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Nursing Interventions
Nursing Interventions ( 4 Questions)
A nurse is assessing an older adult client who reports feeling lonely and isolated since retiring from work.
Which of the following questions should the nurse ask to assess the client’s psychosocial changes?
How do you spend your time during the day?.
This question is relevant to assess the client’s psychosocial changes because it can reveal the client’s level of activity, engagement, and satisfaction with their daily routine.Older adults may face various psychosocial challenges that can affect their well-being and social relationships, such as isolation, loss of identity, mistrust, guilt, and financial anxiety.
Asking about the client’s daily activities can help the nurse identify any signs of depression, anxiety, loneliness, boredom, or cognitive impairment that may require further intervention.
This is wrong because it is not directly related to the client’s psychosocial changes.
Asking about hobbies or interests may provide some information about the client’s personality and preferences, but it does not address the client’s current emotional or social state.
This is wrong because it is too specific and may not capture the full extent of the client’s social network and support.
Asking about friends or family members may indicate the client’s level of connectedness and attachment, but it does not explore the quality or frequency of those relationships.
This is bacause it is too broad and may not elicit useful information for the nurse.
Asking about coping strategies may be helpful to assess the client’s resilience and adaptability, but it does not focus on the client’s present psychosocial issues or needs.
The correct answer is A.
How do you spend your time during the day?.
This question is relevant to assess the client’s psychosocial changes because it can reveal the client’s level of activity, engagement, and satisfaction with their daily routine. Older adults may face various psychosocial challenges that can affect their well-being and social relationships, such as isolation, loss of identity, mistrust, guilt, and financial anxiety.
Asking about the client’s daily activities can help the nurse identify any signs of depression, anxiety, loneliness, boredom, or cognitive impairment that may require further intervention.
Choice B is wrong because it is not directly related to the client’s psychosocial changes.
Asking about hobbies or interests may provide some information about the client’s personality and preferences, but it does not address the client’s current emotional or social state.
Choice C is wrong because it is too specific and may not capture the full extent of the client’s social network and support.
Asking about friends or family members may indicate the client’s level of connectedness and attachment, but it does not explore the quality or frequency of those relationships.
Choice D is wrong because it is too broad and may not elicit useful information for the nurse.
Asking about coping strategies may be helpful to assess the client’s resilience and adaptability, but it does not focus on the client’s present psychosocial issues or needs.
Normal ranges for psychosocial changes in older adults are difficult to define, as they depend on various factors such as culture, personality, life experiences, health status, and environmental conditions. However, some general indicators of healthy psychosocial functioning in older adults include:.
• Having a positive self-image and a sense of purpose.
• Maintaining social contacts and meaningful relationships.
• Engaging in enjoyable and stimulating activities.
• Expressing emotions appropriately and seeking help when needed.
• Accepting changes and losses with grace and dignity.
• Demonstrating wisdom and integrity.