Question 1

At the present time,the definitive diagnosis of Alzheimer's disease can be made:

Accepted Answer

A)  by the neurofibrillary tangles and senile plaques in neural tissue upon microscopic examination during a brain biopsy or autopsy. 
B)  by clinical observation of progressive mental status changes. 
C)  whenever there is a loss of ability to read,write,calculate,and communicate intelligently in persons older than 65. 
D)  by the use of a positive emission tomography (PET)revealing decreased blood flow and metabolism of glucose and oxygen in the brain. 
A)  by the neurofibrillary tangles and senile plaques in neural tissue upon microscopic examination during a brain biopsy or autopsy. 
B)  by clinical observation of progressive mental status changes. 
C)  whenever there is a loss of ability to read,write,calculate,and communicate intelligently in persons older than 65. 
D)  by the use of a positive emission tomography (PET)revealing decreased blood flow and metabolism of glucose and oxygen in the brain. A

Question 2

Drug therapy with cholinesterase inhibitors such as donepezil,rivastigmine,and galantamine:

Accepted Answer

A)  reverses the neuronal decline that is seen in Alzheimer's disease. 
B)  is given in high doses to prevent the appearance of cognitive symptoms. 
C)  is given long term even if the client shows slight decline. 
D)  has no reported side effects. 
A)  reverses the neuronal decline that is seen in Alzheimer's disease. 
B)  is given in high doses to prevent the appearance of cognitive symptoms. 
C)  is given long term even if the client shows slight decline. 
D)  has no reported side effects. C

Question 3

You are caring for a client with delirium.Which assessment finding would be expected in this client throughout your shift?

Accepted Answer

A)  Fluctuation in symptoms 
B)  Normal attention span 
C)  Unlimited duration 
D)  Unchanged sleep-wake cycle 
A)  Fluctuation in symptoms 
B)  Normal attention span 
C)  Unlimited duration 
D)  Unchanged sleep-wake cycle A

Question 4

A 75-year-old client was admitted to the hospital after having sustained a fall at home.She is diagnosed with a right hip fracture and is scheduled for surgery in the morning.At 2:30 AM she awakens from sleep with confusion about where she is.She insists that her daughter is in the other room and wants to see her.You attempt to reorient her to the surroundings with little success.She continues to insist that her daughter is in the next room.In reviewing the client's record,what data would be considered a source of her confusion?

Accepted Answer

A)  Pain medication received 
B)  Death of the client's husband last month 
C)  The client's age 
D)  History of cardiac disease 
A)  Pain medication received 
B)  Death of the client's husband last month 
C)  The client's age 
D)  History of cardiac disease

Question 5

The Mini-Mental State Exam (MMSE)is a tool used to:

Accepted Answer

A)  diagnose Alzheimer's disease. 
B)  provide a baseline mental status measurement and track changes. 
C)  diagnose delirium in hospitalized older adults. 
D)  predict the progression of cognitive changes. 
A)  diagnose Alzheimer's disease. 
B)  provide a baseline mental status measurement and track changes. 
C)  diagnose delirium in hospitalized older adults. 
D)  predict the progression of cognitive changes.

Question 6

A major differentiation between delirium and dementia is that the course of delirium over a 24-hour period:

Accepted Answer

A)  is fairly stable but may be exacerbated by stress. 
B)  fluctuates and is often worse at night. 
C)  is fairly stable but may be worse in the morning. 
D)  demonstrates a steady decline. 
A)  is fairly stable but may be exacerbated by stress. 
B)  fluctuates and is often worse at night. 
C)  is fairly stable but may be worse in the morning. 
D)  demonstrates a steady decline.

Question 7

In evaluating the plan of care for an older adult with the nursing diagnosis Risk for Injury related to delirium,which evaluative statement would best suggest that the problem is resolving?

Accepted Answer

A)  Client attempted to climb over the side rails. 
B)  Client manipulated intravenous pump,stating "I can't get this transformer to work." 
C)  Client correctly stated year and month but not date. 
D)  Client stated,"If we don't hurry,I'll miss the bus." 
A)  Client attempted to climb over the side rails. 
B)  Client manipulated intravenous pump,stating "I can't get this transformer to work." 
C)  Client correctly stated year and month but not date. 
D)  Client stated,"If we don't hurry,I'll miss the bus."

Question 8

A 90-year-old client with dementia resides with his daughter in the community.When the home care nurse visits,the daughter tearfully tells the nurse that her father scratched her hand and cursed at her when she was attempting to feed him.She states,"I don't know why he hates me and wants to hurt me.I try so hard to take good care of him.I love him." What is the best response to the client's daughter?

Accepted Answer

A)  "What have you done to anger your father?" 
B)  "Behavior is an expression of needs.Let's try to figure out what your father was trying to communicate." 
C)  "Scratching is usually a sign of untreated pain.Do you think your father is in pain?" 
D)  "Maybe you should not be providing direct care to your father,a home health aide might be more appropriate. 
A)  "What have you done to anger your father?" 
B)  "Behavior is an expression of needs.Let's try to figure out what your father was trying to communicate." 
C)  "Scratching is usually a sign of untreated pain.Do you think your father is in pain?" 
D)  "Maybe you should not be providing direct care to your father,a home health aide might be more appropriate.

