NYU ADULT AND ELDER 1 FINAL 162 FINAL
PAPER 2026 STUDY GUIDE DETAILED ANSWERS
READY
◉ A patient's family member is considering having her mother
placed in a nursing center. You have talked with the family before
and know that this is a difficult decision. Which of the following
criteria would you recommend in choosing a nursing center? (Select
all that apply.)
A. The center should be clean, and rooms should look like a hospital
room.
B. There should be adequate staffing on all shifts.
C. Social activities should be available for all residents.
D. Three meals should be served daily with a set menu and serving
schedule.
E. Family involvement in care planning and assisting with physical
care is necessary.
Answer: B, C, E
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.
,◉ A nurse has conducted an assessment of a new patient who has
come 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 nursing history. He
recently moved to a new apartment, and his pet beagle died just 2
months ago. He is most likely experiencing:
A. Dementia.
B. Depression.
C. Delirium.
D. Disengagement.
Answer: B
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.
◉ A major life event such as the death of a loved one, a move to a
nursing home, or a cancer diagnosis could precipitate:
A. Dementia.
B. Delirium.
C. Depression.
,D. Stroke.
Answer: C
The onset of depression could be abrupt or gradual, but the usual
cause is a major life-altering event in the life of the person
experiencing the depression.
◉ Sexuality is maintained throughout our lives. Which answer below
best explains sexuality in an older adult?
A. When the sexual partner passes away, the survivor no longer feels
sexual.
B. A decrease in an older adult's libido occurs.
C. Any outward expression of sexuality suggests that the older adult
is having a developmental problem.
D. All older adults, whether healthy or frail, need to express sexual
feelings.
Answer: D
Sexuality is normal throughout the life span, and older adults need
to be able to express their sexual feelings.
◉ Older adults experience a change in sexual activity. Which best
explains this change?
, A. The need to touch and be touched is decreased.
B. The sexual preferences of older adults are not as diverse.
C. Physical changes usually do not affect sexual functioning.
D. Frequency and opportunities for sexual activity may decline.
Answer: D
As a result of loss of a loved one or a chronic illness in themselves or
their partner, opportunities for sexual activity may decline.
◉ You see a 76-year-old woman in the outpatient clinic. Her chief
complaint is vision. She states she has really noticed glare in the
lights at home. Her vision is blurred; and she is unable to play cards
with her friends, read, or do her needlework. You suspect that she
may have:
A. Presbyopia.
B. Disengagement.
C. Cataract(s).
D. Depression.
Answer: C
PAPER 2026 STUDY GUIDE DETAILED ANSWERS
READY
◉ A patient's family member is considering having her mother
placed in a nursing center. You have talked with the family before
and know that this is a difficult decision. Which of the following
criteria would you recommend in choosing a nursing center? (Select
all that apply.)
A. The center should be clean, and rooms should look like a hospital
room.
B. There should be adequate staffing on all shifts.
C. Social activities should be available for all residents.
D. Three meals should be served daily with a set menu and serving
schedule.
E. Family involvement in care planning and assisting with physical
care is necessary.
Answer: B, C, E
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.
,◉ A nurse has conducted an assessment of a new patient who has
come 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 nursing history. He
recently moved to a new apartment, and his pet beagle died just 2
months ago. He is most likely experiencing:
A. Dementia.
B. Depression.
C. Delirium.
D. Disengagement.
Answer: B
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.
◉ A major life event such as the death of a loved one, a move to a
nursing home, or a cancer diagnosis could precipitate:
A. Dementia.
B. Delirium.
C. Depression.
,D. Stroke.
Answer: C
The onset of depression could be abrupt or gradual, but the usual
cause is a major life-altering event in the life of the person
experiencing the depression.
◉ Sexuality is maintained throughout our lives. Which answer below
best explains sexuality in an older adult?
A. When the sexual partner passes away, the survivor no longer feels
sexual.
B. A decrease in an older adult's libido occurs.
C. Any outward expression of sexuality suggests that the older adult
is having a developmental problem.
D. All older adults, whether healthy or frail, need to express sexual
feelings.
Answer: D
Sexuality is normal throughout the life span, and older adults need
to be able to express their sexual feelings.
◉ Older adults experience a change in sexual activity. Which best
explains this change?
, A. The need to touch and be touched is decreased.
B. The sexual preferences of older adults are not as diverse.
C. Physical changes usually do not affect sexual functioning.
D. Frequency and opportunities for sexual activity may decline.
Answer: D
As a result of loss of a loved one or a chronic illness in themselves or
their partner, opportunities for sexual activity may decline.
◉ You see a 76-year-old woman in the outpatient clinic. Her chief
complaint is vision. She states she has really noticed glare in the
lights at home. Her vision is blurred; and she is unable to play cards
with her friends, read, or do her needlework. You suspect that she
may have:
A. Presbyopia.
B. Disengagement.
C. Cataract(s).
D. Depression.
Answer: C
