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NR 226 Quiz 2

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Chamberlain University

NR-226: Fundamentals – Patient Care

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Date

NR 226 Quiz 2

  1. A nurse is assisting a client with worsening dementia who can no longer live alone. During a discussion with the client’s son regarding healthcare services and living arrangements, the nurse suggests considering a nursing center, as home care may no longer be a safe option.

  2. When evaluating an older adult’s understanding of health promotion, the client’s statement, “I still keep my dentist appointments even though I have partials now,” is the most reliable indicator of their knowledge regarding the importance of maintaining regular health checkups.

  3. The primary distinction between delirium and dementia lies in their onset and characteristics. Delirium is often associated with hallucinations, agitation, confusion, and memory loss, and has a rapid onset due to an acute illness. It can also alter consciousness. In contrast, dementia is a gradual process, does not impact all older adults, and can have various causes.

  4. Heart disease remains the leading cause of death among older adults. Nurses caring for this population should be vigilant in monitoring and managing associated risk factors.

  5. Post-operative older adults experiencing pain may require close monitoring, especially if they are cognitively impaired, as their ability to express pain may be altered. Nurses must use careful assessment strategies in such cases.

  6. Night terrors, characterized by a child waking up screaming but appearing to be sound asleep, are a common sleep disorder in young children. Nurses can educate parents on managing this condition and understanding its typical progression.

  7. A college student complaining of chronic exhaustion may be experiencing sleep deprivation, a common issue among young adults due to lifestyle factors such as academic stress, irregular schedules, or inadequate sleep habits.

  8. The nurse educates the family of an older adult regarding sleep habits, explaining that napping is common for older adults but should ideally be limited to 20–30 minutes to avoid disruptions in nighttime sleep.

  9. During REM (Rapid Eye Movement) sleep, two key activities occur: cognitive restoration and vivid dreaming. This phase of sleep is essential for mental and emotional recovery.

  10. To improve sleep quality in older adults, the nurse suggests practical strategies such as keeping pets out of the bedroom at night, using room-darkening curtains, and maintaining a comfortable room temperature.

NR 226 Quiz 2


HeadingDetailsNursing Implications
Dementia and Living ArrangementsDementia may render living alone unsafe. A nursing center is recommended for advanced cases.Ensure families are aware of safe living options and available healthcare services.
Understanding Health PromotionOlder adults who prioritize regular health maintenance, such as dental appointments, demonstrate good health promotion understanding.Emphasize the importance of routine health checkups and maintenance behaviors.
Delirium vs. DementiaDelirium has a rapid onset, often due to acute illness, and can alter consciousness. Dementia is gradual and has various causes.Differentiate between these conditions for effective care planning and treatment.
Pain Management in Older AdultsCognitively impaired older adults may require careful monitoring to address pain.Implement thorough assessment techniques for accurate pain management.
Sleep Concerns Across Age GroupsNight terrors are common in children. Sleep deprivation affects young adults. Older adults benefit from 20–30 minute naps.Provide age-specific sleep education and interventions.
Suggestions for Improved SleepEffective sleep strategies include keeping pets out of bedrooms, using dark curtains, and adjusting room temperatures.Offer tailored advice to enhance sleep hygiene and quality for older adults.

References

American Psychological Association. (2020). Publication manual of the American Psychological Association (7th ed.). Washington, DC: Author.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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