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NRNP 6540 – Advanced Adult and Gerontological Nursing Care (Walden University) Midterm Exam 2025/2026 | Updated and Verified Questions with Correct A+ Solutions | Complete Study and Exam Preparation Guide | Instant Download

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This NRNP 6540 Midterm Exam Study Guide (Walden University 2025/2026 Edition) provides a complete, verified, and graded A+ collection of questions and answers for students in Advanced Adult and Gerontological Nursing Care. It covers essential topics related to the psychosocial needs, cognitive changes, and pharmacologic management of older adults, with detailed rationales supporting each correct answer. Major themes include dignity and respect in geriatric care, social isolation assessment, triggers of agitation in the elderly, psychotropic medication use, and age-related clinical decision-making. Perfect for FNP, AGNP, and PMHNP students, this study pack ensures comprehensive preparation for midterms, board exams, and clinical application.

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NRNP 6540 MIDTERM EXAM 2024 -2025 UPDATED
QUESTIONS AND VERIFIED SOLUTIONS GRADED A+
BEST COMPLETE DOCUMENT FOR STUDY AND
EXAM PREPARATION
Mrs. James is 78 years old and comes to the clinic for an annual
checkup. The nurse practitioner addresses the psychosocial
needs of older adults and specifically the need for which of the
following?


1. Dependence.
2. Dignity, credibility, and respect.
3. Being alone.
4. Not being touched.
2. Dignity, credibility, and respect.
Mr. Slobinsky, 80 years old, is unable to leave his home due to
mobility problems. The nurse practitioner conducts a social
support assessment because Mr. Slobinsky:


1. May not want to see anyone.
2. Is not missing the cultural traditions of community activities.
3. Has made frequent appointments for consultation with the
practitioner.

, Page 2 of 38


4. Looks forward to sharing his loneliness with the nurse
practitioner.
3. Has made frequent appointments for consultation with the
practitioner.
Mrs. Khan is 89 years old and is reported to have bouts of
agitation. The nurse practitioner is counseling her family that
these periods of agitation can be triggered by which of the
following?


1. Silence and soft music.
2. Dim lights.
3. Approaches from other people.
4. A feeling of appetite satiety
3. Approaches from other people.
The nurse practitioner is considering ordering medications to
help control an older patient's agitation. She chooses which of
the following?


1. Psychotropic medications
2. Seizure medications
3. Stimulants
4. Depressants

, Page 3 of 38


1. Psychotropic medications
The nurse practitioner is conducting an admitting assessment of
a 69-year-old man. He has diminished ability to ambulate and
has difficulty with activities of daily living (ADLs). In the
interview, the nurse practitioner asks him if he drinks alcohol.
He says, "Yes." The practitioner follows up with a psycho-social
evaluation because:


1. Physiological dynamics need to be ruled out as a possible
contribution.
2. His drinking may be a function of the environment where he
lives.
3. Criteria from the DSM-V is the same for people of any age.
4. His condition could be related to a long-term usage of alcohol
or a new occurrence
4. His condition could be related to a long-term usage of alcohol
or a new occurrence
The daughter of a 70-year-old woman asks the nurse
practitioner why her mother has had a change in functional
ability recently. The mother has regularly been drinking for 40
years, however, her behavior is changing. The nurse practitioner
replies that:

, Page 4 of 38


1. The concentration of alcohol in her body remains the same as
she ages.
2. Her change in behavior has nothing to do with any drugs she
is taking.
3. There are different types of alcoholism in older adults, and
the change in behavior is related to the specific type.
4. Physical changes due to aging affect the body's metabolism
of alcohol differently.
4. Physical changes due to aging affect the body's metabolism
of alcohol differently.
The son of a 72-year-old man brings his father into the
practitioner to plan for treatment of the patient's alcoholism.
The nurse practitioner has several options available. Which is
the first choice?


1. Treat for anxiety.
2. Begin with higher doses of anti-anxiety medications.
3. The last choice for medication is serotonin uptake inhibitors
4.Buspirone and gabapentin are used as first-line choices.
1. Treat for anxiety.
Elisabeth, 67 years old, comes to the practitioner with her
daughter, who is her caregiver. The nurse practitioner notices
that Elizabeth is very busy and always moving and placing things

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