NUR 384 EXAM 2 QUESTIONS AND ANSWERS 2026
A geriatric nurse is teaching the client's family about the possible cause of delirium.
Which statement by the nurse is most accurate?
1. "Taking multiple medications may lead to adverse interactions or toxicity."
2. "Age-related cognitive changes may lead to alterations in mental status."
3. "Lack of rigorous exercise may lead to decreased cerebral blood flow."
4. "Decreased social interaction may lead to profound isolation and psychosis." -
Answers - 1. "Taking multiple medications may lead to adverse interactions or toxicity."
A client diagnosed with vascular neurocognitive disorder (NCD) is discharged to home
under the care of his wife. Which information should cause the nurse to question the
client's safety?
1. His wife works from home in telecommunication.
2. The client has worked the nightshift his entire career.
3. His wife has minimal family support.
4. The client smokes one pack of cigarettes per day. - Answers - 4. The client smokes
one pack of cigarettes per day.
A client diagnosed with Alzheimer's disease (AD) can no longer ambulate, does not
recognize family members, and communicates with agitated behaviors and incoherent
verbalizations. The nurse recognizes these symptoms as indicative of which stage of
the illness?
1. Stage 4: Mild-to-Moderate Cognitive Decline
2. Stage 5: Moderate Cognitive Decline
3. Stage 6: Moderate-to-Severe Cognitive Decline
4. Stage 7: Severe Cognitive Decline - Answers - 4. Stage 7: Severe Cognitive Decline
A client is diagnosed in stage 7 of AD. To address the client's symptoms, which nursing
intervention should take priority?
1. Improve cognitive status by encouraging involvement in social activities.
2. Decrease social isolation by providing group therapies.
3. Promote dignity by providing comfort, safety, and self-care measures.
4. Facilitate communication by providing assistive devices. - Answers - 3. Promote
dignity by providing comfort, safety, and self-care measures.
Which is the reason for the proliferation of the diagnosis of NCDs?
1. Increased numbers of neurotransmitters have been implicated in the proliferation of
NCD.
, 2. Similar symptoms of NCD and depression lead to misdiagnoses, increasing numbers
of NCD.
3. Societal stress contributes to the increase in this diagnosis.
4. More people now survive into the high-risk period for neurocognitive disorders. -
Answers - 4. More people now survive into the high-risk period for neurocognitive
disorders.
A client diagnosed recently with AD is prescribed donepezil (Aricept). The
client's spouse inquires, "How does this work? Will this cure him?" Which is the
appropriate nursing response?
1. "This medication delays the destruction of acetylcholine, a chemical in the brain
necessary for memory processes. Although most effective in the early stages, it serves
to delay, but not stop, the progression of the disease."
2. "This medication encourages production of acetylcholine, a chemical in the brain
necessary for memory processes. It delays the progression of the disease."
3. "This medication delays the destruction of dopamine, a chemical in the brain
necessary for memory processes. Although most effective in the early stages, it serves
to delay, but not stop, the progression of the disease." - Answers - 1. "This medication
delays the destruction of acetylcholine, a chemical in the brain necessary for memory
processes. Although most effective in the early stages, it serves to delay, but not stop,
the progression of the disease."
A client diagnosed with AD exhibits progressive memory loss, diminished cognitive
functioning, and verbal aggression upon experiencing frustration. Which nursing
intervention is most appropriate?
1. Organize a group activity to present reality.
2. Minimize environmental lighting.
3. Schedule structured daily routines.
4. Explain the consequences for aggressive behaviors. - Answers - 3. Schedule
structured daily routines.
After one week of continuous mental confusion, an older African American client is
admitted with a preliminary diagnosis of AD. What should cause the nurse to question
this diagnosis?
1. AD does not typically occur in African American clients.
2. The symptoms presented are more indicative of Parkinsonism.
3. AD does not develop suddenly.
4. There has been no T3- or T4-level evaluation ordered. - Answers - 3. AD does not
develop suddenly.
A client diagnosed with AD has impairments of memory and judgment and is incapable
of performing activities of daily living. Which nursing intervention should take priority?
