NCLEX-PN
NCLEX Questions on Older Adults Questions
Extract:
Question 1 of 5
The nurse is caring for the 55-year-old client. Which statement by the client related to psychosocial changes should the nurse most definitely explore?
Correct Answer: D
Rationale: The client’s statement suggests empty nest syndrome, a psychosocial concern requiring further exploration. Graying hair is a normal physiological change, vision issues are physiological, and an active sexual life indicates a healthy relationship.
Question 2 of 5
The nurse is planning a health promotion program for a group of middle-aged adults. Which topic is most appropriate for the nurse to include?
Correct Answer: B
Rationale: Stress management skills are most important for middle-aged adults facing stressors like aging, family support, and retirement planning, which contribute to stress-related diseases. Contraception is more relevant for young adults, caloric reduction is secondary, and home safety suits families or older adults.
Question 3 of 5
The nurse is assessing the 50-year-old female client who is hospitalized. The nurse should assess the client for which physical changes associated with aging? Select all that apply.
Correct Answer: B;E
Rationale: Visual acuity declines, affecting near vision, and menopause causes absence of menstruation in middle-aged women. Sweat and sebaceous gland activity decrease, and weight gain, not loss, occurs due to slower metabolism.
Question 4 of 5
The nurse is caring for the hospitalized 60-year-old client of Korean American ethnicity. Which statement, if made by the client, correctly reflects the Korean American culture and should alert the nurse that intervention is needed?
Correct Answer: A
Rationale: In Korean American culture, 60 is considered old age, and retirement is expected, but this client’s concern about insurance requires a social worker consult for coverage options. Other statements reflect different cultural norms or lack specific cultural ties.
Question 5 of 5
The nurse is teaching a group of middle-aged female nurses about middle-aged moral development applicable only to women. Which point should the nurse most specifically address?
Correct Answer: A
Rationale: Gilligan’s theory, specific to women, emphasizes morality as integrity in relationships and caring for others and self, unlike Kohlberg’s justice-based theory. Westerhoff and Fowler address spiritual, not moral, development.