WALDEN NRNP 6540 FINAL EXAM
Advanced Practice Care of Older Adults Questions with Verified Answers
100% Guarantee passing score of 90% or higher
Consist of 100 multichoice Questions with Answers
1. An older adult is experiencing age-related postural hypotension and he fears "something is really
wrong" because he is the only one in his social group experiencing the problems. The nurse responds:
a. "Don't be concerned; just be very careful about your risk for falling."
b. "You have had very thorough testing, so don't worry about it being serious."
c. "It's just a matter of time before they too have to watch not to get up too quickly."
d. "You just don't have the compensating mechanisms of your friends.
Answer D The age-related symptoms of postural hypotension are dizziness or lightheaded- ness when
changing positions rapidly. However, compensatory processes in the cortex and subcortical areas of
the brain help aging individuals maintain relatively normal motor performance.
DIF: Understanding (Comprehension) REF: Page 565 OBJ: 27-2 TOP: Teaching-Learning
2. What education by the nurse is most important to address age-related changes to the senses?
a. Installing auditory smoke alarms
b. Having regular eye checkups
, c. Being aware that hearing acuity decreases with age
d. Checking the expiration dates on foods such as dairy: A
An age-related reduction in the senses makes it less likely that an older person will smell smoke from a
fire. Loud fire alarms are important for home safety. The other factors are not as directly related to safety.
DIF: Understanding (Comprehension) REF: Page 566 OBJ: 27-2 TOP: Teaching-Learning
3. 3. The nurse is conducting an admission assessment on a mildly con- fused older patient.
The nurse best assures an accurate history by first:
a. scoring the client's cognitive responses.
b. focusing on the client to respond.
c. directing the questions to both patient and family.
d. arranging a Mini-Mental State Examination (MMSE)
Answer C
An interview with the friend or family member is an appropriate method to first implement when a
patient is exhibiting confused behavior. The other options will not get accurate information for the
assessment.
, DIF: Understanding (Comprehension) REF: Page 566 OBJ: 27-2
TOP: Nursing Process: Assessment
4. 4. A nurse is caring for an older patient diagnosed with acute depression. What action by the
nurse is most important to help prevent delirium in this patient?
a. Reorienting the patient to the day, time and place frequently
b. Being physically present to help the patient with eating meals
c. Providing the patient with opportunities to discuss depression
d. Administering antidepressive medication as prescribed: B
Depressed older adults may neglect eating or caring for a chronic medical condition, predisposing them
to the development of delirium resulting from hypoalbuminemia and possibly electrolyte imbalances.
The other actions will not prevent delirium.
DIF: Applying (Application) REF: N/A OBJ: 27-4 TOP: Nursing
Process: Implementation
5. 5. When assessing an older patient displaying symptoms of delirium, the nurse focuses the
assessment on:
a. the degree and duration of the symptoms.
b. the amount of self-care deficiency the symptoms cause.
c. identifying processes that commonly result in the symptoms.
d. physiologic dysfunction resulting from the symptoms
Answer C
, The treatment of delirium entails the identification and treatment of the underlying cause. The nurse
should assess this factor as the priority. The other assessments are of lesser priority.
DIF: Applying (Application) REF: N/A OBJ: 27-4 TOP: Nursing
Process: Assessment
6. 6. An 80-year-old patient is exhibiting signs of dementia representative of Alzheimer disease
(AD).The nurse supports that possibility when determining that the patient:
a. experienced a gastric resection several years ago.
b. traveled often to third world countries.
c. was employed as a steelworker for 40 years.
d. has a history of viral encephalitis
Answer D
Viral illness such as herpes zoster, herpes simplex, or viral encephalitis is believed to be a possible risk
factor for AD. However, advancing age is the primary risk factor. The other options are not related.
DIF: Remembering (Knowledge) REF: Page 571 OBJ: 27-5
TOP: Nursing Process: Assessment
7. 7. When planning care for the older adult with advanced dementia, the nurse recognizes
that the best way to implement reality orientation is to:
a. place printed labels on important items, such as the telephone.
b. place a clock and calendar in the patient's immediate environment.
c. use hand gestures instead of verbal communications to demonstrate mean- ing.
