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NUR 448 Exam 3 (Practice Questions) with Correct Answers

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NUR 448 Exam 3 (Practice Questions) with Correct Answers The focus of nursing care for a patient diagnosed with dementia is: a. individualizing care. b. improving cognition. c. maintaining optimum function. d. promoting self-confidence and self-esteem. - Ans:-C An older adult patient has fluctuating levels of awareness, anxiety, and appears to be picking things out of the air. The patient says, "I saw my granddaughter standing at the foot of the bed last night." The nurse should suspect: ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 2/51 a. delirium. b. dementia. c. schizophrenia. d. bipolar disorder. - Ans:-A An older adult presents with symptoms of delirium. The family says, "Everything was fine until yesterday." The most important assessment information to gather is: a. a list of medications the patient currently takes. b. whether or not the patient has experienced any recent losses. c. ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 3/51 whether or not the patient has ingested aged or fermented foods. d. the patient's recent personality characteristics and changes. - Ans:-A The family of a patient diagnosed with AD is concerned about the patient's occasional urinary incontinence. The nurse should give which suggestion? a. Use adult diapers. b. Put a sign on the bathroom door. c. Limit fluid intake to 1,000 ml daily. d. Take the patient to the bathroom every 2 hours. - Ans:-D A nurse gives anticipatory guidance to the family of a patient diagnosed with mild AD. Which problem common to that stage should be addressed? ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 4/51 a. Violent outbursts b. Emotional disinhibition c. Communication deficits d. Inability to feed or bathe self - Ans:-C Which assessment finding would be expected in a patient in the early stage of HD? a. Cogwheel rigidity b. Irritability c. ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 5/51 Apraxia d. Aphasia - Ans:-B An older adult suddenly develops urinary incontinence. A family member says the patient "started walking oddly, like stepping on a sticky floor." Which problem would the nurse suspect? a. Pick's disease b. Parkinson's disease c. HD d. Normal-pressure hydrocephalus (NPH) - Ans:-D A patient diagnosed with dementia is watching a crime story on television. Suddenly, the patient begins to yell, "Stop! He's got a gun." What is the nurse's best intervention?

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©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




NUR 448 Exam 3 (Practice Questions)
with Correct Answers

The focus of nursing care for a patient diagnosed with dementia is:


a.


individualizing care.


b.


improving cognition.


c.


maintaining optimum function.


d.


promoting self-confidence and self-esteem. - Ans:✔✔-C


An older adult patient has fluctuating levels of awareness, anxiety, and appears to be picking things out

of the air. The patient says, "I saw my granddaughter standing at the foot of the bed last night." The

nurse should suspect:
Page 1/51

, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




a.


delirium.


b.


dementia.


c.


schizophrenia.


d.


bipolar disorder. - Ans:✔✔-A


An older adult presents with symptoms of delirium. The family says, "Everything was fine until

yesterday." The most important assessment information to gather is:


a.


a list of medications the patient currently takes.


b.


whether or not the patient has experienced any recent losses.


c.

Page 2/51

, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




whether or not the patient has ingested aged or fermented foods.


d.


the patient's recent personality characteristics and changes. - Ans:✔✔-A


The family of a patient diagnosed with AD is concerned about the patient's occasional urinary

incontinence. The nurse should give which suggestion?


a.


Use adult diapers.


b.


Put a sign on the bathroom door.


c.


Limit fluid intake to 1,000 ml daily.


d.


Take the patient to the bathroom every 2 hours. - Ans:✔✔-D


A nurse gives anticipatory guidance to the family of a patient diagnosed with mild AD. Which problem

common to that stage should be addressed?


Page 3/51

, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




a.


Violent outbursts


b.


Emotional disinhibition


c.


Communication deficits


d.


Inability to feed or bathe self - Ans:✔✔-C


Which assessment finding would be expected in a patient in the early stage of HD?


a.


Cogwheel rigidity


b.


Irritability


c.




Page 4/51

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