ACCURATE COMPLETE QUESTIONS AND
CORRECT VERIFIED ANSWERS 100%
ANSWERS GRADED A+ NEWEST UPDATED
MIDTERM 2026 EXAM NEW BRAND {NUR
109 BRAND NEW EXAM}
A nurse is assessing an older adult brought to the emergency
department following a fall and wrist fracture. She notes that the
patient is very thin and unkempt, has a stage 3 pressure ulcer to her
coccyx, and has old bruising to the extremities in addition to her new
bruises from the fall. She defers all of the questions to her caregiver son
who accompanied her to the hospital. The nurse’s next step is to:
ANSWER--------Ask the son to step out of the room so she can complete
her assessment.
,The assessment leads you to suspect elder mistreatment, but the nurse
needs more information directly from the patient before calling social
services or the adult protective services. She will best get this
information by asking the son to leave so she can ask the patient direct
questions privately. If the son refuses to leave, this will be another
indication that elder mistreatment may be occurring. Cognitive testing
will be important but is not the priority.
A patient’s family member is considering having her mother placed in a
nursing center. The nurse has talked with the family before and knows
that this is a difficult decision. Which of the following criteria does the
nurse recommend in choosing a nursing center?
ANSWER-------------*Adequate staffing is available on all shifts.
*Social activities are available for all residents.
*Staff encourage family involvement in care planning and assisting with
physical care.
Adequate staffing, provision of social activities, and active family
involvement are essential. Meals should be high quality with options
for what to eat and when it is served. A nursing center should be clean,
but it should look like a person's home rather than a hospital.
A nurse conducted an assessment of a new patient who came to the
medical clinic. The patient is 82 years old and has had osteoarthritis for
,10 years and diabetes mellitus for 20 years. He is alert but becomes
easily distracted during the assessment. He recently moved to a new
apartment, and his pet beagle died just 2 months ago. He is most likely
experiencing:
ANSWER-------Depression.
Factors that often lead to depression include presence of a chronic
disease or a recent change or life event (such as loss). Patients are alert
but easily distracted in conversation.
The nurse is working with an older adult after an acute hospitalization.
The goal is to help this person be more in touch with time, place, and
person. Which intervention will likely be most effective?
ANSWER--------Reality orientation
Reality orientation is a communication technique that can help restore
a sense of reality, improve level of awareness, promote socialization,
elevate independent functioning, and minimize confusion.
A 63-year-old patient is retiring from his job at an accounting firm
where he was in a management role for the past 20 years. He has been
, ANSWER---------with the same company for 42 years and was a
dedicated employee. His wife is a homemaker. She raised their five
children, babysits for her grandchildren as needed, and belongs to
numerous church committees. What are the major concerns for this
patient?
*The loss of his work role
*How the wife expects household tasks to be divided in the home in
retirement
The psychosocial stresses of retirement are usually related to role
changes with a spouse or within the family and to loss of the work role.
Often there are new expectations of the retired person. This patient is
not likely to become socially isolated because of the size of the family.
Whether the wife will have to work is not a major concern at this time
nor is the age of the patient.
A 71-year-old patient enters the emergency department after falling
down stairs in the home. The nurse is conducting a fall history with the
patient and his wife. They live in a one-level ranch home. He has had
diabetes for over 15 years and experiences some numbness in his feet.
He wears bifocal glasses. His blood pressure is stable at 130/70. The
patient does not exercise regularly and states that he experiences
weakness in his legs when climbing stairs. He is alert, oriented, and able
to answer questions clearly. What are the fall risk factors for this
patient?