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?

Sexuality

Retirement

Social isolation

Environment

Answer and Explanation

The Correct Answer is C

A. While changes in sexuality may occur in older adults, there is no indication that this is a concern for this client at this time.
B. Retirement can cause psychosocial changes, but this client has been retired for 5 years, making it a less immediate concern.
C. The client is at high risk for social isolation due to widowhood, lack of transportation, rural living, and the absence of a driving license. Social isolation is a major psychosocial risk in older adults and can lead to depression, cognitive decline, and physical deterioration.
D. Environmental factors (rural area, lack of transport) contribute to the risk of social isolation but are not the psychosocial issue itself.

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Correct Answer is D

Explanation

A. Psychomotor learning refers to physical skills and actions.
B. Kinesthetic learning is related to physical movement, which does not apply to learning facts like this.
C. Affective learning involves changes in feelings, values, or attitudes.
D. Cognitive learning involves acquiring knowledge and facts. In this case, the patient learned a factual detail about normal heart rate.

A. Intimate B. Socio-consultative C. Personal D. Public

Correct Answer is C

Explanation

A. Intimate space is typically reserved for very close relationships and is within 18 inches.
B. Socio-consultative space ranges from 4 to 12 feet, usually for more formal or professional interactions.
C. Personal space refers to the zone used for conversations with family and friends and typically ranges from 18 inches to 4 feet, which is the distance between the nurse and patient during history-taking.
D. Public space is beyond 12 feet and is generally used for addressing groups.

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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?

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Naxlex Comprehensive Predictor Exams

After a teaching session with a nurse, a patient learns that a normal adult heartbeat is 60 to 100 beats/min. In which domain did learning take place?

Correct Answer is D

Explanation

A nurse is sitting at the patient's bedside taking a nursing history. Which zone of personal space is the nurse using?

Correct Answer is C

Explanation

An older-adult patient is wearing a hearing aid. Which technique should the nurse use to facilitate communication?

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A nurse has provided care to a patient. Which entry should the nurse document in the patient's record?

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