NCLEX Questions on Older Adults

Extract:

Question 1 of 5

The nurse is caring for the hospitalized 60-year-old client of Korean American ethnicity. Which statement, if made by the client, correctly reflects the Korean American culture and should alert the nurse that intervention is needed?

Correct Answer: A

Rationale: In Korean American culture, 60 is considered old age, and retirement is expected, but this client’s concern about insurance requires a social worker consult for coverage options. Other statements reflect different cultural norms or lack specific cultural ties.

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 home health nurse suspects elder mistreatment of the 93-year-old client by the live-in caregiver. Which findings support the nurse’s conclusion? Select all that apply.

A. Client has urine burns B. Client has wrist bruises C. Client states there have been some unexplained financial expenditures D. Client is more talkative than during previous home visits E. Smell of alcohol noted on live-in caregiver’s breath

Correct Answer: A;B;C;E

Rationale: Urine burns (neglect), wrist bruises (physical abuse), unexplained expenditures (financial abuse), and caregiver alcohol use (abuser characteristic) support mistreatment. Increased talkativeness suggests comfort, not abuse.

Question 4 of 5

The nurse is caring for the 94-year-old hospitalized client of the Muslim faith who is near death. Which nursing action is most inappropriate?

A. Spraying perfume in the client’s room B. Placing the client supine facing Mecca C. Offering grief counseling to family members D. Checking records for wishes of organ donation

Correct Answer: C

Rationale: Grief counseling is discouraged in Muslim faith, making it inappropriate. Perfuming, facing Mecca, and checking organ donation are culturally appropriate.

Question 5 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.