NU170 EXAM 2 QUESTIONS WITH
COMPLETE SOLUTIONS
ageism - ANSWERdiscrimination on the basis of a person's increasing age
stereotypes against older adults - ANSWERill, disabled, poor, unattractive
1. A patient's family member is considering having her mother placed in a nursing
center. The nurse has talked with the family before and knows that this is a difficult
decision. Which of the following criteria does the nurse recommend in choosing a
nursing center? (Select all that apply.)
1. The center needs to be clean, and rooms should look like a hospital room.
2. Adequate staffing is available on all shifts.
3. Social activities are available for all residents.
4. The center provides three meals daily with a set menu and serving schedule.
5. Staff encourage family involvement in care planning and assisting with physical care.
- ANSWER2. Adequate staffing is available on all shifts.
3. Social activities are available for all residents.
5. Staff encourage family involvement in care planning and assisting with physical care.
2. A nurse conducted an assessment of a new patient who came to the medical clinic.
The patient is 82 years old and has had osteoarthritis for 10 years and diabetes mellitus
for 20 years. He is alert but becomes easily distracted during the assessment. He
recently moved to a new apartment, and his pet beagle died just 2 months ago. He is
most likely experiencing:
1. Dementia.
2. Depression.
3. Delirium.
4. Anxiety. - ANSWERdepression
3. A nurse is completing a health history with the daughter of a newly admitted patient
who is confused and agitated. The daughter reports that her mother was diagnosed with
Alzheimer's disease 1year ago but became extremely confused last evening and was
hallucinating. She was unable to calm her, and her mother thought she was a stranger.
On the basis of this history, the nurse suspects that the patient is experiencing:
1. Normal aging.
2. Delirium.
3. Depression.
4. Worsening dementia. - ANSWERdelirium
4. Older adults frequently experience a change in sexual activity. Which best explains
this change?
1. The need to touch and be touched is decreased.
, 2. The sexual preferences of older adults are not as diverse.
3. Medication side effects often impact sexual functioning.
4. Frequency and opportunities for sexual activity may decline. - ANSWERFrequency
and opportunities for sexual activity may decline.
5. A nurse sees a 76-year-old woman in the outpatient clinic. She states that she
recently started to notice a glare in the lights at home. Her vision is blurred, and she is
unable to play cards with her friends, read, or do her needlework. Which of the following
nursing interventions are appropriate? (Select all that apply.)
1. Refer her to an ophthalmologist.
2. Suggest large-print books and playing cards.
3. Reassure her that this is part of normal aging.
4. Suggest lower-wattage light bulbs to decrease glare.
5. Assess her home environment for safety. - ANSWERRefer her to an ophthalmologist
Suggest large-print books and playing cards
Assess her home environment for safety
6. A 63-year-old patient is retiring from his job at an accounting firm where he was in a
management role for the past 20 years. He has been with the same company for 42
years and was a dedicated employee. His wife is a homemaker. She raised their five
children, babysits for her grandchildren as needed, and belongs to numerous church
committees. What are the major concerns for this patient? (Select all that apply.)
1. The loss of his work role
2. The risk of social isolation
3. A determination on whether the wife will need to start working
4. How the wife expects household tasks to be divided in the home in retirement
5. The age the patient chose to retire - ANSWERThe loss of his work role
How the wife expects household tasks to be divided in the home in retirement
7. A nurse is assessing an older adult brought to the emergency department following a
fall and wrist fracture. The patient is very thin and unkempt, has a stage 3 pressure
injury on her coccyx, and has old bruising to the extremities in addition to her new
bruises from the fall. She defers all of the questions to her caregiver son, who
accompanied her to the hospital. What is the nurse's next step?
1. Call social services to begin nursing home placement.
2. Ask the son to step out of the room so that she can complete her assessment.
3. Call adult protective services because you suspect elder mistreatment.
4. Assess the patient's cognitive status. - ANSWERAsk the son to step out of the room
so that she can complete her assessment.
8. A nurse is participating in a health and wellness event at the local community center.
A woman approaches and relates that she is worried that her widowed father is
becoming more functionally impaired and may need to move in with her. The nurse asks
about his ability to complete activities of daily living (ADLs). ADLs include independence
with: (Select all that apply.)
