Chamberlain College of Nursing: NR601 Final Exam (2 Versions, Latest-2022) / NR 601 Final Exam |100% Correct Answers, Already Graded “A”|

Chamberlain College of Nursing: NR601 Final Exam (2 Versions, Latest-2022) / NR 601 Final Exam |100% Correct Answers, Already Graded “A”| NR601 Final Exam / NR601 Final Exam (Latest): Chamberlain College Of Nursing 1. Which of the following statements is NOT true about palliative care teams? 2. A 55-year-old women has type 2 DM she had three UTIs in the last 9 months and she is concerned about her kidneys. She has no report of dysuria, frequency or urgency at this time. Which of the following is the best action to follow? 3. According to the sexuality presentation, atrophic vaginitis (AV) 4. Ms. L 55-year-old women with BMI of 28, has 20-yearhx of primary HTN and has been on hydrochlorothiazide 25 mg daily for years with excellent response. During follow up visit Mrs L reports that for the last 6 months she has felt thirsty all of the time even though she drinks at least 10 glasses of water a day. Upon chart review the N notes that the last two fasting blood glucose levels have been 136 mg/dl and 165 mg/dl. The NP checks a random blood glucose, which is 210 mg/dl. What is the next appropriate test? 5. A patient has been prescribed Metformin (Glucophage). One week later he returns with lowered blood sugars but complaints of some loose stools during the week. How should the NP respond? 6. A 60-year-old obese male client has type 2 DM and a lipid panel of TC= 250, HDL = 32, LDL= 165. The NP teaches the patient about his modifiable cardiac risk factors which include: 7. Lifestyle approaches to postmenopausal symptom management include 8. When treating depression associated with dementia, which of the following would be a poor choice and should not be prescribed? 9. How does women’s anatomy make them more susceptible to UTIs? 10. A 48-year-old male patient screened for diabetes has a fasting plasma glucose level of 120 mg/dl. The NP plan includes 11. Which of the following assessments are commonly noted in a client with Parkinson’s disease? 12. A 76-year-old man is seen in the office for c/o urinary incontinence. The clinician should explore which of these causes of incontinence in men? 13. Which of the following maneuvers is contraindicated in acute prostatis? • A: Massaging the infected prostate 14. Mrs. N a 65-year-old women with BMI of 29 on Medicare , has a 20-yearhx of primary HTN and has been on HCTZ 25 mg daily for years , reports that for the past 6 months she has felt thirsty all of the time even though she drinks at least 10 glasses of water a day. Upon charting NP notes that the last two fasting blood glucose levels have been 136 mg/dl and 165 mg/dl. What actions should the NP perform next? • A: order a fasting blood glucose??? PRESCRIBE METFORMIN XR 500MG PO 15. According to the WHO analgesic ladder, which drug combination would be most appropriate in an opiate-naïve patient who presents with moderate pain? • A: Indomethacin/ hydrocodone 16. The cornerstone of pharmacotherapy in treating Alzheimer’s disease is : • A: Cholinesterase inhibitors 17. The highest level of evidence to support interventions at the end of life is with: • A: opioids for dyspnea 18. The comorbid psychiatric problem with the highest frequency in dementia is: • A: Anxiety 19. All of the following are true statements regarding elder abuse EXCEPT: • A : common signs of abuse include decreased anxiety and depression 20. Which of the following is a role of the advanced nurse in ????? • A: All of the above 21. The proposed mechanism by which diphenhydramine causes delirium is: • A: Anticholinergic effect 22. A drug that can be used to treat two very common symptoms in a dying patient (pain and dyspnea) is : • A : Morphine 23. According to the Palliative Care presentation, hospice care may be provided to: • A: those with a life expectancy 6 months 24. A 68-year-old women is being worked up for stress incontinence. UA reveals positive leukocyte esterase, positive nitrites, 15 WBCs, no RBS, no protein, no casts. She denies frequency, urgency, suprapubic pressure or urgency. What is the first treatment for her US results? • A: no treatment is necessary 25. The elderly are at higher risk for delirium because of: • A: All of the above 26. A 63-year-old man is seen in the clinic with a c/o nocturia. Which of the following should be included in the differential diagnosis? • A: Benign prostatic hypertrophy (BPH) 27. A 75-year-old man is being treated as an outpatient for metastatic prostate cancer. Which of the following statements is true regarding the management of pain with opioids in the elderly? • A: none of the above 28. The highest level of evidence with the use of adjuvant analgesics is with: • A: neuropathic pain patients are candidates for adjuvant analgesia 29. The 56-year-old man with chronic prostatis should initially be treated with antibiotics for how long? • A: 14 days 30. A 50-year-old female patient screened for diabetes has a fasting plasma glucose level of 124 mg/dl. The