Question 9

An 87-year-old client is being discharged from the subacute facility to home with a sterile dressing on her right leg.You are her nurse and are responsible to teach her how to change the dressing.The following are important concepts to consider except:

Accepted Answer

A)  assessing client readiness to learn. 
B)  teaching a family member because older adults are usually not able to learn new tasks. 
C)  providing enough time to respond because older adults' reaction times are often slower than younger adults. 
D)  using audio,visual,and tactile clues to reinforce learning. 
A)  assessing client readiness to learn. 
B)  teaching a family member because older adults are usually not able to learn new tasks. 
C)  providing enough time to respond because older adults' reaction times are often slower than younger adults. 
D)  using audio,visual,and tactile clues to reinforce learning.

Question 10

Interventions to manage wandering in clients in a long-term care facility include the following except:

Accepted Answer

A)  environmental modifications such as camouflaging doorways and providing enclosed pathways. 
B)  close observation to identify the person's individual patterns. 
C)  engaging the person in social interactions. 
D)  using physical restraints to prevent wandering and maintain safety. 
A)  environmental modifications such as camouflaging doorways and providing enclosed pathways. 
B)  close observation to identify the person's individual patterns. 
C)  engaging the person in social interactions. 
D)  using physical restraints to prevent wandering and maintain safety.

At the present time,the definitive diagnosis of Alzheimer's disease can be made:

Drug therapy with cholinesterase inhibitors such as donepezil,rivastigmine,and galantamine:

You are caring for a client with delirium.Which assessment finding would be expected in this client throughout your shift?

The Mini-Mental State Exam (MMSE)is a tool used to:

A major differentiation between delirium and dementia is that the course of delirium over a 24-hour period:

In evaluating the plan of care for an older adult with the nursing diagnosis Risk for Injury related to delirium,which evaluative statement would best suggest that the problem is resolving?

An 87-year-old client is being discharged from the subacute facility to home with a sterile dressing on her right leg.You are her nurse and are responsible to teach her how to change the dressing.The following are important concepts to consider except:

Interventions to manage wandering in clients in a long-term care facility include the following except:

Gerontological Nursing and an Aging Society

Theories of Aging

Health and Wellness

Physiological Changes with Aging

Laboratory Values and Diagnostics

Health Assessment in Gerontological Nursing

Managing Basic Physiological Needs

Biological Maintenance Needs

Nutritional Needs

Chronic Disease in Late Life

Pain and Comfort

Geropharmacology

The Use of Herbs and Supplements in Late Life

Sensory Function

Mobility

Environmental Safety and Security

Economic,Residential,and Legal Issues

Frailty,Vulnerability,and Elder Mistreatment

Intimacy and Sexuality in Late Life

Relationships,Roles,and Transitions

Culture,Gender,and Aging

Nursing and Aging in Rural and Frontier Settings

Stress,Crises,and Health in Aging

Emotional Health in Late Life

Loss,Death,and Dying in Late Life

Self-Actualization,Spirituality,and Transcendence

Filters

Exam 23: Cognition and Caring for Persons with Cognitive Impairment

At the present time,the definitive diagnosis of Alzheimer's disease can be made:

Drug therapy with cholinesterase inhibitors such as donepezil,rivastigmine,and galantamine:

You are caring for a client with delirium.Which assessment finding would be expected in this client throughout your shift?

The Mini-Mental State Exam (MMSE)is a tool used to:

A major differentiation between delirium and dementia is that the course of delirium over a 24-hour period:

In evaluating the plan of care for an older adult with the nursing diagnosis Risk for Injury related to delirium,which evaluative statement would best suggest that the problem is resolving?

An 87-year-old client is being discharged from the subacute facility to home with a sterile dressing on her right leg.You are her nurse and are responsible to teach her how to change the dressing.The following are important concepts to consider except:

Interventions to manage wandering in clients in a long-term care facility include the following except:

Gerontological Nursing and an Aging Society

Theories of Aging

Health and Wellness

Physiological Changes with Aging

Laboratory Values and Diagnostics

Health Assessment in Gerontological Nursing

Managing Basic Physiological Needs

Biological Maintenance Needs

Nutritional Needs

Chronic Disease in Late Life

Pain and Comfort

Geropharmacology

The Use of Herbs and Supplements in Late Life

Sensory Function

Mobility

Environmental Safety and Security

Economic,Residential,and Legal Issues

Frailty,Vulnerability,and Elder Mistreatment

Intimacy and Sexuality in Late Life

Relationships,Roles,and Transitions

Culture,Gender,and Aging

Nursing and Aging in Rural and Frontier Settings

Stress,Crises,and Health in Aging

Emotional Health in Late Life

Loss,Death,and Dying in Late Life

Self-Actualization,Spirituality,and Transcendence

Filters