WITH NEW UPDATE SOLUTIONS
Mrs. James is 78 years old and comes to the clinic for an annual checkup. The
nurse practitioner addresses the psychosocial needs of older adults and
specifically the need for which of the following?
1. Dependence.
2. Dignity, credibility, and respect.
3. Being alone.
4. Not being touched.
Mr. Slobinsky, 80 years old, is unable to leave his home due to mobility problems.
The nurse practitioner conducts a social support assessment because Mr.
Slobinsky:
1. May not want to see anyone.
2. Is not missing the cultural traditions of community activities.
3. Has made frequent appointments for consultation with the practitioner.
4. Looks forward to sharing his loneliness with the nurse practitioner
Mrs. Khan is 89 years old and is reported to have bouts of agitation. The nurse
practitioner is counseling her family that these periods of agitation can be
triggered by which of the following?
1. Silence and soft music.
2. Dim lights
.3. Approaches from other people
.4. A feeling of appetite satiety.
The nurse practitioner is considering ordering medications to help control an
older patient's agitation. She chooses which of the following?
1. Psychotropic medications
2. Seizure medications
3. Stimulants
4. Depressants
The nurse practitioner is conducting an admitting assessment of a 69-year-old
man. He has diminished ability to ambulate and has difficulty with activities of
daily living (ADLs). In the interview, the nurse practitioner asks him if he drinks
, alcohol. He says, "Yes." The practitioner follows up with a psycho-social
evaluation because:
1. Physiological dynamics need to be ruled out as a possible contribution.
2. His drinking may be a function of the environment where he lives.
3. Criteria from the DSM-V is the same for people of any age.
4. His condition could be related to a long-term usage of alcohol or a new
occurrence
The daughter of a 70-year-old woman asks the nurse practitioner why her mother
has had a change in functional ability recently. The mother has regularly been
drinking for 40 years, however, her behavior is changing. The nurse practitioner
replies that:
1. The concentration of alcohol in her body remains the same as she ages.
2. Her change in behavior has nothing to do with any drugs she is taking.
3. There are different types of alcoholism in older adults, and the change in
behavior is related to the specific type.
4. Physical changes due to aging affect the body's metabolism of alcohol
differently
The son of a 72-year-old man brings his father into the practitioner to plan for
treatment of the patient's alcoholism. The nurse practitioner has several options
available. Which is the first choice?
1. Treat for anxiety.
2. Begin with higher doses of anti-anxiety medications.
3. The last choice for medication is serotonin uptake inhibitors.
4. Buspirone and gabapentin are used as first-line choices.
Elisabeth, 67 years old, comes to the practitioner with her daughter, who is her
caregiver. The nurse practitioner notices that Elizabeth is very busy and always
moving and placing things in order within the waiting room. Along with this
increase in energy, which of the following suggest bipolar with mania or
hypomania? Select all that apply.
1. Ability to focus on a task
2. Flight of ideas
3. Rapid speech
4. Impulsivity
5. Thoughtfulness
The nurse practitioner is assessing a 69-year-old man for possible bipolar
disorder. Which of the following will contribute to diagnosing this patient? Select
all that apply.
1. Complete blood count (CBC) and comprehensive metabolic panel, toxicology