Advanced Practice Care of Older Adults Questions with Verified Answers
100% Guarantee passing score of 90% or higher
Consist of 100 multichoice Questions with Answers
1. An older adult is experiencing age-related postural hypotension and he fears "something is really
wrong" because he is the only one in his social group experiencing the problems. The nurse responds:
a. "Don't be concerned; just be very careful about your risk for falling."
b. "You have had very thorough testing, so don't worry about it being serious."
c. "It's just a matter of time before they too have to watch not to get up too quickly."
d. "You just don't have the compensating mechanisms of your friends.
Answer D The age-related symptoms of postural hypotension are dizziness or lightheaded- ness when
changing positions rapidly. However, compensatory processes in the cortex and subcortical areas of
the brain help aging individuals maintain relatively normal motor performance.
DIF: Understanding (Comprehension) REF: Page 565 OBJ: 27-2 TOP: Teaching-Learning
2. What education by the nurse is most important to address age-related changes to the senses?
a. Installing auditory smoke alarms
b. Having regular eye checkups
, c. Being aware that hearing acuity decreases with age
d. Checking the expiration dates on foods such as dairy: A
An age-related reduction in the senses makes it less likely that an older person will smell smoke from a
fire. Loud fire alarms are important for home safety. The other factors are not as directly related to safety.
DIF: Understanding (Comprehension) REF: Page 566 OBJ: 27-2 TOP: Teaching-Learning
3. 3. The nurse is conducting an admission assessment on a mildly con- fused older patient.
The nurse best assures an accurate history by first:
a. scoring the client's cognitive responses.
b. focusing on the client to respond.
c. directing the questions to both patient and family.
d. arranging a Mini-Mental State Examination (MMSE)
Answer C
An interview with the friend or family member is an appropriate method to first implement when a
patient is exhibiting confused behavior. The other options will not get accurate information for the
assessment.
, DIF: Understanding (Comprehension) REF: Page 566 OBJ: 27-2
TOP: Nursing Process: Assessment
4. 4. A nurse is caring for an older patient diagnosed with acute depression. What action by the
nurse is most important to help prevent delirium in this patient?
a. Reorienting the patient to the day, time and place frequently
b. Being physically present to help the patient with eating meals
c. Providing the patient with opportunities to discuss depression
d. Administering antidepressive medication as prescribed: B
Depressed older adults may neglect eating or caring for a chronic medical condition, predisposing them
to the development of delirium resulting from hypoalbuminemia and possibly electrolyte imbalances.
The other actions will not prevent delirium.
DIF: Applying (Application) REF: N/A OBJ: 27-4 TOP: Nursing
Process: Implementation
5. 5. When assessing an older patient displaying symptoms of delirium, the nurse focuses the
assessment on:
a. the degree and duration of the symptoms.
b. the amount of self-care deficiency the symptoms cause.
c. identifying processes that commonly result in the symptoms.
d. physiologic dysfunction resulting from the symptoms
Answer C
, The treatment of delirium entails the identification and treatment of the underlying cause. The nurse
should assess this factor as the priority. The other assessments are of lesser priority.
DIF: Applying (Application) REF: N/A OBJ: 27-4 TOP: Nursing
Process: Assessment
6. 6. An 80-year-old patient is exhibiting signs of dementia representative of Alzheimer disease
(AD).The nurse supports that possibility when determining that the patient:
a. experienced a gastric resection several years ago.
b. traveled often to third world countries.
c. was employed as a steelworker for 40 years.
d. has a history of viral encephalitis
Answer D
Viral illness such as herpes zoster, herpes simplex, or viral encephalitis is believed to be a possible risk
factor for AD. However, advancing age is the primary risk factor. The other options are not related.
DIF: Remembering (Knowledge) REF: Page 571 OBJ: 27-5
TOP: Nursing Process: Assessment
7. 7. When planning care for the older adult with advanced dementia, the nurse recognizes
that the best way to implement reality orientation is to:
a. place printed labels on important items, such as the telephone.
b. place a clock and calendar in the patient's immediate environment.
c. use hand gestures instead of verbal communications to demonstrate mean- ing.
