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
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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Related Questions
Correct Answer is A
Explanation
A. Quality of life is a subjective concept that is difficult to define universally and is deeply personal to each individual.
B. While social factors can influence quality of life, the concept itself is not solely defined by social interactions.
C. Quality of life is dynamic and can change over time based on health, experiences, and other factors.
D. Quality of life is not a standard measurement, as it varies widely from person to person based on individual values and circumstances.
Correct Answer is B
Explanation
A. While IPV can occur at any age, it's more prevalent among younger and pregnant women.
B. Pregnancy increases the risk for IPV due to increased stress and changes in relationship dynamics. It is a known vulnerable period.
C. Substance abuse is a risk factor for both perpetrators and victims.
D. Statistically, women, particularly those who are pregnant or in stressful relationships, are at greater risk than white males.
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