NP plan includes: • A: repeat fasting plasma glucose in one year 31. When assessing a patient who complains of a tremor, the NP must differentiate essential tremor from the tremor of Parkinson’s disease. Which of the following findings are consistent with essential tremor? • A: The tremor occurs with purposeful movement 32. Which characteristic of delirium helps to distinguish it from dementia? • A: abrupt or Acute onset 33. According to the sexuality presentation, the biggest barrier to appropriate sexual evaluation in the older patient: • A: Ageist attitudes 34. Mrs. Smith a 65-year-old women presents to the clinic for the first time and c/o UI and dyspareunia, she went through menopause 10 years ago without any hormone replacement therapy and had a hysterectomy for fibroid. Her mother had a hip fracture at 82, pt had mammogram 5 years ago and no known fam hx of breast cancer……you decide to begin topical hormone replacement therapy. Which of the following evaluations would be necessary prior initiating hormone replacement therapy? • A: Mammogram 35. Mr. A experienced a brief onset of right-sided weakness, slurred speech and confusion yesterday. The symptom has resolved. What should the NP do? • A: identify modifiable cardiovascular risk factors 36. Any women with a complicated cystitis or symptoms of upper tract disease needs a urine culture and • A: sensitivity test 37. All of the following patients have a risk of adverse reaction from Metformin except: • A: patients with BMI 30 38. A middle-aged patient has been diagnosed with Parkinson’s disease. What influences the NP’s decision to begin pharmacological treatment for this patient? • A: symptom interfering with functional ability 39. Which of the following medications can blunt the signs of hypoglycemia in diabetes? • A: beta blockers 40. The Mini-cog is a short screening tool used to assess cognition. Which of the following statements pertaining to the test is a true statement? • A: A score of 0-2 is a positive screen for dementia 41. What is a sign of insulin resistance that can present in African American patients? • A: Acanthosis Nigricans 42. Age related changes in bladder, urethra and ureters include all of the following in older womenexcept: • A: increased estrogen production’s influence on the bladder and ureter 43. The majority of patients enrolled in hospice care die: • A: at home 44. Diabetes is the leading cause of: • A: kidney failure 45. A male pt with a BMI of 30 presents to the office for an annual exam. You ordered a CMP as part of routine labs. The fasting glucose was 130. Your next action is: • A: repeat the fasting glucose 46. A pelvic mass in a postmenopausal woman: • A: highly suspicious of ovarian cancer 47. A 65-year-old Hispanic woman presents to the office for routine follow up for her DM2. Her routine UA results are as follows: few epithelial cells, negative leukocytes, negative nitrates, negative protein, no ketones. Which test would you order next? • A: 24-hour urine for albumin 48. Hospice services and palliative services are underutilized due to: • A: All of the above (Services not well understood, confusion remains over when it is appropriate to consult palliative care, denial of impending death) 49. Which of the following would be an appropriate treatment for a patient with mild BPH? • A: reevaluate symptoms in 1-3 months 50. The most common neurological cause of seizures in an older adult is: • A: stroke 51. A 68-year-old women presents with a c/o urine leakage whenever she sneezes, laughs, or strains for the past 4 months. She denies dysuria, frequency and nocturia. US dipsticks is negative for RBCs, leukocytes esterase, nitrites, ketones and urobilinogen. What is the diagnosis? • A: stress incontinence 52. The tasks of grieving include all of the following EXCEPT: • A: begin to disengage 53. Acanthosis nigrans is associated with all of the following conditions except: • A: tinea versicolor 54. Which of the following statements is trueregarding pain? • A: pain is subjective experience related to actual or potential tissue damage 55. A 51-year-old male pt screened for diabetes has a fasting plasma glucose level of 98 mg/dl. The NP plan includes: • A: repeat fasting plasma glucose in 3 years 56. Increased risk factors for erectile dysfunction include all EXCEPT: • A: dominant personality 57. When assessing an elderly client who reports a tremor, which assessment findings would be most reliable in identifying Parkinson’s disease? • A: Resting tremor, slow unsteady gait, and cogwheel resistance 58. Which of the following is the most appropriate screening tool for delirium? • A: Confusion Assessment Method 59. An 82-year-old man is seen in the primary care office with complaints of dribbling urine, difficulty starting his stream. Which of the following should be included in the list of differential diagnosis? • A: all of the above (BPH, Parkinson’s disease, prostate cancer) 60. The patient with BPH is seen for follow up. He has been taking finasteride(Proscar) for 6 months. The clinician should assess