Prof. Name

1. A client experiencing progressive dementia is no longer able to live independently. In a discussion with the client’s only son regarding health care services and potential long-term living arrangements, the nurse will recommend a nursing center, as home care has become unsafe.
2. The most reliable statement from a client that indicates an understanding of health promotion activities in older adults is: “I still keep my dentist appointments even though I have partials now.”
3. The primary distinction between delirium and dementia lies in their characteristics. Delirium can lead to symptoms such as hallucinations, agitation, confusion, and memory loss, presenting with a rapid onset usually due to an acute illness. In contrast, dementia progresses gradually and does not affect all older adults; it may arise from various causes. Importantly, delirium can also alter consciousness, which is not the case with dementia.
4. In caring for older adults with multiple medical conditions, the nurse recognizes that heart disease remains the leading cause of death in this age group.
5. When addressing a postoperative older adult’s request for pain medication, the nurse understands that cognitively impaired clients may require more careful monitoring of their pain levels.
6. A young parent expresses concern because their child frequently wakes up screaming while appearing to be deeply asleep. The nurse identifies this behavior as a symptom of night terrors.
7. A college student visits the University Health Clinic, reporting persistent exhaustion. The nurse identifies sleep deprivation as a common cause of this symptom in young adults.
8. While educating the family of an older adult about sleep, the nurse notes their concern that daily napping may be affecting their father’s nighttime rest. An appropriate response would be that napping is typical for older adults, but it should ideally be limited to 20-30 minutes.
9. During REM sleep, cognitive restoration occurs, and vivid dreaming takes place.
10. When discussing sleep problems with a group of older adults, the nurse can offer several suggestions to improve their sleep quality, including: keeping pets out of the bedroom at night, installing room-darkening curtains, and checking the room temperature.