Care of Older Adults NCLEX Questions
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Question 1 of 5.
The 66-year-old client recently retired after working 30 years as a bank manager. Which statement to the nurse during a clinic visit best suggests that the client is achieving the developmental stage of 'integrity versus despair'?
A. Now that I have some free time, I want to treat my wife to a trip to Hawaii.'
B. I seem to be staying in bed longer and longer each day. There isn't a reason to get up now.'
C. I am noticing the little aches and pains more; before I was just too busy to notice them.'
D. I get calls a few times a week for advice; my coworkers still value my suggestions.'
Explanation: Integrity versus despair involves accepting one's life's worth. Valued advice from coworkers indicates positive resolution. A trip reflects generativity, staying in bed suggests despair, and aches are unrelated.
Question 2 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 3 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 4 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 5 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.
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