this patient for which of the side effects? • A: Erectile dysfunction 61. Hospice care differs from palliative care in that: • A: supports patients and families through both the dying and the bereavement process 62. According to the genitourinary presentation, the number 1 risk factor for urinary incontinence is: • A: AGING 63. The firs step in treating delirium is to: • A: identify the cause 64. Which of the listed conditions is most likely to cause delirium? • A: Acute infection 65. You are working up a 52-year-old patient for microscopic hematuria. Your differential diagnosis list includes all of the following EXCEPT: • A: renal stenosis 66. Don’t have 67. A 55-year-old Caucasian man with type 2 DM presents to the clinic a as new pt. he takes metformin 500 mg twice a day. His last Hgb A1C was 7%. He is up to date on eye and foot examinations. His BP is 142/96. According to JNC8, what is the most appropriate medication? • A: lisinopril 68. Delirium is typically characterized by all of the following except: • A: Hyperactive level of psychomotor activity 69. An 80-year-old female widow asks her NP about hospice enrolment. Her diagnosis includes congestive HF, HTN and DM2. She has noticed that in the last month she has lower extremity edema and she is finding it difficult to walk to the grocery store and church, she does not use oxygen. She is able to maintain her home but requires more frequent rest after vacuuming. She does not wish to be admitted to the hospital again in the future but if admitted wants to remain full code status. Why is this patient NOT appropriate for hospice? • A: her prognosis is 6 months 70. Jean a 42-year-old, presents to the clinic with c/o dysuria, frequency and strong odor of her urine for 5 days. This is the second occurrence this year. What is the appropriate next step to this patient? • A: order UA and urine culture and sensitivity and treat the patient with antibiotics today 71. All of the following patients should be screened for diabetes EXCEPT: • A: 44-year-old Caucasian with HTN 72. A male patient with a BMI of 33 presents to the office with c/o fatique, excessive hunger and excessive thirst. You suspect type 2 DM . initial testing to confirm diagnosis can include: • A: all of the above 73. An 87-year-old tells the NP that his grandson locks him in his bedroom when he goes out. The grandson withholds food if the patient does not give him money every week. The patient appears frail, ungroomed, and his clothes are visibly dirty and smell of urine. Which of the following is the best action for NP? • A: report the grandson to your state’s protective services 74. The leading cause of death in elderly travelers worldwide is: • A: accidents 75. The majority of depressed older adults remain untreated because of : • A: All of the above (misdiagnosis, social stigma, environmental…) 76. When examining the spine of an older adult you notice a curvature with a sharp angle. This is referred to as a: • A: scoliosis 77. Which of the following patients has the highest risk for the development of osteoporosis? • A: A 5’4” Asian female weighing 95 lbs 78. When assessing a patient’s mental health, the NP knows: • A: both A & B ( cognition affects mental status and affect reflects mood) 79. You are working with an older male adult with a long hx of alcohol abuse and a 30-yearhx of smoking. In recommending an intervention for this client, your responsibility is to: • A: Promote positive change in lifestyle choices 80. The pathophysiology of heart failure is due to: • A: inadequate cardiac output to meet the metabolic and oxygen demands of the body 81. The leading cause of disability worldwide is: • A: depression 82. Which of the following patients has the highest risk for the development of osteoporosis? • A: A 5’4” Asian female weighing 95 lbs 83. Mrs. G is a 65-year-old Caucasian female who presents for her yearly physical. A review of her chart reveals she smokes 1 pack of cigarettes a day, and drinks 2 beers every evening since she retired. She does not exercise, she likes to sit and knit. The NP know the NONMODIFIABLE risk factor for osteoporosis for Mrs. G is : • A: Age 84. The NP orders bilateral wrist X-rays on a 69-year-old gentleman c/o of pain in both wrists for the past 6 weeks not related to any known trauma. The NP suspects elderly onset RA. The initial radiographic finding in a patient with elderly onset RA would be: • A: soft tissue swelling 85. The NP is reviewing a patient chart prior to the start of the encounter. The NP notes that the patient is using topical CAPSAICIN. The NP knows that topical capsaicin id often used for treatment of: • A: Diabetic neuropathy 86. Which of the following statements about OA is true? • A: It affects primarily weight bearing joints 87. MJ presents to the clinic with the following hx and presentation: hx of structural damage with current s/s of HF. Treatment will be based on MJs stage of HF which is: • A: Stage C 88. Dietary supplements such as Omega 3 (fish oils) are often taken for cardioprotective benefit. The NP knows regarding