In assessing an older adult, you question his cognitive skills when you notice that
he is able to name objects with which he comes in contact correctly.
he is constantly checking to see whether what he did is correct.
he is able to hold a conversation with you.
his attention span will last as long as the project he is working on.
The Correct Answer is B
A. He is able to name objects with which he comes in contact correctly.
Explanation: Being able to name objects correctly indicates intact language and object recognition skills, which are positive aspects of cognitive function.
B. He is constantly checking to see whether what he did is correct.
Explanation: Constantly checking to see whether what he did is correct may be an indicator of anxiety or uncertainty about cognitive performance. While this behavior alone does not confirm cognitive impairment, it raises a question about the individual's confidence or potential challenges in decision-making.
C. He is able to hold a conversation with you.
Explanation: Holding a conversation demonstrates language and communication abilities, suggesting intact cognitive skills for social interaction.
D. His attention span will last as long as the project he is working on.
Explanation: Having an attention span that matches the duration of a project suggests a focused and goal-oriented approach, which can be a positive aspect of cognitive function.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This response provides the family member with accurate information about the limited effectiveness of drugs in improving appetite and weight gain, along with the potential for serious side effects. It promotes informed decision-making.
B. Stating that there are no drugs that impact appetite or weight gain is not entirely accurate. Some drugs may have an impact, but the effectiveness varies, and they often come with potential side effects.
C. Blanket's statements that these drugs are not permitted in long-term care facilities are not accurate. The use of medications should be based on individual assessment and treatment plans.
D. Saying "Yes, there are some very effective drugs out there. Your mother should be on one of them" is not an appropriate response. It oversimplifies the situation and may not reflect the individualized approach needed in assessing and addressing nutritional concerns.
Correct Answer is C
Explanation
A. Some of the residents are wearing blankets around their shoulders to keep warm.
Explanation: While this indicates that some residents are taking measures to keep warm, it is more of an observation than a documentation of the overall impact of temperature on the health and well-being of all residents.
B. It feels much warmer in the administration wing than out in the client care areas.
Explanation: This statement relates to variations in temperature within the facility but does not directly address the suitability of the overall ambient temperature for the well-being of older adults.
C. An ambient temperature of 62°F is unsuitable for older people because they have impaired thermoregulation.
Explanation: Older adults often have impaired thermoregulation, making them more vulnerable to temperature extremes. A temperature of 62°F may be too cold for older adults, increasing the risk of hypothermia or discomfort. Addressing the potential impact of impaired thermoregulation on older individuals' health and well-being is crucial in maintaining a safe and comfortable environment.
D. It is not fair for older adults to have to deal with an uncomfortable environment.
Explanation: While fairness and comfort are valid considerations, the primary concern should be the potential impact of the ambient temperature on the health and well-being of older adults, especially considering their impaired thermoregulation.
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