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NR341 Complex Adult Health Exam 1 Textbook Questions with Rationales Questions and Answers (Rated 100%) $13.49
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NR341 Complex Adult Health Exam 1 Textbook Questions with Rationales Questions and Answers (Rated 100%)
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NR341 Complex Adult Health Exam 1 Textbook Questions with Rationales Questions and Answers (Rated 100%)

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  • November 1, 2024
  • 57
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • nr341 complex adult health exam 1 textbook questi

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  • NR 341
  • NR 341

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1|Page | © copyright 2024/2025 | Grade A+




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

hygiene.




Master01 | October, 2024/2025 | Latest update

, 1|Page | © copyright 2024/2025 | Grade A+

✓ B.

✓

✓

✓ (Delirium is characterized by a change in cognition that occurs over a

short period of time. It results from a secondary physiological condition

(e.g., infection, surgery, prolonged hospitalization, hypoxia, fever,

medications) and is a transient disorder. Although delirium can occur

with any age, it is more common in older adults. It frequently progresses

in the evening hours and is sometimes called "sundown syndrome."

Delirium is characterized by alterations in memory, agitation,

restlessness, illusions, or hallucinations. A client who becomes acutely

confused and agitated may be showing manifestations of delirium.)




A community health nurse is providing teaching to the family of a client who

has primary dementia. Which of the following manifestations should the nurse

tell the family to expect?


A. Decreased auditory and visual acuity.


B. Decreased display of emotion.


C. Personality traits that are opposite of original traits.


D. Forgetfulness gradually progressing to disorientation.




Master01 | October, 2024/2025 | Latest update

, 1|Page | © copyright 2024/2025 | Grade A+

✓ D.

✓

✓

✓ (Dementia usually appears first as forgetfulness. Other manifestations

may be apparent only upon neurologic examination or cognitive

testing. Loss of functioning progresses slowly from impaired language

skills and difficulty with ordinary daily activities to severe memory loss

and complete disorientation with withdrawal from social interaction.)




A nurse is caring for a client who has dementia. When performing a Mental

Status Examination (MSE) the nurse should include which of the following

data? (Select all that apply.)


A. Ability to perform calculations


B. Level of consciousness


C. Recall ability


D. Long-term memory


E. Level of orientation




Master01 | October, 2024/2025 | Latest update

, 1|Page | © copyright 2024/2025 | Grade A+

✓ A, C, E.

✓

✓

✓ (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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