Question 1

According to the U.S.Census Bureau criteria,how would a nurse classify a 70-year-old man?

Accepted Answer

A)   This man would be classified as "older."
B)   This man would be classified as "elderly."
C)   This man would be classified as "aged."
D)   This man would be classified as "very old." B

Question 2

A nursing instructor is teaching about reminiscence therapy.What student statement indicates that learning has occurred?

Accepted Answer

A)   "Reminiscence therapy is a group in which participants create collages representing significant aspects of their lives."
B)   "Reminiscence therapy encourages members to share both positive and negative significant life memories to promote resolution."
C)   "Reminiscence therapy is a social group where members chat about past events and future plans."
D)   "Reminiscence therapy encourages members to share positive memories of significant life transitions." B

Question 3

An elderly client has met the criteria for a diagnosis of major depressive disorder.The client does not respond to antidepressant medications.Which treatment should a nurse anticipate that the physician would prescribe for this client?

Accepted Answer

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

Question 4

A son who recently brought his extremely confused parent to a nursing home for admission reports feelings of guilt.Which is the appropriate nursing reply?

Accepted Answer

A)   "People often have mixed emotions about decisions like this. Support groups are held here on Mondays for children of residents in similar situations."
B)   "You did what you had to do. I wouldn't feel guilty if I were you."
C)   "Support groups are available to low-income families."
D)   "Your parent is doing just fine. We'll take very good care of him."

Question 5

A client diagnosed with glaucoma is being discharged to an assisted living facility.In what way should the discharge nurse modify teaching to most effectively present information to this client?

Accepted Answer

A)   Repeat information at least four times.
B)   Present discharge teaching to client's spouse.
C)   Use a taped message that can be repeated as needed.
D)   Reinforce critical content by providing large-print handouts.

Question 6

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 reply?

Accepted Answer

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. Let's talk about it."

Question 7

Which psychiatric disorder would a nurse expect to see diagnosed in a client's later life?

Accepted Answer

A)   Schizophrenia
B)   Major depressive disorder
C)   Phobic disorder
D)   Dependent personality disorder

Question 8

A client diagnosed with neurocognitive disorder due to Alzheimer's disease has difficulty communicating because of cognitive deterioration.Which nursing intervention is appropriate to improve communication?

Accepted Answer

A)   Discourage attempts at verbal communication because of increased client frustration.
B)   Increase the volume of the nurse's communication responses.
C)   Verbalize the nurse's perception of the implied communication.
D)   Encourage the client to communicate by writing.

Question 9

A nurse is conducting a class on fall prevention at a local senior center.In relationship to the slowed cognitive processing of advanced age,which teaching modification would be most appropriate for the nurse to implement?

Accepted Answer

A)   Encouraging the clients to use hearing aids if needed
B)   Avoiding overarticulation
C)   Minimizing distractive stimuli
D)   Providing more time for client feedback

Question 10

An elderly client who lives with a caregiver is admitted to an emergency department for 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?

Accepted Answer

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

Question 11

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?

Accepted Answer

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.

Question 12

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 reply?

Accepted Answer

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 dementia."

Question 13

An elderly,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?

Accepted Answer

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.

Question 14

An elderly 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 regimen?

Accepted Answer

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

Exam 34: The Aging Individual