ATI Fundamentals Proctored Exam Study Guide 3 -Nurselytic

Correct Answer: A, C, E

Rationale: The correct answer is A, C, and E. Middle adulthood is typically associated with a decline in certain physiological functions. Metabolism tends to slow down, leading to weight gain. Gastric secretion decreases, affecting digestion. Glomerular filtration rate decreases, impacting kidney function.

Choices B, D, and F are not typically affected by aging in middle adulthood. Ability to hear low-pitched sounds and far vision usually remain stable during this stage.

Correct Answer: B, C, E

Rationale: The correct answer includes varicella (
B), herpes zoster (
C), and seasonal influenza (E) because these vaccines are specifically recommended by the CDC for middle-aged adults. Varicella is important to prevent chickenpox, herpes zoster for shingles, and seasonal influenza to protect against the flu. Haemophilus influenzae type b (
A) is typically given to children, HPV (
D) is recommended for young adults, and there is no clear indication for choice F and G. It is crucial for the nurse to discuss vaccines that are relevant to the middle adult's age group to ensure they receive appropriate immunization protection.

Correct Answer: B

Rationale: The correct answer is B. The nurse should prioritize assessing and intervening in the middle adult's difficulty with intimate relationships because it can significantly impact their emotional well-being and ability to form healthy connections. Intimate relationships play a crucial role in one's overall quality of life and can affect various aspects of mental health. By addressing this issue first, the nurse can help the individual work through their stress and potentially improve their relationships and overall psychological health.



Choices A, C, and D are not as critical as choice B because they involve different aspects of the individual's life that may not have an immediate impact on their emotional well-being and relationships. While accepting aging parents or volunteering are important, they do not directly address the middle adult's current emotional distress. Similarly, the expectation from the son regarding grandparenting, while challenging, may not be as urgent as addressing the stress related to intimate relationships.

Correct Answer: D

Rationale: The correct answer is D. The nurse should prioritize assessing and intervening in the older adult's grief over losing friends. This is crucial as multiple recent losses can lead to increased risk of depression and isolation. It is essential to address feelings of loss and provide support.
Choice A focuses on retirement dreams, which may not be as urgent.
Choice B indicates job-related regret.
Choice C mentions stress from dependence on son. These issues are important but do not pose immediate risks to mental health and well-being compared to dealing with multiple recent deaths.

Choices E, F, and G do not provide relevant information to prioritize over grief from recent losses.

Correct Answer: A, C, D, E

Rationale:
Correct
Answer: A, C, D, E


Rationale:
A. "Do you eat alone or with someone?" - This question helps determine social eating habits and potential lack of appetite due to loneliness.
C. "Have you started any new meds in the past 6 months?" - This helps identify medication side effects that may cause weight loss.
D. "What foods have you eaten in the past 24 hours?" - This assesses dietary intake and nutritional status.
E. "Are you on a fixed income?" - Financial constraints can impact food choices and access to nutritious meals.

Summary:
B. "Do you watch TV while eating your meals?" - This does not directly address the potential reasons for weight loss in an older adult.
F. - No information given to evaluate this choice.
G. - No information given to evaluate this choice.