A geriatric nurse is teaching the client's family about the possible cause of delirium.
Which statement by the nurse is most accurate?
1. "Taking multiple medications may lead to adverse interactions or toxicity."
2. "Age-related cognitive changes may lead to alterations in mental status."
3. "Lack of rigorous exercise may lead to decreased cerebral blood flow."
4. "Decreased social interaction may lead to profound isolation and psychosis." -
Answers - 1. "Taking multiple medications may lead to adverse interactions or toxicity."
A client diagnosed with vascular neurocognitive disorder (NCD) is discharged to home
under the care of his wife. Which information should cause the nurse to question the
client's safety?
1. His wife works from home in telecommunication.
2. The client has worked the nightshift his entire career.
3. His wife has minimal family support.
4. The client smokes one pack of cigarettes per day. - Answers - 4. The client smokes
one pack of cigarettes per day.
A client diagnosed with Alzheimer's disease (AD) can no longer ambulate, does not
recognize family members, and communicates with agitated behaviors and incoherent
verbalizations. The nurse recognizes these symptoms as indicative of which stage of
the illness?
1. Stage 4: Mild-to-Moderate Cognitive Decline
2. Stage 5: Moderate Cognitive Decline
3. Stage 6: Moderate-to-Severe Cognitive Decline
4. Stage 7: Severe Cognitive Decline - Answers - 4. Stage 7: Severe Cognitive Decline
A client is diagnosed in stage 7 of AD. To address the client's symptoms, which nursing
intervention should take priority?
1. Improve cognitive status by encouraging involvement in social activities.
2. Decrease social isolation by providing group therapies.
3. Promote dignity by providing comfort, safety, and self-care measures.
4. Facilitate communication by providing assistive devices. - Answers - 3. Promote
dignity by providing comfort, safety, and self-care measures.
Which is the reason for the proliferation of the diagnosis of NCDs?
1. Increased numbers of neurotransmitters have been implicated in the proliferation of
NCD.
, 2. Similar symptoms of NCD and depression lead to misdiagnoses, increasing numbers
of NCD.
3. Societal stress contributes to the increase in this diagnosis.
4. More people now survive into the high-risk period for neurocognitive disorders. -
Answers - 4. More people now survive into the high-risk period for neurocognitive
disorders.
A client diagnosed recently with AD is prescribed donepezil (Aricept). The
client's spouse inquires, "How does this work? Will this cure him?" Which is the
appropriate nursing response?
1. "This medication delays the destruction of acetylcholine, a chemical in the brain
necessary for memory processes. Although most effective in the early stages, it serves
to delay, but not stop, the progression of the disease."
2. "This medication encourages production of acetylcholine, a chemical in the brain
necessary for memory processes. It delays the progression of the disease."
3. "This medication delays the destruction of dopamine, a chemical in the brain
necessary for memory processes. Although most effective in the early stages, it serves
to delay, but not stop, the progression of the disease." - Answers - 1. "This medication
delays the destruction of acetylcholine, a chemical in the brain necessary for memory
processes. Although most effective in the early stages, it serves to delay, but not stop,
the progression of the disease."
A client diagnosed with AD exhibits progressive memory loss, diminished cognitive
functioning, and verbal aggression upon experiencing frustration. Which nursing
intervention is most appropriate?
1. Organize a group activity to present reality.
2. Minimize environmental lighting.
3. Schedule structured daily routines.
4. Explain the consequences for aggressive behaviors. - Answers - 3. Schedule
structured daily routines.
After one week of continuous mental confusion, an older African American client is
admitted with a preliminary diagnosis of AD. What should cause the nurse to question
this diagnosis?
1. AD does not typically occur in African American clients.
2. The symptoms presented are more indicative of Parkinsonism.
3. AD does not develop suddenly.
4. There has been no T3- or T4-level evaluation ordered. - Answers - 3. AD does not
develop suddenly.
A client diagnosed with AD has impairments of memory and judgment and is incapable
of performing activities of daily living. Which nursing intervention should take priority?
