Care of Older Adults NCLEX Questions
Question 1 of 5.
The unsteady 20S-year-old client persists in ambulating to the bathroom alone despite being reminded to call for assistance. The nurse concludes that, according to Havighurst's developmental tasks, this behavior reflects which need of the client?
A. Adjusting to physiological changes
B. Independence
C. Industry
D. Integrity
Explanation: The client is attempting to perform self-care and to demonstrate the ability to be self-sufficient and independent from other adults. Adjusting to physiological changes is a developmental task of middle age. Industry and integrity are Erikson's tasks, not Havighurst's, and apply to different age groups.
Question 2 of 5.
The nurse is assessing the chest of the normally healthy adult male client without chest abnormalities. Which chest curvature illustrated should the nurse expect to observe?
A. Illustration A
B. Illustration B
C. Illustration C
D. Illustration D
Explanation: The normal adult chest has an anteroposterior-to-lateral ratio of approximately 1:2 and a costal angle less than 90 degrees. Illustration A is pectus excavatum, B is pectus carinatum, and D is barrel chest associated with COPD.
Question 3 of 5.
The 18 year-old tells the clinic nurse, 'Thinking about college is stressing me out. I am used to getting A's and B's.' Which statement should the nurse reserve until a follow-up visit with the client?
A. Expressing your feelings of anxiety to a friend or nurse helps you cope emotionally.'
B. I will check with the provider about prescribing paroxetine hydrochloride.'
C. Exercise increases the release of endorphins and can enhance your sense of well-being.'
D. If you like drawing or painting, register for an art class during your first semester in college.'
Explanation: The nurse should reserve suggesting an antidepressant until other interventions have been tried. Paroxetine influences neurotransmitters related to anxiety, but non-pharmacological coping strategies like expressing feelings, exercise, and art therapy should be prioritized initially.
Question 4 of 5.
The nurse assesses that a hospitalized 20-year-old college student is anxious and not able to concentrate when given self-care instructions. Which intervention should the nurse implement to assist the client to deal with the stress of hospitalization?
A. Have one parent stay in the room when the client is anxious
B. Encourage using a cell phone or Internet to talk with friends
C. Contact psychiatry to discuss treatments for depression
D. Reinforce multiple times how best to perform self-care
Explanation: To enhance coping, the nurse should focus on the developmental needs of a young adult, which include interaction with peers. Using a cell phone or Internet to communicate with friends assists in dealing with hospitalization stress. Parental presence may be intrusive, the client shows no depression, and reinforcing self-care doesn't address emotional needs.
Question 5 of 5.
The 32-year-old has been trying to get pregnant for the past 10 years- The client consults a family planning clinic after being unsuccessful with the calendar and basal body temperature methods in determining the time of ovulation. Which statement by the nurse would be most appropriate?
A. Let me review the methods with you; maybe you have not been using them correctly.'
B. Have you considered that you might not be ovulating and that adoption is an option?'
C. Test kits are available that will detect an enzyme in cervical mucus that signals ovulation.'
D. If your spouse wears restrictive underwear, this can reduce your chance of conception.'
Explanation: Suggesting an ovulation test kit, which detects guaiacol peroxidase in cervical mucus to signal ovulation, is most appropriate after 10 years of unsuccessful methods. Reviewing methods is less helpful, adoption is premature, and male underwear addresses sperm count, not ovulation timing.
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