An older adult diagnosed with dementia lives with family in a rural area. During the week, this adult attends a day care center while the family is at work. In the evenings, members of the family provide care. Which factor makes this adult most vulnerable to abuse?

Being part of a busy family

Multiple caregivers

Living in a rural area

Alzheimer's disease

Answer and Explanation

The Correct Answer is D

A. A busy family may experience stress, but this alone is not the greatest risk factor for abuse.
B. Multiple caregivers can sometimes create inconsistency in care, but it is not the primary factor.
C. Rural living may limit access to resources, but dementia itself poses a greater risk.
D. Dementia (especially Alzheimer’s disease) significantly increases vulnerability to abuse because of impaired memory, communication, and judgment, which limit the ability to report or stop mistreatment.

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Correct Answer is C

Explanation

A. While communication may improve indirectly, the primary goal of stimulant therapy for ADHD is to reduce hyperactivity and impulsivity, not directly increase verbal expressiveness.

B. This may be a secondary benefit, but the main desired outcome is improved behavioral control during social interactions, particularly in play.

C. Stimulant medications like amphetamine salts help the child control impulsive behavior, reduce hyperactivity, and improve attention, allowing participation in cooperative play and structured activities.

D. Self-regulation skills develop with behavioral interventions and therapy, not directly from medication alone.

A. Nystagmus B. Dilated pupils C. Depression D. Hypersomnia

Correct Answer is B

Explanation

A. This is more commonly associated with phencyclidine (PCP) or alcohol intoxication, not cocaine.

B. Cocaine is a powerful stimulant that activates the sympathetic nervous system. This results in mydriasis (dilated pupils), increased heart rate, elevated blood pressure, hypervigilance, and euphoria.

C. Depression is more likely during cocaine withdrawal, not intoxication.

D. Like depression, hypersomnia is a withdrawal symptom. Intoxication typically causes insomnia and restlessness.

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An older adult diagnosed with dementia lives with family in a rural area. During the week, this adult attends a day care center while the family is at work. In the evenings, members of the family provide care. Which factor makes this adult most vulnerable to abuse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A child diagnosed with ADHD shows hyperactivity, aggression, and impaired play. The health care provider prescribed amphetamine salts (Adderall). The nurse should monitor for which desired behavior?

Correct Answer is C

Explanation

A nurse in an emergency department is assessing a client for suspected cocaine intoxication. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

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