NURS 311 | QUESTIONS AND ANSWERS | 2026 UPDATE | WITH COMPLETE SOLUTION
132. A nurse's BEST approach when caring for a confused, older client is to provide an environment
with:
1. space for privacy
2. group involvement
3. trusting relationships
4. activities that are varied - (ANSWER)3. trusting relationships
133. An older adult on the mental health unit begins acting out while in the day room. What is a nurse's
initial intervention?
1. instruct the client to be quiet
2. allow the client to act out until fatigue sets in
3. give the client directions in a firm, low-pitched voice
4. guide the client from the room by gently holding the client's arm - (ANSWER)3. give the client
directions in a firm, low-pitched voice
134. A nurse is assessing an older adult with the diagnosis of dementia. Which manifestations are
expected in this client? Select all that apply.
1. resistance to change
2. inability to recognize familiar objects
3. preoccupation with personal appearance
4. inability to concentrate on new activities or interests
5. tendency to dwell on the past and ignore the present - (ANSWER)1, 2, 4, 5
135. When answering questions from the family of a client with Alzheimer disease, the nurse explains,
"this disease is:
1. one that emerges in the fourth decade of life"
2. a slow and relentless deterioration of the mind"
3. functional in origin that occurs in the later years"
4. diagnosed through laboratory and psychological tests" - (ANSWER)2. a slow and relentless
deterioration of the mind"
, NURS 311 | QUESTIONS AND ANSWERS | 2026 UPDATE | WITH COMPLETE SOLUTION
136. A client in the early dementia stage of Alzheimer's disease is admitted to a long-term care facility.
Which activities must the nurse initiate? Select all that apply.
1. Weigh the client once a week
2. have specialized rehabilitation equipment available
3. keep the client in pajamas and robe most of the day
4. establish a schedule with periods of rest after activities
5. review the client's weekly budget and use of community resources
6. set up a plan for weekly entertainment through a senior citizens group - (ANSWER)1, 2, 4
137. Nurses working with clients who have a diagnosis of dementia should adopt a common approach of
care because these clients need to:
1. relate in a consistent manner to staff
2. learn that the staff cannot be manipulated
3. accept controls that are concrete and fairly applied
4. have sameness and consistency in their environment - (ANSWER)4. have sameness and consistency in
their environment
138. A nurse is assessing a client with dementia. Which clinical manifestations are expected? select all
that apply.
1. agitation
2. pessimism
3. short attention span
4. disordered reasoning
5. impaired motor activities - (ANSWER)1, 3, 4, 5
139. What is the PRIORITY nursing objective of the therapeutic psychiatric environment for a confused
client?
1. assist the client to relate to others
132. A nurse's BEST approach when caring for a confused, older client is to provide an environment
with:
1. space for privacy
2. group involvement
3. trusting relationships
4. activities that are varied - (ANSWER)3. trusting relationships
133. An older adult on the mental health unit begins acting out while in the day room. What is a nurse's
initial intervention?
1. instruct the client to be quiet
2. allow the client to act out until fatigue sets in
3. give the client directions in a firm, low-pitched voice
4. guide the client from the room by gently holding the client's arm - (ANSWER)3. give the client
directions in a firm, low-pitched voice
134. A nurse is assessing an older adult with the diagnosis of dementia. Which manifestations are
expected in this client? Select all that apply.
1. resistance to change
2. inability to recognize familiar objects
3. preoccupation with personal appearance
4. inability to concentrate on new activities or interests
5. tendency to dwell on the past and ignore the present - (ANSWER)1, 2, 4, 5
135. When answering questions from the family of a client with Alzheimer disease, the nurse explains,
"this disease is:
1. one that emerges in the fourth decade of life"
2. a slow and relentless deterioration of the mind"
3. functional in origin that occurs in the later years"
4. diagnosed through laboratory and psychological tests" - (ANSWER)2. a slow and relentless
deterioration of the mind"
, NURS 311 | QUESTIONS AND ANSWERS | 2026 UPDATE | WITH COMPLETE SOLUTION
136. A client in the early dementia stage of Alzheimer's disease is admitted to a long-term care facility.
Which activities must the nurse initiate? Select all that apply.
1. Weigh the client once a week
2. have specialized rehabilitation equipment available
3. keep the client in pajamas and robe most of the day
4. establish a schedule with periods of rest after activities
5. review the client's weekly budget and use of community resources
6. set up a plan for weekly entertainment through a senior citizens group - (ANSWER)1, 2, 4
137. Nurses working with clients who have a diagnosis of dementia should adopt a common approach of
care because these clients need to:
1. relate in a consistent manner to staff
2. learn that the staff cannot be manipulated
3. accept controls that are concrete and fairly applied
4. have sameness and consistency in their environment - (ANSWER)4. have sameness and consistency in
their environment
138. A nurse is assessing a client with dementia. Which clinical manifestations are expected? select all
that apply.
1. agitation
2. pessimism
3. short attention span
4. disordered reasoning
5. impaired motor activities - (ANSWER)1, 3, 4, 5
139. What is the PRIORITY nursing objective of the therapeutic psychiatric environment for a confused
client?
1. assist the client to relate to others