Omega 3 consumption: • A: randomized control trials have found no reduction in morbidity or mortality 89. A 55-year-old Caucasian male pt follows up with you after referral to a cardiologist. The pt reports he thinks the medication is causing cough and sometimes he has difficulty breathing, which of the following medication was most likely prescribed? • A: Lisinopril 90. The prevalence of depression in nursing home residents is _____greater than adults living in the community: • A: 3-4 times 91. The NP orders bilateral wrist Xrays on a 69-year-old gentleman c/o of pain in both wrists for the past 6 weeks not related to any known trauma. The NP suspects elderly onset RA. The initial radiographic finding in a patient with elderly onset RA would be: 92. The NP knows that the goal of treatment for anxiety should: 93. All of the following statements are true regarding anxiety EXCEPT: 94. Which of the following best describes the pain associated with OA? 95. Which organism that can be prevented by immunization is most often responsible for infectious outbreak in the nursing home setting? 96. JK 60 year old women comes to the office today for evaluation of mgmt. plan of her c/o insomnia…..she wakes up after about 4 hrs and cannot return to sleep. The next step in treatment of insomnia is: 97. You have ordered a CBC for your patient you suspect has PMR. Which two clinical findings are common in pt with PMR? 98. PG is a 58-year-old Caucasian man with stable mental health diagnosis of schizophrenia who presents for a yearly physical. PG is prescribed aripiprazole for treatment of his schizophrenia. The NP knows the following labs should be ordered to assess for cardiometabolic changes related to his medication EXCEPT: NR601 Final Exam / NR601 Final Exam (Latest): Chamberlain College Of Nursing 1. 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: 2. 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: 3. 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: 4. 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: 5. The area in which nurse practitioners have the greatest effect on the safe, effective medication therapy of an older client is: 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? • Quality of life Decision-making capacity Preservation of autonomy Surrogate decision making 10. The cost of nursing home care is significant. The primary payer for nursing home care is: • Medicaid and private pay. 11. Each of the following assessment finding is a contributor to an older client’s risk for falls except: • client has a history of contact dermatitis and psoriasis 12. Each of the following data supports the diagnosis of sleep apnea in the older adult except: • followed a vegetarian diet for last 28 years 13. Factors that affect the pharmacokinetics of lipophilic medications in older include: • greater adipose tissue ratio to body mass 14. The following precautions are beneficial in minimizing an older adult’s risk of being a victim of fraud except: • Rely on the advice of people who only friends have recommended. 15. In order to focus on the older population with the greatest risk for suicide the nurse practitioner would conduct a depression that targets: • White men 16. In planning teaching for a client with diabetes, which precaution related to fall prevention is particularly important for the nurse practitioner to include? • Rising slowly from the table after meals 17. It is imperative that nursing take a leadership role in providing effective health care across the lifespan and in various health care settings. Which intervention will have the greatest impact on achieving positive outcomes concerning that issue? • A baccalaureate degree nursing program including a geriatric care course into the curriculum 18. The nurse is most concerned by observing which of the following during an older client’s physical assessment: • a slightly raised irregular patch that is bluish black in color 19. The nurse is providing care to a client diagnosed with dementia. What option is an example of the appropriate use of implied consent by the nurse? • Changing the client's dressing when the client asks, "Will you change this bandage now?" 20. The nurse practitioner demonstrates an understanding of the older client’s preventable risk factors for early death when: • providing clients with information regarding the effectiveness of a nicotine patch monitoring the blood pressure of those living at a homeless shelter each month weighing the clients who visit a walk-in clinic that is located in an economically depressed neighborhood educating the diabetic residents of a low rent apartment complex on how to monitor their blood glucose levels 21. The nurse practitioner documents that an older adult client is living independently in a safe environment. Which assessment data supports this evaluation? • The client demonstrates the home's security alarm system. Various safety features were installed when the bathroom was remodeled. The nurse observes the client wearing a safety alarm bracelet. The client's home is within walking distance of a grocery store. 