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Exam (elaborations)

Chapter 15 Gynecological Disorders

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Chapter 15 Gynecological Disorders

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Chapter 15: Gynecological Disorders


1. Mrs. James is 78 years old and comes to the clinic for an annual checkup. The nurse practitioner
addresses the psychosocial needs of older adults and specifically the need for which of the following?

1. Dependence.
2. Dignity, credibility, and respect.
3. Being alone.
4. Not being touched. - 1. Answer: 2
Page: 428


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1.
The psychosocial assessment of the older adult entails an evaluation of the following basic needs:
autonomy and independence.
2.
The psychosocial assessment of the older adult entails an evaluation of the following basic needs:
dignity, credibility, and respect.
3.
The psychosocial assessment of the older adult entails an evaluation of the following basic needs:
communication and belonging.
4.
The psychosocial assessment of the older adult entails an evaluation of the following basic needs:
touch.

2. Mr. Slobinsky, 80 years old, is unable to leave his home due to mobility problems. The nurse
practitioner conducts a social support assessment because Mr. Slobinsky:

1. May not want to see anyone.
2. Is not missing the cultural traditions of community activities.
3. Has made frequent appointments for consultation with the practitioner.
4. Looks forward to sharing his loneliness with the nurse practitioner. - 2. Answer: 3
Page: 428


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1.
Older adults who are alone and lonely may also be depressed.
2.
Specific to older adults, ethnic traditions and expectations are factors that should be addressed in the
psychosocial assessment.

, 3.
A positive correlation exists between the need for social supports and the use of health-care services
by older adults.
4.
Older adults may be reluctant to reveal social or emotional concerns and, in some cultures, may feel
that it is unacceptable to share personal problems with outsiders. However, they may feel comfortable
discussing a physical manifestation, such as pain or sleeplessness, with a health-care provider.

3. Mrs. Khan is 89 years old and is reported to have bouts of agitation. The nurse practitioner is
counseling her family that these periods of agitation can be triggered by which of the following?

1. Silence and soft music.
2. Dim lights.
3. Approaches from other people.
4. A feeling of appetite satiety. - 3. Answer: 3
Page: 429


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