NUR 131 Specialized Care of the Older Adult Exam with Questions and Answers

It covers key domains which include; Healthy Aging and Wellness, Acute and Complex Illness Management, Developmental and Cultural Considerations, Systems-Based Analysis, Stressors and Activities of Daily Living (ADLs), Geriatric Health Dimensions, Clinical Integration and Disease Risk Factor Identification. A 78-year-old client reports that they have recently stopped attending social gatherings because they “feel like they are slowing everyone down.” The nurse recognizes this behavior as most consistent with which psychosocial challenge in healthy aging? a. Age-related cognitive decline b. Social disengagement due to ageism internalization c. Normal adaptive coping to retirement d. Primary depressive disorder only Correct Answer b. Social disengagement due to ageism internalization Rationale The client’s belief that they are “slowing others down” reflects internalized ageism, where older adults adopt societal stereotypes about aging and reduce participation in social activities. While depression may coexist, the key concept in healthy aging is recognizing how negative self-perceptions of aging contribute to social withdrawal. This is distinct from normal retirement adjustment or cognitive decline.