Exam 7 NRNP 6540 EXAM QUESTIONS AND ANSWERS
Mrs. James is 78 years old and comes to the clinic for an annual checkup. The nurse practitioner
addresses 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. Dignity, credibility, and respect.
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. 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 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 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 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. 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. 1. Treat for anxiety.
Elisabeth, 67 years old, comes to the practitioner with her daughter, who is her caregiver. The
nurse practitioner notices that Elizabeth is very busy and always 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 2. Flight of ideas
3. Rapid speech
4. Impulsivity
Mrs. James is 78 years old and comes to the clinic for an annual checkup. The nurse practitioner
addresses 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. Dignity, credibility, and respect.
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. 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 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 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 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. 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. 1. Treat for anxiety.
Elisabeth, 67 years old, comes to the practitioner with her daughter, who is her caregiver. The
nurse practitioner notices that Elizabeth is very busy and always 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 2. Flight of ideas
3. Rapid speech
4. Impulsivity
