An advanced practice registered nurse conducts a comprehensive wellness examination for a 77-year-old client who lives independently. The client's caregiver provides a list of observed physical and behavioral changes that have occurred over the past year. Which of the following findings should the nurse identify as expected, age-related developmental and physiological transitions rather than pathological concerns? Select all that apply.
- Increased difficulty distinguishing between blue and green color shades in dim lighting.Cevap
- BSudden onset of disorientation when navigating previously familiar driving routes in the neighborhood.
- Requiring extended time to recall a specific word or name while maintaining an intact overall vocabulary.Cevap
- DUnintentional leakage of urine when sneezing, coughing, or lifting heavy objects.
- Frequent reminiscing about past accomplishments and sharing repetitive historical narratives with younger family members.Cevap
- FExpressing a pervasive sense of uselessness and abruptly withdrawing from previously enjoyed social hobbies.
Cevap
The expected age-related transitions are increased difficulty distinguishing blue and green colors, requiring extended time for word retrieval, and frequent reminiscing about past life events.
Normal aging encompasses specific, predictable transitions: physiologically, the ocular lens yellows leading to poor blue/green discrimination; cognitively, processing speed slows leading to delayed word retrieval while vocabulary remains intact; and psychosocially, older adults engage in life review (reminiscing) to fulfill Erikson's developmental stage of Ego Integrity.
Adım Adım Çözüm
Anahtar Kavram
Differentiating normal physiological and psychosocial aging processes from pathological conditions in the older adult.