NURS 388 Midterm #2 Example Questions
A nurse who provides care in a LTC facility has completed the admission of an
84-year-old man who has just moved from an assisted living facility. The nurse would
document a deficit in the resident's ADLs in light of what assessment finding?
A. The man experiences pain as a result of rheumatoid arthritis
B. The man is able to wash himself but requires assistance entering and leaving the
bathtub
C. The man is able to ambulate with a wheeled walker for 20 meters but then requires a
rest break
D. The man is unable to explain the rationale for each of the medications that he
receives - ANS-B
The student nurse is assessing her client, an older adult. for risk of falls. The
assessment should include which of the following? Select all that apply.
A. Falls are a leading cause of injury causing death
B. Medication use
C. Visual acuity
D. Postural blood pressure - ANS-B, C, D
(A is a statement, so can't be included)
Which of the following is true about cognitive impairment and abuse of the older adult?
A. Older adults who live alone are usually willing to acknowledge their impairments
B. Cognitively impaired older adults are usually able to meet minimum standards of care
C. Older adults become more vulnerable to abuse because of cognitive impairment
, D. When thterm-26e older adult denies cognitive impairment, the risk for abuse declines
- ANS-C
Interventions for the client who is disoriented are multiple, Which of the following should
the collaborative team use to reduce episodes of acute confusion? Select all that apply.
A. Use clocks and calendars with large numbers
B. Allow personal items in the client's room
C. Consistent and frequent reality orientation
D. A noise level that promotes a higher level of stimulation - ANS-A, B
An older adult in a home care situation is exhibiting symptoms of depression. What is
the nurse's first action? Select one.
A. Review medications with the client
term-27
B. Screen for depression using a short-form scale
C. Ask the client's family if this is normal behavior
D. Refer the client for a psychiatric assessment - ANS-B
The nurse is conducting a family assessment. Which of the following are reasons to
conduct an assessment?
A. the oldest child has left the family home for the first time to attend university in
another province.
B. One of the family members has a chronic illness.
term-23
C. The youngest child is experiencing difficulty with social relationships at school.
D. The family believes the nurse is working with the social worker to apprehend the
children. - ANS-B,C
The nurse is analyzing a genogram of a large family. Included in "most" family
genograms are which of the following? Select all that apply.
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