Registered Practical Nurse (RPN) Practice Test

Which aspect should be included in the nursing assessment of an older adult with symptoms of dementia?

1. Family psychiatric history

2. Patient's eyeglasses and hearing aid in place

3. Assessment of the sociocultural background

4. Current medication review

The correct answer is: Patient's eyeglasses and hearing aid in place

The inclusion of the patient's eyeglasses and hearing aid in the assessment is critical when evaluating an older adult with dementia symptoms. Proper vision and hearing are essential for effective communication and engagement with the individual, which can significantly influence their cognitive assessment. By ensuring that the patient has their eyeglasses and hearing aids in place, a nurse can better observe the patient's behavior and responses, potentially leading to a more accurate understanding of the patient's cognitive abilities. This step promotes an environment that enables clarity in communication and can help distinguish between true cognitive impairment and difficulties arising from sensory deficits. Maintaining awareness of such assistive devices is particularly important in older adults, who may have concomitant sensory impairments that mask or mimic cognitive decline, making this a key aspect of a comprehensive nursing assessment. This consideration ultimately supports the delivery of personalized care that acknowledges each patient's unique needs.