Question 6
A nurse is caring for a patient with Alzheimer’s disease who frequently wanders and becomes disoriented. Wandering poses safety risks to the patient. Which intervention is most appropriate for managing the patient’s wandering behavior and ensuring their safety?
- a) Encouraging the patient to wander freely to maintain their independence and physical activity.
- b) Providing the patient with a secure and supervised area to wander, such as a designated outdoor space.
- c) Administering sedative medications to keep the patient calm and prevent wandering.
- d) Restraining the patient in a bed or chair to prevent wandering and ensure safety.
Question 7
A nurse is involved in facilitating a decision-making group in a healthcare setting. Which of the following statements best describes the purpose and function of a decision-making group?
- a) Decision-making groups are designed to provide emotional support to individuals facing similar challenges.
- b) Decision-making groups focus on sharing information and resources, allowing members to learn from each other’s experiences.
- c) Decision-making groups help members develop interpersonal skills through various activities and exercises.
- d) Decision-making groups work collaboratively to analyze options, evaluate alternatives, and make informed decisions to solve specific problems or achieve specific goals.
Question 8
An 80-year-old patient presents with progressive cognitive decline, characterized by fluctuating attention, recurrent visual hallucinations, and mild Parkinsonian symptoms such as tremors and rigidity. Which of the following neurocognitive disorders is MOST consistent with these findings?
- a) Vascular neurocognitive disorder
- b) Frontotemporal neurocognitive disorder
- c) Lewy body dementia
- d) Parkinson’s disease neurocognitive disorder
Question 9
A nursing student is preparing to attend an Alcoholics Anonymous (AA) meeting as part of their education on addiction and recovery. Which statement accurately describes the purpose and nature of an AA meeting?
- a) AA meetings are therapeutic sessions led by licensed counselors and psychologists.
- b) AA meetings are designed for individuals who are actively using alcohol to seek immediate detoxification.
- c) AA meetings are support groups where individuals in recovery from alcohol addiction share their experiences
- d) AA meetings are educational seminars focused on alcohol use prevention for the general public.
Question 10
Because older adults are more sensitive to medication interactions, it is important for the nurse to ask the older client about the consumption of which of the following?
- a) Orange juice
- b) Grapefruit juice
- c) Cranberry juice
- d) Lemon juice
Question 11
A nurse is working with a client during a family assessment and is considering the use of a genogram as part of the assessment process. Which of the following statements best explains the importance of using a genogram in a healthcare setting?
- a) Genograms provide information about a client’s genetic makeup and risk factors for hereditary diseases.
- b) Genograms are primarily used to track a client’s medical history, including previous illnesses and surgeries.
- c) Genograms help healthcare providers visualize and understand family relationships, roles, and patterns of health and illness.
- d) Genograms assist in identifying a client’s social support network and community resources for care.
Question 12
A nurse working in a long-term care facility is responsible for assessing the mental health of older adult residents. Which of the following signs and symptoms is most characteristic of depression in older adults?
- a) Increased physical activity, restlessness, and agitation.
- b) Frequent forgetfulness and confusion, with disorientation to time and place.
- c) Persistent sadness, loss of interest in previously enjoyed activities, and social withdrawal.
- d) A sudden onset of hallucinations and delusions, often related to past traumatic events.
Question 13
Which of the following scenarios BEST exemplifies a non-nuclear family structure?
- a) A married couple living with their two biological children.
- b) A single parent raising their adopted child.
- c) A group of unrelated individuals living together in a communal setting.
- d) A married couple living without any children.
Question 14
A nurse is leading a therapy group for clients with substance use disorders. The group has been meeting regularly, and the members have formed strong bonds and a sense of unity. They openly share their experiences, offer support, and work together toward recovery goals. Which term best describes the positive dynamic that has developed among the group members?
- a) Groupthink
- b) Group polarization
- c) Group cohesiveness
- d) Group Conflict
Question 15
An older adult client is admitted to a healthcare facility for depression. During the assessment, the nurse learned that the client started feeling down when they told their family they were interested in an intimate relationship with a woman at their care facility. Which intervention is most appropriate to address the client’s situation?
- a) Encouraging the client to avoid discussing their feelings to prevent further distress.
- b) Educating the client’s family about common misconceptions related to sexuality in older adults.
- c) Dismissing the client’s concerns as common issues associated with aging.
- d) Referring the client to a therapist or support group specializing in sexual health and self-acceptance.
Question 16
A nurse is performing an assessment of an older adult in a long-term care facility. What is a critical aspect the nurse should prioritize during the assessment of this older adult to address the specific needs of the older population?
- a) Focusing on the client’s chronological age and physical health status.
- b) Assessing only the client’s current medical conditions and treatment needs.
- c) Identifying the client’s social support system and psychological well-being.
- d) Relying primarily on self-reporting by the client without involving family members.
Question 17
A nurse is conducting a family assessment and is interested in identifying family strengths that can promote resilience and well-being. Which of the following scenarios best exemplifies a family strength?
- a) A family that faces financial difficulties and struggles to meet their basic needs.
- b) A family that openly communicates and collaboratively solves problems.
- c) A family that experiences frequent conflicts and disagreements.
- d) A family where one member is isolated and avoids interactions with the rest of the family.
Question 18
A nurse is educating a group of nursing students about normal signs of aging in older clients. Which of the following age-related changes are considered normal in older adults? Select all that apply.
- a) Decreased skin elasticity and the appearance of wrinkles.
- b) Increased muscle mass and strength.
- c) Decreased sensory perception, such as hearing and vision changes.
- d) Slower metabolism and potential weight gain.
- e) Improved memory and cognitive function.
- f) Decreased immune function
Question 19
During group therapy sessions, various roles may emerge among participants. Which of the following roles can be considered disruptive or non-therapeutic to the group process? Select all that apply.
- a) The “harmonizer,” who mediates conflicts and promotes group cohesion.
- b) The “monopolizer,” who dominates the conversation and prevents others from participating.
- c) The “scapegoat,” who is blamed for the group’s problems or conflicts.
- d) The “information seeker,” who asks clarifying questions and seeks understanding.
- e) The “blocker,” who consistently opposes group ideas and resists change.
- f) The “encourager,” who provides positive reinforcement and supports other members.
Question 20
An 82-year-old patient admitted to the hospital for a hip fracture exhibits acute confusion, disorientation, and agitation. The patient’s daughter reports that her father has been taking several over-the-counter medications for various ailments. Which of the following OTC medications or medication classes, if reported by the patient’s daughter, would the nurse identify as potentially contributing to the patient’s delirium? Select all that apply.
- a) Melatonin sleep aids taken nightly for the past month.
- b) Diphenhydramine (Benadryl) taken for occasional insomnia.
- c) Omeprazole (Prilosec OTC) taken daily for heartburn.
- d) Ibuprofen (Advil) taken multiple times daily for arthritis pain.
- e) Bisacodyl (Dulcolax) stimulant laxatives taken regularly for constipation.
- f) A daily multivitamin containing iron.
