NUR 2214 Week 4 Quiz V2 | NUR 2214
Nursing Care of the Older Adult | Actual
Q&A with Rationale (NUR2214 Week 4
Quiz) | Rasmussen University
1. A nurse is assessing an older adult client who recently became confused and is
experiencing visual hallucinations. Which condition should the nurse prioritize in the
assessment?
A. Alzheimer’s Disease
B. Normal Age-Related Memory Loss
C. Delirium
D. Major Depressive Disorder
Answer: C
Rationale: Delirium is characterized by an acute onset of confusion and can include
sensory disturbances such as hallucinations. This condition is often reversible and
triggered by underlying physiological stressors such as infection or metabolic imbalances.
Nurses must identify and treat the underlying cause promptly to prevent further decline in
the older adult.
2. When communicating with a client who has advanced Alzheimer’s disease, which
technique is most effective for the nurse to utilize?
A. Using simple, one-step instructions
,B. Providing detailed explanations of procedures
C. Using complex medical terminology to maintain professionalism
D. Speaking loudly and slowly at all times
Answer: A
Rationale: Clients with advanced Alzheimer’s disease struggle to process complex
information and multi-step commands. Using simple, direct instructions helps reduce
frustration and improves the client’s ability to follow directions. The nurse should also use
non-verbal cues and maintain a calm demeanor to support effective communication.
3. An older adult client is diagnosed with Presbycusis. Which environmental modification
should the nurse implement to improve communication?
A. Reducing background noise during conversations
B. Increasing the pitch of the voice when speaking
C. Standing behind the client while talking
D. Using a very high-frequency alarm system
Answer: A
Rationale: Presbycusis is age-related hearing loss that typically affects the ability to hear
high-pitched sounds and distinguish speech in noisy environments. Reducing background
noise helps the client focus on the speaker’s voice and increases the clarity of the
, interaction. It is also helpful to face the client directly so they can utilize visual cues like lip-
reading.
4. Which assessment tool is most appropriate for a nurse to use when screening an older
adult for depression?
A. The Braden Scale
B. The CAM Assessment
C. The Geriatric Depression Scale (GDS)
D. The Glasgow Coma Scale
Answer: C
Rationale: The Geriatric Depression Scale (GDS) is a validated tool specifically designed to
screen for depressive symptoms in the older adult population. It focuses on the
psychological aspects of depression rather than physical symptoms which might overlap
with normal aging. Early identification of depression is crucial as it is often underdiagnosed
and can lead to significant functional decline.
5. A client with moderate dementia becomes agitated and attempts to wander out of the
facility every evening. This behavior is commonly known as:
A. Sundowning
B. Catastrophic Reaction
C. Respite Syndrome
Nursing Care of the Older Adult | Actual
Q&A with Rationale (NUR2214 Week 4
Quiz) | Rasmussen University
1. A nurse is assessing an older adult client who recently became confused and is
experiencing visual hallucinations. Which condition should the nurse prioritize in the
assessment?
A. Alzheimer’s Disease
B. Normal Age-Related Memory Loss
C. Delirium
D. Major Depressive Disorder
Answer: C
Rationale: Delirium is characterized by an acute onset of confusion and can include
sensory disturbances such as hallucinations. This condition is often reversible and
triggered by underlying physiological stressors such as infection or metabolic imbalances.
Nurses must identify and treat the underlying cause promptly to prevent further decline in
the older adult.
2. When communicating with a client who has advanced Alzheimer’s disease, which
technique is most effective for the nurse to utilize?
A. Using simple, one-step instructions
,B. Providing detailed explanations of procedures
C. Using complex medical terminology to maintain professionalism
D. Speaking loudly and slowly at all times
Answer: A
Rationale: Clients with advanced Alzheimer’s disease struggle to process complex
information and multi-step commands. Using simple, direct instructions helps reduce
frustration and improves the client’s ability to follow directions. The nurse should also use
non-verbal cues and maintain a calm demeanor to support effective communication.
3. An older adult client is diagnosed with Presbycusis. Which environmental modification
should the nurse implement to improve communication?
A. Reducing background noise during conversations
B. Increasing the pitch of the voice when speaking
C. Standing behind the client while talking
D. Using a very high-frequency alarm system
Answer: A
Rationale: Presbycusis is age-related hearing loss that typically affects the ability to hear
high-pitched sounds and distinguish speech in noisy environments. Reducing background
noise helps the client focus on the speaker’s voice and increases the clarity of the
, interaction. It is also helpful to face the client directly so they can utilize visual cues like lip-
reading.
4. Which assessment tool is most appropriate for a nurse to use when screening an older
adult for depression?
A. The Braden Scale
B. The CAM Assessment
C. The Geriatric Depression Scale (GDS)
D. The Glasgow Coma Scale
Answer: C
Rationale: The Geriatric Depression Scale (GDS) is a validated tool specifically designed to
screen for depressive symptoms in the older adult population. It focuses on the
psychological aspects of depression rather than physical symptoms which might overlap
with normal aging. Early identification of depression is crucial as it is often underdiagnosed
and can lead to significant functional decline.
5. A client with moderate dementia becomes agitated and attempts to wander out of the
facility every evening. This behavior is commonly known as:
A. Sundowning
B. Catastrophic Reaction
C. Respite Syndrome
