Author Question: The community health nurse is providing information to a group of middle old clients in the ... (Read 53 times)

leo leo · **on:** Jul 23, 2018

The community health nurse is providing information to a group of middle old clients in the community regarding health tests and screening. Which of the following would be recommended for these clients?

1. Annual hearing screen.
2. Annual cholesterol and HDL protein measurement.
3. Annual vision screening.
4. Annual flu vaccine.
5. Annual pneumococcal vaccine.

Question 2

The nurse is confident that the young adult has successfully achieved psychosocial development when the client:

1. Discusses his plans to expand his exercise routine to include running.
2. Is optimistic about finding a new job since losing his last month.
3. Shares that he volunteers weekly at the local senior center.
4. Recognizes that while he enjoys playing basketball recreationally, he will never play professionally.
5. Laughs that next year he'll be too bald to play Santa Claus.

234sdffa · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1,3,4
Rationale 1: Total cholesterol and HDL protein measurement every 35 years until age 75 is recommended. Pneumococcal vaccine is recommended at age 65, then every 10 years thereafter. Other recommendations include a daily aspirin, 81 mg, if in a high-risk group; diabetes mellitus screen every 3 years, if in a high-risk group; smoking cessation; mammography screen every 12 years for women; clinical breast exam yearly for women; Pap smear annually, if there is a history of abnormal smears or previous hysterectomy for malignancy; annual digital rectal exam; annual PSA for men; annual fecal occult blood test; depression screen, periodically; family violence screen, periodically; annual height and weight measurements; STD testing, if in a high-risk group; annual flu vaccine, if over 65 or in a high-risk group; Td vaccine every 10 years.
Rationale 2: Total cholesterol and HDL protein measurement every 35 years until age 75 is recommended.
Rationale 3: Total cholesterol and HDL protein measurement every 3 to 5 years until age 75 is recommended. Pneumococcal vaccine is recommended at age 65, then every 10 years thereafter. Other recommendations include a daily aspirin, 81 mg, if in a high-risk group; diabetes mellitus screen every 3 years, if in a high-risk group; smoking cessation; mammography screen every 12 years for women; clinical breast exam yearly for women; Pap smear annually, if there is a history of abnormal smears or previous hysterectomy for malignancy; annual digital rectal exam; annual PSA for men; annual fecal occult blood test; depression screen, periodically; family violence screen, periodically; annual height and weight measurements; STD testing, if in a high-risk group; annual flu vaccine, if over 65 or in a high-risk group; Td vaccine every 10 years.
Rationale 4: Total cholesterol and HDL protein measurement every 35 years until age 75 is recommended. Pneumococcal vaccine is recommended at age 65, then every 10 years thereafter. Other recommendations include a daily aspirin, 81 mg, if in a high-risk group; diabetes mellitus screen every 3 years, if in a high-risk group; smoking cessation; mammography screen every 12 years for women; clinical breast exam yearly for women; Pap smear annually, if there is a history of abnormal smears or previous hysterectomy for malignancy; annual digital rectal exam; annual PSA for men; annual fecal occult blood test; depression screen, periodically; family violence screen, periodically; annual height and weight measurements; STD testing, if in a high-risk group; annual flu vaccine, if over 65 or in a high-risk group; Td vaccine every 10 years.
Rationale 5: Pneumococcal vaccine is recommended at age 65, then every 10 years thereafter.

Answer to Question 2

Correct Answer: 1,2,4
Rationale 1: Psychosocial development of a young adult would include keeping good health habits.
Rationale 2: Psychosocial development of a young adult would include the ability to cope with stressors appropriately.
Rationale 3: Psychosocial development of a middle-aged adult would include pursuing charitable and altruistic activities.
Rationale 4: Psychosocial development of a young adult would include having a realistic self-concept.
Rationale 5: Psychosocial development of a middle-aged adult would include accepting his aging body.