OLDER ADULTS [Document subti tle]
NCLEX AND AGING
PROCESS
, OLDER ADULTS NCLEX AND AGING PROCESS
A 63-year-old patient is retiring from his job at an accounting firm where he was in a management role
for the past 20 years. He has been with the same company for 42 years and was a dedicated employee.
His wife is a homemaker. She raised their five children, babysits for her grandchildren as needed, and
belongs to numerous church committees. What are your major concerns for this patient? (Select all that
apply.)
A. The loss of his work role
B. The risk of social isolation
C. A determination if the wife will need to start working
D. How the wife expects household tasks to be divided in the home in retirement
E. The age the patient chose to retire - answer-A,D
The psychosocial stresses of retirement are usually related to role changes with a spouse or within the
family and to loss of the work role. Often there are new expectations of the retired person. This patient
is not likely to become socially isolated because of the size of the family. Whether the wife will have to
work is not a major concern at this time, nor is the age of the patient.
A 71-year-old patient enters the emergency department after falling down stairs in the home. The nurse
is conducting a fall history with the patient and his wife. They live in a one-level ranch home. He has had
diabetes for over 15 years and experiences some numbness in his feet. He wears bifocal glasses. His
blood pressure is stable around 130/70. The patient does not exercise regularly and complains of
weakness in his legs when climbing stairs. He is alert, oriented, and able to answer questions clearly.
What are the fall risk factors for this patient? (Select all that apply.)
A. Presence of a chronic disease
B. Impaired vision
C. Residence design
D. Blood pressure
E. Leg weakness
F. Exercise history - answer-B,E,F
Risk factors for falling include sensory changes such as visual loss, musculoskeletal conditions affecting
mobility (in this case weakness), and deconditioning (from lack of exercise). The mere presence of a
chronic disease is not a risk factor unless it is a condition such as a neurological disorder that alters
mobility or cognitive function. The patient's blood pressure is stable, and there is no report of
orthostatic hypotension. A one-floor residence should not pose risks
A major life event such as the death of a loved one, a move to a nursing home, or a cancer diagnosis
could precipitate:
A. Dementia.
B. Delirium.
C. Depression.
D. Stroke - answer-C
NCLEX AND AGING
PROCESS
, OLDER ADULTS NCLEX AND AGING PROCESS
A 63-year-old patient is retiring from his job at an accounting firm where he was in a management role
for the past 20 years. He has been with the same company for 42 years and was a dedicated employee.
His wife is a homemaker. She raised their five children, babysits for her grandchildren as needed, and
belongs to numerous church committees. What are your major concerns for this patient? (Select all that
apply.)
A. The loss of his work role
B. The risk of social isolation
C. A determination if the wife will need to start working
D. How the wife expects household tasks to be divided in the home in retirement
E. The age the patient chose to retire - answer-A,D
The psychosocial stresses of retirement are usually related to role changes with a spouse or within the
family and to loss of the work role. Often there are new expectations of the retired person. This patient
is not likely to become socially isolated because of the size of the family. Whether the wife will have to
work is not a major concern at this time, nor is the age of the patient.
A 71-year-old patient enters the emergency department after falling down stairs in the home. The nurse
is conducting a fall history with the patient and his wife. They live in a one-level ranch home. He has had
diabetes for over 15 years and experiences some numbness in his feet. He wears bifocal glasses. His
blood pressure is stable around 130/70. The patient does not exercise regularly and complains of
weakness in his legs when climbing stairs. He is alert, oriented, and able to answer questions clearly.
What are the fall risk factors for this patient? (Select all that apply.)
A. Presence of a chronic disease
B. Impaired vision
C. Residence design
D. Blood pressure
E. Leg weakness
F. Exercise history - answer-B,E,F
Risk factors for falling include sensory changes such as visual loss, musculoskeletal conditions affecting
mobility (in this case weakness), and deconditioning (from lack of exercise). The mere presence of a
chronic disease is not a risk factor unless it is a condition such as a neurological disorder that alters
mobility or cognitive function. The patient's blood pressure is stable, and there is no report of
orthostatic hypotension. A one-floor residence should not pose risks
A major life event such as the death of a loved one, a move to a nursing home, or a cancer diagnosis
could precipitate:
A. Dementia.
B. Delirium.
C. Depression.
D. Stroke - answer-C
