During a visit to her nurse practitioner, a 68-year-old client is ...

[ss2343]

During a visit to her nurse practitioner, a 68-year-old client is surprised at the nurse's recommendation of immunizations, stating, I thought those were only for children and teenagers..
 
  Which of the following statements provides the most accurate rationale for the nurse's recommendation? A) Persons over 65 should receive vaccinations against measles, mumps, rubella, and hepatitis.
  B) Older adults should receive annual influenza vaccinations and tetanus and diphtheria boosters every 10 years.
  C) The childhood immunization schedule be replicated in beginning at age 65 to ensure adequate antibody titers.
  D) Older adults should receive vaccinations if they live in close contact with others who may be or may become infected with infectious diseases.

Question 2

The nurse is aware of the spiritual dimension in Erikson's conceptualization of the older adult's growth and development.
 
  When applying Erikson's theory to the care of older patients, what does the nurse realize as being a spiritual component of Erikson's final development task? A) Awareness that one is loved by others and has provided unconditional love.
  B) A confidently held hope that a transcendent and positive afterlife awaits one following death.
  C) A sense of contribution that one's relationships and endeavors have benefited society and one's family.
  D) A sense of wholeness rooted in the knowledge that life experiences make sense and have served a purpose.

[carolinefletcherr]

Answer to Question 1

B
Feedback:
Tetanus and diphtheria vaccinations should be given every 10 years, while an annual flu vaccination is recommended for all older adults, regardless of living situation or proximity to others. Not every older adult requires hepatitis vaccination, and the immunization recommendations for older adults are not a replication of childhood immunizations.

Answer to Question 2

D
Feedback:
According to Erikson's description of the final developmental task, healthy psychological aging for the older adult involves achieving a sense of integrity. This integrity, or wholeness, is supported by the belief that life experiencesboth good and badmake sense and have served a purpose. The other choices express needs that older individuals may possess, but these are not components of Erikson's framework.