A primary care nurse has a long-standing relationship with a ...

[MirandaLo]

A primary care nurse has a long-standing relationship with a 63-year-old male client who is poised to retire. Place the following phases of the client's likely transition in the correct chronological order. Use all the options.
 
  A) A euphoric period involving testing of fantasies around retirement.
  B) Near phase, often accompanied by fantasy regarding the retirement role.
  C) Disenchantment phase
  D) Establishment of a stable and sustainable retirement role.
  E) Establishment of realistic and alternative sources of satisfaction during retirement.

Question 2

The patient has been diagnosed as having gouty arthritis. He asks the nurse to explain the cause of the inflammation of his great toe. The most appropriate nursing response is
 
  a. You have calcium oxalate deposits that are seen in gouty arthritis.
  b. The inflammation is from small accumulations of uric acid crystals which are called tophi.
  c. The small nodules are not related to the arthritis condition.
  d. You have fat deposits that are common with gouty arthritis.

[LP]

Answer to Question 1

B, A, C, E, D
Feedback:
The near phase of preretirement and the accompanying fantasy is often followed by a euphoric honeymoon phase. This can be followed by a disenchanting letdown, and a subsequent reorientation that results in eventual stability.

Answer to Question 2

B
Gout is a metabolic disease resulting from an accumulation of uric acid in the blood. It is an acute inflammatory condition associated with ineffective metabolism of purines.