QUESTIONS WITH COMPLETE
SOLUTIONS 2026
a nurse at a long term care facility is contributing to a plan for an older adult client who
has dementia. which of the following interventions should the nurse include in the plan?
- ANSWERSuse photographs as memory triggers
a nurse is reinforcing teaching with an older adult client who is healthy and has chronic
constipation about establishing a bowel retraining program. which of the following
statements should the nurse include in the teaching? - ANSWERSIncrease the fiber
content of your diet
A nurse is caring for an older adult client who has a terminal illness. the client tells the
nurse " I just want to live one more month so i can see my grand child get married"
which of the following in Kubler-ross stages of grief should the nurse identify the client is
experiencing? - ANSWERSBargaining
bargaining is the third stage of grief according to kubler-ross. bargaining represents a
last effort at overcoming death by earning longer life. trying to put off death for on last
major celebration in the client's life, like the marriage of a grandchild, is a form of
bargaining
A nurse us reinforcing teaching with a client who is to start taking alendronate sodium.
Which of the following recommendation should the nurse include in the teaching? -
ANSWERSDiscontinue the medication if you develop heartburn
A nurse is completing medication reconciliation for an older adult client who is receiving
multiple medications which of the following action should the nurse take first? -
ANSWERSAsk the client about over the counter medications
the nurse should apply the nursing process priority-setting framework. the nurse can
use the nursing process to plan client care and prioritize nursing actions. each step of
the nursing process builds on the previous step, beginning with assessment or data
collection. before the nurse can formulate a plan of action, implement a nursing
intervention, or notify the provider of a change in the client's status, she must first collect
adequate data from the client. assessing or collecting additional data will provide the
nurse with knowledge to make an appropriate decision. when performing medication
reconciliation, it is important that the nurse collect a list of all the medications the client
takes in order to compare the full list of medications against any new medications the
client will take the list should include prescriptions, over the counter medications, and
herbal and nutritional supplements.
, A nurse is reinforcing teaching with a group of healthy, older adult clients about age
related changes and sexual response. Which of the following changes should the nurse
include as an age related change? - ANSWERSDecreased vaginal lubrication
the nurse should inform the clients that a decreased in baginal secreations is an
expected age-related change in older adult female clients. vaginal dryness might result
in painful intercourse, which clients can manage with the use of water soluble lubricants
during intercourse.
A nurse is reviewing the basic need of older adult clients with a group of assistive
personnel, which of the following statements should he nurse include? -
ANSWERSDeep Sleep is decrease
A Nurse is caring for an older adult client who has moderate hearing loss. Which of the
following action should the nurse take to enhance communication? - ANSWERSSpeak
at a moderate rate
A nurse is caring for a client and is using a fentanyl transdermal patch for pain control.
Which of the following actions should the nurse take when caring for this client? -
ANSWERSAvoid using heating patch
A nurse at a long term care facility is reinforcing teaching with an older adult client about
ambulating with a quad cane. Which one of the following statements should the nurse
include in the teaching? - ANSWERSHold the cane on the stronger side of your body
the client should hold the cane with the hand on the stronger side of her body so that
she can move the cane to support the weaker leg. this action allows for a more normal
gait, with the ipsilateral arm and weaker leg moving at the same time
A nurse is transferring an older adult client who has right sided weakness from bed to a
wheelchair. Which of the following action should t nurse take to provide a safe transfer?
- ANSWERSMaintain a straight back and bend at the knees
the nurse should maintain a straight back and bend at the hips and knees when
transferring a client in order to allow the larger muscles of the thighs to do the lifting.
good body mechanics are essential in preventing injury to the nurse
A nurse collecting data from an older adult who has right sided heart failure. Which of
the following findings is the nurse's priority to report? - ANSWERSWeight has increased
0.91 kg (2 lb) in 24 hr.
the nurse should apply the urgent versus non urgent priority-setting framework. using
this framework, the nurse should consider urgent needs to be the priority need because
they pose more of a threat to the client. the nurse might also need to use maslow's
hierarchy of needs, the ABC priority-setting framework, or nursing knowledge to identify