Module 3 Post-Quiz

A geriatric nurse practitioner is assessing older adults. The nurse practitioner knows that older adults sometimes have difficulty following directions during a neurologic examination or diagnostic procedure. What strategies can the nurse practitioner use to examine older clients? Spread the exam over 2 to 3 days. Provide brief instructions, one step at a time. Offer incentives and positive feedback. Suggest a nurse or an examiner who is of their age.

Provide brief instructions, one step at a time.

A nurse is planning hygiene for a client who is confused. The nurse understands the need to provide an environment that will aid her in the care of this client. What is the priority nursing action? Ask several staff to be in the room for safety since the client is sometimes agitated. Delegate this task to someone else since it's not the nurse's responsibility to perform hygiene for clients. Refuse to bathe the client because the nurse and client have not established a rapport. Create a calming environment with little stimuli.

Create a calming environment with little stimuli.

The nurse prepares to assess a school-age child's cognitive functioning. According to Piaget, which area is not necessary to assess for cognition? Environmental stimulation Work ethic Physical maturity Social interaction

Work ethic

The nurse is performing a neurological assessment on a child. The previous examination noted the child to be alert but answering questions inappropriately. In this exam, the child only responds to vigorous stimuli. What is the priority nursing action? Notify the health care provider. Reassess the client in 15 minutes. Document the findings and continue to monitor. Have a second nurse assess the client.

Notify the health care provider.

The nurse is assessing a client's cognitive capabilities. What will the nurse assess to determine if the client is cognitively intact? Select all that apply. Heart sounds Abstract reasoning Memory Speech Judgment

Abstract reasoning Memory Speech Judgment

What major complication is associated with oral intake in the client with a decreased level of consciousness? Hypotension Tachycardia Nausea Aspiration

Aspiration

The nurse is caring for an older adult whose family has brought them to the clinic due to concerns for cognitive impairment. What test will the nurse anticipate the health care provider will order first? Culture and Sensitivity Complete blood count Complete metabolic panel Chest xray

Complete blood count

A client is confused and it has progressed significantly. Which would be the priority for this client? Education Cognitive interventions Safety Support

Safety