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. Defecation less than once each day is not necessarily constipation.
Explanation: The frequency of bowel movements varies among individuals, and defecating less than once each day does not necessarily indicate constipation. Normal bowel habits can differ, and what is considered regular for one person may not be the same for another. Constipation is better assessed by considering other factors such as stool consistency, straining during bowel movements, and feelings of incomplete evacuation.
B. Leaking liquid feces should be treated as diarrhea.
Explanation: Leaking liquid feces may be indicative of diarrhea, but it is not the only factor to consider. The cause of diarrhea should be investigated, and treatment will depend on the underlying reason, which may include infections, medications, or other medical conditions.
C. Mineral oil is recommended as a laxative for the older adult.
Explanation: Mineral oil is generally not recommended as a laxative for older adults. It can interfere with the absorption of fat-soluble vitamins and may have adverse effects. There are other safer and more effective laxative options that healthcare providers may recommend.
D. Excessive sleep can be a symptom of constipation.
Explanation: Excessive sleep is not typically considered a symptom of constipation. Constipation is more commonly associated with symptoms such as infrequent bowel movements, difficulty passing stool, and abdominal discomfort. Sleep disturbances may have various causes, but they are not a direct symptom of constipation.
Correct Answer is C
Explanation
A. Decreased serum albumin levels can be an indicator of protein malnutrition, but it may not reflect overall nutritional status comprehensively. It is more specific to protein status.
B. Decreased vitamin D levels are related to a specific nutrient (vitamin D) and may indicate a deficiency in that vitamin, but it doesn't provide a broad assessment of overall nutritional status.
C. Unintentional weight loss is a key indicator of potential nutritional deficit.
Unintentional weight loss is a significant concern, especially in older adults, as it can be indicative of various underlying health issues, including malnutrition. It is a more general indicator of overall nutritional status.
D. Anorexia lasting more than 24 hours may contribute to weight loss, but it is a symptom rather than a direct measure of nutritional status. Unintentional weight loss encompasses a broader view of changes in body weight that may signal nutritional deficits.
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