22. The nurse practitioner educates the older client that the greatest risk related to poor foot care results is: • loss of independent mobility. 23. The nurse practitioner has the obligation to ask questions and obtain specific information about the use of herbs and supplements. Which of the following statements is most accurate regarding herbal therapy? • may interact with prescription medications 24. A nurse practitioner in an area of the country that is prone to tornadoes routinely discusses disaster preparedness with older adult clients. What is the primary rationale for this intervention? • Older adults are less likely to seek formal and informal help when affected by natural disasters. 25. A nurse practitioner is preparing an educational program focused on herbal supplements. Which of the following is a likely interested target group? • White females who own their own successful businesses 26. The nurse practitioner is preparing educational material concerning fire safety in the home. What research data will be included in the material? • fire mortality is highest in adults older than 65 years of age 27. The nurse practitioner is providing care for an older client who is experiencing mild cognitive impairment. Which communication technique is most likely to bring about a negative outcome? • Asking the family to answer interview questions 28. The nurse practitioner makes the greatest impact on the safe management of an 81-year-old client’s medication administration when included in education is: • a pillbox with compartments for each day and each of the doses 29. The nurse practitioner’s first response when told by a client during an assessment interview that they “can’t take furosemide (Lasix)” is to ask: • "Can you describe what happened when you took Lasix?" 30. The nurse practitioner suspects that a client is experiencing tardive dyskinesia when observing: • the client's facial muscles are twisting involuntarily 31. The nurse suspects that an older adult client is experiencing symptomology seen in herpes zoster when the client • rates the pain as an 8 out of a possible 10 develops clusters of fluid-filled vesicles reports symptoms focused on one side of the body 32. A nurse suspects that her next-door neighbor, an older woman, is a victim of elder abuse by her daughter. What is the appropriate action for the nurse to do in this situation? • Complete a confidential report with the adult protective services in the area. 33. Of the following agents, which is least likely to cause a chronic or recurrent cough? • Gabapentin 34. Of the following risk factors, which is not 35. An older adult client will require extensive rehabilitative therapy after a fall that resulted in several fractures and reconstructive surgeries. Which intervention will have the greatest impact on the individual’s relocation to a rehabilitation facility? • Actively seeking the individual's input regarding the decisions relating to the move 36. An older adult has recently experienced a number of stressful life events. The client comes to the ambulatory clinic and tells the nurse practitioner that, “On top of all I’ve had to endure; now I’ve got this flu!” In rendering care for this client, the nurse practitioner recognizes that: • crisis and stressful situations may produce emotions that erode the health of the older people. 37. An older adult is concerned that if her spouse, who recently suffered a stroke, is placed in a nursing home, “they will take everything in order to pay for his care.” What response will the nurse practitioner make? • "A spouse is allowed to keep a percentage of the family income and cash as well as the family home, car, and personal property." 38. An older adult patient with a history of osteoporosis is hospitalized for wrist surgery. Which medication that is currently being prescribed would be most likely to interfere with bone integrity? • heparin 39. An older client diagnosed with dementia resides with his daughter. When the home care nurse visits, the daughter tearfully tells the nurse that her father scratched her hand and cursed at her when she was attempting to feed him. She states, “I don’t know why he hates me and wants to hurt me. I try so hard to take good care of him. I love him.” How will the nurse respond to the client’s daughter? • "Let's try to figure out what your father was trying to say with his behavior." 40. An older client prescribed a transdermal morphine patch for severe chronic pain is being educated on the appropriate administration of the medication. The nurse shows an understanding of essential information regarding this route of drug administration when stating: • “Since you have problems with digestion, this is a good way to take your medication." 41. The original intent of Social Security was to: • minimize the dependency of older members on younger members of society. 