A nurse is conducting a psychosocial assessment of an older adult client who has recently retired from work.

Which of the following questions should the nurse ask?

(Select all that apply.).

How do you feel about your retirement?.

What are some of the activities that you enjoy doing?.

How often do you interact with your family and friends?.

What are some of the sources of stress or conflict in your life?

How do you cope with your physical or mental health issues?.

Answer and Explanation

Correct Answer : A,B,C,D,E

The correct answer is A, B, C, D, and E.

All of these questions are relevant for conducting a psychosocial assessment of an older adult client who has recently retired from work. A psychosocial assessment is a process for learning about a client’s problems and needs, so that together you can create therapy goals and a plan for recovery. The information-gathering process should allow you to learn more about the client as a person, beyond just a diagnosis.

• Choice A is correct because it explores how the client feels about their retirement, which can be a major life transition that affects their identity, self-esteem, and sense of purpose.

• Choice B is correct because it assesses the client’s interests and hobbies, which can provide sources of enjoyment, stimulation, and meaning in their life.

• Choice C is correct because it evaluates the client’s social support network, which can influence their mental health, well-being, and coping skills.

• Choice D is correct because it identifies the client’s stressors and challenges, which can affect their mood, functioning, and quality of life.

• Choice E is correct because it examines the client’s physical and mental health issues, which can impact their ability to perform daily activities, manage their emotions, and adhere to treatment plans.

A comprehensive geriatric assessment is a multidimensional process designed to assess the functional ability, health (physical, cognitive, and mental), and socioenvironmental situation of older people. The comprehensive geriatric assessment specifically and thoroughly evaluates functional and cognitive abilities, social support, financial status, and environmental factors, as well as physical and mental health. Ideally, a regular examination of older patients incorporates many aspects of the comprehensive geriatric assessment, making the two approaches very similar.

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Correct Answer is ["A","B","C","E"]

Explanation

The correct answer isA, B, C, and E.

The nurse should ask the client about medications, vision problems, home environment, and urinary incontinence as these are all factors that could contribute to falls in older adults.

• Medicationscan increase the risk of falls because they can cause side effects such as drowsiness, dizziness, confusion, or low blood pressure.Some medications that can increase the risk of falls include sedatives, antidepressants, antihypertensives, diuretics, and anticholinergics.

• Vision problemscan impair the ability to see obstacles, judge depth and distance, or adjust to changes in light.Some vision problems that can increase the risk of falls include cataracts, glaucoma, macular degeneration, and diabetic retinopathy.

• Home environmentcan pose safety hazards that can cause tripping, slipping, or losing balance.Some home hazards that can increase the risk of falls include loose rugs, clutter, poor lighting, slippery floors, uneven surfaces, and lack of handrails or grab bars.

• Urinary incontinencecan lead to rushed movements to the bathroom or frequent nighttime trips that can increase the risk of falls.Urinary incontinence can be caused by various factors such as bladder infections, prostate problems, pelvic floor weakness, or medication side effects.

Choice D is wrong because thyroid function is not a direct factor that contributes to falls in older adults.However, thyroid disorders such as hyperthyroidism or hypothyroidism can affect other factors such as muscle strength, bone density, heart rate, or blood pressure that can indirectly increase the risk of falls.

Normal ranges for thyroid function tests vary depending on the laboratory and the method used.However, a common reference range for thyroid-stimulating hormone (TSH) is 0.4 to 4.0 mIU/L and for free thyroxine (FT4) is 0.8 to 1.8 ng/dL.

A. Muscle atrophy and fasciculations. B. Intention tremors and nystagmus. C. Flaccid paralysis and areflexia. D. Hyperactive reflexes and spasticity.

Correct Answer is B

Explanation

Intention tremors and nystagmus.These are some of the common symptoms of multiple sclerosis (MS), a condition that affects the central nervous system and causes communication problems between the brain and the rest of the body.Intention tremors are involuntary shaking movements that occur when a person tries to perform a precise action, such as reaching for an object or writing.Nystagmus is a condition where the eyes make repetitive, uncontrolled movements, often resulting in reduced vision and depth perception.

Choice A is wrong because muscle atrophy and fasciculations are more typical of motor neuron diseases, such as amyotrophic lateral sclerosis (ALS), which affect the nerve cells that control voluntary muscle movements.

Choice C is wrong because flaccid paralysis and areflexia are signs of lower motor neuron lesions, which can be caused by spinal cord injuries, peripheral nerve disorders, or Guillain-Barré syndrome.

Choice D is wrong because hyperactive reflexes and spasticity are signs of upper motor neuron lesions, which can be caused by stroke, traumatic brain injury, or cerebral palsy.

Normal ranges for some of the symptoms mentioned are:.

• Intention tremors: none or minimal.

• Nystagmus: none or minimal.

• Muscle atrophy: none or minimal.

• Fasciculations: none or minimal.

• Flaccid paralysis: none or minimal.

• Areflexia: absent or reduced reflexes.

• Hyperactive reflexes: normal or slightly increased reflexes.

• Spasticity: normal or slightly increased muscle tone.

A. Muscle atrophy and fasciculations B.

Intention tremors and nystagmus C.

Flaccid paralysis and areflexia D.

Hyperactive reflexes and spasticity

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A nurse is conducting a psychosocial assessment of an older adult client who has recently retired from work. Which of the following questions should the nurse ask? (Select all that apply.).

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Naxlex Comprehensive Predictor Exams

The nurse is assessing an older adult client who has osteoporosis and reports frequent falls. The nurse should ask the client about which of the following factors that could contribute to falls? (Select all that apply.).

Correct Answer is ["A","B","C","E"]

Explanation

The nurse is assessing a patient who has been diagnosed with multiple sclerosis (MS). Which of the following findings is most consistent with this condition?

Correct Answer is B

Explanation

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A nurse is conducting a psychosocial assessment of an older adult client who has recently retired from work.

Which of the following questions should the nurse ask?

(Select all that apply.).