Chapter 15 Pearson Custom For Older Adult Nursing Care By Nancy J.Brown And Linda

Chapter 15 Pearson Custom For Older Adult Nursing Care By Nancy J.Brown And Linda

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Question 1

Type: MCSA

Of the following tasks, which one would the nurse expect the older adult client to perform better than a younger adult?

1. Playing a current video game
2. Working a new machine
3. Planning a family reunion
4. Figuring out a new digital camera

Correct Answer: 3

Rationale 1: Playing a current video game would require fluid intelligence or the ability to problem-solve in new situations. The younger adult is usually more proficient in fluid intelligence tasks.

Rationale 2: Working a new machine would require fluid intelligence or the ability to problem-solve in new situations. The younger adult is usually more proficient in fluid intelligence tasks.

Rationale 3: Correct. Planning a reunion requires crystallized intelligence, which is problem solving based upon experience. An older adult has had more experience.

Rationale 4: Figuring out a new digital camera would require fluid intelligence or the ability to problem-solve in new situations. The younger adult is usually more proficient in fluid intelligence tasks.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts:

Learning Outcome: Describe cognitive changes that occur with normal aging.

 

Question 2

Type: MCMA

The nurse would expect to see a gradual decline in which of the following cognitive abilities in an older adult?

Standard Text: Select all that apply.

1. Naming of objects
2. Attention span
3. Verbal fluency
4. Language skills
5. Logical analysis

Correct Answer: 1,3,5

Rationale 1: Correct. Naming of objects is a cognitive function that declines with age, as do selective attention and the ability to determine spatial relationships.

Rationale 2: Attention span is a cognitive ability that remains stable with aging, along with routine communication skills, visual perception, and the ability to understand conversations.

Rationale 3: Correct. Verbal fluency is a cognitive function that declines with age, as do selective attention and the ability to determine spatial relationships.

Rationale 4: Language skills are cognitive abilities that remain stable with aging, along with routine communication skills, visual perception, and the ability to understand conversations.

Rationale 5: Correct. Logical analysis is a cognitive function that declines with age, as do selective attention and the ability to determine spatial relationships.

Global Rationale:

 

Cognitive Level: Remembering

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts:

Learning Outcome: Describe cognitive changes that occur with normal aging.

 

Question 3

Type: MCSA

An older adult client with dementia in a long-term care facility is unable to remember how to dress himself and now requires nursing assistants to help with his activities of daily living. The nurse in charge recognizes the client’s deficit as what type of memory loss?

1. Episodic
2. Semantic
3. Declarative
4. Procedural

Correct Answer: 4

Rationale 1: Episodic memory a subcategory under declarative memory. It refers to memories of personal events experienced in one’s past, not procedural types of memories such as how to dress oneself.

Rationale 2: Semantic memory is a subcategory under declarative memory. It refers to the recollection of facts, meanings, knowledge, and concepts. It does not refer to procedural types of memories such as how to dress oneself.

Rationale 3: Declarative memory is the memory of events and facts which can easily be talked about and recalled. Declarative memory does decrease with aging but does not include procedural memory, which is being described in this situation.

Rationale 4: Correct. Procedural memory is dramatically reduced in clients with dementia. This type of memory is a subtype under non-declarative memory which stores information without regard for time or place. Procedural memories include memories of skills which can be recalled without remembering when one learned them, such as eating or, in this client’s case, dressing.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Physiological Adaptation

Nursing/Integrated Concepts:

Learning Outcome: Describe cognitive changes that occur with normal aging.

 

Question 4

Type: MCSA

The son of a healthy older adult female client assists his mother in moving from home into an assisted living facility. One evening soon after the move, the client becomes very anxious and hurries through the hallways at the facility asking everyone she sees, “Where am I? Where is my son?” The nurse in charge of the facility suspects that the client is experiencing which of the following conditions?

1. Onset of dementia
2. Episode of delirium
3. Acute anxiety attack
4. Manic episode

Correct Answer: 2

Rationale 1: The onset of dementia is actually gradual and progressive. Furthermore, there is no history given in this situation about previous memory problems in the client. The client’s actions are more likely an episode of delirium.

Rationale 2: Correct. The client has recently been relocated, is in an unfamiliar environment, and is an older adult. All of these factors put her at risk for delirium.

Rationale 3: There is no history given in this situation about previous anxiety disorders in the client. The client’s actions are more likely an episode of delirium.

Rationale 4: There is no history given in this situation about previous manic disorders in the client. The client’s actions are more likely an episode of delirium.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts:

Learning Outcome: Differentiate between delirium, mild cognitive impairment, and dementia.