Question 1

An older client is exhibiting symptoms of major depressive disorder. A physician is considering prescribing an antidepressant. Which physiological problem should make a nurse question this medication regime?

A) Altered cortical and intellectual functioning
B) Altered respiratory and gastrointestinal functioning
C) Altered liver and kidney functioning
D) Altered endocrine and immune system functioning

Altered liver and kidney functioning

Accepted Answer

Antidepressants are metabolized by the liver and excreted by the kidneys. If the client has altered liver and kidney functioning, it could affect the metabolism and excretion of the medication, leading to potential toxicity or ineffective treatment.

Question 2

A family asks why their father is attending activity groups at the long-term care facility. The son states, "My father worked hard all of his life. He just needs some rest at this point." Which is the appropriate nursing response?

A) "I'm glad we discussed this. We'll excuse him from the activity groups."
B) "The groups benefit your father by providing social interaction, sensory stimulation, and reality orientation."
C) "The groups are optional. Only clients at high functioning levels would benefit."
D) "If your father doesn't go to these activity groups, he will be at high risk for developing cognitive problems."

"The groups benefit your father by providing social interaction, sensory stimulation, and reality orientation."

Accepted Answer

The appropriate nursing response would be to provide education on the benefits of activity groups, which include social interaction, sensory stimulation, and reality orientation. The son's statement may indicate a lack of understanding of the importance of these groups for cognitive function and quality of life in long-term care. The response should not be to excuse the father from the activity groups or make assumptions about the level of functioning required to benefit from them.

Question 3

An older, emaciated client is brought to an emergency department by the client's caregiver. The client has bruises and abrasions on shoulders and back in multiple stages of healing. When directly asked about these symptoms, which type of client response should a nurse anticipate?

A) The client will honestly reveal the nature of the injuries.
B) The client may deny or minimize the injuries.
C) The client may have forgotten what caused the injuries.
D) The client will ask to be placed in a nursing home.

Accepted Answer

Older clients who are victims of abuse may deny or minimize injuries due to fear or loyalty to the abuser. They may also be forgetful or confused, but denial or minimization is the common response. The client asking to be placed in a nursing home is not a typical response to being asked about injuries.

Question 4

A nurse is listening to a lecture on the environmental theory. Which statement(s) by the nurse indicates that teaching has been effective?&#10;A) &#34;Personality characteristics in old age are correlated with early life characteristics.&#34;&#10;B) &#34;Carcinogens can affect aging.&#34;&#10;C) &#34;Trauma can affect the aging process.&#34;&#10;D) &#34;The effects of sunlight can have an effect on the aging process.&#34;&#10;E) &#34;Decline in the immune system can affect the aging process.&#34;&#10;

Accepted Answer

The answer of A nurse is listening to a lecture...

Question 5

A son, who recently brought his extremely confused parent to a nursing home for admission, reports feelings of guilt. Which is the appropriate nursing response?&#10;A) &#34;Support groups are held here on Mondays for children of residents in similar situations.&#34;&#10;B) &#34;You did what you had to do. I wouldn't feel guilty if I were you.&#34;&#10;C) &#34;Support groups are available to low-income families.&#34;&#10;D) &#34;Your parent is doing just fine. We'll take very good care of him.&#34;&#10;

Accepted Answer

Providing information about support groups for children of residents in similar situations can help alleviate the son's guilt and provide him with a sense of community.

Question 6

A client in the middle stage of Alzheimer's disease has difficulty communicating because of cognitive deterioration. Which nursing intervention is appropriate to improve communication?&#10;A) Discourage attempts at verbal communication owing to increased client frustration.&#10;B) Increase the volume of the nurse's communication responses.&#10;C) Verbalize the nurse's perception of the implied communication.&#10;D) Encourage the client to communicate by writing.&#10;

Accepted Answer

Verbalizing the nurse's perception of the implied communication can help the client feel heard and understood, and can facilitate communication. This shows the client that their communication attempts are being acknowledged and can help them feel less frustrated.

Question 7

An older client who lives with a caregiver is admitted to an emergency department with a fractured arm. The client is soaked in urine and has dried fecal matter on lower extremities. The client is 6 feet tall and weighs 120 pounds. Which condition should the nurse suspect?

A) Inability for the client to meet self-care needs
B) Alzheimer's disease
C) Abuse and/or neglect
D) Caregiver role strain

Accepted Answer

The presence of urine and fecal matter on the client's body indicates that the client's basic hygiene needs are not being met, which raises concerns for abuse and/or neglect by the caregiver. The client's weight and height may also indicate malnutrition or neglect. Option A, inability to meet self-care needs, can be a valid reason, but in this case, the caregiver seems responsible for not providing the necessary care. Alzheimer's disease (option B) is not a likely cause of neglect unless the caregiver is overwhelmed because of their ability to provide care. Caregiver role strain (option D) may be a contributing factor, but abuse and neglect must be ruled out first.

