The client's family approaches the nursing supervisor with a complaint

Care of Older Adults NCLEX Questions

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Question 1 of 5.

The client's family approaches the nursing supervisor with a complaint about the NA's inappropriate communication with their 89-year-old father. When evaluating the NA's communication, which statements does the nurse determine most likely caused the family's complaint? Select all that apply.

A. Are you ready for the nurse to give you your medicine?'

B. Would you like to go to breakfast now, Grandpa?'

C. Would you prefer to wear the brown socks today?'

D. Your family will be visiting today. Isn't that nice?'

E. Honey, this is your bath day. Are you ready to go?'

Explanation: Grandpa,' 'Isn't that nice?,' and 'Honey' are infantilizing or clichÃ©d, likely causing the complaint. Other statements are appropriate.

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.