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The nurse administers a pneumococcal vaccine to a 70-year-old client. The client asks "Will I have to get this every year like I do with the flu shot?" How should the nurse respond?

"It is unnecessary to have any follow-up injections of the pneumococcal vaccine after this dose."

Which statement regarding abuse is true?

Sexual abuse is nonconsensual sexual contact with another individual.

Which action should the nurse perform when conducting health assessment interviews with older clients?

Spend time in several short sessions to elicit more complete information from the clients

A client confides to the nurse that she enjoys engaging in sex with multiple male adult sex partners simultaneously. What is the most appropriate response by the nurse?

"What are you using for birth control and protection from sexually transmitted infections?"

Which client is eligible for Medicare?

A 65-year-old client who is disabled

Which can cause family stress? Select all that apply.

Abuse Divorce Chronic illness

When planning discharge teaching for a young adult, the nurse should include the potential health problems common in this age group. What should the nurse include in this teaching plan?

Accidents, including their prevention

Which statement about family violence is true?

Alcohol and substance abuse can lead to family violence.

What is the most therapeutic nursing intervention to help a late-middle-aged individual cope with the emotional aspects of aging?

Assisting the individual with plans for the future

Which risk factors are associated with the future development of osteoporosis in women? Select all that apply.

Cigarette smoking Familial predisposition Inadequate intake of dietary calcium Cigarette smoking is a high-risk behavior associated with an increased incidence of osteoporosis in later life. Familial predisposition is considered a risk factor for the development of osteoporosis. Inadequate calcium intake during the premenopausal years is a risk factor for the development of osteoporosis after menopause. Moderate exercise is not considered a risk factor for the development of osteoporosis, although a sedentary life-style is. Use of street drugs is not considered a risk factor for osteoporosis.

Which characteristic change is observed during the late adolescence stage?

Develops adult relationships

Identify the populations who are eligible for the Medicare insurance program. Select all that apply.

Disabled individuals Clients receiving dialysis People older than 65 years

Which statement regarding menopause is true?

During menopause, menstrual flow ceases and hormone levels decrease

An older adult tells the nurse, "I regret so many of the choices I've made during my life." Which of Erikson's developmental conflicts has the client probably failed to accomplish?

Ego integrity versus despair

Which type of family involves a nuclear family plus additional family members living in the same household?

Extended family

A middle-aged adult contributes to future generations through parenthood, teaching, and community involvement. To which stage of Erikson's theory does this relate?

Generativity versus stagnation

According to Erikson, a person's adjustment to the period of senescence will depend largely on the adjustment the individual made to which earlier developmental stage?

Generativity versus stagnation

A 65-year-old man is admitted to the hospital with a history of depression. The client, who speaks little English and has had few outside interests since retiring, says, "I feel useless and unneeded." The nurse concludes that the client is in which of Erikson's developmental stage?

Integrity versus despair

Which opposing conflict does a young adult face according to Erikson's theory of psychosocial development?

Intimacy versus Isolation

A nurse is evaluating a young adult for evidence of achievement of the age-related developmental stage set forth in Erikson's developmental theory. What developmental crisis is associated with this age group?

Intimacy versus isolation

According to Erikson, a young adult must accomplish the tasks associated with which stage?

Intimacy versus isolation

What conflict associated with Erikson's psychosocial stages of development should the nurse remember when caring for a client 30 years of age?

Intimacy versus isolation

The primary health-care provider suggests that a low-income 40-year-old client with cardiovascular disease, hypertension, and cerebrovascular accident access long-term care services. Which system would financially support the client to access the services?

Medicaid

A 70-year-old client is admitted to the hospital with end-stage renal disease. Which insurance program would cover the client's hospital payments?

Medicare

A registered nurse is teaching a nursing student about various developmental theories. What points mentioned by the registered nurse are accurate? Select all that apply.

Moral development theory attempts to define how moral reasoning matures in an individual. Developmental theory provides a basis for nurses to assess and understand a client's responses. Cognitive development focuses on rational thinking processes that include changes in children, adolescents, and adults to perform intellectual operations.

Which sources provide prepaid health plans? Select all that apply.

Preferred provider organizations (PPOs) Health maintenance organizations (HMOs)

An individual is verbally inflicting anguish, emotional pain, and distress on an older adult. Which type of abuse is this?

Psychological

The nurse considers that a 70-year-old female can best limit further progression of osteoporosis by doing what?

Taking supplemental calcium and vitamin D

A nurse is caring for an adult client who immigrated to this country 5 years ago. What does the nurse know about the past experiences of clients who have immigrated to this country?

They are important in assessment of their values.


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