Question 8

A nursing instructor is teaching about reminiscence therapy. What student statement indicates that learning has occurred?&#10;A) &#34;Reminiscence therapy is a group in which participants create collages representing significant aspects of their lives.&#34;&#10;B) &#34;Reminiscence therapy encourages members to share both positive and negative significant life memories to promote resolution.&#34;&#10;C) &#34;Reminiscence therapy is a social group where members chat about past events and future plans.&#34;&#10;D) &#34;Reminiscence therapy encourages members to share positive memories of significant life transitions.&#34;&#10;

Accepted Answer

This answer correctly identifies that reminiscence therapy involves sharing both positive and negative memories in order to promote resolution. The other answer choices either provide incomplete or inaccurate information about the therapy.

Question 9

A couple resides in a long-term care facility. The husband is admitted to the psychiatric unit after physically abusing his wife. He states, "My wife is having an affair with a young man, and I want it investigated." Which is the appropriate nursing response?

A) "Your wife is not having an affair. What makes you think that?"
B) "Why do you think that your wife is having an affair?"
C) "Your wife has told us that these thoughts have no basis in fact."
D) "I understand that you are upset. We will talk about it."

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Accepted Answer

The appropriate nursing response is to acknowledge the patient's feelings and offer to talk about it, rather than dismissing or challenging his belief. Empathy and active listening are crucial in establishing a trusting relationship and promoting the patient's well-being. The other options are all examples of invalidating the patient's feelings or denying his experience, which can escalate his agitation and potentially worsen his behavior.

Question 10

The discipline of _______________________ is the branch of clinical medicine specializing in psychopathology of the elderly population.

Accepted Answer

The answer of The discipline of _______________________ is the branch...

Question 11

Which individual is most likely to be below the poverty level in the United States?&#10;A) A 70-year-old Hispanic woman living alone&#10;B) A 72-year-old African American man living alone&#10;C) A 68-year-old Asian American woman living with family&#10;D) A 75-year-old Latino American man living with family&#10;

Accepted Answer

The answer of Which individual is most likely to be...

Question 12

An older client attending an adult day care program suddenly begins reporting dizziness, weakness, and confusion. What should be the initial nursing intervention?&#10;A) Implement complete bedrest.&#10;B) Advocate for a complete physical exam.&#10;C) Address self-esteem needs.&#10;D) Advocate for individual psychotherapy.&#10;

Accepted Answer

The answer of An older client attending an adult day...

Question 13

A student nurse asks the instructor, &#34;Which psychiatric disorder is most likely initially diagnosed in the elderly?&#34; Which instructor response gives the student accurate information?&#10;A) &#34;Schizophrenia is most likely diagnosed later in life.&#34;&#10;B) &#34;Major depressive disorder is most likely diagnosed later in life.&#34;&#10;C) &#34;Phobic disorder is most likely diagnosed later in life.&#34;&#10;D) &#34;Dependent personality disorder is most likely diagnosed later in life.&#34;&#10;

Accepted Answer

The answer of A student nurse asks the instructor, &#34;Which...

Question 14

A nurse is charting assessment information about a 70-year-old client. According to the U.S. Census Bureau, what term would the nurse use to describe this client?&#10;A) The nurse should document using the term older.&#10;B) The nurse should document using the term elderly.&#10;C) The nurse should document using the term aged.&#10;D) The nurse should document using the term very old.&#10;

Accepted Answer

The answer of A nurse is charting assessment information about...

Question 15

An older client has met the criteria for a diagnosis of major depressive disorder. The client does not respond to antidepressant medications. Which therapeutic intervention should a nurse anticipate will be ordered for this client?

A) Electroconvulsive therapy (ECT)
B) Neuroleptic therapy
C) An antiparkinsonian agent
D) An anxiolytic agent

Accepted Answer

The answer of An older client has met the criteria...

Question 16

A client has recently been placed in a long-term care facility, because of marked confusion and inability to perform most activities of daily living. Which nursing intervention is most appropriate to maintain the client's self-esteem?

A) Leave the client alone in the bathroom to test ability to perform self-care.
B) Assign a variety of caregivers to increase potential for socialization.
C) Allow client to choose between two different outfits when dressing for the day.
D) Modify the daily schedule often to maintain variety and decrease boredom.

Accepted Answer

The answer of A client has recently been placed in...

Deck 25: The Aging Individual