1. Mrs. James is 78 years old and comes to the clinic for 2. Dignity, credibility, and
an annual checkup. The nurse practitioner addresses respect.
the psychosocial needs of older adults and specifically
the need for which of the following?
1. Dependence.
2. Dignity, credibility, and respect.
3. Being alone.
4. Not being touched.
2. Mr. Slobinsky, 80 years old, is unable to leave his home 3. Has made frequent ap-
due to mobility problems. The nurse practitioner con- pointments for consultation
ducts a social support assessment because Mr. Slobin- with the practitioner.
sky:
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
3. Mrs. Khan is 89 years old and is reported to have bouts .3. Approaches from other
of agitation. The nurse practitioner is counseling her people
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.
4. The nurse practitioner is considering ordering med- 1. Psychotropic medications
ications to help control an older patient's agitation.
, NUR 612 - FINAL EXAM
She chooses which of the following?
1. Psychotropic medications
2. Seizure medications
3. Stimulants
4. Depressants
5. The nurse practitioner is conducting an admitting as- 4. His condition could be
sessment of a 69-year-old man. He has diminished related to a long-term us-
ability to ambulate and has difficulty with activities of age of alcohol or a new oc-
daily living (ADLs). In the interview, the nurse practi- currence
tioner 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
6. The daughter of a 70-year-old woman asks the nurse 4. Physical changes
practitioner why her mother has had a change in due to aging attect the
functional ability recently. The mother has regularly body's me-tabolism of
been drinking for 40 years, however, her behavior is alcohol ditter-ently
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
, NUR 612 - FINAL EXAM
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
7. The son of a 72-year-old man brings his father into 1. Treat for anxiety.
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 medica-
tions.
3. The last choice for medication is serotonin uptake
inhibitors.
4. Buspirone and gabapentin are used as first-line
choices.
8. Elisabeth, 67 years old, comes to the practitioner with 2. Flight of ideas
her daughter, who is her caregiver. The nurse practi- 3. Rapid speech
tioner notices that Elizabeth is very busy and always 4. Impulsivity
moving and placing things in order within the waiting
room. Along with this increase in energy, which of the
following suggest bipolar with mania or hypomania?
Select all that apply.
1. Ability to focus on a task
2. Flight of ideas
3. Rapid speech
4. Impulsivity
5. Thoughtfulness
9. The nurse practitioner is assessing a 69-year-old man 3. Mini-Mental State Exam-
for possible bipolar disorder. Which of the following ination.