42. The primary risk for injury experienced by a client diagnosed with asthma is: • infections of the lower respiratory tract 43. Research has shown that long-term care (LTC) facility nursing • is comparable to the complexity and demand of intensive care nursing is a nursing intensive environment crosses the continuum of care 44. Snoring is a symptom of which of the following disorders: • Sleep apnea 45. State Death with Dignity Laws require that the terminally ill client be • educated regarding treatment alternatives. 46. Weight loss is frequently caused by ingestion of the following drugs. • Antibiotics Digoxin Nonsteroidal anti-inflammatory drugs (NSAIDs) Theophylline 47. What factor is an important contribution to polypharmacy in older adults? • Inadequate communication among medical care providers 48. What research finding is the basis for care planning of the client receiving palliative care? • Pain management is inadequately addressed among the terminally ill population. 49. When a chronically ill 80-year-old client is admitted to your acute care facility in an unconscious state, the nurse practitioner’s priority is to determine: • who is the client's durable power of attorney for health care (DPAHC). 50. When acting as a fictive kin, in which activity will a paid caregiver engage? • organizing the client's birthday celebration 51. When an older adult client is diagnosed with restless leg syndrome (RLS), the nurse practitioner is confident that client education on the condition’s contributing factors has been effective when the client states: • "I've cut way back on my caffeinated coffee, teas and sodas." 52. When answering an older client’s questions about diet, exercise, and bone integrity, which exercise would the nurse practitioner identify as ineffective at meeting the need for moderately intense aerobic activity? • Yoga for 45 minutes twice a week 53. When assessing an older client for indications of depression, the nurse practitioner bases the intervention on the knowledge that: • The older client's symptoms may be atypical for the disorder 54. When assessing the intellectual abilities of an older adult, the nurse practitioner demonstrates an understanding of a major barrier to reliable testing of this population when: • stating, "Just take your time and try to relax; there are no wrong answers to this test." 55. When caring for an ill adult client, the nurse is particularly concerned that the client communicates well since: • Assessment, planning of care and even the therapeutic relationship is based on effective communication? 56. When developing a teaching plan for an older, newly diagnosed diabetic client, the nurse practitioner best ensures an understanding of oral hypoglycemic medications when providing: • oral explanations and sending the client home with a written copy 57. When discussing pharmacological considerations, a 68-year-old client asks, “Why do medications seem to act differently than they did when I was younger?” The nurse practitioner bases the response on the concept that: • Age-related changes affect the way drugs are metabolized by older adults 58. When educating an older adult about Medicare Part D which information will be included? • It is an elective prescription drug plan with associated out-of-pocket premiums All persons with either Medicare Part A or B can voluntarily purchase a Medicare Part D prescription drug plan. The plan is not voluntary for individuals who are receiving both Medicaid and Medicare. This prescription drug plan requires client co-payments. 59. When performing the initial assessment on a new client in the geriatric outpatient’s practice, the most effective method the nurse practitioner can implement to elicit an accurate medication assessment is to ask that the client: • bring in all of the medications that they are currently taking 60. When preparing an educational program on the minimizing the effects of aging to a “seniors’ group,” the nurse practitioner’s discussion on exercise is based upon the fact that: • Losses experienced with age related mobility are associated with physical inactivity 61. When providing information regarding age-related visual problems, the nurse practitioner recognizes that the target population is: • African-American 62. When using the Fulmer SPICES assessment tool, the nurse practitioner expects to ask: • "Who helps you when you can't do something by yourself?" 63. When working with a bereaved individual, the goal of nursing interventions is to: • assist the individual to attain a healthy adjustment to the loss experience. 64. Which activity would a couple in the reorientation phase of their retirement engage in? • Establishing a new budget that will allow them to travel to see the grandchildren 65. Which behavior suggests that an older adult who has lost their life partner is successfully managing the exploration stage of the adjustment process? • Smiles when reminiscing about the trips they took over the years 66. Which characteristic is seen in a family’s ‘kin-keeper’? • Organizes the yearly family reunion 67. Which client statement indicates an understanding of a primary benefit to be derived from moderately intense aerobic exercise? • "Exercise will help keep my heart strong." 