NCLEX Questions on Older Adults

Extract:

Question 1 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?

Correct Answer: C

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

Question 2 of 5

The nurse is assessing the 50-year-old female client who is hospitalized. The nurse should assess the client for which physical changes associated with aging? Select all that apply.

A. Increased sweat gland activity B. Decreased ability to read smaller print C. Weight loss due to hypermetabolism D. Increased sebaceous gland activity E. Absence of a menstrual cycle

Correct Answer: B;E

Rationale: Visual acuity declines, affecting near vision, and menopause causes absence of menstruation in middle-aged women. Sweat and sebaceous gland activity decrease, and weight gain, not loss, occurs due to slower metabolism.

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 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 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.