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Self-Study Quiz: NCLEX® Review Questions



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This activity contains 10 questions.

Question 1.
As the population age 85 and older increases dramatically, which of the following consequences are health care implications for both the national and world populations? (Select all that apply.)

 
End of Question 1


Question 2.
Which of the major theories of aging suggests that individual older adults have a limited impact on the aging process, as most of the damage to the body has already been done?

 
End of Question 2


Question 3.
Which of the major theories of aging suggests that older adults may decelerate the aging process?

 
End of Question 3


Question 4.
Which of the following is a guiding principle for the nurse in distinguishing mental disorders from the expected changes associated with aging?

 
End of Question 4


Question 5.

A tearful elder client presents at a mental health clinic for an initial evaluation accompanied by her daughter. The nurse has reviewed the health care records from the primary health provider, remarkable for a “history of somatization” and “several episodes of depression.” The client’s daughter informs the nurse that the client has been sleeping more lately and is “always tearful” when awake, reporting that she “has no energy.” The nurse decides to ask several questions before she attempts to complete the lengthy, holistic assessment form. Which of the following questions are essential to address? (Select all that apply.)
 
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Question 6.
A 75-year-old client presenting with cognitive changes is prescribed citalopram (Celexa). The client’s adult child asks the nurse, “Does this look like depression or dementia to you?” Which of the following is the nurse’s best response?

 
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Question 7.

An elder nursing home client, a war veteran and career military man, has alcoholic encephalopathy with short-term memory impairment and diabetes. One month ago, he had bilateral below-the-knee amputations. The client initiated a cutoff from his family 20 years ago. He is angry and irritable around most other residents. Which of the following group activities is he initially most likely to find pleasurable? (Select all that apply.)
 
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Question 8.
A family member states, “My mother wants to know the benefits of going to adult day care rather than staying home with me. I could not answer, because I know nothing about adult day care.” Which of the following should the nurse include in her response? (Select all that apply.)

 
End of Question 8


Question 9.
A psychiatric nursing home resident says to another nurse, “Most of the other residents are a lot older than I am, and a lot sicker than I am. Is that just what happens when you get older?” Which of the following is the nurse’s best initial response?

 
End of Question 9


Question 10.

In the shift-to-shift report, a nurse reports a client’s recent behavior change. In the emergency room 36 hours ago, the client was described as “oriented x 4, clear, coherent, and organized.” Currently, the client is agitated and fearful, repeating incessantly, “My brain is being eaten by worms.” A nursing assistant responds, “What do you expect? This client is 95!” Which of the following is the nurse’s best initial response?
 
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