An older adult patient becomes progressively more confused.  The patient begins talking to long-gone loved ones about places and events that do not make any sense to the family.  Which is the priority nursing action based on the current information?

The nurse provides care to a patient who is actively dying.  The patient’s spouse is upset about her husband’s respirations.  Which response by the nurse is appropriate when providing education to the spouse about Cheyne-Stokes respirations?

The nurse provides care to a patient who has a written document containing medical decisions should the patient be unable to make them as the illness progresses.  Which end-of-life documentation does the patient have based on the current information?

The nurse’s coworker states, “All old people are the same – cranky and needy.”  Which response by the nurse is most appropriate?

The nurse provides care to a patient who is dying of colon cancer who states, “I know I can beat this cancer if I just change the things that I eat.”  Based on Kubler-Ross’s stages of grief, which stage does the nurse document in the medical record that the patient is experiencing?

The nurse provides care to a terminal patient who is approaching end of life.  Which information does the nurse reinforce with the family members as indicating death is very near?  Select all that apply.

The nurse notices that a client experiences dizziness, blurred vision, weakness, numbness in the left arm, and difficulty swallowing that lasts for about 10 minutes.  The nurse suspects an interruption of oxygen supply to the client’s brain.  Which conclusion will the nurse draw regarding the client’s experience?

A home health nurse (HHN) is preparing to make a visit to a resident in a long-term care facility who has a clinical diagnosis of Alzheimer’s. Which area of the facility should the nurse anticipate that the resident is located?

The nurse is approached by a resident in a long-term care facility.  The client is considered to be middle-old, walks with a cane, has notable facial droop, and takes a long time to formulate verbal expression.  Which is the best response by the nurse?

The nurse is assessing an old-old client.  Which assessment finding should the nurse consider as highest priority?