A nurse at a LTC is assisting with planning care for a group of older adult clients. When planning care, the nurse should consider that older adult clients are most likely to exhibit a decrease in which of the following?
Decision making skills
Cognitive capacity
Creative ability
Short term memory
The Correct Answer is D
A. Decision making skills
Decision-making often remains intact with age unless cognitive impairment is present.
B. Cognitive capacity
Normal aging does not significantly impair cognition; changes are usually subtle and not generalized.
C. Creative ability
Creativity often remains strong into older age and may even increase with experience.
D. Short-term memory
This is a common and expected change with normal aging. Older adults may take longer to learn new information or recall recent events.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Elevation of urine specific gravity
This may indicate concentration of urine due to dehydration but is not an expected age-related change.
B. Dry oral mucus membranes
Could suggest dehydration but not an expected normal change; should be evaluated.
C. Poor skin turgor over the sternum
Skin elasticity declines with age, but this makes turgor a less reliable indicator, not necessarily a normal sign of dehydration.
D. Decreased creatinine clearance
Normal with aging due to reduced renal function, even if serum creatinine appears normal due to lower muscle mass.
Correct Answer is C
Explanation
A. Accelerated loss of neurons in the brain
Neuron loss occurs gradually. "Accelerated" implies rapid degeneration, which would be pathological, not normal aging.
B. Increased conduction speed of neurons
This is incorrect; aging is associated with decreased conduction speed due to demyelination and slower synaptic transmission.
C. Decrease of short-term memory
Short-term memory loss is a common age-related change in cognition, even in healthy aging.
D. Gradually declining loss of intellectual capability
While processing speed may decline, intellectual capacity (such as vocabulary and long-term memory) is generally preserved in normal aging.
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