky, 80 years old, is unable to leave his home due to
mobility problems. The nurse practitioner conducts a social support
assessment because Mr. Slobinsky:
1. May not want to see anyone.
2. Is not missing the cultural traditions of community activities.
3. Has made frequent appointments for consultation with the
practitioner.
4. Looks forward to sharing his loneliness with the nurse practitioner.
Answer: 3. Has made frequent appointments for consultation with the
practitioner.
⩥ Mrs. Khan is 89 years old and is reported to have bouts of agitation.
The nurse practitioner is counseling her family that these periods of
agitation can be triggered by which of the following?
1. Silence and soft music.
2. Dim lights.
3. Approaches from other people.
,4. A feeling of appetite satiety Answer: 3. Approaches from other people.
⩥ The nurse practitioner is considering ordering medications to help
control an older patient's agitation. She chooses which of the following?
1. Psychotropic medications
2. Seizure medications
3. Stimulants
4. Depressants Answer: 1. Psychotropic medications
⩥ The nurse practitioner is conducting an admitting assessment of a 69-
year-old man. He has diminished ability to ambulate and has difficulty
with activities of daily living (ADLs). In the interview, the nurse
practitioner asks him if he drinks alcohol. He says, "Yes." The
practitioner follows up with a psycho-social evaluation because:
1. Physiological dynamics need to be ruled out as a possible
contribution.
2. His drinking may be a function of the environment where he lives.
3. Criteria from the DSM-V is the same for people of any age.
4. His condition could be related to a long-term usage of alcohol or a
new occurrence Answer: 4. His condition could be related to a long-term
usage of alcohol or a new occurrence
, ⩥ The daughter of a 70-year-old woman asks the nurse practitioner why
her mother has had a change in functional ability recently. The mother
has regularly been drinking for 40 years, however, her behavior is
changing. The nurse practitioner replies that:
1. The concentration of alcohol in her body remains the same as she
ages.
2. Her change in behavior has nothing to do with any drugs she is taking.
3. There are different types of alcoholism in older adults, and the change
in behavior is related to the specific type.
4. Physical changes due to aging affect the body's metabolism of alcohol
differently. Answer: 4. Physical changes due to aging affect the body's
metabolism of alcohol differently.
⩥ The son of a 72-year-old man brings his father into the practitioner to
plan for treatment of the patient's alcoholism. The nurse practitioner has
several options available. Which is the first choice?
1. Treat for anxiety.
2. Begin with higher doses of anti-anxiety medications.
3. The last choice for medication is serotonin uptake inhibitors
4.Buspirone and gabapentin are used as first-line choices. Answer: 1.
Treat for anxiety.
