A 72-year-old woman was recently widowed. She worked as a teller ...

[mydiamond]

A 72-year-old woman was recently widowed. She worked as a teller at a bank for 40 years and has been retired for the past 5 years. She never learned how to drive. She lives in a rural area that does not have public transportation.
 
  Which psychosocial change does the nurse focus on as a priority?
  a. Sexuality
  b. Retirement
  c. Environment
  d. Social isolation

Question 2

Which patient statement is the most reliable indicator that an older adult has the correct understanding of health promotion activities?
 
  a. I need to increase my fat intake and limit protein.
  b. I still keep my dentist appointments even though I have partials now.
  c. I should discontinue my fitness club membership for safety reasons.
  d. I'm up-to-date on my immunizations, but at my age, I don't need the influenza vaccine.

[chinwesucks]

Answer to Question 1

ANS: D
The highest priority at this time is the potential for social isolation. This woman does not know how to drive and lives in a rural community that does not have public transportation. All of these factors contribute to her social isolation. Other possible changes she may be going through right now include sexuality related to her advanced age and recent death of her spouse; however, this is not the priority at this time. She has been retired for 5 years, so this is also not an immediate need. She may eventually experience needs related to environment, but the data do not support this as an issue at this time.

Answer to Question 2

ANS: B
General preventive measures for the nurse to recommend to older adults include keeping regular dental appointments to promote good oral hygiene, eating a low-fat, well-balanced diet, exercising regularly, and maintaining immunizations for seasonal influenza, tetanus, diphtheria and pertussis, shingles, and pneumococcal disease.

[mydiamond]

TYSM

[ryansturges]

Gracias!