NUR 151 RAD Block Examination Part 1

Total points 22/36

INSTRUCTIONS:

-This is a 35 ITEM MULTIPLE CHOICE EXAMS

-Students are GIVEN 30 MINUTES TO ANSWER THE EXAM

-Students are HIGHLY DISCOURAGED TO ENTERTAIN CALLS, TEXTS, MESSAGES OR CHATS

UNLESS IT IS AN EMERGENCY SITUATION

-Students are HIGHLY DISCOURAGED TO OPEN BOOKS, MODULES, JOURNALS OR ANY

REFERENCES FOR THIS IS A FORM OF CHEATING. THIS COULD ENFORCE YOUR LEVEL OF
HONESTY

-ONCE IT IS DONE, CLICK THE SUBMIT BUTTON

The respondent's email ([email protected]) was recorded on submission of

this form.

0 of 1 points

FULL NAME (LAST NAME, FIRST NAME MIDDLE INITIAL): *

ARCAYAN, TRIXIE D.

PROGRAM AND SECTION (EX: BSN 3-A1): * ···/1

BSN 3-A1

STUDENT NUMBER; *

05-1920-08824
MULTIPLE CHOICE QUESTIONS 1-35 22 of 35 points

The nurse identifies that which of the following changes in the pattern of urinary 1/1
elimination is usually associated with aging *

Decreased frequency

Incontinence

. Formation of bladder stones

Sphincter reflexes decreased

Of the following, which is most likely the cause of your 85-year-old patient's senile 0/1
cataracts? *

Sudden increase in intraocular pressure. .

Hardening of the lens

Gradual onset of increased intraocular pressure.

Lens clouding.

Patrick’s condition was explained by Nurse Mike, and helped his family member to 1/1
choose the best nursing home where to put Patrick. Nurse Mike is a/an: *

manager

teacher.
provider of care

advocate

The nurse is teaching the family of a patient diagnosed with Parkinson’s disease. 1/1
Which of the following statements by the family reflects a need for further
education *

“Dad is going to do his range-of-motion exercises three times a day.”

“We will buy lots of soup for dad.”

“The bath bars will be installed before dad comes home.”

“We are teaching dad posture exercises.”

The older adult’s libido does not decrease, however * 1/1

frequency of sexual activity may decline.

physical changes usually will not affect sexual functioning.

the sexual preferences of older adults are not as diverse.

the need to touch and be touched is decreased.

When administering drug therapy to a male geriatric patient, the nurse must stay 1/1
especially alert for adverse effects. Which factor makes geriatric patients prone to
develop adverse drug effects? *

Increased amount of neurons

E h d bl d fl t th GI t t
Enhanced blood flow to the GI tract

Aging-related physiological changes

Faster drug clearance

The nurse knows that an elderly patient with a severe hearing deficit is most likely 1/1
to exhibit which of the following characteristics? *

The patient is difficult to understand.

The patient is suspicious of other people.

The patient prefers to be alone.

The patient communicates best by writing.

Which of the following is true about the theories of aging? * 1/1

There is no single theory that explains aging. D. Disease causes a decline in

function.

Disease causes a decline in function

Environment is the main factor.

Genetic changes are solely responsible.

A 60-year-old man is presently employed as a night watchman. He comes for a 0/1

clinic visit and complains to the nurse of an inability to sleep and easy fatigability.
Which of the following is the best initial response of the nurse? *

“You probably sleep when you can during your night tour.”

“This is normal for your age group.”

 y g g p

“Working the night shift is known to disrupt sleep patterns

“Tell me about your usual sleeping habits.”

Health maintenance is part of the role of the GNP. All of the following are things 1/1
that a Certified Gerontological Nurse would recommend to an older client for
health maintenance, except: *

eating without restrictions.

avoiding individuals who are ill, especially with infectious diseases.

having periodic health appraisals as recommended.

maintaining physical and mental activities.

The three common conditions affecting cognition in elderly are * 1/1

blindness, hearing loss, and stroke.

cancer, Alzheimer’s disease, and stroke.

delirium, depression, and dementia. .

stroke, heart attack, and cancer of the brain.

In terms of symptoms of infection, older adults tend to have a diminished febrile 1/1
response to infection. *

True statement, febrile response decreases with aging.

Maybe, I don’t know.

False statement, febrile response is still effective with age.

Requires scientific research.

An 83-year-old woman has several ecchymotic areas on her right arm. The bruises 1/1
are probably caused by *

elder abuse.

increased capillary fragility and permeability.

self inflicted injury.

increased blood supply to the skin.

Taste buds atrophy and lose sensitivity. The older adult is less able to discern: * 1/1

salty, sweets, sour, and bitter tastes.

hot and cold temperatures.

moist and dryness.

spice and bland.

The goal of the therapeutic psychiatric environment for the elderly, confused client 1/1
is to: *

help the staff to help the client.

help the client become popular in a controlled setting.

assist the client to relate to others.

make the hospital atmosphere more home-like.

An elderly man is admitted to the hospital from a nursing home. The nurse 0/1
establishes a nursing diagnosis of fluid volume deficit related to decreased intake
and fever. Which of the following symptoms would substantiate this nursing
diagnosis? *

The patient has difficulty breathing in the supine position or with minimal activity.

The patient’s skin is pale and cool to touch with pitting edema in dependent
areas.

The patient’s pulse is 120, BP 90/60, temperature 101.2OF, respirations 22 and deep.

There is a decrease in the patient’s level of consciousness, and ascites.

The nurse develops a nursing diagnosis of self-care deficit for an older client with 0/1
dementia. Which of the following is the most appropriate goal for this client? *

The client will complete all activities of daily living independently within an hour time
frame.

The nursing staff will attend to all the client’s activities of daily living needs
during the hospitalization stay.

The client will be admitted to a long-term care facility to have activities of daily living
needs met.

The client will function at the highest level of independence possible.

Visual acuity declines with age. Presbyopia, is a progressive decline in: * 1/1

the ability to see in darkness.

adaptation to abrupt changes from dark areas to light areas.

distinguishing between blues and greens and among pastel shades.

the ability of the eyes to accommodate for close, detailed work.

An elderly client with pneumonia may appear with which of the following 1/1
symptoms first? *

Pleuritic chest pain and cough

Fever and chills

Hemoptysis and dyspnea

Altered mental status and dehydration

An elderly male client on the psychiatric unit becomes upset in the day room. When 1/1
attempting to deal with the situation, the nurse should: *

instruct the client to be quiet.

lead the client from the room by taking him by his arm.

allow the client to act out until he tires.

give directions in a firm, low-pitched voice.

Which of the following best describes GERONTOLOGY? * 1/1

Defined as the study of aging and the aged.

Concerned with social aspects of aging versus the biological or psychological.

Study of pharmacology as it relates to older adults.

Refers to medical care of the aged.

It is important for a team working with clients who have a diagnosis of dementia to 1/1
adopt a common approach of care because these clients need to: *

have sameness and consistency in their environment

accept external controls that are fairly applied.

relate in a consistent manner to staff.

learn that the staff cannot be manipulated.

A patient with Parkinson’s disease has tremors of both upper arms. The nurse 1/1
observes that the tremors disappear as e unbuttons his shirt. Which of the following
statements shows the most accurate understanding of the tremors? *

Tremors are unexplainable.

Tremors disappear with rest.

Tremors are psychological and can be controlled at will.

Tremors decrease in severity when attention is diverted by activity.

A common age-related change in auditory acuity is called: * 0/1

macular degeneration.

presbycusis. .

presbyopia

retinal detachment

The nurse observes that a client is pacing, agitated, and presenting aggressive 0/1
gestures. The client’s speech pattern is rapid and affect is belligerent. Based on these
observations, the nurse’s immediate priority of care is to: *

provide safety for the client and other clients on the unit.

offer the client a less stimulated area to calm down and gain control.

provide the clients on the unit with a sense of comfort and safety.

assist the staff in caring for the client in a controlled environment.

The nurse is assessing a client with dementia. To effectively elicit information about 0/1
the client’s ability to provide self-care, the nurse should: *

ask, “Can you show me how you would open the door if you had a key?”

state “I notice that your shoes do not match your dress ”

state, I notice that your shoes do not match your dress.

ask, “Can you find your way from the bed to the bathroom?”

state, “continue to knit and I shall observe you for a while.”

Two factors contribute to the projected increase in the number of older adults; they 1/1
are: *

financial success and improved environment.

improved medication plan and increase in Medicare funding.

greater acceptance of elderly and medical problems.

the aging of the “baby boom” generation and the growth of the population
segment over age 85.

Nurse Brenda is teaching a patient about a newly prescribed drug. What could cause 1/1
a geriatric patient to have difficulty retaining knowledge about prescribed
medications? *

History of Tourette syndrome

Decreased plasma drug levels

Lack of family support

Sensory deficits
The home care nurse is teaching the daughter of an elderly patient about her 0/1
father’s hydration status. The nurse would be most concerned if the daughter made
which of the following statements? *

“I should check my father’s eyes for dryness.”

“I should pinch a fold of skin on the back of my father’s hand.”

“I should ensure that my father stands up slowly.”

“I should check my father’s mouth for dryness.”

Your patient, a 72-year-old man, indicates that he is not urinating very often 1/1
because it is painful and difficult to do so. He reports a burning sensation when he
urinates as well. This patient should be further assessed for which of the following?
*

Enlarged prostate. .

Bladder cancer

Urinary tract infection.

Sexually transmitted infections

Sexuality is recognized as a factor in the care of older adults, thus: * 0/1

any expression of sexuality should be discouraged.

all older adults, whether healthy or frail, need to express sexual feelings.

a decrease in an older adult’s libido does occur.

the need to touch and be touched is decreased

Which of the following statements of the student nurse would indicate a better 0/1
understanding about the physiological changes occurring with Alzheimer’s? *

“Several biochemicals involved in the brain activity are out-of-control.

“Cerebrovascular stiffness caused by excessive alcoholism leading to increased

memory deficit.”

“The pathological hallmarks are beta-amyloid plaques and neurofibrillary tangles.”

“Patient on late stage becomes very agitated due to diminished levels of

dopamine in the brain.”

A home care nurse is developing a plan of care for an elderly client with diabetes 0/1
mellitus who has gastroenteritis. In order to maintain food and fluid intake to
prevent dehydration, the nurse plans to: *

encourage the client to take 8 – 12 ounces of fluid every hour while awake.

withhold all fluids until vomiting has ceased for at least 4 hours.

offer water, only until the client is able to tolerate solid foods.

maintain a clear liquid diet for at least 5 days before advancing to solids to allow
inflammation of the bowel to dissipate.
Aging patients sometimes suddenly experience delirium caused by illness or 0/1
medications. As a Gerontological Nurse you would do all of the following for this
type of patient except: *

help maintain body awareness.

put patient on a liquid diet

establish a meaningful environment. .

help patient cope with confusion and/or delusions.

An older man is admitted to the hospital for treatment of a fractured femur. His 0/1
wife tells the nurse that he is very hard of hearing. The nurse should develop a plan
of care that provides an opportunity for *

social interaction.

private visits with his wife.

intellectual challenges. .

learning sign language

This form was created inside of Phinma Education.

 Forms
NUR 151 RAD Block Examination Part 2
Total points 17/35

INSTRUCTIONS:

-This is a 35 ITEM MULTIPLE CHOICE EXAMS

-Students are GIVEN 30 MINUTES TO ANSWER THE EXAMS

-Students are HIGHLY DISCOURAGED TO ENTERTAIN CALLS, TEXTS, MESSAGES OR CHATS

UNLESS IT IS AN EMERGENCY SITUATION

-Students are HIGHLY DISCOURAGED TO OPEN BOOKS, MODULES, JOURNALS OR ANY

REFERENCES FOR THIS IS A FORM OF CHEATING. THIS COULD ENFORCE YOUR LEVEL OF
HONESTY

-ONCE IT IS DONE, CLICK THE SUBMIT BUTTON

The respondent's email ([email protected]) was recorded on submission of

this form.

0 of 0 points

FULL NAME (LAST NAME, FIRST NAME MIDDLE INITIAL): *

ARCAYAN, TRIXIE D.

STUDENT NUMBER: *

05-1920-08824

PROGRAM AND SECTION (EX: BSN 3-A1) *

BSN 3-A1

MULTIPLE CHOICE QUESTIONS 36-70 17 of 35 points

MULTIPLE CHOICE QUESTIONS 36-70 17 of 35 points

Which of the following patients is at high risk for dysphagia? * 0/1

A patient who’s taking anticholinergics

A patient with stomach tumor

A patient who’s physical assessment reveals weakness of cranial nerves V, VII, X,

and XII.

A patient with paraplegia manifestation of stroke

Which of the following is the CORRECT statement about andropause in men? * 1/1

Physiological symptoms include ability to maintain erectile functioning and

increased libido.

It occurs in all men, just like menopause in women.

Evidently decreased FSH and increased inhibin B.

Results from decrease production of testosterone in aging men.

Wet-to-dry dressing changes are ordered for a patient. After the first dry dressing is 0/1
removed, the elderly patient yells at the nurse, “Ouch, that really hurts. Are you sure
you’re doing it right?” Which of the following statements is the BEST response of
the nurse? *

“I know it hurts and I am really sorry to have to do it, but sometimes things have
to hurt before they get better.”

“I’m peeling away the dead tissue. It hurts more the first time. Next time will be more
comfortable, I promise.”

“Yes, I’m doing it right. The dead tissue is supposed to stick to the dry dressing, but
perhaps if I wet it a bit, it won’t hurt so much.”

“This type of dressing cleans the wound so that it can heal. If it continues to hurt I’ll
bring you some pain medication.”

An elderly client with a chronic illness, who had been incontinent of urine at home, 0/1
has not been incontinent since being hospitalized. When discussing past and
present elimination patterns, the client also tells the nurse about being angry at
being bedridden and unable to go anywhere or see anyone. The nurse deduces that
the client’s incontinence at home may have been related to: *

a physiologic response expected with the elderly.

an unconscious expression of hostility.

a method to determine the family’s love.

a way of maintaining control.

Dysphagia is a significant risk factor for aspiration. Which of the following diseases 1/1
would have the diagnosis “Risk for aspiration related to inability to swallow
effectively”? *

Stroke, especially in the midbrain and anterior cortical areas

Parkinson's disease and Alzheimer's disease

All of the above

Muscular dystrophy and myasthenia gravis

An elderly client with Alzheimer's disease begins supplemental tube feedings 1/1
through a gastrostomy tube to provide adequate calorie intake. The nurse should be
concerned most with the potential for: *

aspiration

hyperglycemia. .

. fluid volume excess

. constipation.

Diminished ability to concentrate urine, associated with aging of the urinary 1/1
system, is attributed to *

decrease function of the loop of Henle and tubules.

 a decrease in bladder sensory receptors.

an increase in the number of functioning nephrons.

thinning of the basement membrane of Bowman’s capsule

A nurse assessing abdominal distention is correct when she does which of the 0/1
following *

Passes the tape measure from the symphysis pubis to the xiphoid process.

Places the tape measure from iliac crest to iliac crest.

Passes the tape measure at the back of the abdomen and the navel.

Passes the tape measure at the umbilicus.

A significant deficiency in testosterone levels that causes eventual clinical 1/1

symptoms like Mr. McDonald’s condition is known as *
SITUATION: Patrick McDonald, a 69 year-old was admitted in your department due to stress-like
symptoms. His testosterone levels were checked and have found out a significant decline.

Testosteropause

Menopause

Andropause

Fatigue Syndrome
The nurse observes the nurse’s aide perform mouth care on an 86-year-old man 0/1
admitted to the hospital with a fever of unknown origin (FUO). Which of the
following actions, if performed by the nurse’s aide, would require an intervention by
the nurse? *

The nurse’s aide applies petroleum jelly to the patient’s lips.

The nurse’s aide rinses the patient’s mouth with an alcohol-based mouthwash.

The nurse’s aide flushes the patient’s mouth with a 50:50 dilution of hydrogen
peroxide and normal saline.

The nurse’s aide uses a soft bristled tooth brush to clean the patient’s teeth.

An 80-year-old man states that although he adds a lot of salt to his food it does not 0/1
have much taste. The nurse’s response is based on the knowledge that the older
adult *

should not experience changes in taste.

loses the sense of taste because the ability to smell is also lost.

has a loss of taste buds, especially for salty and bitter.

has some loss of taste but no difficulty chewing food.

The nurse uses bladder diary to identify potentially reversible causative factors and 1/1
contributing risk factors for UI. BLADDER DIARY means? *

Can determine the status of severity of urinary incontinence.

Outlining the timing, amount, and type of fluid intake with the timing, amount,
and continence status.

Can record the patterns to the occurrence of incontinence to make negative

changes.

Collection of information regarding voiding cycle for a week.

Which of the following symptoms is the characteristic of esophageal dysphagia? * 0/1

Food that feels being stuck in the throat

Inability to move food at the back of the throat

Food sticking after a swallow

Cough that occurs early after swallow

The nurse sits with an elderly depressed client twice a day, although there is little 1/1
verbal communication. One afternoon, the client asks, “Do you think they’ll ever let
me out of here?” The nurse’s best response would be: *

“Why, do you think you are ready to leave?”

“Why don’t you ask your doctor?”

“Everyone says you’re doing just fine.”

“You have the feeling that you might not leave?”

Preventing urinary incontinence through healthy bladder habits include the 1/1
following, except for one: *

emptying the bladder on an irregular schedule.

maintaining hydration.

avoiding bladder irritants.

strengthening and toning the pelvic floor muscles.

The nurse understands that which of the following is the primary reason why 1/1
elderly adults have constipation? *

They eat a small volume of food with decreased bulk.

They have less activity and decreased muscle tone.

They have neurological changes in the gastrointestinal tract.

They have decreased sensation in the gastrointestinal tract

nurse is preparing to administer an intermittent tube feeding to an elderly client 0/1

through a nasogastric tube. The nurse assesses gastric residual volume before
administering the tube feeding to: *

evaluate absorption of the last feeding.

assess fluid and electrolyte status

assess fluid and electrolyte status.

confirm proper nasogastric tube placement.

determine patency of the tube.

The following are interventions or strategies for care for patients whose taking 0/1
several medications at the same time, except: *

monitor creatinine clearance.

instruct the patient to obtain all medications to at one pharmacy.

suggest to the patient to ask for free drug samples from the physician.

discourage patients to use generic drugs as cheaper drugs are less effective.

Nursing care for anxiety includes the following, except: * 1/1

reassure the patient that the problem can be solved.

avoid reciprocal anxiety.

don’t confront or argue with the patient.

make demands and ask the patient to make decisions.

The nurse notes that an elderly patient has a reddened area on the coccyx. Which of 0/1
the following actions should the nurse take first? *

B. Massage the reddened area four times per day.

A. Continue assessing the area.

D. Place the patient in a semi-circling position

 . ace t e pat e t a se c c g pos t o

C. Reposition the patient every hour.

Which of the following is not a sign of depression in an older adult? * 0/1

She worries about lapses in memory.

She neglects personal grooming.

She often becomes lost even in familiar places.

She has difficulty concentrating.

The nurse assesses a 70-year-old in the outpatient clinic. The nurse would expect 1/1
the client to make which of the following statements? *

“I seem to get less colds than I did before.”

“I’ve been sleeping with fewer blankets lately.”

“I think that I am a little taller than I used to be.”

“Eating just does not appeal to me anymore.”

The nurse plans of using aromatherapy in inducing sleep to an 80-year old client 0/1
complaining of difficulty staying asleep. The nurse knows that the mechanism of
action of this therapy is that: *

it decreases central nervous system arousal, stimulates alpha waves, and decreases
the amount of endorphins.

the molecules travel to the olfactory bulb and then to the limbic system producing
sedation.

the molecules travel to the acoustic nerve and induce sedative effect leading to
relaxation of the client.

aromatherapy stimulates sympathetic system that results to relaxation of

muscular system.

Clarissa has lost 2 lbs in just a week. Which of the following behaviors of Clarissa 0/1
would give a hint to the nurse a significant factor that contributed to weight loss? *

Complaints of food that has no taste at all.

Milkshakes are consumed in excessive amounts.

Ability to recognize foods.

Coughing before, during, or after swallowing a food.

A patient was admitted in your department with complaint of dyphagia. On the 0/1
assessment findings, the patient says that every time she swallows food, she coughs
immediately and regurgitates the food. The type of dysphagia the patient
experiences is? *

Esophageal dysphagia

Pyloric dysphagia

Oropharyngeal dysphagia

Nasopharyngeal dysphagia

When a continent, bedridden elderly client with a chronic illness expresses anger 0/1
through urinary incontinence, the nurse should: *

create an environment that prevents sensory monotony.

frequently ask if the client needs the bedpan to void.

provide television or radio for the client when alone.

limit the client’s fluid intake in the evening.

The nurse can best reassure an elderly depressed client who is concerned about 1/1
many fears that are upsetting and frightening and expresses a feeling of having
committed the “unpardonable sin” by stating *

“Your family loves you very much.”

“You know, those ideas of yours are in your imagination.”

“Your ideas are part of your illness and they will change as you improve.”

“You know that you are not a bad person.”

56. The nurse identifies a nursing diagnosis of “Altered nutrition: less than body 0/1
requirements related to inability to feed self”, for a patient with right-sided
hemiplegia. Which of the following interventions is most appropriate to improve
the patient’s nutrition? *

Stroke the patient’s throat.

Provide a wide variety of food choices on the meal tray

Provide a pureed diet.

Assist the patient to eat with his left hand.

The community health nurse visits a client who recently retired. The client states, 1/1
“Lately I’m getting forgetfulness about things. Do you think I’m getting Alzheimer’s
disease?” Which response by the nurse would be most therapeutic? *

“Tell me more about your forgetfulness. It isn’t unusual for forgetfulness to occur
if memory is not exercised. Are you staying socially active?”

“Oh, I’m certain it’s not Alzheimer’s disease because there’s no family history of it.”

“Now, I’m not going to discuss this with you because I think you’re just normal.”

“I am so forgetful too. I have to make out lists now to go shopping.”

Gastroesophageal reflux disease (GERD) weakens the lower esophageal sphincter, 1/1
predisposing older persons to risk for impaired swallowing. In managing the
symptoms associated with GERD, the nurse should assign the highest priority to
which of the following interventions? *

Decrease daily intake of vegetables and water, and ambulate frequently.

Avoid over-the-counter drugs that have antacids in them.

Eat small, frequent meals, and remain in an upright position for at least 30
minutes after eating.

Drink coffee diluted with milk at each meal, and remain in an upright position for 30
minutes.
Frontotemporal dementia has an insidious onset and progresses slowly. Early 1/1
symptoms include: *

Fluctuating cognition, visual and/or auditory hallucinations.

Poor hygiene, lack of social tact, and sexual disinhibition.

Motor features of parkinsonism.

More involvement in surroundings and social situations.

Nursing intervention to help the late middle-aged individual deal with the 0/1
emotional aspects of aging would include: *

focusing on the individual’s past experiences.

Dattentive listening to what the elderly individual says.

assisting the individual with plans for the future.

having the individual attend lectures on aging.

Nurse Oliver checks for residual volume before administering a bolus tube feeding 1/1
to a client with a nasogastric tube and obtains a residual amount of 200 mL. What is
appropriate action for the nurse to take? *

Elevate the client’s head at least 45 degrees and administer the feeding.

Discard the residual amount and proceed with administering the feeding
Discard the residual amount and proceed with administering the feeding.

Hold the feeding.

Reinstill the amount and continue with administering the feeding.

An 80-year-old man is admitted to the hospital to undergo abdominal surgery. His 0/1
admitting orders include activity as desired, standard bowel prep, and an
intravenous infusion of 5% dextrose in water to infuse at 75 cc/hr starting at 6 pm
on the evening before surgery. The nurse understands that the primary purpose of
administering intravenous fluids to a patient prior to surgery is to: *

avoid the need for inserting it on the morning of surgery.

decrease the patient’s desire to take fluids by mouth.

have a route for administering medications rapidly.

assure that the patient remains adequately hydrated.

A male elderly client with delirium becomes disoriented and confused in his room 1/1
at night. The best initial nursing intervention is to: *

move the client immediately next to the nurse’s station.

play soft music during the night, and maintain a well-lit room.

use a night light and turn off the television.

keep the television and a soft light on during the night.

This form was created inside of Phinma Education.

 Forms
NUR 151 RAD Block Examination Part 3
Total points 17/30

INSTRUCTIONS:

-This is a 30 ITEM MULTIPLE CHOICE EXAMS

-Students are GIVEN 25 MINUTES TO ANSWER THE EXAMS

-Students are HIGHLY DISCOURAGED TO ENTERTAIN CALLS, TEXTS, MESSAGES OR CHATS

UNLESS IT IS AN EMERGENCY SITUATION

-Students are HIGHLY DISCOURAGED TO OPEN BOOKS, MODULES, JOURNALS OR ANY

REFERENCES FOR THIS IS A FORM OF CHEATING. THIS COULD ENFORCE YOUR LEVEL OF
HONESTY

-ONCE IT IS DONE, CLICK THE SUBMIT BUTTON

The respondent's email ([email protected]) was recorded on submission of

this form.

0 of 0 points

FULL NAME (LAST NAME, FIRST NAME MIDDLE INITIAL): *

ARCAYAN, TRIXIE D.

STUDENT NUMBER: *

05-1920-08824

PROGRAM AND SECTION (EX: BSN 3-A1): *

BSN 3-A1

MULTIPLE CHOICE QUESTIONS 71-100 17 of 30 points

MULTIPLE CHOICE QUESTIONS 71-100 17 of 30 points

Which of the following interventions is appropriate for a patient with sundowner’s 0/1
syndrome commonly seen in Alzheimer’s dementia? *
SITUATION: Nurse Vanessa was supervising a number of student nurses in an Assisted Living
Facility. One of her students was taking care of a patient with ALZHIEMER’S DISEASE.

Keeping the person busy and active during the day to avoid napping so that the
normal sleep patterns will be maintained.

Giving the patient an anti-anxiety medication during this time.

Keeping the lights off in the room to minimize wandering.

Make a bedtime experience wonderful thru television viewing and/or reading.

An elderly male client on the psychiatric unit becomes upset in the day room. When 1/1
attempting to deal with the situation, the nurse should: *
SITUATION: You are admitting a patient in a long-term care facility due to involuntary leakage of urine
for 5-days now. Significant others verbalized frustrations about patient care, hence the admission.
Patient looks depressed and is withdrawn.

instruct the client to be quiet.

lead the client from the room by taking him by his arm.

allow the client to act out until he tires.

give directions in a firm, low-pitched voice.

 The major difference of delirium from dementia is that dementia * 1/1
SITUATION: Nurse Vanessa was supervising a number of student nurses in an Assisted Living
Facility. One of her students was taking care of a patient with ALZHIEMER’S DISEASE.

has an impaired orientation.

has an insidious onset.

is associated with language impairment.

sometimes with hallucinations and delusions.

The nurse develops a nursing diagnosis of self-care deficit for an older client with 1/1
dementia. Which of the following is the most appropriate goal for this client? *

The client will function at the highest level of independence possible.

The client will complete all activities of daily living independently within an hour time
frame.

The nursing staff will attend to all the client’s activities of daily living needs during
the hospitalization stay.

The client will be admitted to a long-term care facility to have activities of daily living
needs met.
 Undergarments are used to absorb urine from the incontinent patient. The 0/1
following should be part of the nursing interventions in taking care of this patient,
except: *

choosing indwelling catheter as primary means for managing urinary incontinence.

proper hydration, while restricting fluids at bedtime.

meticulous skin care.

use of moisture barriers and no-rinse cleansers.

When the patient becomes agitated, restless and very anxious due to possible 1/1
delirium, which should be AVOIDED as this will worsen the panic and agitation of
adults and can result in serious injury. *
SITUATION: Nurse Vanessa was supervising a number of student nurses in an Assisted Living
Facility. One of her students was taking care of a patient with ALZHIEMER’S DISEASE.

Discover and treat the cause

Physical restraints

Providing one-to-one care and supervision

Providing quite environment

 Nurse Vanessa heard her student using a reminiscence therapy. She knows that the 1/1
purpose of this is: *
SITUATION: Nurse Vanessa was supervising a number of student nurses in an Assisted Living
Facility. One of her students was taking care of a patient with ALZHIEMER’S DISEASE.

to enhance understanding of the behavior of the patient through validation of the

feelings.

a systematic use of family member as a support group.

to promote adjustment and integrity for older adults through structured

remembering and reflecting on the past.

to minimize unnecessary stress and prevent behavioral outbursts.

The nurse recognizes that dementia of the Alzheimer’s type is characterized by: * 1/1

periodic remissions and exacerbations.

areas of brain destruction called senile plaques

aggressive acting out behavior.

hypoxia of selected areas of brain tissue.

 A relative caring for a client with Alzheimer’s and wanted to know how she can 0/1
help the client at home. Which of the following would be a priority to include in
the plan of care for a client with Alzheimer’s who is experiencing difficulty
processing and completing complex tasks? *
SITUATION: Nurse Vanessa was supervising a number of student nurses in an Assisted Living
Facility. One of her students was taking care of a patient with ALZHIEMER’S DISEASE.

Maintaining the routine and structure of the daily activities.

Demonstrating for client how to perform the task.

Asking the client to perform one task at a time.

Repeating the directions until the client follows them.

Aging patients sometimes suddenly experience delirium caused by illness or 1/1

medications. As a Gerontological Nurse you would do all of the following for this
type of patient except: *

. help patient cope with confusion and/or delusions.

put patient on a liquid diet.

establish a meaningful environment.

help maintain body awareness.

 The following are triad of symptoms of Normal pressure hydrocephalus-dementia, 1/1
except: *
SITUATION: Nurse Vanessa was supervising a number of student nurses in an Assisted Living
Facility. One of her students was taking care of a patient with ALZHIEMER’S DISEASE.

slowed cognitive processes.

urinary incontinence.

gait disturbances.

sundowner syndrome

Which of the following pathological findings is specifically related to Lewy body 1/1
dementia? *
SITUATION: Nurse Vanessa was supervising a number of student nurses in an Assisted Living
Facility. One of her students was taking care of a patient with ALZHIEMER’S DISEASE.

Abnormal deposits of a protein, alpha-synuclein

Due to hyperlipidemia, smoking, and hypertension

Beta-amyloid plaques and neurofibrillary tangles

Frontal and temporal affectation

 You are about to enter Clara’s room when she tells you, “did you steal my gold 0/1
earrings here”? You know that she experiences paranoia sometimes. Which of the
following interventions should you avoid as this may escalate her condition? *
SITUATION: Nurse Vanessa was supervising a number of student nurses in an Assisted Living
Facility. One of her students was taking care of a patient with ALZHIEMER’S DISEASE.

Avoid arguing with the person.

Argue with the person that she doesn’t really have gold earrings.

Maintain calm manner.

Avoid defensiveness

The nurse is assessing a client with dementia. To effectively elicit information about 0/1
the client’s ability to provide self-care, the nurse should: *
SITUATION: You are admitting a patient in a long-term care facility due to involuntary leakage of urine
for 5-days now. Significant others verbalized frustrations about patient care, hence the admission.
Patient looks depressed and is withdrawn.

state, “I notice that your shoes do not match your dress.”

ask, “Can you find your way from the bed to the bathroom?”

state, “continue to knit and I shall observe you for a while.”

ask, “Can you show me how you would open the door if you had a key?”
 Gretchen, 70 years old and 5 years living in nursing home now, was diagnosed with 0/1
Alzheimer’s dementia. She’s having eating problems. Which of the following
interventions is inappropriate? *
SITUATION: Nurse Vanessa was supervising a number of student nurses in an Assisted Living
Facility. One of her students was taking care of a patient with ALZHIEMER’S DISEASE.

Use “hand-over-hand” feeding (your hand guides theirs).

Force the person to eat, and as much as possible you feed them yourself.

Offer small, frequent meals and snacks.

DAvoid making comments about manners or messiness.

Which of the following interventions should be observed when a client experiences 1/1
delusion/paranoia? *
SITUATION: Nurse Vanessa was supervising a number of student nurses in an Assisted Living
Facility. One of her students was taking care of a patient with ALZHIEMER’S DISEASE.

Argue with the client. .

Assist the person to keep tract of personal items.

Whispering in front of the person.

None of the above

 When answering questions from the family of a client with Alzheimer’s disease, the 0/1
nurse explains that this disease is: *
SITUATION: You are admitting a patient in a long-term care facility due to involuntary leakage of urine
for 5-days now. Significant others verbalized frustrations about patient care, hence the admission.
Patient looks depressed and is withdrawn.

a functional disorder that occurs in the later years.

a slow, relentless deterioration of the mind.

a disease that first emerges in the fourth decade of life.

easily diagnosed through laboratory and psychological tests.

When communicating with an elderly person who has a hearing impairment, it is 0/1
most important for the nurse to: *
SITUATION: Nurse Vanessa was supervising a number of student nurses in an Assisted Living
Facility. One of her students was taking care of a patient with ALZHIEMER’S DISEASE.

Speak with hands, face, and eyes.

Place the person in good light so that he can see the nurse’s mouth.

Verify that the person understands the message by having him write what is said.

Speak slowly.
 Nurse Vanessa is now explaining stages of Alzheimer’s. Moderate stage is 1/1
characterized by sundowner’s syndrome. She is correct when she says: *
SITUATION: Nurse Vanessa was supervising a number of student nurses in an Assisted Living
Facility. One of her students was taking care of a patient with ALZHIEMER’S DISEASE.

“Restlessness, agitation, anxiety, tearfulness and wandering especially in the late

afternoon or at night.”

“It’s the impulsivity. It’s like saying or doing things he or she wouldn’t normally do.”

“It is repetitive statements, questions, or movements.”

“It is characterized by hallucinations, delusions, paranoia and irritability.”

Which of the following nursing interventions for eating/feeding issues is correct? * 1/1
SITUATION: Nurse Vanessa was supervising a number of student nurses in an Assisted Living
Facility. One of her students was taking care of a patient with ALZHIEMER’S DISEASE.

Telling the client that the food she’s eating has not yet been paid.

If agitation develops during feeding, continue feeding the client.

Leave the client to feed self.

Provide nutritious finger food.

 While Mrs. Linney, an Alzheimer’s client, is interacting with her relatives, she 0/1
suddenly climbed atop the table and took off her clothes. To help the families to
cope with sexual behaviors, which of the following responses by Nurse Francis
would be most appropriate? *
SITUATION: Nurse Vanessa was supervising a number of student nurses in an Assisted Living
Facility. One of her students was taking care of a patient with ALZHIEMER’S DISEASE.

Give feedback on the inappropriateness of the behaviors.

Ignore the behavior, but try to determine the purpose.

Administer tranquilizers.

Administer the prescribed Risperidone (Risperdal).

A 78-year-old resident of a long-term care facility insists on wearing high heels and 1/1
miniskirts to the dining room for meals and will not leave her room without first
applying glamorous makeup. The gerontological nurse assesses that the behavior is
related to: *
SITUATION: Nurse Vanessa was supervising a number of student nurses in an Assisted Living
Facility. One of her students was taking care of a patient with ALZHIEMER’S DISEASE.

trying to cope with the changes of aging.

denial concerning her advancing age.

insecurity about her appearance.

her fashion consciousness.

 Which of the following nursing diagnoses is appropriate? * 0/1
SITUATION: You are admitting a patient in a long-term care facility due to involuntary leakage of urine
for 5-days now. Significant others verbalized frustrations about patient care, hence the admission.
Patient looks depressed and is withdrawn.

Involuntary urine leakage

Anxiety

. Urinary incontinence

Urinary retention

While the student is communicating with her patient, Nurse Vanessa is concerned 1/1
the most with which of the following behaviors of the student? *
SITUATION: Nurse Vanessa was supervising a number of student nurses in an Assisted Living
Facility. One of her students was taking care of a patient with ALZHIEMER’S DISEASE.

She keeps the pace of the conversation slow.

She raised her voice to accommodate age-related hearing changes.

She maintains eye-to-eye contact.

She speaks to the patient distinctly and in simple phrases or sentences.

 Clara, who is on moderate stage of Alzheimer’s dementia is now developing 1/1
“sundowner syndrome” – wandering especially in the late afternoon or at night.
Which of the following suggested interventions would you NOT consider? *
SITUATION: Nurse Vanessa was supervising a number of student nurses in an Assisted Living
Facility. One of her students was taking care of a patient with ALZHIEMER’S DISEASE.

Restraint her during late afternoon until late at night to prevent wandering.

Reassure her that she is in the right place.

Provide alternative activities.

Use identification bracelet (in case she gets lost).

The best approach in helping a very confused, elderly client is to provide an 1/1
environment with: *
SITUATION: You are admitting a patient in a long-term care facility due to involuntary leakage of urine
for 5-days now. Significant others verbalized frustrations about patient care, hence the admission.
Patient looks depressed and is withdrawn.

a specific routine.

activities that are varied.

group involvement.

a trusting relationship.
 The approach that would be most helpful in meeting the needs of an elderly client ···/1
hospitalized with the diagnosis of dementia of the Alzheimer’s type is: *

providing an opportunity for many alternative choices in daily schedule to stimulate

interest.

simplifying the environment as much as possible while eliminating need for

choices.

developing a consistent nursing plan with fixed time schedules to provide for
physical and emotional needs.

providing a nutritious diet high in carbohydrates and proteins.

The nurse explains that the effects of aging on the nervous system result in: * 0/1
SITUATION: Nurse Vanessa was supervising a number of student nurses in an Assisted Living
Facility. One of her students was taking care of a patient with ALZHIEMER’S DISEASE.

a loss of long-term memory.

decreased conduction speed of neurons.

gradually declining loss of intellectual capability.

an accelerated loss of neurons in the brain.

 Gareth, 66-year old patient, experiences symptoms of dementia following stroke. 1/1
This type of dementia is likely? *
SITUATION: Nurse Vanessa was supervising a number of student nurses in an Assisted Living
Facility. One of her students was taking care of a patient with ALZHIEMER’S DISEASE.

Parkinson’s dementia

Alzheimer’s dementia

Huntington’s dementia

Vascular dementia

The nurse observes that a client is pacing, agitated, and presenting aggressive 0/1
gestures. The client’s speech pattern is rapid and affect is belligerent. Based on these
observations, the nurse’s immediate priority of care is to: *

provide the clients on the unit with a sense of comfort and safety.

assist the staff in caring for the client in a controlled environment.

offer the client a less stimulated area to calm down and gain control.

provide safety for the client and other clients on the unit.

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