Psychosocial Assessment of Older Adults
- A. Have you thought about harming yourself?
- B. Are you still playing bridge every Thursday?
- C. How does your congestive heart failure affect your life?
- D. Has your financial situation changed since last year?
Correct Answer: A
Rationale: Mental health is crucial in older adults, so asking about suicide risk is essential for early intervention.
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A 51-year-old woman has begun menopause. The nurse emphasizes the importance of a diet high in calcium and vitamin D as well as exercise for this woman. This recommendation is important because by the time the client is 56, she will have experienced another bone loss of:
- A. 3%
- B. 7%
- C. 10%
- D. 15%
Correct Answer: D
Rationale: Postmenopausal women experience rapid bone loss, especially during the first 5 years, with losses of 15% or more.
A client who fails to take his insulin on a regular basis may have a conflict in which of the following functional health patterns?
- A. Health-perception–health-management
- B. Cognitive-perceptual
- C. Elimination
- D. Values-beliefs
Correct Answer: A
Rationale: Failure to take insulin regularly indicates issues with health management and understanding the need for treatment.
Which of the following teenagers is exhibiting a behavior that causes concern and requires further evaluation?
- A. Is always very happy
- B. Is agitated and has trouble sleeping
- C. Has a lot of homework and stays up late to finish it
- D. Values his friend’s opinion more than his parent’s opinion
Correct Answer: B
Rationale: Agitation and insomnia are signs of potential substance abuse, requiring further evaluation.
A nurse is caring for a woman who is in labor and the fetus descends to the lower birth canal. The woman is in which of the following stages of labor?
- A. First
- B. Second
- C. Third
- D. Fourth
Correct Answer: B
Rationale: The second stage of labor is marked by fetal descent into the lower birth canal.
In a family in which the mother and the father differ on how to spend and save money, the parents are constantly arguing with each other. Which of the following interventions should the nurse include in the plan of care for this couple?
- A. Assist them to develop strategies that are congruent with their values.
- B. Allow each of them to defend his or her own values.
- C. Focus on outcomes that each wants to accomplish.
- D. Divert their attention to areas in which they are successful.
Correct Answer: A
Rationale: Developing strategies congruent with each individual's values will help reduce conflict and improve their financial decisions.