Nokea
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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Which of the following actions should be taken when a 32-year-old woman with malaise is suspected of experiencing achievement-oriented stress?
- A. Sleeping 10 hours per day
- B. Unintentional loss of 10 pounds in the past 3 weeks
- C. Expressed fear of company layoffs
- D. Calling in sick once every 2 weeks for the past month
Correct Answer: B
Rationale: Weight loss, a common sign of achievement-oriented stress, typically occurs due to neglect of health while focusing on career.
Which of the following best describes the nurse’s role in health promotion and disease prevention?
- A. Educating about home safety measures
- B. Identifying areas for family improvement
- C. Implementing the nursing process using a systems perspective
- D. Acting as a role model for the family
Correct Answer: D
Rationale: The nurse’s role involves acting as a role model to encourage healthier behaviors and guide the family through health promotion efforts.
A nurse is using feminist ethics when planning a program for women to promote screening and early detection of breast cancer.
- A. Importance of relationships
- B. Understanding the oppression of women
- C. Importance of responsibility when caring for others
- D. Understanding the imbalance of power
Correct Answer: B
Rationale: Feminist ethics focuses on understanding oppression and responsibility, promoting rights and equality for all individuals.
A nurse assesses the cognitive-perceptual pattern of a Type 1 diabetic client. Which finding has implications for the individual’s nursing plan of care?
- A. Decreased sense of hearing
- B. Decreased sense of smell
- C. Decreased sense of taste
- D. Decreased visual acuity
Correct Answer: D
Rationale: Decreased visual acuity is critical for individuals with diabetes who need to administer insulin, so it directly affects the nursing plan.
During a home visit, the nurse finds a 9-month-old in a playpen with a couple of toys. Which of the following instructions would be most appropriate for the nurse to provide to the parent to encourage growth and development of the child?
- A. Encourage the addition of a few more toys to the playpen.
- B. Suggest keeping the infant in the playpen as much as possible to promote safe play.
- C. Encourage providing the infant with supervised time outside of the playpen.
- D. Suggest removing all toys from the playpen.
Correct Answer: C
Rationale: At 9 months, the infant should be encouraged to explore outside the playpen to aid in physical development and motor skills.