NCLEX Questions on Older Adults

Extract:

Question 1 of 5

The nurse is planning a health promotion program for a group of middle-aged adults. Which topic is most appropriate for the nurse to include?

Correct Answer: B

Rationale: Stress management skills are most important for middle-aged adults facing stressors like aging, family support, and retirement planning, which contribute to stress-related diseases. Contraception is more relevant for young adults, caloric reduction is secondary, and home safety suits families or older adults.

Question 2 of 5

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

A. Instead of using sodium seasonings, I plan to try one with herbs and lemon.' B. Although I find my lavender-scented hand cream relaxing, I should not use it.' C. I should place a towel on the floor outside my shower so I don’t slip when getting out.' D. Rather than relying on laxatives, I should increase my intake of fruits and vegetables.'

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 3 of 5

The nurse is collecting information from the young adult client. Which psychosocial questions should the nurse ask during the admission assessment? Select all that apply.

A. Do you have any pets?' B. How many hours of sleep do you get?' C. When was your last bowel movement?' D. How much alcohol do you drink?' E. Can you describe your sexual activity?'

Correct Answer: A;B;D;E

Rationale: The nurse should ask about pets (enhances mental well-being), sleep (affects coping and immunity), alcohol use (impacts health risks), and sexual activity (STI/HIV risks). Bowel movement is physiological, not psychosocial.

Question 4 of 5

The nurse has limited time to teach the middle-aged adult client. The nurse should initially plan to take which action?

A. Provide brochures and handouts that the client can discuss with family members B. Make a referral to outpatient resources for the client to receive the needed teaching C. Establish the highest-priority learning needs and teach with each client or family contact D. Answer the client’s questions and leave the extensive teaching for the nurse on the next shift

Correct Answer: C

Rationale: Prioritizing learning needs ensures important teaching is completed efficiently during limited time. Brochures alone, referrals, or deferring teaching are less effective initially.

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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