According to Erikson, the older adult is in which stage of psychosocial development?

Ego integrity VS Delusions

Ego integrity VS Despair

Ego integrity VS Depression

Ego integrity VS Role confusion

Answer and Explanation

The Correct Answer is B

A. Ego integrity VS Delusions: Delusions are psychiatric symptoms, not a psychosocial stage in Erikson’s theory.

B. Ego integrity VS Despair: This is the correct psychosocial stage for older adults in Erikson’s theory. Individuals reflect on their life and either develop a sense of integrity or experience despair over missed opportunities.

C. Ego integrity VS Depression: Depression may occur, but it’s not the term used by Erikson for this stage.

D. Ego integrity VS Role confusion: Role confusion is associated with adolescence, not older adulthood.

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

Explanation

A. Decreased resting cardiac output

Cardiac output decreases due to reduced myocardial efficiency and heart muscle compliance.

B. Increased risk for heart attack

Atherosclerosis and vascular stiffness raise the risk of myocardial infarction.

C. Increased blood pressure

Arterial stiffness and decreased elasticity lead to increased systolic blood pressure.

D. Increased coronary blood flow

Blood flow may actually decrease due to narrowing of coronary arteries.

E. Decreased rigidity of the heart

Aging causes the heart muscle to increase in rigidity (i.e., become stiffer), not decrease.

A. Encourage the patient to talk to the primary care physician about the problem. B. Establishing a medication regimen to control the discomfort. C. Encourage the patient to take a tepid bath and use moisturizers D. Teach the patient that pruritus is an expected consequence of aging.

Correct Answer is C

Explanation

A. Encourage the patient to talk to the primary care physician about the problem

While involving the PCP is helpful, the nurse can provide direct, effective care and education first.

B. Establishing a medication regimen to control the discomfort

Medication may be necessary in severe cases, but non-pharmacologic measures like moisturizing are safer and often more effective initially.

C. Encourage the patient to take a tepid bath and use moisturizers

Tepid baths prevent skin dryness, and applying moisturizers helps restore the skin barrier, relieving pruritus.

D. Teach the patient that pruritus is an expected consequence of aging

While more common with aging, pruritus should not be dismissed; it is treatable and can significantly affect quality of life.

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According to Erikson, the older adult is in which stage of psychosocial development?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What are included in age-related cardiovascular changes? (Select all that apply.)

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

Explanation

What is the best nursing action when assisting an older patient to relieve the discomfort of pruritus related to dry skin?

Correct Answer is C

Explanation

The nurse is assisting with the admission of an older adult client who fell at home 3 days ago. The client has a fractured hip, malnutrition, and dehydration. Which of the following lab values should indicate to the nurse that the patient has prolonged malnutrition?

Which nursing intervention is recommended for the care of an older person who is experiencing decreased loss of muscle strength?

Which factor contributes to constipation in an older person?

A 74-year-old man with cirrhosis is admitted to the hospital and he has started taking a diuretic. Which age-related change may result in decreased drug clearance in this patient?

What is the best reason that drug toxicity can occur as a result of an age-related change in the liver?

Common Signs and Symptoms of adverse drug reactions in the older person include

The nurse is assessing an older adult client for the second time this week. The client reports a decreased energy level, insomnia, and anorexia. Diagnostic tests are within the expected reference ranges. For which of the following conditions should the nurse screen the client?

A nurse is caring for an older person whose renal changes make it impossible to concentrate or dilute urine. For what is this patient at the greatest risk?