NR341 Complex Adult Health Exam 1 Textbook Questions
with Rationales EXAM QUESTIONS AND VERIFIED
SOLUTIONS|2026| Exam Questions & Answers Test ||
ELABORATED &DETAILED ANSWERS!!
A nurse on a long-term care unit is creating a plan of care for a
client who has Alzheimer's disease. Which of the following
interventions should the nurse include in the plan?
A. rotate assignment of daily caregivers.
B. provide an activity schedule that changes from day to day.
C. limit time for the client to perform activities.
D. talk the client through tasks one step at a time.
D
(The nurse should plan to talk the client through tasks one step
at a time to minimize confusion and promote independence,
which will decrease the client's anxiety level.)
,A nurse is caring for a client who is cognitively impaired. Which
of the following rooms will provide a therapeutic environment
for this client?
A. A room adjacent to the nursing station
B. A room without a window
C. A room with dim lighting
D. A room containing personal belongings
D
(A room that contains several of the clients personal
belongings assists in maintaining personal identity and
provides a therapeutic environment)
,The family of an older adult client brings him to the emergency
department after finding him wandering outside. During the
initial assessment, the nurse notes that the client flinches when
she palpates his abdomen yet response to questions only by
nodding and smiling. Which of the following factors should the
nurse identify as a likely explanation for the clients behavior?
A. he is hard of hearing
B. pain
C. confusion
D. language barrier
C
(since the client was manifesting signs of confusion before
coming to the emergency department and currently seems
unable to understand or respond to speech, the nurse should
determine that the client has confusion)
, A nurse is performing a mental status examination (MSE) on a
client who has a new diagnosis of dementia. Which of the
following components should the nurse include? (Select all
that apply.)
A. grooming
B. long-term memory
C. support systems
D. affect
E. presence of pain
A, B, D
(Grooming is included in an MSE which consists of
appearance, behavior, speech, mood, disorders of the form of
thought, perceptual disturbances, cognition, and ideas of
harming self or others. Long-term memory is included in an
MSE which consists of appearance, behavior, speech, and
mood, disorders of the form of thought, perceptual
disturbances, cognition, and ideas of harming self or others.
Support systems are not included in an MSE which consists of
appearance, behavior, speech, mood, disorders of the form of
thought, perceptual disturbances, cognition, and ideas of
harming self or others. Affect is included in an MSE which
consists of appearance, behavior, speech, and mood,
with Rationales EXAM QUESTIONS AND VERIFIED
SOLUTIONS|2026| Exam Questions & Answers Test ||
ELABORATED &DETAILED ANSWERS!!
A nurse on a long-term care unit is creating a plan of care for a
client who has Alzheimer's disease. Which of the following
interventions should the nurse include in the plan?
A. rotate assignment of daily caregivers.
B. provide an activity schedule that changes from day to day.
C. limit time for the client to perform activities.
D. talk the client through tasks one step at a time.
D
(The nurse should plan to talk the client through tasks one step
at a time to minimize confusion and promote independence,
which will decrease the client's anxiety level.)
,A nurse is caring for a client who is cognitively impaired. Which
of the following rooms will provide a therapeutic environment
for this client?
A. A room adjacent to the nursing station
B. A room without a window
C. A room with dim lighting
D. A room containing personal belongings
D
(A room that contains several of the clients personal
belongings assists in maintaining personal identity and
provides a therapeutic environment)
,The family of an older adult client brings him to the emergency
department after finding him wandering outside. During the
initial assessment, the nurse notes that the client flinches when
she palpates his abdomen yet response to questions only by
nodding and smiling. Which of the following factors should the
nurse identify as a likely explanation for the clients behavior?
A. he is hard of hearing
B. pain
C. confusion
D. language barrier
C
(since the client was manifesting signs of confusion before
coming to the emergency department and currently seems
unable to understand or respond to speech, the nurse should
determine that the client has confusion)
, A nurse is performing a mental status examination (MSE) on a
client who has a new diagnosis of dementia. Which of the
following components should the nurse include? (Select all
that apply.)
A. grooming
B. long-term memory
C. support systems
D. affect
E. presence of pain
A, B, D
(Grooming is included in an MSE which consists of
appearance, behavior, speech, mood, disorders of the form of
thought, perceptual disturbances, cognition, and ideas of
harming self or others. Long-term memory is included in an
MSE which consists of appearance, behavior, speech, and
mood, disorders of the form of thought, perceptual
disturbances, cognition, and ideas of harming self or others.
Support systems are not included in an MSE which consists of
appearance, behavior, speech, mood, disorders of the form of
thought, perceptual disturbances, cognition, and ideas of
harming self or others. Affect is included in an MSE which
consists of appearance, behavior, speech, and mood,
