A nurse is conducting a class at a senior citizens' center on factors that protect against dementia. Which of the following statements by an older adult in the class indicates a need for further teaching by the nurse?
A) No healthy lifestyle is going to ward off dementia.
B) Eating food high in omega-3 fatty acids will help preserve my thinking processes.
C) Engaging in social activities will help prevent dementia.
D) Engaging in an organized exercise program will help prevent symptoms of dementia.
Question 2Which of the following is a priority nursing intervention for the management of delirium?
A) Giving the client low-dose oxygenation and maintaining his or her fluid and electrolyte balance
B) Reducing noise and placing familiar objects in the client's environment
C) Giving the client a clock, a watch, and calendars to provide the client with temporal orientation
D) Providing psychological support through cognitive and social stimulation
Question 3An older adult started an antidepressant 1 week ago. The client states, I don't want to take that pill, it's not doing anything. Which of the following responses by the nurse is most appropriate?
A) That is fine, it is your right to refuse medications.
B) It is too soon to see effects; positive effects may begin around 3 weeks.
C) Let's notify the primary health care provider to try another type of medication.
D) What side effects are you having?
Question 4A nurse teaches an older adult about the antidepressant medication recently prescribed. Which of the following should the nurse include in the teaching? (Select all that apply.)
A) Antidepressants can interact with alcohol and over-the-counter medications.
B) Depression is uncommon in the older adult population.
C) Expect adverse effects of the medicine; stop medication if they occur.
D) Don't expect immediate improvement; a fair trial may take up to 12 weeks.
E) The medication is to be taken only as needed.
Question 5A nurse recognizes that depression has functional consequences. Which of the following are functional consequences of late-life depression? (Select all that apply.)
A) Decreased functioning
B) Dementia
C) Higher incidence of a stroke
D) Higher level of pain
E) Increased risk for suicide
Question 6Which of the following clients is at highest risk for suicide?
A) An 18-year-old who has made an appointment with his primary health care provider
B) A 60-year-old with kidney stones
C) A 75-year-old woman living with her child and grandchildren
D) An 85-year-old man whose spouse died 1 year ago
Question 7An older adult was diagnosed with depression shortly after relocating to the nursing home 6 weeks ago. What intervention should the nurse implement to address the depression?
A) Teach the client about the problem of suicide in older adults.
B) Provide opportunities for the client to engage with other residents.
C) Direct the client to list all the positive aspects of her present circumstances.
D) Appoint another resident as a buddy to accompany the client during the day.
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