68. Which diagnosis is associatedwith the symptom of early morning awakening and poor quality of sleep: • Sleep apnea 69. Which factor is the greatest barrier to an older adult living independently? • Deficits in vision and/or hearing resulting in safety issues 70. Which form of urinary incontinence is most common in older adults? • Urge 71. Which housing arrangement would best address the family who wants to provide housing for an older family member who has a large degree of physical and cognitive independence and a desire to be closely involved with the family? • A "granny" apartment in a separate part of the house 72. Which intervention addresses a guiding principle for creating an elder-friendly acute care facility? • A client is asked when they would prefer to bathe; morning, afternoon or evening 73. Which intervention addresses a right guaranteed a long-term care facility resident? • Family members are welcome at anytime 74. Which intervention best addresses the principle that is the basis for communicating with a client experiencing post-surgical delirium? • Assuming that the client's statements are an attempt to express needs 75. Which intervention best demonstrates the nurse practitioner understands safe medication administration of rivastigmine (Exelon) to the older client experiencing symptoms of Alzheimer’s disease? • The client is carefully monitored for side effects before the medication dose is increased 76. Which intervention demonstrates effective care for an individual who has expressed a wish to “retire sometime soon”? • Asking about when they plan to retire Assessing their ability to handle the stresses of retirement Engaging them in a conversation about their interests Inquiring about the existence of any chronic illnesses 77. Which intervention to manage wandering in clients in a long-term care facility should not be implemented? • Using physical restraints to prevent wandering to maintain safety 78. Which is the most likely reason that Type 2 diabetes mellitus is often difficult to diagnose in older adults? • The classic symptoms may not be present in older adults. 79. Which nursing intervention will have the greatest impact on minimizing an older adult’s risk for re-hospitalization within 30 days of discharge? • Evaluation of a cardiac client's comprehension of their prescribed medication therapy 80. Which of the following commonly causes insomnia: • Alcohol consumption Caffeine ingestion Sleep apnea Depression 81. Which of the following does not demonstrate an understanding of the factors affecting physical wellness of the older adult client when: • Asking each client if "they come from a healthy family" 82. Which of the following is the best advice a nurse practitioner can give an older client who is about to move to a new apartment and needs to feel safe about living alone for the first time? . 83. Which older adult client has the greatest risk for readmission into the acute care health system and so is the focus of extensive nursing follow-up post discharge? 84. Which older adult meets the criteria for foster care housing? 85. Which option is an example of which type of elder exploitation? 86. Which pharmacokinetic/pharmacodynamic parameter is least affected by the aging process? 87. Which question will best assess the ability of the LGBT older couple to successfully adjust to the challenges of aging ? 88. Which reaction to the loss of a spouse or long-term partner is a unique example of older adult male bereavement? 89. Which statement correctly describes normal changes of aging? 90. Which statement made by a nurse regarding a resident of a long-term care facility requires follow up by the nurse manager? 91. Which statement made by the resident of a long-term care facility is evidence that the facility is providing care in accordance with the Long-Term Care Residents’ Bill of Rights? 92. Which statement reflects a need for further education on elder abuse? 93. Which statements made by a couple who have recently retired support the nurse’s evaluation that the transition to retirement has been a successful one? 94. Which truism will the nurse practitioner base spousal grief counseling upon? 95. While the older African-American is at the highest risk for developing Alzheimer’s disease, the nurse practitioner demonstrates an understanding of this disease process’s risk factors when assessing this population’s: 96. A widowed grandmother is about to assume the role of custodial parent for her 6-year-old grandchild. Which intervention has priority 97. Your client is cared for at home by his son and daughter-in-law, who are also responsible for the care of their four preschool-aged children. What is true of this “sandwich” generation? 98. You suspect that the spouse of a terminally ill client is experiencing anticipatory grief when they: 99. Of the following risk factors, which is not associated with Alzheimer's disease (AD)? 100 Which diagnosis is associated with the symptom of early morning awakening and poor quality of sleep: