Question: When making a distinction as to whether a patient is experiencing confusion related to depression or dementia, what information would be most important for the nurse to consider?
Answer Choices: a. The patient with dementia is persistently angry and hostile. b. Early morning agitation and hyperactivity occur in dementia. c. Confusion seems to worsen at night when dementia is present. d. A patient who is depressed is preoccupied with somatic symptoms.
Answer: c. Confusion seems to worsen at night when dementia is present.
Question: An older adult patient is sad, stating, “Every day is a struggle. No one cares about old people.” What is the nurse’s most therapeutic response?
Answer Choices: a. “Everyone here cares about old people. That’s why we work here.” b. “It sounds like you’re having a difficult time. Tell me about it.” c. “Let’s not focus on the negative. Tell me something good.” d. “You are still able to get around, and your mind is alert.”
Answer: b. “It sounds like you’re having a difficult time. Tell me about it.”
Question: A 74-year-old patient is regressed and apathetic. This patient responds to others only when they initiate the interaction. Which therapy would be most useful to promote resocialization?
Answer Choices: a. Medication b. Re-motivation c. Group psychotherapy d. Individual psychotherapy
Answer: b. Re-motivation
Question: A nurse wants to perform a preliminary assessment for suicidal ideation in an older adult patient. Which question would obtain the desired data?
Answer Choices: a. “What thoughts do you have about a person’s right to take his or her own life?” b. “If you felt suicidal, would you communicate your feelings to anyone?” c. “Do you have any risk factors that potentially contribute to suicide?” d. “Do you think you are vulnerable to developing a depressed mood?”
Answer: a. “What thoughts do you have about a person’s right to take his or her own life?”
Question: A nurse and social worker co-lead a reminiscence group for older adults aged 65 to 70. Which activity is most appropriate to include in the group?
Answer Choices: a. Singing a song from World War II b. Learning how to join an online social network c. Discussing national leadership during the Vietnam War d. Identifying the most troubling story in today’s newspaper
Answer: c. Discussing national leadership during the Vietnam War
Question: A nurse leads a staff development session about ageism among health care workers. What information should the nurse include about the consequences of ageism? (Select all that apply.)
Answer Choices: a. Failure of older adults to receive necessary medical information b. Development of public policy that favors programs for older adults c. Staff shortages because caregivers prefer working with younger adults Correct Answers: a. Failure of older adults to receive necessary medical information c. Staff shortages because caregivers prefer working with younger adults
Answer: Not provided in source.
Question: When admitting older adult patients, health care agencies receiving federal funds must provide written information about what topic?
Answer Choices: a. Advance health care directives b. The financial status of the institution c. How to sign out against medical advice d. The institution’s policy on the use of restraints
Answer: a. Advance health care directives
Question: What is the highest priority for assessment by nurses caring for older adults who abuse alcohol?
Answer Choices: a. Overuse of medications for erectile dysfunction b. Misuse of antihypertensive medications c. Anticholinergic effects d. Trading medications with others
Answer: c. Anticholinergic effects
Question: A nurse and social worker co-lead a reminiscence group for six “baby boomer” adults. Which activity is appropriate to include in the group?
Answer Choices: a. Post-World War II music b. Learning to send and receive email c. Discussing national leadership during the Vietnam War d. Identifying the most troubling story in today’s newspaper
Answer: a. Post-World War II music
Question: An older patient reports drinking a six-pack of beer daily. The patient tells the community health nurse, “I’ve been having trouble with my arthritis lately, so I take acetaminophen four times a day for pain.” What are the nurse’s priority interventions? (Select all that apply.)
Answer Choices: a. Inquiring about sleep disturbances caused by mixing alcohol and analgesic medications b. Determining the safety of the daily acetaminophen dose the patient is ingesting c. Advising the patient of harmful effects of alcohol and acetaminophen on the liver d. Suggesting an increase in the acetaminophen dose because alcohol produces faster excretion e. Assessing the patient for declining functional status associated with medication-induced dementia Correct Answers: b. Determining the safety of the daily acetaminophen dose the patient is ingesting c. Advising the patient of harmful effects of alcohol and acetaminophen on the liver
Answer: Not provided in source.
