NCLEX Questions on Older Adults

Extract:

Question 1 of 5

The nurse completes teaching for the 80-year-old female client. Which statement made by the client indicates further teaching is needed?

Correct Answer: C

Rationale: Placing a towel on the floor increases fall risk; a slip-resistant mat is needed. Nonsodium seasonings, avoiding scented lotions, and increasing roughage are correct.

Question 2 of 5

The nurse overhears a person say, 'I’m having a senior moment because I forgot.' How should the nurse interpret this statement?

A. This phrase is a comical statement without age bias and is acceptable to others B. This phrase is a stereotypical reference to older adults that can be termed ageism C. This phrase admits that the older adult’s ability to learn new information is limited D. This phrase recognizes that all older adults have short- and long-term memory issues

Correct Answer: B

Rationale: The phrase is a stereotypical reference to older adults, perpetuating ageism. It’s not comical, doesn’t imply learning limits, and not all older adults have memory issues.

Question 3 of 5

The older adult client is experiencing relocation stress after being admitted to a nursing home. Which intervention is best for the nurse to implement?

A. Ask family members to explore placing the client in another nursing home B. Change the client’s room every week until a compatible roommate is found C. Place the client’s favorite items, such as a family picture, at the client’s bedside D. Ask that family members avoid talking to the client about being in the nursing home

Correct Answer: C

Rationale: Familiar items like a family picture reduce relocation stress. Moving facilities, changing rooms, or avoiding discussion may increase stress.

Question 4 of 5

The nurse teaches the 18-year-old diabetic client to perform self-administration of insulin. Each time the client makes even a small mistake, the client apologizes for getting it wrong- The client also profusely apologizes when making a minimal mistake in other activities. Based on Erikson’s developmental stages, the nurse concludes that the client may have an unresolved developmental task of which age period?

A. Infancy B. Early childhood C. School-aged childhood D. Adolescence

Correct Answer: B

Rationale: The behavior indicates an unresolved conflict of 'autonomy versus shame and doubt' associated with the 18-month to 3-year-old age group. When parents are overly critical, the child may develop an overly critical superego, manifesting as constant apologizing for small mistakes.

Question 5 of 5

The nurse is caring for the 55-year-old client. Which statement by the client related to psychosocial changes should the nurse most definitely explore?

A. I really don’t want to color my hair, even though it seems to be getting grayer every day.' B. I can’t see as sharp anymore. I get frustrated by the small lettering on the medicine bottles.' C. My husband and I have a more active sexual life now that the children are out of the house.' D. My house is empty; I thought I’d be happy when my children finally left, but I feel lonely.'

Correct Answer: D

Rationale: The client’s statement suggests empty nest syndrome, a psychosocial concern requiring further exploration. Graying hair is a normal physiological change, vision issues are physiological, and an active sexual life indicates a healthy relationship.

NCLEX Questions on Older Adults | Nurselytic

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