A nurse is conducting a comprehensive psychosocial assessment of an older adult who has recently moved to the long-term care facility. How should the nurse best assess the client's motor function?
A) Observe the client walking into or out of the room.
B) Assess the client's deep tendon reflexes using a hammer.
C) Perform passive range of motion exercises on the client's arms and legs.
D) Position the client supine and ask the client to perform a leg lift with each leg separately.
Question 2A nurse assesses an older adult's abstract thinking ability. Which of the following questions is most appropriate?
A) Do you know why you are in hospital right now?
B) What do a dog and a cat have in common?
C) What goals do you have for your treatment and recovery?
D) What would you do if you found a stamped, addressed letter on the ground?
Question 3Even in a high acuity situation, a nurse can assess the spiritual needs of a client. Which of the following questions is appropriate for the older adult admitted to the intensive care unit for sepsis?
A) Do you attend church services?
B) Is there a spiritual leader we can call for you?
C) What are your beliefs about death?
D) What religion are you?
Question 4A nurse addresses the social supports available for an older adult client. Which of the following should the nurse include in the plan?
A) Ask the client direct questions about the barriers to the use of social supports.
B) Decide which of the programs is the highest quality.
C) Determine if family or friends could do the work.
D) Provide the client information about services that are available.
Question 5While a nurse is performing a recently admitted hospital client's morning care, the client states, I'm pretty sure I'll never see my own apartment again. Which of the following responses by the nurse best demonstrates effective communication?
A) What is it that makes you feel that way?
B) I'm sure that's not going to be the case.
C) All in all, you're doing quite fine.
D) There's a lot that we can do, dear, to make sure that you do.
Question 6A nurse performs a psychosocial assessment of an older adult living in the community. Which of the following statements best captures the nature of psychosocial assessment?
A) It is a formalized psychological test of the individual's condition and needs.
B) It aids in identifying and analyzing personality traits of the individual.
C) It helps to identify the individual's need for psychiatric care.
D) It is a component of holistic nursing care of older adults.
Question 7A nurse assesses an 85-year-old Hispanic woman. The client states that her husband was punished by God. To which of the following illnesses is the woman most likely referring?
A) Alcohol abuse
B) Fainting
C) Posttraumatic stress disorder (PTSD)
D) Voodoo
Question 8A nurse admits an 81-year-old to the hospital for congestive heart failure. The client is widowed, and has recently moved to an assisted living facility. Which of the following contributed the most to this admission?
A) Moving changed her daily habits.
B) Her age-related changes and risk factors increased.
C) The stress of widowhood and relocation stressed her body.
D) The assisted living facility serves food high in saturated fats.
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