Question: A nurse caring for an older adult patient population should be familiar with which legal and ethical issues that are common concerns for this group? (Select all that apply.)
Answer Choices: a. Physical abuse b. Autonomous decision making c. Elder abuse d. Need for medication therapy Correct Answers: a. Physical abuse c. Elder abuse
Answer: Not provided in source.
Question: Which beliefs facilitate provision of safe, effective care for older adult patients? (Select all that apply.)
Answer Choices: a. Sexual interest declines with aging. b. Older adults are able to learn new tasks. c. Aging results in a decline in restorative sleep. d. Older adults are prone to become crime victims. e. Older adults are usually lonely and socially isolated. Correct Answers: b. Older adults are able to learn new tasks. c. Aging results in a decline in restorative sleep. d. Older adults are prone to become crime victims.
Answer: Not provided in source.
Question: A nurse assessing an older adult patient for depression should include questions about mood as well as which other symptoms? (Select all that apply.)
Answer Choices: a. Increased appetite b. Sleep pattern changes c. Anhedonia and anergia d. Increased social isolation e. Increased concern with bodily functions Correct Answers: b. Sleep pattern changes c. Anhedonia and anergia d. Increased social isolation e. Increased concern with bodily functions
Answer: Not provided in source.
Question: Analyze the results of rolling a die 2880 times.
Answer Choices: a. 480, give or take 20 or so. b. 16 2/3%, give or take 0.694% or so.
Answer: a. 480, give or take 20 or so.
Question: Evaluate the statements about the sample of students and cats.
Answer Choices: a. The 0.52 is 0.152 or so off the average number of cats per student in the whole school. b. A 95%-confidence interval for the average number of cats per student in the sample is 0.216 to 0.824. c. A 95%-confidence interval for the average number of cats per student in the whole school is 0.51 to 0.53. d. 95% of the students at UMass have between 0.216 and 0.824 cats. e. The 95%-confidence level is about right because the number of cats follows the normal curve. f. The 95%-confidence level is about right because, with 900 draws from the box, the probability histogram for the average number of cats in the sample follows the normal curve.
Answer: b. A 95%-confidence interval for the average number of cats per student in the sample is 0.216 to 0.824.
Question: Evaluate the program COIN’s results of tossing a coin one million times.
Answer Choices: Not provided.
Answer: Yes.
Question: One of the primary reasons for slow titration of lamotrigine (Lamictal) when it is used in treatment of bipolar disorder is:
Answer Choices: a. Steven-Johnson syndrome b. Extrapyramidal symptoms c. Sedation d. Hypotension
Answer: a. Steven-Johnson syndrome
Question: A patient is being discharged on a new prescription for a monoamine oxidase inhibitor (MAOI). The nurse evaluates that the patient understands the dietary restrictions when the patient chooses which of the following foods to exclude from his diet?
Answer Choices: a. Tofu b. Non-yeasted baked goods c. Bologna sandwich d. Sliced Apples
Answer: c. Bologna sandwich
Question: A patient with fluctuating levels of awareness, confusion, and disturbed orientation shouts, “Bugs are crawling on my legs! Get them off!” Which problem is the patient experiencing?
Answer Choices: a. Mnemonic disturbance b. Aphasia c. Dystonia d. Tactile hallucinations
Answer: d. Tactile hallucinations
Question: An older adult patient in the intensive care unit has visual and auditory illusions. Which intervention will be most helpful?
Answer Choices: a. Make sure patient’s glasses and hearing aids are utilized. b. Place personally meaningful objects in view. c. Place large clocks and calendars on the wall. d. Keep the room brightly lit at all times.
Answer: a. Make sure patient’s glasses and hearing aids are utilized.