Until recently, a 77-year-old client lived alone in her own home. ...

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Until recently, a 77-year-old client lived alone in her own home. The client fell and fractured an ankle and was placed in a long-term care facility for physical therapy. After the physical therapy was finished, the client tells the nurse,
 
  I want to stay at the facility; I am happy living there and I like the social interaction. Which of the following theories of aging best describes the status of this client?
 
  A) Activity theory
  B) Feminist theory
  C) Life-course theory
  D) Theory of thriving

Question 2

Which of the following statements best explains the relevance of psychological theories for gerontological nursing?
 
  A) Human needs theory allows the nurse to determine priorities of nursing care for older adults.
  B) Life span development theories support the belief that it may be difficult to initiate behavioral changes in older adults.
  C) Psychological theories explain why nurses should focus their discussion more on the present than on the past when talking with older adults.
  D) Psychological theories explain why reminiscence groups may not be beneficial for older adults.

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Answer to Question 1

Ans: D
The theory of thriving posits that the older adult thrives when there is concordance between the person and the human and nonhuman environment. Activity theory postulates that older people remain socially and psychologically fit if they remain actively engaged in life such as engaging in full-time work and low-level volunteering. Feminist gerontology theories examine aging from the experiences of older women. Feminist theories address gender inequalities with regard to caregiving roles, diseases, and economic status. Life-course theories address old age within the context of the life cycle.

Answer to Question 2

Ans: A
Maslow's human needs theory is useful in conceptualizing interventions in the older adult's home and in a health care facility. The attainment of lower-level human needs takes priority over higher-level human needs, such as self-actualization. Life span development theories help nurses identify those areas of personality that are likely to change and those that are more likely to remain stable. Psychological theories imply that older adults should devote some time and energy to life review and self-understanding.

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