1) An 88-year-old, being admitted to rule out lung cancer, is assessed using the short form
of the Geriatric Depression Scale tool. When it is determines that the earned score is 9,
the nurse practitioner initially:
• asks if they have any thoughts of committing suicide
2) A 77-year-old Hispanic Catholic Nun (retired) who immigrated to the United States 15
years ago lives alone but in an apartment complex where her sister lives as well. She is
being discharged home after a hospitalization for congestive heart failure with
prescriptions for 8 different medications. She is considered at risk for noncompliance
due to the following contributing factors except:
• Ethnic background
3) A 78-year-old patient who is dying of colon cancer with metastases to the liver is
refusing to eat or drink. He is alert and oriented, and states that he has no desire to eat,
which is causing the family great distress. In order to best address the client and family,
you should:
• Educate the family that this is normal behavior in this
situation
4) A 79-year-old female client resides independently in the community. The client’s
daughter is concerned because her mother insists on wearing a sweater and keeps all of
the windows closed even though it is 90 degrees Fahrenheit outside. The nurse
practitioner initially recognizes that this behavior may be related to:
• age-related neurosensory changes that diminish awareness of
temperature changes
, NR 601 FINAL EXAM Q & A GRADED A
5) The area in which nurse practitioners have the greatest effect on the safe, effective
medication therapy of an older client is:
• educating the client to all aspects of the medication.
6) The Beers list is an effective tool for healthcare professionals prescribing and/or
managing the medication therapy of older adults since it identifies medications that for
this population:
• have a higher than usual risk for injury
7) A client who reported, “a problem sleeping” shows an understanding of
good sleep hygiene when:
• limiting the afternoon nap to just 30 minutes
8) Common causes of dyspnea in the older adult may include which of the following?
• Heart failure
Asthma
Chronic obstructive lung disease
Pneumonia
9) Common ethical issues in the nursing home may include which of the following?