A nurse is assessing an older adult client. Which of the following statements indicates that the client is at a risk for being socially isolated?

"People have to speak louder for me to hear when they visit."

"I only babysit my grandchildren twice each month."

"My hearing aid is lost, so I don't go to church like I used to do."

"My adult child takes me to the grocery store every other week."

Answer and Explanation

The Correct Answer is C

A. Hearing difficulties can be a challenge but do not necessarily indicate social isolation unless they lead to withdrawal from activities.
B. Babysitting twice a month still allows for social interaction and does not suggest isolation.
C. Not attending church due to a lost hearing aid suggests withdrawal from social activities, which increases the risk of social isolation.
D. Having a family member assist with grocery shopping indicates some level of social interaction and support, reducing the risk of isolation.

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Correct Answer is C

Explanation

A. Rotavirus vaccine is for infants, not older adults. It is given to prevent severe diarrhea caused by rotavirus.
B. Human papillomavirus (HPV) vaccine is recommended for adolescents and young adults, typically before age 26, to prevent cervical and other cancers.
C. Herpes zoster (shingles) vaccine is recommended for older adults, usually starting at age 50 or 60, to reduce the risk of shingles and its complications.
D. DTaP is given to infants and young children. Instead, older adults should receive a Td or Tdap booster every 10 years.

A. Recreased impulsiveness B. Decreased abdominal pain C. Increased appetite D. Increased urine output

Correct Answer is A

Explanation

A. Decreased impulsiveness. Methylphenidate is a CNS stimulant used to treat ADHD. It helps improve attention, focus, and impulse control, which indicates the medication's effectiveness.

B. Decreased abdominal pain. Abdominal pain is a possible side effect of methylphenidate, but its resolution does not indicate the medication’s effectiveness in treating ADHD.

C. Increased appetite. Methylphenidate commonly suppresses appetite rather than increasing it. Increased appetite would not indicate effectiveness.

D. Increased urine output. Methylphenidate does not significantly affect urine output, so this is not a sign of its effectiveness.

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A nurse is assessing an older adult client. Which of the following statements indicates that the client is at a risk for being socially isolated?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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