1. Driving.
COMPLETE SOLUTIONS
ageism - ANSWERdiscrimination on the basis of a person's increasing age
stereotypes against older adults - ANSWERill, disabled, poor, unattractive
1. A patient's family member is considering having her mother placed in a nursing
center. The nurse has talked with the family before and knows that this is a difficult
decision. Which of the following criteria does the nurse recommend in choosing a
nursing center? (Select all that apply.)
1. The center needs to be clean, and rooms should look like a hospital room.
2. Adequate staffing is available on all shifts.
3. Social activities are available for all residents.
4. The center provides three meals daily with a set menu and serving schedule.
5. Staff encourage family involvement in care planning and assisting with physical care.
- ANSWER2. Adequate staffing is available on all shifts.
3. Social activities are available for all residents.
5. Staff encourage family involvement in care planning and assisting with physical care.
2. A nurse conducted an assessment of a new patient who came to the medical clinic.
The patient is 82 years old and has had osteoarthritis for 10 years and diabetes mellitus
for 20 years. He is alert but becomes easily distracted during the assessment. He
recently moved to a new apartment, and his pet beagle died just 2 months ago. He is
most likely experiencing:
1. Dementia.
2. Depression.
3. Delirium.
4. Anxiety. - ANSWERdepression
3. A nurse is completing a health history with the daughter of a newly admitted patient
who is confused and agitated. The daughter reports that her mother was diagnosed with
Alzheimer's disease 1year ago but became extremely confused last evening and was
hallucinating. She was unable to calm her, and her mother thought she was a stranger.
On the basis of this history, the nurse suspects that the patient is experiencing:
1. Normal aging.
2. Delirium.
3. Depression.
4. Worsening dementia. - ANSWERdelirium
4. Older adults frequently experience a change in sexual activity. Which best explains
this change?
1. The need to touch and be touched is decreased.
, 2. The sexual preferences of older adults are not as diverse.
3. Medication side effects often impact sexual functioning.
4. Frequency and opportunities for sexual activity may decline. - ANSWERFrequency
and opportunities for sexual activity may decline.
5. A nurse sees a 76-year-old woman in the outpatient clinic. She states that she
recently started to notice a glare in the lights at home. Her vision is blurred, and she is
unable to play cards with her friends, read, or do her needlework. Which of the following
nursing interventions are appropriate? (Select all that apply.)
1. Refer her to an ophthalmologist.
2. Suggest large-print books and playing cards.
3. Reassure her that this is part of normal aging.
4. Suggest lower-wattage light bulbs to decrease glare.
5. Assess her home environment for safety. - ANSWERRefer her to an ophthalmologist
Suggest large-print books and playing cards
Assess her home environment for safety
6. A 63-year-old patient is retiring from his job at an accounting firm where he was in a
management role for the past 20 years. He has been with the same company for 42
years and was a dedicated employee. His wife is a homemaker. She raised their five
children, babysits for her grandchildren as needed, and belongs to numerous church
committees. What are the major concerns for this patient? (Select all that apply.)
1. The loss of his work role
2. The risk of social isolation
3. A determination on whether the wife will need to start working
4. How the wife expects household tasks to be divided in the home in retirement
5. The age the patient chose to retire - ANSWERThe loss of his work role
How the wife expects household tasks to be divided in the home in retirement
7. A nurse is assessing an older adult brought to the emergency department following a
fall and wrist fracture. The patient is very thin and unkempt, has a stage 3 pressure
injury on her coccyx, and has old bruising to the extremities in addition to her new
bruises from the fall. She defers all of the questions to her caregiver son, who
accompanied her to the hospital. What is the nurse's next step?
1. Call social services to begin nursing home placement.
2. Ask the son to step out of the room so that she can complete her assessment.
3. Call adult protective services because you suspect elder mistreatment.
4. Assess the patient's cognitive status. - ANSWERAsk the son to step out of the room
so that she can complete her assessment.
8. A nurse is participating in a health and wellness event at the local community center.
A woman approaches and relates that she is worried that her widowed father is
becoming more functionally impaired and may need to move in with her. The nurse asks
about his ability to complete activities of daily living (ADLs). ADLs include independence
with: (Select all that apply.)
1. Driving.
