NR341 Complex Adult Health Exam
1 Textbook Questions with
Rationales Questions and Answers
(Rated 100%)
A nurse is caring for a group of older adult clients. Which of the following
manifestations indicates one of the clients is experiencing delirium?
A. A client wants to know the current time while there is a clock on the wall.
B. A client attempts to climb out of bed and repeatedly states she must get
home.
C. A client requests extra blankets when the thermostat in the room indicates
25.6 Degrees C (78 F).
D. A client refuses to get out of bed and has no motivation to attend to daily
✓ (Evaluating the client's ability to perform calculations is an included
component of an MSE. Determining the client's level of consciousness is
not a component of an MSE. Identifying the client's ability to recall a list
of objects or words is an included component of an MSE. Evaluating
long-term memory is not a component of an MSE. Determining the
client's level of orientation is an included component of an MSE.)
A nurse is caring for a client who has dementia due to Alzheimer's disease
and was admitted to a long-term care facility following the death of her
partner of 40 years. The client states, " I want to go home; my husband is
waiting for me to cook dinner. "Which of the following responses by the nurse
is appropriate?
A. " this is where you live now."
B. " this is a safer place for you to live."
C. "Tell me what you like to cook for dinner."
D. "Your family said there is no one to care for you at home."
Master01 | October, 2024/2025 | Latest update
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