After performing an assessment and determining that there are no other causes, the nurse concludes that the older adult’s recent hearing loss in one ear may be from cerumen accumulation from age- related changes. The nurse’s conclusion was based on which age-related changes that contribute to the cerumen accumulation?

Pre- hospital admission medications for the older adult client include warfarin and atenolol. Which statement made by the client should prompt the nurse to initiate a referral to a social worker?

The nurse is admitting the older adult client to a nursing home. Which is the nurse’s best approach when obtaining information during the admission interview?

The older adult client is experiencing relocation stress after being admitted to a nursing home. Which intervention is best for the nurse to implement?

The nurse observes the NA providing a stuffed animal to the hospitalized older adult client who is experiencing delirium. Which action by the nurse is most appropriate?

The nurse is assessing the older adult. Which tool should the nurse select to identify the client’s needs and care deficits?

The nurse overhears a person say, “I’m having a senior moment because I forgot “ How should the nurse interpret this statement?

The nurse educator is planning teaching for other nurses after noting that some nurses need additional education on insulin types and how to use the new insulin injection pens. When planning teaching, which question by the educator best reflects consideration that the nurses are adult learners?

The nurse is planning a health promotion program for a group of middle—aged adults. Which topic is most appropriate for the nurse to include?

The nurse is caring for the middle-aged client. Which client behavior should indicate to the nurse that the client may have difficulty achieving Erikson’s developmental stage of generativity?

The home health nurse is caring for the middle-aged client who is disabled due to a recent accident. The client has few interests, spends most days watching TV, and has become estranged from the family. Which of Erikson’s developmental stages should the nurse conclude that the client is not meeting?

The nurse is teaching a group of middle-aged female nurses about middle-aged moral development applicable only to women. Which point should the nurse most specifically address?

The student nurse is discussing with the experienced nurse Lawrence Kohlberg’s theory of moral development pertaining to middle-aged adults. Which statement should the experienced nurse correct?

The nurse has limited time to teach the middle-aged adult client- The nurse should initially plan to take which action?

The nurse is teaching newly hired NAs in a long term care facility. What information about skin care for older adults should the nurse emphasize?

The nurse teaches the 18-year-old diabetic client to perform self-administration of insulin. Each time the client makes even a small mistake, the client apologizes for getting it wrong- The client also profusely apologizes when making a minimal mistake in other activities. Based on Erikson’s developmental stages, the nurse concludes that the client may have an unresolved developmental task of which age period?

The 18 year-old tells the clinic nurse, “Thinking about college is stressing me out. I am used to getting A’s and B’s.” Which statement should the nurse reserve until a follow-up visit with the client?

The nurse is completing an assessment on the 19 year - old female who participates in strenuous physical activities many hours daily. Which nursing assessment is most important?

The nurse assesses that a hospitalized 20-year-old college student is anxious and not able to concentrate when given self-care instructions. Which intervention should the nurse implement to assist the client to deal with the stress of hospitalization?

The nurse is obtaining nutrition information from four 20-year-old female clients. All have a BM] of 20 to 23. Which client requires the most immediate follow-up?

The nurse is assessing a healthy middle-aged adult. Which finding should the nurse expect?

The unsteady 20S-year-old client persists in ambulating to the bathroom alone despite being reminded to call for assistance. The nurse concludes that, according to Havighurst’s developmental tasks, this behavior reflects which need of the client?

The 32-year-old has been trying to get pregnant for the past 10 years- The client consults a family planning clinic after being unsuccessful with the calendar and basal body temperature methods in determining the time of ovulation. Which statement by the nurse would be most appropriate?

The nurse is caring for the 55-year-old client. Which statement by the client related to psychosocial changes should the nurse most definitely explore?

The nurse is caring for the hospitalized 60-year-old client of Korean American ethnicity. Which statement, if made by the client. Correctly reflects the Korean American culture and should alert the nurse that intervention is needed?

The nurse is reviewing a laboratory report for a 61—year-old client. Which finding is most important for the nurse to address with the HCP?

The 62-year-old client is diagnosed with osteoporosis. Which medication, if taken by the client, should the nurse identify as posing a secondary risk factor for the client’s osteoporosis?

The 66-year—old client recently retired after working 30 years as a bank manager. Which statement to the nurse during a clinic visit best suggests that the client is achieving the developmental stage of “integrity versus despair”?

The 70-year-old client, hospitalized with chest pain, has been functioning independently at home. During the night, the client is found wandering in the hallway and states, “I can’t find my kitchen. I need a glass of milk.” What is the nurse’s best interpretation of the client’s behavior?

A 72-year-old woman reports she is sexually active. It is most important for the nurse to follow up by asking which question?

When the office nurse completes height measurement for the 72-year-old female, the client says that she lost half an inch. Which explanation by the nurse is most accurate?

The 73-year-old client receiving palliative care comments to the nurse, “I am such a feeble old man. My life is such a waste, and I hate having my wife see me like this. just wish I could die now.” Which statement is the nurse’s best interpretation of the client’s comments?

The nurse assesses the 75-year-old client and concludes that some findings are not age—related changes and require further follow-up. Which report by the client represents a non-age-related finding that requires additional investigation?

The experienced nurse is observing the new nurse recommend screening tests to the 80-year-old female client- Which recommendation made by the new nurse should the experienced nurse correct?

The nurse completes teaching for the 80-year-old female client. Which statement made by the client indicates further teaching is needed?

The 83-year-old tells the nurse, “I’m not taking my medication because it’s too expensive and I really don’t need it anymore.” Before responding to the client, the nurse should consider that the most common reason for older clients to discontinue their medications is which of the following?

The nurse is assessing the 84-year-old client during a routine health examination. Which finding should the nurse investigate first?

The nurse is caring for the 87-year-old hospitalized client. The nurse should assess for which age- related changes to best protect the client from friction injury?

The nurse is assessing the 88-year-old client. Which finding should the nurse associate with the normal aging process?

The nurse is caring for the 94-year-old hospitalized client of the Muslim faith who is near death. Which nursing action is most inappropriate?