An elderly client expresses concern about the possibilities of memory loss and cognitive decline in older adulthood. Which of the following statements by the nurse is correct?

"The ability to solve novel problems remains stable during older adulthood."

"Long term memory worsens in older adulthood"

"Short-term memory improves in older adulthood."

"The ability to learn continues throughout life."

Answer and Explanation

The Correct Answer is D

A. While problem-solving ability may decline slightly with age, the ability to solve novel problems does not necessarily remain entirely stable and can be impacted by other factors such as cognitive health and education.
B. Long-term memory does not necessarily worsen in older adulthood. It is often short-term memory that experiences more noticeable decline. Long-term memory for events and information learned in the past may remain relatively intact.
C. Short-term memory tends to decline with age, making it more difficult to retain new information or recall it quickly.
D. The ability to learn continues throughout life, though it may require more effort or different strategies, such as repetition or mnemonic devices. Older adults are capable of learning new skills and information, even though the process may change with age.

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Correct Answer is A

Explanation

A. A hallmark characteristic of bulimia nervosa is binge eating followed by purging (through vomiting, laxative use, etc.) to prevent weight gain. The client’s statement indicates secretive behavior, which is typical for individuals with bulimia nervosa.
B. The statement "I feel a sense of power by restricting my food intake" is more indicative of anorexia nervosa, where the focus is on restricting food to maintain extreme weight loss.
C. Using laxatives only when constipated is not specific to bulimia nervosa, as this disorder often involves excessive purging (including laxative abuse) during binge episodes.
D. The feeling of "emotional high" during binge episodes is more often related to binge eating disorder than bulimia nervosa, which tends to have a focus on shame and guilt after purging.

A. States that connecting with family is comforting B. Loss of appetite C. Has intense moments of sadness D. Loss of interest in pleasurable activities

Correct Answer is D

Explanation

A. Finding comfort in connecting with family is a healthy coping mechanism and a normal part of the grieving process, not an indicator of clinical depression.
B. Loss of appetite can occur with both grief and depression, so it is not specific enough to indicate clinical depression.
C. Intense sadness is a normal reaction to grief, especially shortly after a loss. It is not necessarily pathological.
D. Loss of interest in pleasurable activities (anhedonia) is a hallmark symptom of clinical depression. When sadness persists and interferes with daily functioning and enjoyment of life, it may signal the transition from normal grief to a depressive disorder.

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An elderly client expresses concern about the possibilities of memory loss and cognitive decline in older adulthood. Which of the following statements by the nurse is correct?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is observing a group therapy session. Which of the following client statements should the nurse identify as an indication of bulimia nervosa?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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