NCLEX-PN
Care of Older Adults NCLEX Questions Questions
Extract:
Question 1 of 5
The 66-year-old client recently retired after working 30 years as a bank manager. Which statement to the nurse during a clinic visit best suggests that the client is achieving the developmental stage of 'integrity versus despair'?
Correct Answer: D
Rationale: Integrity versus despair involves accepting one’s life’s worth. Valued advice from coworkers indicates positive resolution. A trip reflects generativity, staying in bed suggests despair, and aches are unrelated.
Question 2 of 5
The 70-year-old client, hospitalized with chest pain, has been functioning independently at home. During the night, the client is found wandering in the hallway and states, 'I can’t find my kitchen. I need a glass of milk.' What is the nurse’s best interpretation of the client’s behavior?
Correct Answer: B
Rationale: Stress from unfamiliar surroundings can cause confusion in older adults. No stroke symptoms are noted, mental decline isn’t normal aging, and the change is abrupt, not insidious.
Question 3 of 5
The 73-year-old client receiving palliative care comments to the nurse, 'I am such a feeble old man. My life is such a waste, and I hate having my wife see me like this. just wish I could die now.' Which statement is the nurse’s best interpretation of the client’s comments?
Correct Answer: D
Rationale: The client’s contempt for self and desire to die reflect despair in Erikson’s integrity versus despair stage. No shame or anxiety is evident, and Havighurst’s tasks involve positive adjustments.
Question 4 of 5
The experienced nurse is observing the new nurse recommend screening tests to the 80-year-old female client. Which recommendation made by the new nurse should the experienced nurse correct?
Correct Answer: C
Rationale: Pneumococcal vaccine is given at 65 and every 10 years, not annually. Hearing screens, colonoscopies, and mammograms are correctly recommended.
Question 5 of 5
The 83-year-old tells the nurse, 'I’m not taking my medication because it’s too expensive and I really don’t need it anymore.' Before responding to the client, the nurse should consider that the most common reason for older clients to discontinue their medications is which of the following?
Correct Answer: C
Rationale: Fear of outliving resources is a common reason older adults stop medications, reflecting financial concerns. Lack of information, taste changes, and seeking attention are less common.