HESI PN GERONTOLOGY Exam Actual Exam Version 1

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HESI PN GERONTOLOGY Exam Actual Exam Version 1 /Gerontology Hesi Exit Exam Newest 2025/2026 Complete Questions And Correct Detailed Answers (Verified Answers) |Already Graded A+||Brand New Version!!

Which time is most preferable to administer an antidepressant drug that has a sedative effect on the older client?A - Afternoon B - Morning C - Bedtime D - Evening - ANSWER-Bedtime

Bedtime administration is most preferable. Morning, afternoon, and evening are not preferable because the sedative would affect activities of daily living.

An older client asks the nurse to differentiate delirium and dementia.The nurse would include which important information in the explanation? Select all that apply.A - Delirium is chronic confusion, usually irreversible.B - Dementia is progressive impairment in cognitive function.C - Delirium is acute confusion, usually reversible. 1 / 4

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D - Delirium is acute confusion, usually irreversible.E - Dementia is irreversible impairment in cognitive function. - ANSWER-Dementia is progressive impairment in cognitive function.Delirium is acute confusion, usually reversible Dementia is irreversible impairment in cognitive function.

Delirium is acute confusion that is can be reversed if treated promptly and dementia is irreversible and progressive impairment in cognitive function.

Adult children of an older client have returned the money that they took from the client's checking account and guaranteed that they would never steal from their parent again. What should the nurse assess during every home visit with the older client?A - the client has help with keeping the home safe and clean B - the client has food, medication, and all needs are being met C - the adult children have time away from the client D - the adult children are working for their own money - ANSWER-the client has food, medication, and all needs are being met

The nurse must consider that caregiving burdens often increase over time; therefore, ongoing interventions are necessary to prevent future abuse after the immediate episode has been resolved. The nurse should continue to assess if the client has food, medication, and that all needs are being met. The adult children's activities and employment are not 2 / 4

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something for the nurse to be concerned about. The client's home cleanliness and safety are not as high a priority as having food and medication.

The nurse prepares to assess an older client's cognitive functioning.What should the nurse do to enhance the assessment process?A - avoid eye contact while asking questions B - restrict the amount of small talk before the assessment C - explain the reason for the assessment D - stand next to the client while performing the assessment - ANSWER-explain the reason for the assessment

Because clients may be anxious, embarrassed, suspicious, or insulted by having their mental status reviewed, explain the importance of and the reasons for the examination. The nurse should be positioned at the same level as the client and eye contact should be made. Making the client comfortable and establishing rapport before the assessment can reduce some of the barriers to an effective mental health examination.

The nurse notes that an older client has an irregular heart beat and elevated blood pressure. What should the nurse ask the client during the assessment?A - "What do you do for relaxation?" B - "Have you been eating regularly?" C - "Have you considered causing harm to yourself?" 3 / 4

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D - "How often do you ingest alcohol?" - ANSWER-"How often do you ingest alcohol?"

Cardiac disorders can result from alcoholism and can be displayed by hypertension and an irregular heartbeat due to cardiomyopathy. Eating regularly would help assess for depression. Asking about relaxation would be appropriate to assess for an anxiety disorder. Asking about self-harm would be appropriate to assess for suicide risk.

The adult daughter asks when an older client with dementia will regain memory function. What should the nurse include when responding to the daughter?A - memory will return when the underlying cause is treated B - the memory losses are irreversible C - return of memory depends upon health status D - orientation and reasoning will most likely return in time - ANSWER-the memory losses are irreversible

Dementia is an irreversible, progressive impairment in cognitive function affecting memory, orientation, judgment, reasoning, attention, language, and problem-solving. The return of memory will not depend upon the client's health status. Orientation and reasoning will not return.The return of memory occurs with delirium, when the underlying cause is treated.

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